401k Plan data: MOLDED DIMENSIONS, LLC EAP PLAN plan

MOLDED DIMENSIONS, LLC EAP PLAN 401k Plan overview

Plan Name	MOLDED DIMENSIONS, LLC EAP PLAN
Plan identification number	511

MOLDED DIMENSIONS, LLC EAP PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

MOLDED DIMENSIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name: MOLDED DIMENSIONS, LLC

Employer identification number (EIN): 831597330

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MOLDED DIMENSIONS, LLC EAP PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2023-01-01

Plan Statistics for MOLDED DIMENSIONS, LLC EAP PLAN

401k plan membership statisitcs for MOLDED DIMENSIONS, LLC EAP PLAN

Measure Date Value
2023: MOLDED DIMENSIONS, LLC EAP PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 0
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 0

Measure	Date	Value
2023: MOLDED DIMENSIONS, LLC EAP PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	0
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	0

Form 5500 Responses for MOLDED DIMENSIONS, LLC EAP PLAN

2023: MOLDED DIMENSIONS, LLC EAP PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	Yes
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AURORA HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

N/A

Policy instance

Insurance contract or identification number	N/A
Number of Individuals Covered	99
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
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
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
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 Carrier	USD $1,739
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

MOLDED DIMENSIONS, INC. EMPLOYEE STOCK OWNERSHIP PLAN [EIN = 391128658]

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Company Name:	MOLDED DIMENSIONS, LLC
Employer identification number (EIN):	831597330
NAIC Classification:	326100