401k Plan data: SMITH DOUGLAS HOMES LLC VISION PLAN plan

SMITH DOUGLAS HOMES LLC VISION PLAN 401k Plan overview

Plan Name	SMITH DOUGLAS HOMES LLC VISION PLAN
Plan identification number	505

SMITH DOUGLAS HOMES LLC VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

SMITH DOUGLAS HOLDINGS, LLC has sponsored the creation of one or more 401k plans.

Company Name: SMITH DOUGLAS HOLDINGS, LLC

Employer identification number (EIN): 810981602

NAIC Classification: 236110

Additional information about SMITH DOUGLAS HOLDINGS, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 2102392

More information about SMITH DOUGLAS HOLDINGS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SMITH DOUGLAS HOMES LLC VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2018-09-01 KATIE PEACOCKE 2020-02-26
505 2017-09-01 ELLEN STORTZ ELLEN STORTZ 2019-03-04

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2018-09-01	KATIE PEACOCKE	2020-02-26
505	2017-09-01	ELLEN STORTZ		ELLEN STORTZ	2019-03-04

Plan Statistics for SMITH DOUGLAS HOMES LLC VISION PLAN

401k plan membership statisitcs for SMITH DOUGLAS HOMES LLC VISION PLAN

Measure Date Value
2018: SMITH DOUGLAS HOMES LLC VISION PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 168
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 0
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 0
Total of all active and inactive participants 2018-09-01 0
2017: SMITH DOUGLAS HOMES LLC VISION PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 107
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 165
Number of retired or separated participants receiving benefits 2017-09-01 3
Total of all active and inactive participants 2017-09-01 168

Measure	Date	Value
2018: SMITH DOUGLAS HOMES LLC VISION PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	168
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	0
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	0
Total of all active and inactive participants	2018-09-01	0
2017: SMITH DOUGLAS HOMES LLC VISION PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	107
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	165
Number of retired or separated participants receiving benefits	2017-09-01	3
Total of all active and inactive participants	2017-09-01	168

Form 5500 Responses for SMITH DOUGLAS HOMES LLC VISION PLAN

2018: SMITH DOUGLAS HOMES LLC VISION PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Submission has been amended	No
2018-09-01	This submission is the final filing	Yes
2018-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-09-01	Plan is a collectively bargained plan	No
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2017: SMITH DOUGLAS HOMES LLC VISION PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Submission has been amended	No
2017-09-01	This submission is the final filing	No
2017-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-09-01	Plan is a collectively bargained plan	No
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65675 )

Policy contract number

400189330

Policy instance

Insurance contract or identification number	400189330
Number of Individuals Covered	167
Insurance policy start date	2018-09-01
Insurance policy end date	2019-08-31
Total amount of commissions paid to insurance broker	USD $2,221
Total amount of fees paid to insurance company	USD $28
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 $22,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,404
Amount paid for insurance broker fees	28
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker organization code?	3

Potentially related plans

SMITH DOUGLAS HOLDINGS 401(K) PLAN [EIN = 851371405]

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Company Name:	SMITH DOUGLAS HOLDINGS, LLC
Employer identification number (EIN):	810981602
NAIC Classification:	236110

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	2102392