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PEGASUS INDUSTRIES, LLC LIFE PLAN 401k Plan overview

Plan NamePEGASUS INDUSTRIES, LLC LIFE PLAN
Plan identification number 503

PEGASUS INDUSTRIES, LLC LIFE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

PEGASUS INDUSTRIES, LLC has sponsored the creation of one or more 401k plans.

Company Name:PEGASUS INDUSTRIES, LLC
Employer identification number (EIN):611322994
NAIC Classification:339900

Additional information about PEGASUS INDUSTRIES, LLC

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 2007-05-29
Company Identification Number: 602730372
Legal Registered Office Address: 3502 TIETON DRIVE

YAKIMA
United States of America (USA)
98902

More information about PEGASUS INDUSTRIES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEGASUS INDUSTRIES, LLC LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-12-01

Plan Statistics for PEGASUS INDUSTRIES, LLC LIFE PLAN

401k plan membership statisitcs for PEGASUS INDUSTRIES, LLC LIFE PLAN

Measure Date Value
2022: PEGASUS INDUSTRIES, LLC LIFE PLAN 2022 401k membership
Total participants, beginning-of-year2022-12-01157
Total number of active participants reported on line 7a of the Form 55002022-12-01209
Number of retired or separated participants receiving benefits2022-12-010
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-01209

Form 5500 Responses for PEGASUS INDUSTRIES, LLC LIFE PLAN

2022: PEGASUS INDUSTRIES, LLC LIFE PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01First time form 5500 has been submittedYes
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)No
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – General assets of the sponsorYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00617949
Policy instance 1
Insurance contract or identification numberG00617949
Number of Individuals Covered209
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $6,951
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $46,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,951
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNA
Insurance broker organization code?3

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