401k Plan data: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN plan

POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 401k Plan overview

Plan Name	POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN
Plan identification number	504

POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Other welfare benefit cover

401k Sponsoring company profile

POPPELMANN PLASTICS USA has sponsored the creation of one or more 401k plans.

Company Name: POPPELMANN PLASTICS USA

Employer identification number (EIN): 201798752

NAIC Classification: 326100

Additional information about POPPELMANN PLASTICS USA

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2018-06-22

Company Identification Number: 0803049117

Legal Registered Office Address: PO BOX 459 C/O MIKE PRITCHARD

CLAREMONT
United States of America (USA)
28610

More information about POPPELMANN PLASTICS USA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2019-10-01
504 2018-10-01

Plan Statistics for POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN

401k plan membership statisitcs for POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN

Measure Date Value
2019: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 120
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 0
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 0
2018: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-10-01 112
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 141
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 141

Measure	Date	Value
2019: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	120
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	0
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	0
2018: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-10-01	112
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	141
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	141

Form 5500 Responses for POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN

2019: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	Yes
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2018: POPPELMANN PLASTICS USA, LLC GUARDIAN DENTAL AND VISION PLAN 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	First time form 5500 has been submitted	Yes
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00491224

Policy instance

Insurance contract or identification number	00491224
Number of Individuals Covered	120
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $7,943
Total amount of fees paid to insurance company	USD $1,710
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	Yes
Vision Insurance Welfare Benefit	Yes
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	ACCIDENT, CANCER, OPTIONAL AD&D, OPTIONAL LIFE, VOLUNTARY CRITICAL ILLNESS
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 $111,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,818
Amount paid for insurance broker fees	1710
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00491224

Policy instance

Insurance contract or identification number	00491224
Number of Individuals Covered	143
Insurance policy start date	2018-10-01
Insurance policy end date	2019-09-30
Total amount of commissions paid to insurance broker	USD $9,574
Total amount of fees paid to insurance company	USD $0
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	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENT, CANCER, OPTIONAL AD&D, OPTIONAL LIFE, VOLUNTARY CRITICAL ILLNESS
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 $137,277
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,574
Insurance broker organization code?	3

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Company Name:	POPPELMANN PLASTICS USA
Employer identification number (EIN):	201798752
NAIC Classification:	326100

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2018-06-22
Company Identification Number:	0803049117
Legal Registered Office Address:	PO BOX 459 C/O MIKE PRITCHARD CLAREMONT United States of America (USA) 28610