401k Plan data: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN plan

LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN
Plan identification number	501

LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Health (other than dental or vision)
Life insurance
Dental
Vision
Death benefits (include travel accident but not life insurance)
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

LIQUID GRAPHICS, INC. has sponsored the creation of one or more 401k plans.

Company Name: LIQUID GRAPHICS, INC.

Employer identification number (EIN): 330891845

NAIC Classification: 323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-07-01 TIFFANY JENKINS 2024-12-05
501 2020-07-01 TIFFANY JENKINS 2024-12-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-07-01	TIFFANY JENKINS	2024-12-05
501	2020-07-01	TIFFANY JENKINS	2024-12-05

Plan Statistics for LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2023: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-07-01 105
Total number of active participants reported on line 7a of the Form 5500 2023-07-01 111
Number of retired or separated participants receiving benefits 2023-07-01 0
Number of other retired or separated participants entitled to future benefits 2023-07-01 0
Total of all active and inactive participants 2023-07-01 111
Number of employers contributing to the scheme 2023-07-01 0
2020: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-07-01 117
Total number of active participants reported on line 7a of the Form 5500 2020-07-01 109
Number of retired or separated participants receiving benefits 2020-07-01 0
Number of other retired or separated participants entitled to future benefits 2020-07-01 0
Total of all active and inactive participants 2020-07-01 109
Number of employers contributing to the scheme 2020-07-01 0

Measure	Date	Value
2023: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-07-01	105
Total number of active participants reported on line 7a of the Form 5500	2023-07-01	111
Number of retired or separated participants receiving benefits	2023-07-01	0
Number of other retired or separated participants entitled to future benefits	2023-07-01	0
Total of all active and inactive participants	2023-07-01	111
Number of employers contributing to the scheme	2023-07-01	0
2020: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-07-01	117
Total number of active participants reported on line 7a of the Form 5500	2020-07-01	109
Number of retired or separated participants receiving benefits	2020-07-01	0
Number of other retired or separated participants entitled to future benefits	2020-07-01	0
Total of all active and inactive participants	2020-07-01	109
Number of employers contributing to the scheme	2020-07-01	0

Form 5500 Responses for LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN

2023: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-07-01	Type of plan entity	Single employer plan
2023-07-01	Plan funding arrangement – Insurance	Yes
2023-07-01	Plan benefit arrangement – Insurance	Yes
2020: LIQUID GRAPHICS, INC. HEALTH & WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-07-01	Type of plan entity	Single employer plan
2020-07-01	First time form 5500 has been submitted	Yes
2020-07-01	Plan funding arrangement – Insurance	Yes
2020-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1094075

Policy instance

Insurance contract or identification number	1094075
Number of Individuals Covered	135
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $5,717
Total amount of fees paid to insurance company	USD $889
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $45,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

112540457

Policy instance

Insurance contract or identification number	112540457
Number of Individuals Covered	58
Insurance policy start date	2023-07-01
Insurance policy end date	2024-06-30
Total amount of commissions paid to insurance broker	USD $18,355
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Welfare Benefit Premiums Paid to Carrier	USD $345,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1094075

Policy instance

Insurance contract or identification number	1094075
Number of Individuals Covered	129
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $4,189
Total amount of fees paid to insurance company	USD $260
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $29,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HEALTH NET (National Association of Insurance Commissioners NAIC id number: 95567 )

Policy contract number

C9286A ET AL

Policy instance

Insurance contract or identification number	C9286A ET AL
Number of Individuals Covered	109
Insurance policy start date	2020-07-01
Insurance policy end date	2021-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	LIQUID GRAPHICS, INC.
Employer identification number (EIN):	330891845
NAIC Classification:	323100