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| Plan Name | SHIELDS INSTALLATION COMMERCIAL FLOORING INC HEALTH AND WELFARE PLAN |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | SHIELDS INSTALLATION COMMERCIAL FLOORING INC. |
| Employer identification number (EIN): | 823125601 |
| NAIC Classification: | 238300 |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2023-08-01 | KIMBERLY FRAKES | 2024-10-09 | KIMBERLY FRAKES | 2024-10-09 |
| Measure | Date | Value |
|---|---|---|
| 2023: SHIELDS INSTALLATION COMMERCIAL FLOORING INC HEALTH AND WELFARE PLAN 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-08-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-08-01 | 14 |
| Total of all active and inactive participants | 2023-08-01 | 14 |
| Measure | Date | Value |
|---|---|---|
| 2023 : SHIELDS INSTALLATION COMMERCIAL FLOORING INC HEALTH AND WELFARE PLAN 2023 401k financial data | ||
| Total income from all sources | 2023-12-31 | $11,529 |
| Expenses. Total of all expenses incurred | 2023-12-31 | $10,133 |
| Benefits paid (including direct rollovers) | 2023-12-31 | $10,133 |
| Total plan assets at end of year | 2023-12-31 | $1,396 |
| Total plan assets at beginning of year | 2023-12-31 | $0 |
| Other income received | 2023-12-31 | $-625 |
| Net income (gross income less expenses) | 2023-12-31 | $1,396 |
| Net plan assets at end of year (total assets less liabilities) | 2023-12-31 | $1,396 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2023-12-31 | $12,154 |
| 2023: SHIELDS INSTALLATION COMMERCIAL FLOORING INC HEALTH AND WELFARE PLAN 2023 form 5500 responses | ||
|---|---|---|
| 2023-08-01 | Type of plan entity | Single employer plan |
| 2023-08-01 | First time form 5500 has been submitted | Yes |
| 2023-08-01 | Submission has been amended | No |
| 2023-08-01 | This submission is the final filing | No |
| 2023-08-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2023-08-01 | Plan is a collectively bargained plan | No |
| 2023-08-01 | Plan funding arrangement – Insurance | Yes |
| 2023-08-01 | Plan funding arrangement – Trust | Yes |
| 2023-08-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-08-01 | Plan benefit arrangement - Trust | Yes |
| ALLSTATE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 0000 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | L233757 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| PRINCIPAL FINANCIAL GROUP, INC (National Association of Insurance Commissioners NAIC id number: 61271 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 1180802 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 2 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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