Pomona Community Health Center 403(b) Plan

Form 5500 filing data for plan year 2023.

Plan Snapshot

  • Plan Sponsor: Pomona Community Health Center
  • Sponsor EIN: 223914738
  • Sponsor Address: 1450 EAST HOLT AVE, POMONA, CA, 91767
  • Plan Type: 403(b)
  • Plan Number: 001
  • Total Participants: 137
  • Total Assets: $3.9M

Key Plan Design Features

  • Auto-Enrollment: No
  • Auto-Escalation: No
  • Allows Roth Contributions: No
  • Participant Loans: Yes
  • Participant-Directed Investments: Yes
  • ERISA Section 404(c) Fiduciary Safe Harbor: Yes

Plan Financials by Year

YearParticipantsTotal AssetsEmployer Contrib.Employee Contrib.
2023137$3.9M$148,925$390,117
2022130$2.7M$129,337$380,147

Service Providers (Schedule C)

Vendors paid $5,000 or more for services to the plan, ranked by total compensation (direct + indirect fees).

Provider Name Role Direct Compensation Indirect Compensation Total Fees
CLIFTONLARSONALLEN LLPAuditor——$0

Plan Fees & Expenses

Annual service provider fees and administrative expenses sourced from DOL Form 5500 filings.

  • Total Service Provider Fees: $0

Historical Administrative Expenses

Breakdown of administrative expense categories reported on Form 5500 filings.

Year Total Admin Expenses Investment Mgmt Fees Contract Admin Fees IQPA Audit Fees Professional Fees
2023$2,474————
2022$2,102—$2,102——

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