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GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 401k Plan overview

Plan NameGOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN
Plan identification number 504

GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Vision

401k Sponsoring company profile

GOODWILL INDUSTRIES OF S NEW JERSEY AND PHILADELPHIA has sponsored the creation of one or more 401k plans.

Company Name:GOODWILL INDUSTRIES OF S NEW JERSEY AND PHILADELPHIA
Employer identification number (EIN):210681239
NAIC Classification:453310
NAIC Description:Used Merchandise Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-03-01TINAMARIE CHAPPELEAR2020-09-16
5042018-03-01TINAMARIE CHAPPELEAR2019-10-15
5042017-03-01TINAMARIE CHAPPELEAR
5042016-03-01TINAMARIE CHAPPELEAR TINAMARIE CHAPPELEAR2017-08-07
5042016-03-01 TINAMARIE CHAPPELEAR2017-08-07

Plan Statistics for GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN

401k plan membership statisitcs for GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN

Measure Date Value
2019: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01122
Total number of active participants reported on line 7a of the Form 55002019-03-010
Number of retired or separated participants receiving benefits2019-03-010
Number of other retired or separated participants entitled to future benefits2019-03-010
Total of all active and inactive participants2019-03-010
Number of employers contributing to the scheme2019-03-010
2018: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01115
Total number of active participants reported on line 7a of the Form 55002018-03-01122
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-01122
Number of employers contributing to the scheme2018-03-010
2017: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01119
Total number of active participants reported on line 7a of the Form 55002017-03-01115
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01115
2016: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01103
Total number of active participants reported on line 7a of the Form 55002016-03-01119
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01119

Form 5500 Responses for GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN

2019: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01This submission is the final filingYes
2019-03-01Plan funding arrangement – InsuranceYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Submission has been amendedNo
2017-03-01This submission is the final filingNo
2017-03-01This return/report is a short plan year return/report (less than 12 months)No
2017-03-01Plan is a collectively bargained planNo
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: GOODWILL INDUSTRIES OF SOUTHERN NEW JERSEY & PHILADELPHIA VISION PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01First time form 5500 has been submittedYes
2016-03-01Submission has been amendedYes
2016-03-01This submission is the final filingNo
2016-03-01This return/report is a short plan year return/report (less than 12 months)No
2016-03-01Plan is a collectively bargained planNo
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number97458781001
Policy instance 1
Insurance contract or identification number97458781001
Number of Individuals Covered205
Insurance policy start date2019-03-01
Insurance policy end date2020-02-29
Total amount of commissions paid to insurance brokerUSD $1,466
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,186
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number97458781001
Policy instance 1
Insurance contract or identification number97458781001
Number of Individuals Covered195
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $1,053
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $958
Amount paid for insurance broker fees0
Insurance broker organization code?3
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract number97458781001
Policy instance 1
Insurance contract or identification number97458781001
Number of Individuals Covered180
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $1,200
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $11,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,200
Insurance broker organization code?3
Insurance broker nameCORPORATE SYNERGIES GROUP LLC

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