UPSTATE VETERINARY VISION PLAN 401k Plan overview
| Plan Name | UPSTATE VETERINARY VISION PLAN |
| Plan identification number | 504 |
UPSTATE VETERINARY VISION PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Vision
- Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
|
401k Sponsoring company profile
UPSTATE VETERINARY SPECIALTIES, PLLC has sponsored the creation of one or more 401k plans.
Additional information about UPSTATE VETERINARY SPECIALTIES, PLLC
| Jurisdiction of Incorporation: | New York Department of State |
| Incorporation Date: | 2003-04-30 |
| Company Identification Number: | 2900844 |
| Legal Registered Office Address: |
152 SPARROWBUSH ROAD
Albany
LATHAM
United States of America (USA)
12110
|
More information about UPSTATE VETERINARY SPECIALTIES, PLLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan UPSTATE VETERINARY VISION PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 504 | 2023-06-01 | KRISTIN KESNOWSKI | 2024-10-02 | | |
Plan Statistics for UPSTATE VETERINARY VISION PLAN
401k plan membership statisitcs for UPSTATE VETERINARY VISION PLAN
| Measure | Date | Value |
|---|
| 2023: UPSTATE VETERINARY VISION PLAN 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-06-01 | 100 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-06-01 | 53 |
| Number of retired or separated participants receiving benefits | 2023-06-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2023-06-01 | 0 |
| Total of all active and inactive participants | 2023-06-01 | 53 |
| Number of employers contributing to the scheme | 2023-06-01 | 0 |
Form 5500 Responses for UPSTATE VETERINARY VISION PLAN
| 2023: UPSTATE VETERINARY VISION PLAN 2023 form 5500 responses |
|---|
| 2023-06-01 | Type of plan entity | Single employer plan |
| 2023-06-01 | First time form 5500 has been submitted | Yes |
| 2023-06-01 | Plan funding arrangement – Insurance | Yes |
| 2023-06-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 ) |
| Policy contract number | 30040464 |
| Policy instance | 1 |
| Insurance contract or identification number | 30040464 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2023-06-01 | | Insurance policy end date | 2024-05-31 | | Total amount of commissions paid to insurance broker | USD $829 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $12,229 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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