Original filing (PDF)20240820124206NAL0002658193001

Samax Inc.

Name: Samax Inc. — Samax Inc. DBA McDonald's Medova, Form 5500 (2022)
Creator: Samax Inc.
License: https://www.usa.gov/government-works

Form 5500-SF

FILING_RECEIVED

Samax Inc. DBA McDonald's Medova Lifestyle Health Plan

Health & welfare plan · Samax Inc.'s Samax Inc. DBA McDonald's Medova Lifestyle Health Plan filed a Form 5500 for plan year 2022.

Signals · 1

Late filing · 9.1 mo

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

-$4K

People on this filing

Robert Moore signed Samax Inc.'s 2022 Form 5500 as plan administrator.

Robert Moore — Plan Administrator — Form 5500 signer

Get verified email & phone for these signers

Signer names are public record from the Form 5500 e-signature.

Plan identifiers

Samax Inc.'s EIN is 20-5208592.

EIN 20-5208592

Plan number 501

Plan year 2022

ACK ID 20240820124206NAL0002658193001

Official Form 5500 document

Download the official 2022 Form 5500 (PDF) for Samax Inc. from the U.S. Department of Labor's EFAST2 system.

Download the official 2022 Form 5500 (PDF)

Plan features

Samax Inc.'s plan includes health coverage.

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for SAMAX INC.

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Plan health score (directional)

Limited public data — directional only

Directional indicator from public Form 5500 data — compliance & integrity, total plan cost, participant health and vendor stack, benchmarked against same-size peers. Not a fiduciary tool. Based on 35% of scoring inputs for this filing.

Compliance & integrity

Total plan cost

n/a

Plan health

n/a

Vendor & structure

n/a

Knocking points off

Filed 9.1 months past the 10.5-month grace window.

Helping the score

Cost not scored — no comparable Schedule H expense data for this cohort.
Plan health not scored — no comparable participation/contribution data.

Plan sponsor

Name

SAMAX INC

DBA

MCDONALD'S

EIN

all filings

Address

4324 SANCTUARY BLUFF LN · LOUISVILLE, KY · 402415876

Phone

(502) 749-4058

Industry

Accommodation & Food Services

Plan administrator

Name

RECEIVERSHIP MANAGEMENT INC

EIN

20-0200514

City

MADISON, TN

Phone

(615) 370-0051

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-01-01

Tax period

2022-12-31

Filed

2024-08-20

Welfare benefit codes

4A · Health (other than dental or vision)

Audit & trust (Schedule H)

Auditor

—

Trustee / custodian

—

Trustee phone

—

Small plan (5500-SF) — Schedule H data not available.

Service providers (Schedule C)

Small plans don't disclose service providers

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