Gardner 401(K) Plan For Afscme Local 101 Represented Employees — Form 5500 plan (Gardner Family Health Network, Inc.)

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, Gardner 401(K) Plan For Afscme Local 101 Represented Employees is a benefit plan reported by Gardner Family Health Network, Inc. under EIN 94-1743078 and plan number 005. The latest loaded filing year is 2023. The filing reports 327 participants and $3,983,462 in end-of-year plan assets, where available in the loaded dataset.

Form 5500 plan profile · 2023

Key reported metrics

Net assets (EOY)$4MPlan net assets, end of year$3,983,462
Participants327Covered participants reported
Assets / participant$12.2KComputed: assets ÷ participants$12,182 (computed)
Provider compensation$14.5K3 Schedule C provider row(s)$14,539
Plan sponsor
Gardner Family Health Network, Inc.
EIN
94-1743078
Plan number
005
Plan type
2
Location
San Jose, CA
Latest filing year
2023

Form 5500 filing history

Filings loaded for this plan
Filing yearParticipantsSchedulesFiling
2023327H, C20240904172201NAL0020516049001
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)$4M total assets
Net assets$4MLiabilities$0
Money in vs. money out
Total income / additions$674.9K
Total expenses$286.4K
Benefits paid / distributions$262K
Contributions
Employer$167K
Participant$164.1K
Full reported line items

Net assets

Total assets (EOY)
$3,983,462
Total liabilities (EOY)
$0
Net assets (EOY)
$3,983,462
Net assets (BOY)
$3,594,930

Income & contributions

Employer contributions
$167,040
Participant contributions
$164,093
Total contributions
$331,133
Total income / additions
$674,912

Expenses & distributions

Benefits paid
$262,046
Administrative expenses
$14,539
Total expenses
$286,380
Net increase / (decrease)
$388,532
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 50%Participant 50%
Total expenses ÷ net assets7%Computed ratio
Benefits paid ÷ total income39%Computed ratio
Provider comp. ÷ net assets0%Computed ratio

Service provider compensation (Schedule C)

Reported service provider compensation
ProviderServiceDirect comp.Indirect comp.Year
Ubs Financial Services IncINVESTMENT ADVISOR$11,038not reported in the loaded dataset2023
Empower Annuity Insurance Company ORECORDKEEPER$3,424$02023
Empower Advisory Group, LLCINVESTMENT MGMT$77not reported in the loaded dataset2023

Related Form 5500 pages