Original filing (PDF)20240210165537NAL0022459107001

FORBES FUNERAL HOME LLC

Name: FORBES FUNERAL HOME LLC — FORBES FUNERAL HOME LLC MEDOVA LIFESTYLE HEALTH PLAN, Form 5500 (2022)
Creator: FORBES FUNERAL HOME LLC

Form 5500-SF

FILING_RECEIVED

FORBES FUNERAL HOME LLC MEDOVA LIFESTYLE HEALTH PLAN

Health & welfare plan

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

-$3K

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.

Decision-maker contacts

One unlock reveals every key decision-maker — plan signer, CFO, HR & Benefits — with verified email + LinkedIn for FORBES FUNERAL HOME LLC.

Plan sponsor

Name

FORBES FUNERAL HOME LLC

EIN

39-1781513

Address

319 W SPRUCE ST · STURGEON BAY, WI · 542352841

Phone

(920) 743-6574

Industry

Other Services (ex. Public Admin)see all

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

2022-07-01

Tax period

2023-06-30

Filed

2024-02-10

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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