401k Plan data: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN plan

GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN
Plan identification number	501

GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

GOOSENECK IMPLEMENT COMPANY has sponsored the creation of one or more 401k plans.

Company Name: GOOSENECK IMPLEMENT COMPANY

Employer identification number (EIN): 113690698

NAIC Classification: 453990

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-03-01 TERESA KING 2023-12-14
501 2021-03-01 TERESA KING 2023-12-14
501 2019-03-01 TERESA KING 2023-12-14
501 2018-03-01 TERESA KING 2023-12-14
501 2017-03-01 TERESA KING 2023-12-14
501 2016-03-01 TERESA KING 2023-12-14
501 2015-03-01 TERESA KING 2023-12-14
501 2014-03-01 TERESA KING 2023-12-14
501 2013-03-01 TERESA KING 2023-12-14
501 2012-03-01 TERESA KING 2023-12-14

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-03-01	TERESA KING	2023-12-14
501	2021-03-01	TERESA KING	2023-12-14
501	2019-03-01	TERESA KING	2023-12-14
501	2018-03-01	TERESA KING	2023-12-14
501	2017-03-01	TERESA KING	2023-12-14
501	2016-03-01	TERESA KING	2023-12-14
501	2015-03-01	TERESA KING	2023-12-14
501	2014-03-01	TERESA KING	2023-12-14
501	2013-03-01	TERESA KING	2023-12-14
501	2012-03-01	TERESA KING	2023-12-14

Plan Statistics for GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN

401k plan membership statisitcs for GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN

Measure Date Value
2022: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-03-01 391
Total number of active participants reported on line 7a of the Form 5500 2022-03-01 266
Number of retired or separated participants receiving benefits 2022-03-01 0
Number of other retired or separated participants entitled to future benefits 2022-03-01 0
Total of all active and inactive participants 2022-03-01 266
Number of employers contributing to the scheme 2022-03-01 0
2021: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-03-01 408
Total number of active participants reported on line 7a of the Form 5500 2021-03-01 391
Number of retired or separated participants receiving benefits 2021-03-01 0
Number of other retired or separated participants entitled to future benefits 2021-03-01 0
Total of all active and inactive participants 2021-03-01 391
Number of employers contributing to the scheme 2021-03-01 0
2019: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-03-01 337
Total number of active participants reported on line 7a of the Form 5500 2019-03-01 384
Number of retired or separated participants receiving benefits 2019-03-01 0
Number of other retired or separated participants entitled to future benefits 2019-03-01 0
Total of all active and inactive participants 2019-03-01 384
Number of employers contributing to the scheme 2019-03-01 0
2018: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-03-01 252
Total number of active participants reported on line 7a of the Form 5500 2018-03-01 337
Number of retired or separated participants receiving benefits 2018-03-01 0
Number of other retired or separated participants entitled to future benefits 2018-03-01 0
Total of all active and inactive participants 2018-03-01 337
Number of employers contributing to the scheme 2018-03-01 0
2017: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 258
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 252
Number of retired or separated participants receiving benefits 2017-03-01 0
Number of other retired or separated participants entitled to future benefits 2017-03-01 0
Total of all active and inactive participants 2017-03-01 252
Number of employers contributing to the scheme 2017-03-01 0
2016: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-03-01 217
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 258
Number of retired or separated participants receiving benefits 2016-03-01 0
Number of other retired or separated participants entitled to future benefits 2016-03-01 0
Total of all active and inactive participants 2016-03-01 258
Number of employers contributing to the scheme 2016-03-01 0
2015: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-03-01 203
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 217
Number of retired or separated participants receiving benefits 2015-03-01 0
Number of other retired or separated participants entitled to future benefits 2015-03-01 0
Total of all active and inactive participants 2015-03-01 217
Number of employers contributing to the scheme 2015-03-01 0
2014: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 203
Number of retired or separated participants receiving benefits 2014-03-01 0
Number of other retired or separated participants entitled to future benefits 2014-03-01 0
Total of all active and inactive participants 2014-03-01 203
Number of employers contributing to the scheme 2014-03-01 0
2013: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 100
Number of retired or separated participants receiving benefits 2013-03-01 0
Number of other retired or separated participants entitled to future benefits 2013-03-01 0
Total of all active and inactive participants 2013-03-01 100
Number of employers contributing to the scheme 2013-03-01 0
2012: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 100
Number of retired or separated participants receiving benefits 2012-03-01 0
Number of other retired or separated participants entitled to future benefits 2012-03-01 0
Total of all active and inactive participants 2012-03-01 100
Number of employers contributing to the scheme 2012-03-01 0

