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Form 5500 · Retirement plan · ATLANTA, GA

HICKORY CREEK HEALTHCARE FOUNDATION INC

The filing calls this plan HICKORY CREEK HEALTHCARE FOUNDATION INC 403B PLAN.

HICKORY CREEK HEALTHCARE FOUNDATION INC of ATLANTA, GA's retirement plan holds 1 insurance-company contract (annuities or guaranteed-interest accounts), disclosed on Schedule A of its Form 5500. These are investment and funding contracts, not group health or welfare coverage. No medical, dental or life benefit is reported on this filing.

Agent of record (Schedule A)
Not disclosed
Insurance company
Contract year ends
Decemberas filed for plan year 2024

Sourced from U.S. DOL EFAST2 Form 5500 · EIN 31-1644803 · plan 002 · plan year 2024, filed May 29, 2025

Participants at the start of the year
26
Contracts on file
1
Contract value
$36,537
Plan year end
December

Plan brief

Schedule A lists 1 insurance contract held by the plan — an annuity, a guaranteed-interest account or a similar funding vehicle, with TIAA.

The contracts held $36,537 at the end of the plan year, as reported on Schedule A.

The filing discloses no agent commission on these contracts.

A Schedule A is filed for a retirement plan when plan assets sit in an insurance company contract. It reports the contract's balances and any agent commission. It does not report a health, dental or life premium, and it does not give a group renewal date.

The contract year ended in December.

Schedule A insurance contracts

CarrierContract typeCoveredYear endsContract valueCommission
TIAAAnnuity / GIC23December$1,458$0

Covered = persons covered at policy year end, as filed on Schedule A for that policy — often certificates or one class, not the whole plan. Premium = the filing’s own premium/charges figure; “—” means not credibly reported.

See the filing at the Department of Labor

Administrator and service providers

Plan administrator on the filing
HICKORY CREEK HEALTHCARE FOUNDATION INC
EIN 31-1644803

The plan administrator is from line 3a of the main form. We publish company names only.

What the plan holds

Plan assets at year end
$104,391
Paid out in benefits
$15,640
Participants at the start of the year
26
Participants with account balances
20

Sourced from U.S. DOL EFAST2 Form 5500 · Schedule I

We can name the recordkeeper and the auditor for large plans, the ones that file a Schedule C or a Schedule H. Smaller plans do not have to report either, so for most 401(k) plans in the country that information is not public anywhere.

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