JAMESTOWN MACADAM, INC. 401k Plan overview
Plan Name | JAMESTOWN MACADAM, INC. |
Plan identification number | 501 |
JAMESTOWN MACADAM, INC. Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Health (other than dental or vision)
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401k Sponsoring company profile
JAMESTOWN MACADAM, INC. has sponsored the creation of one or more 401k plans.
Additional information about JAMESTOWN MACADAM, INC.
Jurisdiction of Incorporation: | New York Department of State |
Incorporation Date: | 1970-03-12 |
Company Identification Number: | 290329 |
Legal Registered Office Address: |
74 Walden ave
Chautauqua
Jamestown
United States of America (USA)
14701
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More information about JAMESTOWN MACADAM, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan JAMESTOWN MACADAM, INC.
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2022-11-01 | CHRIS SMITH | 2023-12-19 | | |
Plan Statistics for JAMESTOWN MACADAM, INC.
401k plan membership statisitcs for JAMESTOWN MACADAM, INC.
Measure | Date | Value |
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2022: JAMESTOWN MACADAM, INC. 2022 401k membership |
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Total participants, beginning-of-year | 2022-11-01 | 100 |
Total number of active participants reported on line 7a of the Form 5500 | 2022-11-01 | 113 |
Number of retired or separated participants receiving benefits | 2022-11-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2022-11-01 | 0 |
Total of all active and inactive participants | 2022-11-01 | 113 |
Number of employers contributing to the scheme | 2022-11-01 | 0 |
Form 5500 Responses for JAMESTOWN MACADAM, INC.
2022: JAMESTOWN MACADAM, INC. 2022 form 5500 responses |
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2022-11-01 | Type of plan entity | Single employer plan |
2022-11-01 | First time form 5500 has been submitted | Yes |
2022-11-01 | Plan funding arrangement – Insurance | Yes |
2022-11-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 ) |
Policy contract number | 130185 |
Policy instance | 1 |
Insurance contract or identification number | 130185 | Number of Individuals Covered | 113 | Insurance policy start date | 2022-11-01 | Insurance policy end date | 2023-10-31 | Total amount of commissions paid to insurance broker | USD $42,509 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | Commission paid to Insurance Broker | USD $42,509 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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