401k Plan data: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN plan

INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 401k Plan overview

Plan Name	INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN
Plan identification number	001

INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

INTERIOR CONCEPTS, INC. has sponsored the creation of one or more 401k plans.

Company Name: INTERIOR CONCEPTS, INC.

Employer identification number (EIN): 521138942

NAIC Classification: 541400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2023-01-01 ROBIN BLANCHARD 2024-07-16
001 2022-01-01 ROBIN BLANCHARD 2023-09-20 ROBIN BLANCHARD 2023-09-20
001 2021-01-01 ROBIN BLANCHARD 2022-09-09
001 2020-01-01 ROBIN BLANCHARD 2021-07-27
001 2019-01-01 ROBIN BLANCHARD 2020-07-08
001 2018-01-01 ROBIN BLANCHARD 2019-07-25
001 2017-01-01 ROBIN BLANCHARD 2018-07-23
001 2016-01-01 ROBIN BLANCHARD 2017-07-12
001 2015-01-01 ROBIN BLANCHARD
001 2014-01-01 ROBIN D BLANCHARD
001 2013-01-01 ROBIN BLANCHARD 2014-07-16 ROBIN BLANCHARD 2014-07-16
001 2012-01-01 ROBIN BLANCHARD 2013-07-15 ROBIN BLANCHARD 2013-07-15
001 2011-01-01 ROBIN BLANCHARD 2012-03-08 ROBIN BLANCHARD 2012-03-08
001 2010-01-01 KAREN RHOADES 2011-03-28 KAREN RHOADES 2011-03-28

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2023-01-01	ROBIN BLANCHARD	2024-07-16
001	2022-01-01	ROBIN BLANCHARD	2023-09-20	ROBIN BLANCHARD	2023-09-20
001	2021-01-01	ROBIN BLANCHARD	2022-09-09
001	2020-01-01	ROBIN BLANCHARD	2021-07-27
001	2019-01-01	ROBIN BLANCHARD	2020-07-08
001	2018-01-01	ROBIN BLANCHARD	2019-07-25
001	2017-01-01	ROBIN BLANCHARD	2018-07-23
001	2016-01-01	ROBIN BLANCHARD	2017-07-12
001	2015-01-01	ROBIN BLANCHARD
001	2014-01-01	ROBIN D BLANCHARD
001	2013-01-01	ROBIN BLANCHARD	2014-07-16	ROBIN BLANCHARD	2014-07-16
001	2012-01-01	ROBIN BLANCHARD	2013-07-15	ROBIN BLANCHARD	2013-07-15
001	2011-01-01	ROBIN BLANCHARD	2012-03-08	ROBIN BLANCHARD	2012-03-08
001	2010-01-01	KAREN RHOADES	2011-03-28	KAREN RHOADES	2011-03-28

Plan Statistics for INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN

401k plan membership statisitcs for INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN

Measure Date Value
2015: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 44
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 39
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 5
Total of all active and inactive participants 2015-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 44
Number of participants with account balances 2015-01-01 30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 40
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 40
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 4
Total of all active and inactive participants 2014-01-01 44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 44
Number of participants with account balances 2014-01-01 29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0

Measure	Date	Value
2015: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	44
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	39
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	5
Total of all active and inactive participants	2015-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	44
Number of participants with account balances	2015-01-01	30
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	40
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	40
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	4
Total of all active and inactive participants	2014-01-01	44
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	44
Number of participants with account balances	2014-01-01	29
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0

Financial Data on INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN

Measure	Date	Value
2015 : INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$45,615
Expenses. Total of all expenses incurred	2015-12-31	$7,422
Benefits paid (including direct rollovers)	2015-12-31	$7,170
Total plan assets at end of year	2015-12-31	$2,087,884
Total plan assets at beginning of year	2015-12-31	$2,049,691
Value of fidelity bond covering the plan	2015-12-31	$3,000,000
Total contributions received or receivable from participants	2015-12-31	$95,829
Other income received	2015-12-31	$-50,214
Net income (gross income less expenses)	2015-12-31	$38,193
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$2,087,884
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$2,049,691
Assets. Value of participant loans	2015-12-31	$20,194
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$252
2014 : INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$205,779
Expenses. Total of all expenses incurred	2014-12-31	$254,390
Benefits paid (including direct rollovers)	2014-12-31	$254,300
Total plan assets at end of year	2014-12-31	$2,049,691
Total plan assets at beginning of year	2014-12-31	$2,098,302
Value of fidelity bond covering the plan	2014-12-31	$3,000,000
Total contributions received or receivable from participants	2014-12-31	$75,121
Expenses. Other expenses not covered elsewhere	2014-12-31	$90
Contributions received from other sources (not participants or employers)	2014-12-31	$2,187
Other income received	2014-12-31	$128,471
Net income (gross income less expenses)	2014-12-31	$-48,611
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,049,691
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,098,302
Assets. Value of participant loans	2014-12-31	$7,726

Form 5500 Responses for INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN

2015: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: INTERIOR CONCEPTS, INC. TAX DEFERRED SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

ZH9782

Policy instance

Insurance contract or identification number	ZH9782
Number of Individuals Covered	44
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,212
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
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
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,212
Insurance broker organization code?	3
Insurance broker name	NFP ADVISOR SERVICES, LLC

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

ZH9782

Policy instance

Insurance contract or identification number	ZH9782
Number of Individuals Covered	44
Insurance policy start date	2014-02-28
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $22,640
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Health Insurance Welfare Benefit	No
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
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $22,640
Insurance broker organization code?	3
Insurance broker name	NFP ADVISOR SERVICES, LLC

Potentially related plans

INTERIOR CONCEPTS, INC. CASH BALANCE PENSION PLAN [EIN = 362836532]

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Company Name:	INTERIOR CONCEPTS, INC.
Employer identification number (EIN):	521138942
NAIC Classification:	541400