Details
- Category
- Vendor
- Optum Financial / Optum Bank
- Amount
- $1,806.90
- Date
- Dec 31, 2024
- Processed
- Sep 08, 2026 6:11 PM EDT
- Original File
- Scan_09082026_144123_000262.pdf
Summary
IRS Tax Form 5498-SA from Optum Bank for Johan Jongsma reporting 2024 HSA contributions: Box 2 total contributions $0.00, Box 3 $0.00, Box 5 fair market value $1,806.90 as of 12/31/2024.
Notes
No notes yet. Click Edit to add notes.
OCR Text
Document Preview
100%
Page 1 of 1