Measure	Date	Value
2022: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-03-01	391
Total number of active participants reported on line 7a of the Form 5500	2022-03-01	266
Number of retired or separated participants receiving benefits	2022-03-01	0
Number of other retired or separated participants entitled to future benefits	2022-03-01	0
Total of all active and inactive participants	2022-03-01	266
Number of employers contributing to the scheme	2022-03-01	0
2021: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-03-01	408
Total number of active participants reported on line 7a of the Form 5500	2021-03-01	391
Number of retired or separated participants receiving benefits	2021-03-01	0
Number of other retired or separated participants entitled to future benefits	2021-03-01	0
Total of all active and inactive participants	2021-03-01	391
Number of employers contributing to the scheme	2021-03-01	0
2019: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-03-01	337
Total number of active participants reported on line 7a of the Form 5500	2019-03-01	384
Number of retired or separated participants receiving benefits	2019-03-01	0
Number of other retired or separated participants entitled to future benefits	2019-03-01	0
Total of all active and inactive participants	2019-03-01	384
Number of employers contributing to the scheme	2019-03-01	0
2018: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-03-01	252
Total number of active participants reported on line 7a of the Form 5500	2018-03-01	337
Number of retired or separated participants receiving benefits	2018-03-01	0
Number of other retired or separated participants entitled to future benefits	2018-03-01	0
Total of all active and inactive participants	2018-03-01	337
Number of employers contributing to the scheme	2018-03-01	0
2017: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	258
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	252
Number of retired or separated participants receiving benefits	2017-03-01	0
Number of other retired or separated participants entitled to future benefits	2017-03-01	0
Total of all active and inactive participants	2017-03-01	252
Number of employers contributing to the scheme	2017-03-01	0
2016: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-03-01	217
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	258
Number of retired or separated participants receiving benefits	2016-03-01	0
Number of other retired or separated participants entitled to future benefits	2016-03-01	0
Total of all active and inactive participants	2016-03-01	258
Number of employers contributing to the scheme	2016-03-01	0
2015: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-03-01	203
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	217
Number of retired or separated participants receiving benefits	2015-03-01	0
Number of other retired or separated participants entitled to future benefits	2015-03-01	0
Total of all active and inactive participants	2015-03-01	217
Number of employers contributing to the scheme	2015-03-01	0
2014: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	203
Number of retired or separated participants receiving benefits	2014-03-01	0
Number of other retired or separated participants entitled to future benefits	2014-03-01	0
Total of all active and inactive participants	2014-03-01	203
Number of employers contributing to the scheme	2014-03-01	0
2013: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	100
Number of retired or separated participants receiving benefits	2013-03-01	0
Number of other retired or separated participants entitled to future benefits	2013-03-01	0
Total of all active and inactive participants	2013-03-01	100
Number of employers contributing to the scheme	2013-03-01	0
2012: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	100
Number of retired or separated participants receiving benefits	2012-03-01	0
Number of other retired or separated participants entitled to future benefits	2012-03-01	0
Total of all active and inactive participants	2012-03-01	100
Number of employers contributing to the scheme	2012-03-01	0

Form 5500 Responses for GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN

2022: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2022 form 5500 responses
2022-03-01	Type of plan entity	Single employer plan
2022-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2022-03-01	Plan funding arrangement – Insurance	Yes
2022-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-03-01	Plan benefit arrangement – Insurance	Yes
2022-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-03-01	Type of plan entity	Single employer plan
2021-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-03-01	Type of plan entity	Single employer plan
2019-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-03-01	Type of plan entity	Single employer plan
2018-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: GOOSENECK IMPLEMENT HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	First time form 5500 has been submitted	Yes
2012-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-03-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	00
Number of Individuals Covered	266
Insurance policy start date	2022-03-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, HOSPITAL, CANCER
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

5394744

Policy instance

Insurance contract or identification number	5394744
Number of Individuals Covered	624
Insurance policy start date	2022-03-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $33,109
Total amount of fees paid to insurance company	USD $2,284
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $252,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,109
Amount paid for insurance broker fees	2278
Additional information about fees paid to insurance broker	NON-MONETARY AND SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

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Company Name:	GOOSENECK IMPLEMENT COMPANY
Employer identification number (EIN):	113690698
NAIC Classification:	453990