Original filing (PDF)20231127083856NAL0009432000001

Circle K RVS

Name: Circle K RVS — Circle K RVS Welfare Plan, Form 5500 (2022)
Creator: Circle K RVS
License: https://www.usa.gov/government-works

Form 5500-SF

FILING_RECEIVED

Circle K RVS Welfare Plan

Health & welfare plan · Circle K RVS' Circle K RVS Welfare Plan filed a Form 5500 for plan year 2022.

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

People on this filing

Tiffany Bosch signed Circle K RVS' 2022 Form 5500 as plan administrator.

Tiffany Bosch — 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

Circle K RVS' EIN is 34-1512311.

EIN 34-1512311

Plan number 501

Plan year 2022

ACK ID 20231127083856NAL0009432000001

Official Form 5500 document

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

Download the official 2022 Form 5500 (PDF)

Plan features

Circle K RVS' plan includes health coverage.

Decision-maker contacts

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

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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

100

Total plan cost

n/a

Plan health

n/a

Vendor & structure

n/a

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

CIRCLE K RVS

EIN

all filings

Address

490 DAME ST · PETTISVILLE, OH · 43553

Phone

(419) 445-7071

Industry

Admin Support & Waste Mgmt

Plan administrator

Name

NORTHWEST OHIO BUSINESS ALLIANCE HEALTH & WELLNESS TRUST

EIN

88-1977111

City

SYLVANIA, OH

Phone

(419) 882-2135

Plan characteristics

Plan number

501

Plan year

2022

Plan year begin

2022-05-01

Tax period

2023-04-30

Filed

2023-11-27

Welfare benefit codes

4A · Health (other than dental or vision)

4Q · Other

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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