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GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 401k Plan overview

Plan NameGEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414
Plan identification number 501

GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

GEM CITY TIRE, INC. has sponsored the creation of one or more 401k plans.

Company Name:GEM CITY TIRE, INC.
Employer identification number (EIN):311730947
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01MARK SMITH2021-08-17
5012019-09-01MARK SMITH2021-08-11
5012019-01-01MARK SMITH2020-07-13
5012017-09-01
5012016-09-01

Plan Statistics for GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414

401k plan membership statisitcs for GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414

Measure Date Value
2020: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2020 401k membership
Total participants, beginning-of-year2020-01-01153
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
2019: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2019 401k membership
Total participants, beginning-of-year2019-09-0199
Total number of active participants reported on line 7a of the Form 55002019-09-01210
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-010
Total of all active and inactive participants2019-09-01210
Total participants, beginning-of-year2019-01-01153
Total number of active participants reported on line 7a of the Form 55002019-01-01153
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01153
2017: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2017 401k membership
Total participants, beginning-of-year2017-09-01151
Total number of active participants reported on line 7a of the Form 55002017-09-01138
Total of all active and inactive participants2017-09-01138
2016: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2016 401k membership
Total participants, beginning-of-year2016-09-01130
Total number of active participants reported on line 7a of the Form 55002016-09-01151
Total of all active and inactive participants2016-09-01151

Form 5500 Responses for GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414

2020: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2017: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan benefit arrangement – InsuranceYes
2016: GEM CITY TIRE, INC. 2531 NEEDMORE RD DAYTON OH 45414 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01First time form 5500 has been submittedYes
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 159808
Policy instance 1
Insurance contract or identification numberGL 159808
Insurance policy start date2020-01-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $2,124
Total amount of fees paid to insurance companyUSD $792
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,799
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,124
Amount paid for insurance broker fees792
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1067454
Policy instance 1
Insurance contract or identification number1067454
Number of Individuals Covered210
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $9,418
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,418
Insurance broker organization code?3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 159808
Policy instance 1
Insurance contract or identification numberGL 159808
Number of Individuals Covered153
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,293
Total amount of fees paid to insurance companyUSD $299
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $23,843
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,293
Amount paid for insurance broker fees299
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1067454
Policy instance 1
Insurance contract or identification number1067454
Number of Individuals Covered214
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $11,803
Total amount of fees paid to insurance companyUSD $357
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $101,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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