Plan Name | KUSTOM US, INC. ANCILLARY BENEFITS PLAN |
Plan identification number | 502 |
401k Plan Type | Welfare Benefit |
Plan Features/Benefits |
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Company Name: | KUSTOM US, INC. |
Employer identification number (EIN): | 341027047 |
NAIC Classification: | 332900 |
Additional information about KUSTOM US, INC.
Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
Incorporation Date: | 1968-07-29 |
Company Identification Number: | 374124 |
Legal Registered Office Address: |
3800 EMBASSY PARKWAY, STE. 300 - AKRON United States of America (USA) 44333 |
More information about KUSTOM US, INC.
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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502 | 2021-12-01 | MATTHEW CUMMINGS | 2023-06-26 | ||
502 | 2020-12-01 | ||||
502 | 2019-12-01 | ||||
502 | 2018-12-01 |
Measure | Date | Value |
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2021: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2021 401k membership | ||
Total participants, beginning-of-year | 2021-12-01 | 276 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-12-01 | 0 |
Number of retired or separated participants receiving benefits | 2021-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2021-12-01 | 0 |
Total of all active and inactive participants | 2021-12-01 | 0 |
Number of employers contributing to the scheme | 2021-12-01 | 0 |
2020: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2020 401k membership | ||
Total participants, beginning-of-year | 2020-12-01 | 233 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-12-01 | 273 |
Number of retired or separated participants receiving benefits | 2020-12-01 | 3 |
Number of other retired or separated participants entitled to future benefits | 2020-12-01 | 0 |
Total of all active and inactive participants | 2020-12-01 | 276 |
2019: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2019 401k membership | ||
Total participants, beginning-of-year | 2019-12-01 | 193 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-12-01 | 231 |
Number of retired or separated participants receiving benefits | 2019-12-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-12-01 | 0 |
Total of all active and inactive participants | 2019-12-01 | 231 |
2018: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2018 401k membership | ||
Total participants, beginning-of-year | 2018-12-01 | 160 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-12-01 | 198 |
Number of retired or separated participants receiving benefits | 2018-12-01 | 2 |
Number of other retired or separated participants entitled to future benefits | 2018-12-01 | 0 |
Total of all active and inactive participants | 2018-12-01 | 200 |
2021: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2021 form 5500 responses | ||
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2021-12-01 | Type of plan entity | Single employer plan |
2021-12-01 | This submission is the final filing | Yes |
2021-12-01 | Plan funding arrangement – Insurance | Yes |
2021-12-01 | Plan benefit arrangement – Insurance | Yes |
2020: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2020 form 5500 responses | ||
2020-12-01 | Type of plan entity | Single employer plan |
2020-12-01 | Submission has been amended | No |
2020-12-01 | This submission is the final filing | No |
2020-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-12-01 | Plan is a collectively bargained plan | No |
2020-12-01 | Plan funding arrangement – Insurance | Yes |
2020-12-01 | Plan benefit arrangement – Insurance | Yes |
2019: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2019 form 5500 responses | ||
2019-12-01 | Type of plan entity | Single employer plan |
2019-12-01 | Submission has been amended | No |
2019-12-01 | This submission is the final filing | No |
2019-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-12-01 | Plan is a collectively bargained plan | No |
2019-12-01 | Plan funding arrangement – Insurance | Yes |
2019-12-01 | Plan benefit arrangement – Insurance | Yes |
2018: KUSTOM US, INC. ANCILLARY BENEFITS PLAN 2018 form 5500 responses | ||
2018-12-01 | Type of plan entity | Single employer plan |
2018-12-01 | First time form 5500 has been submitted | Yes |
2018-12-01 | Submission has been amended | No |
2018-12-01 | This submission is the final filing | No |
2018-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-12-01 | Plan is a collectively bargained plan | No |
2018-12-01 | Plan funding arrangement – Insurance | Yes |
2018-12-01 | Plan benefit arrangement – Insurance | Yes |
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 309543 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00554789 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00554789 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy contract number | 00554789 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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