Details
- Category
- Vendor
- Optum Financial
- Amount
- $1,768.40
- Date
- Jan 1, 2025
- Processed
- Mar 22, 2026 1:31 AM EDT
- Original File
- Scan_03222026_003123_000080.pdf
Summary
This is an IRS Form 5498-SA from Optum Financial for 2025, providing information on HSA contributions and the fair market value for participant Johan Jongsma. The form details contributions made in 2025 and 2026, with a total fair market value of $1,768.40 as of 12/31/2025.
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