Details
- Category
- Vendor
- Optum Financial
- Amount
- $1,749.15
- Date
- 04/01/2026-06/30/2026
- Processed
- Aug 11, 2026 10:46 AM EDT
- Original File
- Scan_08112026_094005_000162.pdf
Summary
Quarterly HSA statement for Johan Jongsma from Optum Financial for the period 04/01/2026–06/30/2026, showing a beginning cash balance of $1,758.78, an ending cash balance of $1,749.15, 2026 YTD contributions of $0.00, and a remaining 2026 contribution limit of $9,750.00.
Notes
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OCR Text
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## Page 2
Optum Financial®
**Account number:** 412231515
**Statement dates:** 04/01/2026–06/30/2026
### HSA cash transactions
| Date | Description | Withdrawals/Debits | Deposits/Credits |
|------|-------------|-------------------|------------------|
| 04/27/2026 | Statement Fee | -$1.50 | |
| 04/30/2026 | Interest Payment | | $0.04 |
| 04/30/2026 | Monthly Maintenance Fee | -$2.75 | |
| 05/31/2026 | Interest Payment | | $0.04 |
| 05/31/2026 | Monthly Maintenance Fee | -$2.75 | |
| 06/30/2026 | Interest Payment | | $0.04 |
| 06/30/2026 | Monthly Maintenance Fee | -$2.75 | |
| **Total** | | -$9.75 | $0.12 |
2104-01-01-0118614-0001-0037809
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