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DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 401k Plan overview

Plan NameDAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN
Plan identification number 503

DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

DAVIS FURNITURE INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:DAVIS FURNITURE INDUSTRIES, INC.
Employer identification number (EIN):560591838
NAIC Classification:337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-05-01JEFF CALHOUN2024-02-12
5032021-05-01CHARLES KENNEDY2023-02-16
5032020-05-01CHARLES KENNEDY2022-02-14
5032020-05-01CHARLES KENNEDY2023-02-27
5032019-05-01CHARLES KENNEDY2021-03-01
5032018-05-01CHARLES KENNEDY2019-11-22
5032017-05-01
5032016-05-01
5032015-05-01
5032014-05-01
5032013-05-01
5032012-05-01CHARLES KENNEDY
5032011-05-01CHARLES KENNEDY
5032009-05-01CHARLES KENNEDY

Plan Statistics for DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN

401k plan membership statisitcs for DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN

Measure Date Value
2022: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01225
Total number of active participants reported on line 7a of the Form 55002022-05-01255
Number of retired or separated participants receiving benefits2022-05-010
Total of all active and inactive participants2022-05-01255
2021: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01240
Total number of active participants reported on line 7a of the Form 55002021-05-01224
Number of retired or separated participants receiving benefits2021-05-011
Total of all active and inactive participants2021-05-01225
2020: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01249
Total number of active participants reported on line 7a of the Form 55002020-05-01239
Number of retired or separated participants receiving benefits2020-05-011
Total of all active and inactive participants2020-05-01240
2019: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01241
Total number of active participants reported on line 7a of the Form 55002019-05-01246
Number of retired or separated participants receiving benefits2019-05-011
Total of all active and inactive participants2019-05-01247
2018: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01219
Total number of active participants reported on line 7a of the Form 55002018-05-01235
Number of retired or separated participants receiving benefits2018-05-011
Number of other retired or separated participants entitled to future benefits2018-05-015
Total of all active and inactive participants2018-05-01241
2017: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01210
Total number of active participants reported on line 7a of the Form 55002017-05-01219
Total of all active and inactive participants2017-05-01219
2016: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01187
Total number of active participants reported on line 7a of the Form 55002016-05-01210
Number of retired or separated participants receiving benefits2016-05-011
Total of all active and inactive participants2016-05-01211
2015: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01167
Total number of active participants reported on line 7a of the Form 55002015-05-01187
Number of retired or separated participants receiving benefits2015-05-011
Total of all active and inactive participants2015-05-01188
2014: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01165
Total number of active participants reported on line 7a of the Form 55002014-05-01166
Number of retired or separated participants receiving benefits2014-05-011
Total of all active and inactive participants2014-05-01167
2013: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01144
Total number of active participants reported on line 7a of the Form 55002013-05-01163
Number of retired or separated participants receiving benefits2013-05-012
Total of all active and inactive participants2013-05-01165
2012: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01127
Total number of active participants reported on line 7a of the Form 55002012-05-01142
Number of retired or separated participants receiving benefits2012-05-012
Total of all active and inactive participants2012-05-01144
2011: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01116
Total number of active participants reported on line 7a of the Form 55002011-05-01125
Number of retired or separated participants receiving benefits2011-05-012
Total of all active and inactive participants2011-05-01127
2009: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01167
Total number of active participants reported on line 7a of the Form 55002009-05-01112
Total of all active and inactive participants2009-05-01112

Form 5500 Responses for DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN

2022: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedYes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedYes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: DAVIS FURNITURE INDUSTRIES, INC. EMPLOYEE INSURANCE BENEFITS PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01This submission is the final filingNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00021407
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00021407
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00021407
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30037734
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTDOBJT4
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0BJT4
Policy instance 3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUG0BJT4
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30037734
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612001
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30037734
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612001
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612001
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30037734
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30037734
Policy instance 3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612001
Policy instance 1
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1730P2
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30037734
Policy instance 3
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612001
Policy instance 1
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1730P2
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00612001
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000375
Policy instance 3
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1730P2
Policy instance 2
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number1730P2
Policy instance 2
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number3623W6
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUGOAAGY
Policy instance 2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUGOAAGY
Policy instance 1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLTDOAAGY
Policy instance 3

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