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MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameMY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 501

MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

MY TIRE PLACE LLC has sponsored the creation of one or more 401k plans.

Company Name:MY TIRE PLACE LLC
Employer identification number (EIN):811946836
NAIC Classification:441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-03-01

Plan Statistics for MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2018: MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01127
Total number of active participants reported on line 7a of the Form 55002018-03-0142
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-0142

Form 5500 Responses for MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN

2018: MY TIRE PLACE HEALTH AND WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01First time form 5500 has been submittedYes
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number001022773500000
Policy instance 1
Insurance contract or identification number001022773500000
Number of Individuals Covered42
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $638
Total amount of fees paid to insurance companyUSD $1,063
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,252
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $638
Amount paid for insurance broker fees1063
Additional information about fees paid to insurance brokerAGENT/BROKER OF RECORD
Insurance broker organization code?3

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