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EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC
Plan identification number 501

EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC Benefits

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

401k Sponsoring company profile

DJD FITNESS NAZARETH, INC. has sponsored the creation of one or more 401k plans.

Company Name:DJD FITNESS NAZARETH, INC.
Employer identification number (EIN):460862497
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012020-01-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2022 401k membership
Total participants, beginning-of-year2022-05-013
Total number of active participants reported on line 7a of the Form 55002022-05-013
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 participants2022-05-013
2021: EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2021 401k membership
Total participants, beginning-of-year2021-05-019
Total number of active participants reported on line 7a of the Form 55002021-05-019
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-019
2020: EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2020 401k membership
Total participants, beginning-of-year2020-05-0110
Total number of active participants reported on line 7a of the Form 55002020-05-018
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-018
Total participants, beginning-of-year2020-01-0110
Total number of active participants reported on line 7a of the Form 55002020-01-0110
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0110

Financial Data on EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2023 401k financial data
Total income from all sources2023-04-30$50,038
Expenses. Total of all expenses incurred2023-04-30$50,038
Benefits paid (including direct rollovers)2023-04-30$17,541
Value of fidelity bond covering the plan2023-04-30$8,000
Expenses. Other expenses not covered elsewhere2023-04-30$32,497
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$50,038
2022 : EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2022 401k financial data
Total income from all sources2022-04-30$47,185
Expenses. Total of all expenses incurred2022-04-30$47,185
Benefits paid (including direct rollovers)2022-04-30$19,683
Value of fidelity bond covering the plan2022-04-30$2,000
Expenses. Other expenses not covered elsewhere2022-04-30$27,502
Net income (gross income less expenses)2022-04-30$0
Net plan assets at end of year (total assets less liabilities)2022-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$0
Total contributions received or receivable from employer(s)2022-04-30$47,185
2021 : EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2021 401k financial data
Total income from all sources2021-04-30$54,566
Expenses. Total of all expenses incurred2021-04-30$61,226
Benefits paid (including direct rollovers)2021-04-30$32,909
Total plan assets at beginning of year2021-04-30$6,660
Value of fidelity bond covering the plan2021-04-30$15,000
Expenses. Other expenses not covered elsewhere2021-04-30$28,317
Net income (gross income less expenses)2021-04-30$-6,660
Net plan assets at end of year (total assets less liabilities)2021-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$6,660
Total contributions received or receivable from employer(s)2021-04-30$54,566
2020 : EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2020 401k financial data
Total income from all sources2020-04-30$18,824
Expenses. Total of all expenses incurred2020-04-30$12,164
Benefits paid (including direct rollovers)2020-04-30$2,414
Total plan assets at end of year2020-04-30$6,660
Value of fidelity bond covering the plan2020-04-30$15,000
Expenses. Other expenses not covered elsewhere2020-04-30$9,750
Net income (gross income less expenses)2020-04-30$6,660
Net plan assets at end of year (total assets less liabilities)2020-04-30$6,660
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$0
Total contributions received or receivable from employer(s)2020-04-30$18,824

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC

2022: EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH 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
2021: EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE HEALTH PLAN OF DJD FITNESS NAZARETH INC 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2020-01-01Type of plan entitySingle employer plan
2020-01-01First time form 5500 has been submittedYes
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number60022NFA0765
Policy instance 1
Insurance contract or identification number60022NFA0765
Number of Individuals Covered4
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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 BenefitNo
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 $20,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number60022NFA0765
Policy instance 1
Insurance contract or identification number60022NFA0765
Number of Individuals Covered15
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
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 BenefitNo
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 $19,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40183 NFA 0484
Policy instance 1
Insurance contract or identification number40183 NFA 0484
Number of Individuals Covered14
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
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 BenefitNo
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 $22,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40183 NFA 0484
Policy instance 1
Insurance contract or identification number40183 NFA 0484
Number of Individuals Covered16
Insurance policy start date2020-01-01
Insurance policy end date2020-04-30
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 BenefitNo
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 $7,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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