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EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC. 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC.
Plan identification number 502

EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

KRYGIER MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:KRYGIER MANAGEMENT, INC.
Employer identification number (EIN):271726124
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC.

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC.

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC. 2022 401k membership
Total participants, beginning-of-year2022-05-016
Total number of active participants reported on line 7a of the Form 55002022-05-016
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-016

Financial Data on EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC.

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC. 2023 401k financial data
Total income from all sources2023-04-30$109,842
Expenses. Total of all expenses incurred2023-04-30$109,842
Benefits paid (including direct rollovers)2023-04-30$56,353
Value of fidelity bond covering the plan2023-04-30$10,000
Expenses. Other expenses not covered elsewhere2023-04-30$53,489
Net income (gross income less expenses)2023-04-30$0
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
Total contributions received or receivable from employer(s)2023-04-30$109,842

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC.

2022: EMPLOYEE HEALTH PLAN OF KRYGIER MANAGEMENT, INC. 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40021 NFA 0376
Policy instance 1
Insurance contract or identification number40021 NFA 0376
Number of Individuals Covered6
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
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 $46,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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