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TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameTACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TACK AUTOMOTIVE, LLC has sponsored the creation of one or more 401k plans.

Company Name:TACK AUTOMOTIVE, LLC
Employer identification number (EIN):562148539
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-12-01JAY MCFARLAND2022-06-22
5012019-12-01JAY MCFARLAND2021-03-09
5012018-12-01JAY MCFARLAND2020-03-04
5012017-12-01JAY MCFARLAND2019-06-18
5012016-12-01

Plan Statistics for TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2020: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01214
Total number of active participants reported on line 7a of the Form 55002020-12-010
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-010
Number of employers contributing to the scheme2020-12-010
2019: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-01214
Total number of active participants reported on line 7a of the Form 55002019-12-01210
Number of retired or separated participants receiving benefits2019-12-014
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01214
Number of employers contributing to the scheme2019-12-010
2018: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-01200
Total number of active participants reported on line 7a of the Form 55002018-12-01200
Number of retired or separated participants receiving benefits2018-12-012
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01202
Number of employers contributing to the scheme2018-12-010
2017: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-01156
Total number of active participants reported on line 7a of the Form 55002017-12-01156
Number of retired or separated participants receiving benefits2017-12-011
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01157
Number of employers contributing to the scheme2017-12-010
2016: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-01170
Total number of active participants reported on line 7a of the Form 55002016-12-01170
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-01170

Form 5500 Responses for TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN

2020: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01This submission is the final filingYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes
2016: TACK AUTOMOTIVE LLC DBA MIKE JOHNSONS HICKORY TOYOTA HEALTH AND WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01First time form 5500 has been submittedYes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10248234
Policy instance 1
Insurance contract or identification number10248234
Number of Individuals Covered218
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $17,161
Total amount of fees paid to insurance companyUSD $16,618
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $145,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,161
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10248234
Policy instance 1
Insurance contract or identification number10248234
Number of Individuals Covered159
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $19,575
Total amount of fees paid to insurance companyUSD $22,758
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $166,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,255
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10248234
Policy instance 1
Insurance contract or identification number10248234
Number of Individuals Covered159
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $12,840
Total amount of fees paid to insurance companyUSD $16,949
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $108,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6614
Additional information about fees paid to insurance brokerOVERRIDES BROKER BONUS
Insurance broker organization code?3
USABLE LIFE (National Association of Insurance Commissioners NAIC id number: 94358 )
Policy contract number50004569
Policy instance 2
Insurance contract or identification number50004569
Number of Individuals Covered147
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $1,242
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $6,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number049208
Policy instance 1
Insurance contract or identification number049208
Number of Individuals Covered184
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $24,724
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $651,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1031529
Policy instance 3
Insurance contract or identification number1031529
Number of Individuals Covered196
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $10,559
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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