BLUE STONE THERAPY, INC. VOL LIFE PLAN 401k Plan overview
| Plan Name | BLUE STONE THERAPY, INC. VOL LIFE PLAN |
| Plan identification number | 506 |
BLUE STONE THERAPY, INC. VOL LIFE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Life insurance
- Death benefits (include travel accident but not life insurance)
|
401k Sponsoring company profile
BLUE STONE THERAPY, INC. has sponsored the creation of one or more 401k plans.
| Company Name: | BLUE STONE THERAPY, INC. |
| Employer identification number (EIN): | 841787423 |
| NAIC Classification: | 541990 |
| NAIC Description: | All Other Professional, Scientific, and Technical Services |
Additional information about BLUE STONE THERAPY, INC.
| Jurisdiction of Incorporation: | Iowa Secretary of State Business Entities |
| Incorporation Date: | 2019-05-10 |
| Company Identification Number: | 601278 |
| Legal Registered Office Address: |
4319 NW URBANDALE DR
URBANDALE
United States of America (USA)
50322
|
More information about BLUE STONE THERAPY, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan BLUE STONE THERAPY, INC. VOL LIFE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 506 | 2023-01-01 | DOUG JOHNSON | 2024-06-06 | | |
| 506 | 2022-01-01 | DOUG JOHNSON | 2023-10-12 | | |
Plan Statistics for BLUE STONE THERAPY, INC. VOL LIFE PLAN
401k plan membership statisitcs for BLUE STONE THERAPY, INC. VOL LIFE PLAN
| Measure | Date | Value |
|---|
| 2023: BLUE STONE THERAPY, INC. VOL LIFE PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-01-01 | 122 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-01-01 | 133 |
| 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 | 133 |
| Number of employers contributing to the scheme | 2023-01-01 | 0 |
| 2022: BLUE STONE THERAPY, INC. VOL LIFE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 102 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 122 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 122 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
Form 5500 Responses for BLUE STONE THERAPY, INC. VOL LIFE PLAN
| 2023: BLUE STONE THERAPY, INC. VOL LIFE PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022: BLUE STONE THERAPY, INC. VOL LIFE PLAN 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 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 ) |
| Policy contract number | 40000100026103 |
| Policy instance | 1 |
| Insurance contract or identification number | 40000100026103 | | Number of Individuals Covered | 133 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $4,380 | | Total amount of fees paid to insurance company | USD $2,534 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $29,202 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 ) |
| Policy contract number | 400001000261 |
| Policy instance | 1 |
| Insurance contract or identification number | 400001000261 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $3,395 | | Total amount of fees paid to insurance company | USD $1,864 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $22,635 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,395 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | OVERRIDES |
|
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