401k Plan data: BOB CIASULLI AUTO GROUP WELFARE PLAN plan

BOB CIASULLI AUTO GROUP WELFARE PLAN 401k Plan overview

Plan Name	BOB CIASULLI AUTO GROUP WELFARE PLAN
Plan identification number	501

BOB CIASULLI AUTO GROUP WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

BOB CIASULLI AUTO GROUP has sponsored the creation of one or more 401k plans.

Company Name: BOB CIASULLI AUTO GROUP

Employer identification number (EIN): 222973033

NAIC Classification: 441110
NAIC Description: New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOB CIASULLI AUTO GROUP WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2022-01-01 BRYAN MENDELSON
501 2021-01-01
501 2021-01-01 BRYAN MENDELSON
501 2020-01-01
501 2019-01-01
501 2008-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2007-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2006-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2005-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2004-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2003-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2002-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2001-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 2000-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1999-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1998-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1997-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1996-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1995-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1994-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1993-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1992-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09
501 1991-01-01 DANIEL KENNEDY DANIEL KENNEDY 2010-04-09

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01
501	2022-01-01	BRYAN MENDELSON
501	2021-01-01
501	2021-01-01	BRYAN MENDELSON
501	2020-01-01
501	2019-01-01
501	2008-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2007-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2006-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2005-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2004-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2003-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2002-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2001-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	2000-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1999-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1998-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1997-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1996-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1995-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1994-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1993-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1992-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09
501	1991-01-01	DANIEL KENNEDY	DANIEL KENNEDY	2010-04-09

Plan Statistics for BOB CIASULLI AUTO GROUP WELFARE PLAN

401k plan membership statisitcs for BOB CIASULLI AUTO GROUP WELFARE PLAN

Measure Date Value
2022: BOB CIASULLI AUTO GROUP WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 198
Number of retired or separated participants receiving benefits 2022-01-01 198
Total of all active and inactive participants 2022-01-01 198
2021: BOB CIASULLI AUTO GROUP WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 170
Total of all active and inactive participants 2021-01-01 170
2020: BOB CIASULLI AUTO GROUP WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 218
Total of all active and inactive participants 2020-01-01 218
2019: BOB CIASULLI AUTO GROUP WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 267
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 247
Total of all active and inactive participants 2019-01-01 247
2007: BOB CIASULLI AUTO GROUP WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 326
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 311
Total of all active and inactive participants 2007-01-01 311
2006: BOB CIASULLI AUTO GROUP WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year 2006-01-01 333
Total number of active participants reported on line 7a of the Form 5500 2006-01-01 326
Total of all active and inactive participants 2006-01-01 326
2005: BOB CIASULLI AUTO GROUP WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year 2005-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2005-01-01 333
Total of all active and inactive participants 2005-01-01 333
2004: BOB CIASULLI AUTO GROUP WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year 2004-01-01 350
Total number of active participants reported on line 7a of the Form 5500 2004-01-01 334
Total of all active and inactive participants 2004-01-01 334
2003: BOB CIASULLI AUTO GROUP WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year 2003-01-01 37
Total number of active participants reported on line 7a of the Form 5500 2003-01-01 350
Total of all active and inactive participants 2003-01-01 350
2002: BOB CIASULLI AUTO GROUP WELFARE PLAN 2002 401k membership
Total participants, beginning-of-year 2002-01-01 263
Total number of active participants reported on line 7a of the Form 5500 2002-01-01 37
Total of all active and inactive participants 2002-01-01 37
2001: BOB CIASULLI AUTO GROUP WELFARE PLAN 2001 401k membership
Total number of active participants reported on line 7a of the Form 5500 2001-01-01 263
Total of all active and inactive participants 2001-01-01 263
2000: BOB CIASULLI AUTO GROUP WELFARE PLAN 2000 401k membership
Total number of active participants reported on line 7a of the Form 5500 2000-01-01 265
Total of all active and inactive participants 2000-01-01 265

