Original filing (PDF)20240616095359NAL0000214771001

CUSTOM CHEMICAL APPLICATION LLC

Name: CUSTOM CHEMICAL APPLICATION LLC — CUSTOM CHEMICAL APPLICATION LLC MEDOVA LIFESTYLE HEALTH CARE, Form 5500 (2022)
Creator: CUSTOM CHEMICAL APPLICATION LLC

Form 5500-SF

FILING_RECEIVED

CUSTOM CHEMICAL APPLICATION LLC MEDOVA LIFESTYLE HEALTH CARE

Health & welfare plan

Signals · 1

Late filing · 6.0 mo

Active participants

Accounts w/ balance

—

Plan assets (EOY)

Net assets (EOY)

-$500

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 6.0 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.

Decision-maker contacts

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

Plan sponsor

Name

CUSTOM CHEMICAL APPLICATION LLC

EIN

39-7604264

Address

832 GROVE ST · MAUSTON, WI · 539481606

Phone

(608) 547-2227

Industry

Admin Support & Waste Mgmtsee 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

2022-02-01

Tax period

2023-01-31

Filed

2024-06-16

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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