401k Plan data: IDAHO YOUTH RANCH VISION plan

IDAHO YOUTH RANCH VISION 401k Plan overview

Plan Name	IDAHO YOUTH RANCH VISION
Plan identification number	509

IDAHO YOUTH RANCH VISION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

IDAHO YOUTH RANCH, INC. has sponsored the creation of one or more 401k plans.

Company Name: IDAHO YOUTH RANCH, INC.

Employer identification number (EIN): 820253346

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IDAHO YOUTH RANCH VISION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
509 2022-01-01

Plan Statistics for IDAHO YOUTH RANCH VISION

401k plan membership statisitcs for IDAHO YOUTH RANCH VISION

Measure Date Value
2022: IDAHO YOUTH RANCH VISION 2022 401k membership
Total participants, beginning-of-year 2022-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 178
Total of all active and inactive participants 2022-01-01 178
Total participants 2022-01-01 178

Measure	Date	Value
2022: IDAHO YOUTH RANCH VISION 2022 401k membership
Total participants, beginning-of-year	2022-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	178
Total of all active and inactive participants	2022-01-01	178
Total participants	2022-01-01	178

Form 5500 Responses for IDAHO YOUTH RANCH VISION

2022: IDAHO YOUTH RANCH VISION 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITED HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 63983 )

Policy contract number

GV4544

Policy instance

Insurance contract or identification number	GV4544
Number of Individuals Covered	178
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $1,929
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $1,929

Potentially related plans

IDAHO YOUTH RANCH HEALTH AND WLEFARE PLAN [EIN = 520253346]

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Company Name:	IDAHO YOUTH RANCH, INC.
Employer identification number (EIN):	820253346
NAIC Classification:	624100
NAIC Description:	Individual and Family Services