Measure	Date	Value
2022: BOB CIASULLI AUTO GROUP WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	198
Number of retired or separated participants receiving benefits	2022-01-01	198
Total of all active and inactive participants	2022-01-01	198
2021: BOB CIASULLI AUTO GROUP WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	170
Total of all active and inactive participants	2021-01-01	170
2020: BOB CIASULLI AUTO GROUP WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	218
Total of all active and inactive participants	2020-01-01	218
2019: BOB CIASULLI AUTO GROUP WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	267
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	247
Total of all active and inactive participants	2019-01-01	247
2007: BOB CIASULLI AUTO GROUP WELFARE PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	326
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	311
Total of all active and inactive participants	2007-01-01	311
2006: BOB CIASULLI AUTO GROUP WELFARE PLAN 2006 401k membership
Total participants, beginning-of-year	2006-01-01	333
Total number of active participants reported on line 7a of the Form 5500	2006-01-01	326
Total of all active and inactive participants	2006-01-01	326
2005: BOB CIASULLI AUTO GROUP WELFARE PLAN 2005 401k membership
Total participants, beginning-of-year	2005-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2005-01-01	333
Total of all active and inactive participants	2005-01-01	333
2004: BOB CIASULLI AUTO GROUP WELFARE PLAN 2004 401k membership
Total participants, beginning-of-year	2004-01-01	350
Total number of active participants reported on line 7a of the Form 5500	2004-01-01	334
Total of all active and inactive participants	2004-01-01	334
2003: BOB CIASULLI AUTO GROUP WELFARE PLAN 2003 401k membership
Total participants, beginning-of-year	2003-01-01	37
Total number of active participants reported on line 7a of the Form 5500	2003-01-01	350
Total of all active and inactive participants	2003-01-01	350
2002: BOB CIASULLI AUTO GROUP WELFARE PLAN 2002 401k membership
Total participants, beginning-of-year	2002-01-01	263
Total number of active participants reported on line 7a of the Form 5500	2002-01-01	37
Total of all active and inactive participants	2002-01-01	37
2001: BOB CIASULLI AUTO GROUP WELFARE PLAN 2001 401k membership
Total number of active participants reported on line 7a of the Form 5500	2001-01-01	263
Total of all active and inactive participants	2001-01-01	263
2000: BOB CIASULLI AUTO GROUP WELFARE PLAN 2000 401k membership
Total number of active participants reported on line 7a of the Form 5500	2000-01-01	265
Total of all active and inactive participants	2000-01-01	265

