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CANTON REGIONAL CHAMBER HEALTH FUND 401k Plan overview

Plan NameCANTON REGIONAL CHAMBER HEALTH FUND
Plan identification number 501

CANTON REGIONAL CHAMBER HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • 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.

401k Sponsoring company profile

PAGEANTRY INNOVATIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:PAGEANTRY INNOVATIONS, LLC
Employer identification number (EIN):460630318
NAIC Classification:339900

Additional information about PAGEANTRY INNOVATIONS, LLC

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2012-08-20
Company Identification Number: 2130190
Legal Registered Office Address: 345 BANK LANE SE
-
NEW PHILADELPHIA
United States of America (USA)
44646

More information about PAGEANTRY INNOVATIONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANTON REGIONAL CHAMBER HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01 KYLE MATTEVI2021-10-12
5012019-01-01 KYLE MATTEVI2020-08-26

Plan Statistics for CANTON REGIONAL CHAMBER HEALTH FUND

401k plan membership statisitcs for CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-019
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 participants2020-01-019
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total number of active participants reported on line 7a of the Form 55002019-01-019
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 participants2019-01-019

Financial Data on CANTON REGIONAL CHAMBER HEALTH FUND

Measure Date Value
2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data
Transfers to/from the plan2020-12-31$7
Total plan liabilities at end of year2020-12-31$5,037
Total plan liabilities at beginning of year2020-12-31$2,088
Total income from all sources2020-12-31$48,615
Expenses. Total of all expenses incurred2020-12-31$46,565
Benefits paid (including direct rollovers)2020-12-31$2,464
Total plan assets at end of year2020-12-31$5,006
Total plan assets at beginning of year2020-12-31$0
Value of fidelity bond covering the plan2020-12-31$1,000,000
Total contributions received or receivable from participants2020-12-31$8,244
Expenses. Other expenses not covered elsewhere2020-12-31$38
Net income (gross income less expenses)2020-12-31$2,050
Net plan assets at end of year (total assets less liabilities)2020-12-31$-31
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-2,088
Total contributions received or receivable from employer(s)2020-12-31$40,371
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$44,063
2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data
Transfers to/from the plan2019-12-31$-16
Total plan liabilities at end of year2019-12-31$2,088
Total income from all sources2019-12-31$15,162
Expenses. Total of all expenses incurred2019-12-31$17,234
Benefits paid (including direct rollovers)2019-12-31$5,693
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$0
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$3,364
Net income (gross income less expenses)2019-12-31$-2,072
Net plan assets at end of year (total assets less liabilities)2019-12-31$-2,088
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$11,798
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$11,541

Form 5500 Responses for CANTON REGIONAL CHAMBER HEALTH FUND

2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses
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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF1860
Policy instance 1
Insurance contract or identification numberHF1860
Number of Individuals Covered9
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,241
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,615
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,241
Insurance broker organization code?3
MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF1860
Policy instance 1
Insurance contract or identification numberHF1860
Number of Individuals Covered14
Insurance policy start date2019-09-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $826
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $826
Insurance broker organization code?3

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