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SHELTER MINISTRIES OF DALLAS LIFE/AD&D 401k Plan overview

Plan NameSHELTER MINISTRIES OF DALLAS LIFE/AD&D
Plan identification number 503

SHELTER MINISTRIES OF DALLAS LIFE/AD&D Benefits

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

401k Sponsoring company profile

AUSTIN STREET CENTER has sponsored the creation of one or more 401k plans.

Company Name:AUSTIN STREET CENTER
Employer identification number (EIN):751881365
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about AUSTIN STREET CENTER

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1982-12-10
Company Identification Number: 0063325601
Legal Registered Office Address: PO BOX 710729

DALLAS
United States of America (USA)
75371

More information about AUSTIN STREET CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHELTER MINISTRIES OF DALLAS LIFE/AD&D

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032020-12-01ERICA MORENO2022-06-30
5032019-12-01ERICA MORENO2021-05-10
5032018-12-01ERICA MORENO2020-05-19
5032017-12-01CATHY FRAME2019-05-14

Plan Statistics for SHELTER MINISTRIES OF DALLAS LIFE/AD&D

401k plan membership statisitcs for SHELTER MINISTRIES OF DALLAS LIFE/AD&D

Measure Date Value
2020: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2020 401k membership
Total participants, beginning-of-year2020-12-01114
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: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2019 401k membership
Total participants, beginning-of-year2019-12-01114
Total number of active participants reported on line 7a of the Form 55002019-12-01114
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-010
Total of all active and inactive participants2019-12-01114
Number of employers contributing to the scheme2019-12-010
2018: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2018 401k membership
Total participants, beginning-of-year2018-12-01114
Total number of active participants reported on line 7a of the Form 55002018-12-01114
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-010
Total of all active and inactive participants2018-12-01114
Number of employers contributing to the scheme2018-12-010
2017: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2017 401k membership
Total participants, beginning-of-year2017-12-01108
Total number of active participants reported on line 7a of the Form 55002017-12-01114
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-010
Total of all active and inactive participants2017-12-01114
Number of employers contributing to the scheme2017-12-010

Form 5500 Responses for SHELTER MINISTRIES OF DALLAS LIFE/AD&D

2020: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 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 benefit arrangement – InsuranceYes
2019: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan benefit arrangement – InsuranceYes
2018: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan benefit arrangement – InsuranceYes
2017: SHELTER MINISTRIES OF DALLAS LIFE/AD&D 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01First time form 5500 has been submittedYes
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM608632
Policy instance 1
Insurance contract or identification numberSGM608632
Number of Individuals Covered114
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $6,219
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $41,459
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $6,219
Amount paid for insurance broker fees0
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM608632
Policy instance 1
Insurance contract or identification numberSGM608632
Number of Individuals Covered114
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $5,196
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $34,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $5,196
Amount paid for insurance broker fees0
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM608632
Policy instance 1
Insurance contract or identification numberSGM608632
Number of Individuals Covered114
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $4,878
Total amount of fees paid to insurance companyUSD $701
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 BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $32,517
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,878
Amount paid for insurance broker fees701
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberSGM608632
Policy instance 1
Insurance contract or identification numberSGM608632
Number of Individuals Covered114
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $2,783
Total amount of fees paid to insurance companyUSD $887
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 providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $18,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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