Details
- Category
- Vendor
- Optum Financial
- Amount
- $1884.44
- Date
- Dec 31, 2022
- Processed
- Sep 08, 2026 5:44 PM EDT
- Original File
- Scan_09082026_143108_000218.pdf
Summary
Optum Financial cover letter and IRS Form 5498-SA (Copy B) for Johan Jongsma showing 2022 HSA contributions of $0.00 and fair market value of $1,884.44 as of 12/31/2022. Account number 412231515; HSA type checked.
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