Form 5500 Responses for BOB CIASULLI AUTO GROUP WELFARE PLAN

2022: BOB CIASULLI AUTO GROUP WELFARE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: BOB CIASULLI AUTO GROUP WELFARE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: BOB CIASULLI AUTO GROUP WELFARE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: BOB CIASULLI AUTO GROUP WELFARE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2008: BOB CIASULLI AUTO GROUP WELFARE PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	First time form 5500 has been submitted	Yes
2008-01-01	This submission is the final filing	No
2008-01-01	Plan funding arrangement – Insurance	Yes
2008-01-01	Plan benefit arrangement – Insurance	Yes
2007: BOB CIASULLI AUTO GROUP WELFARE PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	This submission is the final filing	No
2007-01-01	Plan funding arrangement – Insurance	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes
2006: BOB CIASULLI AUTO GROUP WELFARE PLAN 2006 form 5500 responses
2006-01-01	Type of plan entity	Single employer plan
2006-01-01	This submission is the final filing	No
2006-01-01	Plan funding arrangement – Insurance	Yes
2006-01-01	Plan benefit arrangement – Insurance	Yes
2005: BOB CIASULLI AUTO GROUP WELFARE PLAN 2005 form 5500 responses
2005-01-01	Type of plan entity	Single employer plan
2005-01-01	This submission is the final filing	No
2005-01-01	Plan funding arrangement – Insurance	Yes
2005-01-01	Plan benefit arrangement – Insurance	Yes
2004: BOB CIASULLI AUTO GROUP WELFARE PLAN 2004 form 5500 responses
2004-01-01	Type of plan entity	Single employer plan
2004-01-01	This submission is the final filing	No
2004-01-01	Plan funding arrangement – Insurance	Yes
2004-01-01	Plan benefit arrangement – Insurance	Yes
2003: BOB CIASULLI AUTO GROUP WELFARE PLAN 2003 form 5500 responses
2003-01-01	Type of plan entity	Single employer plan
2003-01-01	This submission is the final filing	No
2003-01-01	Plan funding arrangement – Insurance	Yes
2003-01-01	Plan benefit arrangement – Insurance	Yes
2002: BOB CIASULLI AUTO GROUP WELFARE PLAN 2002 form 5500 responses
2002-01-01	Type of plan entity	Single employer plan
2002-01-01	This submission is the final filing	No
2002-01-01	Plan funding arrangement – Insurance	Yes
2002-01-01	Plan benefit arrangement – Insurance	Yes
2001: BOB CIASULLI AUTO GROUP WELFARE PLAN 2001 form 5500 responses
2001-01-01	Type of plan entity	Single employer plan
2001-01-01	This submission is the final filing	No
2001-01-01	Plan funding arrangement – Insurance	Yes
2001-01-01	Plan benefit arrangement – Insurance	Yes
2000: BOB CIASULLI AUTO GROUP WELFARE PLAN 2000 form 5500 responses
2000-01-01	Type of plan entity	Single employer plan
2000-01-01	This submission is the final filing	No
2000-01-01	Plan funding arrangement – Insurance	Yes
2000-01-01	Plan benefit arrangement – Insurance	Yes
1999: BOB CIASULLI AUTO GROUP WELFARE PLAN 1999 form 5500 responses
1999-01-01	Type of plan entity	Single employer plan
1999-01-01	This submission is the final filing	No
1999-01-01	Plan funding arrangement – Insurance	Yes
1999-01-01	Plan benefit arrangement – Insurance	Yes
1998: BOB CIASULLI AUTO GROUP WELFARE PLAN 1998 form 5500 responses
1998-01-01	Type of plan entity	Single employer plan
1998-01-01	This submission is the final filing	No
1998-01-01	Plan funding arrangement – Insurance	Yes
1998-01-01	Plan benefit arrangement – Insurance	Yes
1997: BOB CIASULLI AUTO GROUP WELFARE PLAN 1997 form 5500 responses
1997-01-01	Type of plan entity	Single employer plan
1997-01-01	This submission is the final filing	No
1997-01-01	Plan funding arrangement – Insurance	Yes
1997-01-01	Plan benefit arrangement – Insurance	Yes
1996: BOB CIASULLI AUTO GROUP WELFARE PLAN 1996 form 5500 responses
1996-01-01	Type of plan entity	Single employer plan
1996-01-01	This submission is the final filing	No
1996-01-01	Plan funding arrangement – Insurance	Yes
1996-01-01	Plan benefit arrangement – Insurance	Yes
1995: BOB CIASULLI AUTO GROUP WELFARE PLAN 1995 form 5500 responses
1995-01-01	Type of plan entity	Single employer plan
1995-01-01	This submission is the final filing	No
1995-01-01	Plan funding arrangement – Insurance	Yes
1995-01-01	Plan benefit arrangement – Insurance	Yes
1994: BOB CIASULLI AUTO GROUP WELFARE PLAN 1994 form 5500 responses
1994-01-01	Type of plan entity	Single employer plan
1994-01-01	This submission is the final filing	No
1994-01-01	Plan funding arrangement – Insurance	Yes
1994-01-01	Plan benefit arrangement – Insurance	Yes
1993: BOB CIASULLI AUTO GROUP WELFARE PLAN 1993 form 5500 responses
1993-01-01	Type of plan entity	Single employer plan
1993-01-01	This submission is the final filing	No
1993-01-01	Plan funding arrangement – Insurance	Yes
1993-01-01	Plan benefit arrangement – Insurance	Yes
1992: BOB CIASULLI AUTO GROUP WELFARE PLAN 1992 form 5500 responses
1992-01-01	Type of plan entity	Single employer plan
1992-01-01	This submission is the final filing	No
1992-01-01	Plan funding arrangement – Insurance	Yes
1992-01-01	Plan benefit arrangement – Insurance	Yes
1991: BOB CIASULLI AUTO GROUP WELFARE PLAN 1991 form 5500 responses
1991-01-01	Type of plan entity	Single employer plan
1991-01-01	First time form 5500 has been submitted	Yes
1991-01-01	This submission is the final filing	No
1991-01-01	Plan funding arrangement – Insurance	Yes
1991-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50019595

Policy instance

Insurance contract or identification number	50019595
Number of Individuals Covered	254
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $1,700
Total amount of fees paid to insurance company	USD $854
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )

Policy contract number

89550

Policy instance

Insurance contract or identification number	89550
Number of Individuals Covered	27
Insurance policy start date	2022-03-01
Insurance policy end date	2023-02-28
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

89550

Policy instance

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

89550

Policy instance

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50019595

Policy instance

HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )

Policy contract number

89550

Policy instance

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50019595

Policy instance

HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )

Policy contract number

89550

Policy instance

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

89550

Policy instance

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

89550

Policy instance

USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )

Policy contract number

50019595

Policy instance

HORIZON INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14690 )

Policy contract number

89550

Policy instance

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

89550

Policy instance

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )

Policy contract number

89550

Policy instance

Potentially related plans

BOB CIASULLI AUTO GROUP WELFARE PLAN [EIN = 222651245]

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Company Name:	BOB CIASULLI AUTO GROUP
Employer identification number (EIN):	222973033
NAIC Classification:	441110
NAIC Description:	New Car Dealers