401k Plan data: MENNONITE MANAGEMENT SERVICES, INC VISION PLAN plan

MENNONITE MANAGEMENT SERVICES, INC VISION PLAN 401k Plan overview

Plan Name	MENNONITE MANAGEMENT SERVICES, INC VISION PLAN
Plan identification number	503

MENNONITE MANAGEMENT SERVICES, INC VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

MENNONITE MANAGEMENT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name: MENNONITE MANAGEMENT SERVICES, INC.

Employer identification number (EIN): 743192567

NAIC Classification: 623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about MENNONITE MANAGEMENT SERVICES, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2013-08-29

Company Identification Number: 96098497

Legal Registered Office Address: 5353 COLUMBUS ST SE

ALBANY
United States of America (USA)
97322

More information about MENNONITE MANAGEMENT SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MENNONITE MANAGEMENT SERVICES, INC VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2022-10-01 KACIE MARKEN 2024-04-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2022-10-01	KACIE MARKEN	2024-04-10

Plan Statistics for MENNONITE MANAGEMENT SERVICES, INC VISION PLAN

401k plan membership statisitcs for MENNONITE MANAGEMENT SERVICES, INC VISION PLAN

Measure Date Value
2022: MENNONITE MANAGEMENT SERVICES, INC VISION PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 179
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 157
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 157

Measure	Date	Value
2022: MENNONITE MANAGEMENT SERVICES, INC VISION PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	179
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	157
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	157

Form 5500 Responses for MENNONITE MANAGEMENT SERVICES, INC VISION PLAN

2022: MENNONITE MANAGEMENT SERVICES, INC VISION PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	First time form 5500 has been submitted	Yes
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30017615

Policy instance

Insurance contract or identification number	30017615
Number of Individuals Covered	154
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $16,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	MENNONITE MANAGEMENT SERVICES, INC.
Employer identification number (EIN):	743192567
NAIC Classification:	623000
NAIC Description:	Nursing and Residential Care Facilities

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2013-08-29
Company Identification Number:	96098497
Legal Registered Office Address:	5353 COLUMBUS ST SE ALBANY United States of America (USA) 97322