Apicha Community Health Center 403(B) Retirement Savings Plan — Form 5500 plan (Apicha Community Health Center)

Plain-English plan summary

According to public Form 5500 filings published through the U.S. Department of Labor (DOL) Employee Benefits Security Administration (EBSA) via the EFAST2 system, Apicha Community Health Center 403(B) Retirement Savings Plan is a benefit plan reported by Apicha Community Health Center under EIN 13-3706365 and plan number 001. The latest loaded filing year is 2023. The filing reports 133 participants and $4,107,808 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$4.1MPlan net assets, end of year$4,107,808
Participants133Covered participants reported
Assets / participant$30.9KComputed: assets ÷ participants$30,886 (computed)
Provider compensation$25.5K2 Schedule C provider row(s)$25,497
Plan sponsor
Apicha Community Health Center
EIN
13-3706365
Plan number
001
Plan type
2
Location
New York, NY
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023133H, C20241014093906NAL0013072195001
Schedule H · 2023

Reported financial statement

Reported figures as filed, in whole dollars. Only fields the filing reports are shown; others are marked not reported.

Reported balance (end of year)$4.1M total assets
Net assets$4.1MLiabilities$0
Money in vs. money out
Total income / additions$1.1M
Total expenses$117.4K
Benefits paid / distributions$95.9K
Contributions
Employer$199.1K
Participant$368.6K
Full reported line items

Net assets

Total assets (EOY)
$4,107,808
Total liabilities (EOY)
$0
Net assets (EOY)
$4,107,808
Net assets (BOY)
$3,118,973

Income & contributions

Employer contributions
$199,115
Participant contributions
$368,627
Total contributions
$567,742
Total income / additions
$1,106,191

Expenses & distributions

Benefits paid
$95,884
Administrative expenses
$21,472
Total expenses
$117,356
Net increase / (decrease)
$988,835
Computed from reported fields

Reported ratios

Derived only from this plan's own reported figures — comparisons within the filing, not benchmarks, estimates, or national averages.

Contribution share (employer vs. participant)
Employer 35%Participant 65%
Total expenses ÷ net assets3%Computed ratio
Benefits paid ÷ total income9%Computed ratio
Provider comp. ÷ net assets1%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Principal Life Insurance CompanyCONTRACT ADMINISTRATOR$20,102$02023
Raymond James Financial Svc AdvINVESTMENT ADVISORY$0$5,3952023

Related Form 5500 pages