G.O. CARLSON, INC. WELFARE PLAN 401k Plan overview
| Plan Name | G.O. CARLSON, INC. WELFARE PLAN |
| Plan identification number | 502 |
G.O. CARLSON, INC. WELFARE PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Life insurance
- Long-term disability cover
|
401k Sponsoring company profile
G. O. CARLSON, INC. has sponsored the creation of one or more 401k plans.
Additional information about G. O. CARLSON, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1974-04-17 |
| Company Identification Number: | 0003585106 |
| Legal Registered Office Address: |
175 MAIN ST
OIL CITY
United States of America (USA)
16301
|
More information about G. O. CARLSON, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan G.O. CARLSON, INC. WELFARE PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 502 | 2024-01-01 | JOSEPH PAPARONE II | | | |
| 502 | 2023-01-01 | | | | |
| 502 | 2023-01-01 | JOSEPH PAPARONE II | | | |
Form 5500 Responses for G.O. CARLSON, INC. WELFARE PLAN
| 2023: G.O. CARLSON, INC. WELFARE PLAN 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | First time form 5500 has been submitted | Yes |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
Insurance Providers Used on plan
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000C6WX |
| Policy instance | 1 |
| Insurance contract or identification number | G000C6WX | | Number of Individuals Covered | 253 | | Insurance policy start date | 2022-11-01 | | Insurance policy end date | 2023-08-01 | | Total amount of commissions paid to insurance broker | USD $5,916 | | Total amount of fees paid to insurance company | USD $2,480 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $35,422 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000C6WX |
| Policy instance | 2 |
| Insurance contract or identification number | G000C6WX | | Number of Individuals Covered | 253 | | Insurance policy start date | 2022-11-01 | | Insurance policy end date | 2023-08-01 | | Total amount of commissions paid to insurance broker | USD $6,681 | | Total amount of fees paid to insurance company | USD $4,677 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $66,812 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | G000C6WX |
| Policy instance | 3 |
| Insurance contract or identification number | G000C6WX | | Number of Individuals Covered | 158 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-08-01 | | Total amount of commissions paid to insurance broker | USD $3,327 | | Total amount of fees paid to insurance company | USD $2,329 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D VOLUNTARY | | Welfare Benefit Premiums Paid to Carrier | USD $33,273 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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