Form Number: CA530082
Form 5500-EZ
Annual Return of A One-Participant (Owners/Partners and Their Spouses) Retirement Plan or A Foreign Plan
This form is required to be filed under section 6058(b) of the Internal Revenue Code. Certain foreign plans may be required to be filed under section 6058(c) of the Internal Revenue Code. Complete all entries in accordance with the instructions for the Form 5500-EZ. Go to www.irs.gov/Form5500EZ for instructions and the latest information.
OMB No. 1545-1610
2023
This Form is Open to Public Inspection.
Part I Annual Return Identification Information
For the calendar plan year 2023 or fiscal plan year beginning (MM/DD/YYYY) 01/01/2023 ending (MM/DD/YYYY) 01/02/2023
A This return is:
(1) the first return filed for the plan
(3) the final return filed for the plan
B Check box if filing under Form 5558 an amended return
(2) an automatic extension
(4) a short plan year return (less than 12 months)
C If this return is for a foreign plan, check this box (see instructions)
D If this return is for the IRS Late Filer Penalty Relief Program, check this box
E If this is a retroactively adopted plan permitted by SECURE Act section 201, check here
Part II Basic Plan Information -- enter all requested information.
1a Name of plan
Annual Return Plan
1b Three-digit plan number (PN) 586
1c Date plan first became effective (MM/DD/YYYY) 02/05/2022
2a Employer's name Acme Corp Software
Trade name of business (if different from name of employer)
2b Employer Identification Number (EIN) 735268329
In care of name
2c Employer's telephone number 0113536259
2d Business code (see instructions)
3a Plan administrator's name (if same as employer, enter "Same")
3b Administrator's EIN 532678
In care of name
3c Administrator's telephone number
Mailing address (room, apt., suite no. and street, or P.O. box)
235, Park Street Avenue, FL
City or town, state or province, country, and ZIP or foreign postal code (if foreign, see instructions)
FL 63052
4 If the employer's name, the employer's EIN, and/or the plan name has changed since the last return filed for this plan, enter the employer's name and EIN, the plan name, and the plan number for the last return in the appropriate space provided
4a Employer's name
4b EIN 5732900
4c Plan name
4d PN
5a(1) Total number of participants at the beginning of the plan year
5a(2) Total number of active participants at the beginning of the plan year
5a(3) Total number of participants at the end of the plan year
5a(4) Total number of active participants at the end of the plan year
5b(1) 10
5b(2) 8
5b(3) 5
5b(4) 2
5c Number of participants who terminated employment during the plan year with accrued benefits that were less than 100% vested
5c
Part III Financial Information
6a Total plan assets
6a
6b Total plan liabilities
6b
6c Net plan assets (subtract line 6b from 6a)
6c
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 5500-EZ.
Catalog Number 63263R
Form 5500-EZ (2023)
