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FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 401k Plan overview

Plan NameFOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)
Plan identification number 502

FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) Benefits

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

401k Sponsoring company profile

FOREVER MEDIA, INC. has sponsored the creation of one or more 401k plans.

Company Name:FOREVER MEDIA, INC.
Employer identification number (EIN):581935744
NAIC Classification:515100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-07-01
5022023-07-01LYNN DEPPEN
5022022-07-01
5022022-07-01LYNN DEPPEN
5022021-07-01
5022021-07-01LYNN DEPPEN

Financial Data on FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

Measure Date Value
2024 : FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2024 401k financial data
Total plan liabilities at end of year2024-06-30$109,040
Total plan liabilities at beginning of year2024-06-30$106,833
Total income from all sources2024-06-30$1,120,650
Expenses. Total of all expenses incurred2024-06-30$1,095,380
Benefits paid (including direct rollovers)2024-06-30$691,659
Total plan assets at end of year2024-06-30$770,827
Total plan assets at beginning of year2024-06-30$743,350
Value of fidelity bond covering the plan2024-06-30$500,000
Total contributions received or receivable from participants2024-06-30$457,775
Expenses. Other expenses not covered elsewhere2024-06-30$374,167
Contributions received from other sources (not participants or employers)2024-06-30$3,280
Other income received2024-06-30$20,318
Net income (gross income less expenses)2024-06-30$25,270
Net plan assets at end of year (total assets less liabilities)2024-06-30$661,787
Net plan assets at beginning of year (total assets less liabilities)2024-06-30$636,517
Total contributions received or receivable from employer(s)2024-06-30$639,277
Value of corrective distributions2024-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-06-30$29,554
2023 : FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$106,833
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$79,967
Total income from all sources (including contributions)2023-06-30$1,539,864
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$1,256,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$779,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$1,534,643
Value of total assets at end of year2023-06-30$743,350
Value of total assets at beginning of year2023-06-30$433,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$477,355
Total interest from all sources2023-06-30$5,221
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$500,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$640,935
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$14,988
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$11,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-06-30$44,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-06-30$79,967
Administrative expenses (other) incurred2023-06-30$410,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$283,087
Value of net assets at end of year (total assets less liabilities)2023-06-30$636,517
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$353,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Investment advisory and management fees2023-06-30$24,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$728,362
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$422,142
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$422,142
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$5,221
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$779,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$893,708
Contract administrator fees2023-06-30$41,504
Liabilities. Value of benefit claims payable at end of year2023-06-30$62,632
Liabilities. Value of benefit claims payable at beginning of year2023-06-30$0
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30YOUNG OAKES BROWN & CO PC
Accountancy firm EIN2023-06-30251589048
2022 : FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-07-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-01$106,833
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-07-01$79,967
Total income from all sources (including contributions)2022-07-01$1,539,864
Total loss/gain on sale of assets2022-07-01$0
Total of all expenses incurred2022-07-01$1,256,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-07-01$779,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-07-01$1,534,643
Value of total assets at end of year2022-07-01$743,350
Value of total assets at beginning of year2022-07-01$433,397
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-07-01$477,355
Total interest from all sources2022-07-01$5,221
Total dividends received (eg from common stock, registered investment company shares)2022-07-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-07-01No
Was this plan covered by a fidelity bond2022-07-01Yes
Value of fidelity bond cover2022-07-01$500,000
If this is an individual account plan, was there a blackout period2022-07-01No
Were there any nonexempt tranactions with any party-in-interest2022-07-01No
Contributions received from participants2022-07-01$640,935
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-07-01$14,988
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-07-01$11,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-07-01$44,201
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-07-01$79,967
Administrative expenses (other) incurred2022-07-01$410,873
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-01No
Value of net income/loss2022-07-01$283,087
Value of net assets at end of year (total assets less liabilities)2022-07-01$636,517
Value of net assets at beginning of year (total assets less liabilities)2022-07-01$353,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-07-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-07-01No
Were any leases to which the plan was party in default or uncollectible2022-07-01No
Investment advisory and management fees2022-07-01$24,978
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-07-01$728,362
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-07-01$5,221
Expenses. Payments to insurance carriers foe the provision of benefits2022-07-01$779,422
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-07-01No
Was there a failure to transmit to the plan any participant contributions2022-07-01No
Has the plan failed to provide any benefit when due under the plan2022-07-01No
Contributions received in cash from employer2022-07-01$893,708
Contract administrator fees2022-07-01$41,504
Liabilities. Value of benefit claims payable at end of year2022-07-01$62,632
Liabilities. Value of benefit claims payable at beginning of year2022-07-01$0
Did the plan have assets held for investment2022-07-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-07-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-07-01No
Opinion of an independent qualified public accountant for this plan2022-07-011
Accountancy firm name2022-07-01YOUNG OAKES BROWN & CO PC
Accountancy firm EIN2022-07-01251589048
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$79,967
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$1,655,753
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$1,302,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$787,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,655,098
Value of total assets at end of year2022-06-30$433,397
Value of total assets at beginning of year2022-06-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$515,323
Total interest from all sources2022-06-30$655
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$719,339
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$11,255
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$79,967
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$0
Administrative expenses (other) incurred2022-06-30$442,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$353,430
Value of net assets at end of year (total assets less liabilities)2022-06-30$353,430
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$29,927
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$422,142
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$655
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$787,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$935,759
Contract administrator fees2022-06-30$42,874
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30YOUNG OAKES BROWN & CO PC
Accountancy firm EIN2022-06-30251589048

Form 5500 Responses for FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

2023: FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2023 form 5500 responses
2023-07-01Type of plan entitySingle employer plan
2023-07-01Submission has been amendedNo
2023-07-01This submission is the final filingNo
2023-07-01This return/report is a short plan year return/report (less than 12 months)No
2023-07-01Plan is a collectively bargained planNo
2023-07-01Plan funding arrangement – InsuranceYes
2023-07-01Plan funding arrangement – TrustYes
2023-07-01Plan benefit arrangement – InsuranceYes
2023-07-01Plan benefit arrangement - TrustYes
2022: FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01First time form 5500 has been submittedYes
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number408665-A
Policy instance 1
Insurance contract or identification number408665-A
Number of Individuals Covered73
Insurance policy start date2023-07-01
Insurance policy end date2024-06-30
Are there contracts with allocated funds for individual policies?0
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $356,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000238
Policy instance 1
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number31000238
Policy instance 1

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