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BLUEGRASS GREENSOURCE 401(K) PLAN 401k Plan overview

Plan NameBLUEGRASS GREENSOURCE 401(K) PLAN
Plan identification number 001

BLUEGRASS GREENSOURCE 401(K) PLAN Benefits

401k Plan TypeDefined 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

BLUEGRASS GREENSOURCE, INC. has sponsored the creation of one or more 401k plans.

Company Name:BLUEGRASS GREENSOURCE, INC.
Employer identification number (EIN):611395175
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUEGRASS GREENSOURCE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01AMY SOHNER2023-05-30
0012021-01-01REBECCA SHOBE2022-10-10
0012020-01-01REBECCA SHOBE2021-07-16
0012019-01-01REBECCA SHOBE2020-06-30
0012018-01-01TAMMY PATRICK2019-07-02 TAMMY PATRICK2019-07-02
0012017-01-01TAMMY PATRICK2018-07-13
0012016-01-01TAMMY PATRICK2017-07-21
0012015-01-01TAMMY PATRICK2016-06-24 TAMMY PATRICK2016-06-24
0012014-08-01TAMMY PATRICK TAMMY PATRICK2015-07-17

Plan Statistics for BLUEGRASS GREENSOURCE 401(K) PLAN

401k plan membership statisitcs for BLUEGRASS GREENSOURCE 401(K) PLAN

Measure Date Value
2014: BLUEGRASS GREENSOURCE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-0116
Total number of active participants reported on line 7a of the Form 55002014-08-0113
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-013
Total of all active and inactive participants2014-08-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-08-010
Total participants2014-08-0116
Number of participants with account balances2014-08-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-08-013

Financial Data on BLUEGRASS GREENSOURCE 401(K) PLAN

Measure Date Value
2014 : BLUEGRASS GREENSOURCE 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total income from all sources2014-12-31$222,881
Expenses. Total of all expenses incurred2014-12-31$188
Benefits paid (including direct rollovers)2014-12-31$0
Total plan assets at end of year2014-12-31$222,693
Total plan assets at beginning of year2014-12-31$0
Total contributions received or receivable from participants2014-12-31$6,939
Expenses. Other expenses not covered elsewhere2014-12-31$188
Contributions received from other sources (not participants or employers)2014-12-31$194,500
Other income received2014-12-31$3,938
Net income (gross income less expenses)2014-12-31$222,693
Net plan assets at end of year (total assets less liabilities)2014-12-31$222,693
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
Assets. Value of participant loans2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$17,504
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0

Form 5500 Responses for BLUEGRASS GREENSOURCE 401(K) PLAN

2014: BLUEGRASS GREENSOURCE 401(K) PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01First time form 5500 has been submittedYes
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberGA-834906
Policy instance 1
Insurance contract or identification numberGA-834906
Number of Individuals Covered13
Insurance policy start date2014-08-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $175
Total amount of fees paid to insurance companyUSD $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 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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $175
Insurance broker organization code?3
Insurance broker nameLPL FINANCIAL CORPORATION

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