401k Plan data: VANCON, INC. CAF PLAN plan

VANCON, INC. CAF PLAN 401k Plan overview

Plan Name	VANCON, INC. CAF PLAN
Plan identification number	501

VANCON, INC. CAF PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VANCON, INC. has sponsored the creation of one or more 401k plans.

Company Name: VANCON, INC.

Employer identification number (EIN): 841389681

NAIC Classification: 237100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VANCON, INC. CAF PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-10-01 JYLL WATERS 2024-01-10
501 2021-10-01 JYLL WATERS 2023-04-04
501 2020-10-01 JYLL WATERS 2022-06-28
501 2020-10-01 JYLL WATERS 2022-08-15
501 2019-10-01 JYLL WATERS 2021-04-12 JYLL WATERS 2021-04-12
501 2016-10-01 ANGELA SMITH
501 2016-01-01 LEON VANSICKLE
501 2015-01-01 LEON VANSICKLE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-10-01	JYLL WATERS	2024-01-10
501	2021-10-01	JYLL WATERS	2023-04-04
501	2020-10-01	JYLL WATERS	2022-06-28
501	2020-10-01	JYLL WATERS	2022-08-15
501	2019-10-01	JYLL WATERS	2021-04-12	JYLL WATERS	2021-04-12
501	2016-10-01	ANGELA SMITH
501	2016-01-01	LEON VANSICKLE
501	2015-01-01	LEON VANSICKLE

Plan Statistics for VANCON, INC. CAF PLAN

401k plan membership statisitcs for VANCON, INC. CAF PLAN

Measure Date Value
2022: VANCON, INC. CAF PLAN 2022 401k membership
Total participants, beginning-of-year 2022-10-01 182
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 215
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 2022-10-01 215
Number of employers contributing to the scheme 2022-10-01 0
2021: VANCON, INC. CAF PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 230
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 182
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 182
Number of employers contributing to the scheme 2021-10-01 0
2020: VANCON, INC. CAF PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 230
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 0
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 0
Number of employers contributing to the scheme 2020-10-01 0
2019: VANCON, INC. CAF PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 86
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 159
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 159
2016: VANCON, INC. CAF PLAN 2016 401k membership
Total participants, beginning-of-year 2016-10-01 211
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 211
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 211
Total participants, beginning-of-year 2016-01-01 77
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 76
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 76
2015: VANCON, INC. CAF PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 77
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 77

Measure	Date	Value
2022: VANCON, INC. CAF PLAN 2022 401k membership
Total participants, beginning-of-year	2022-10-01	182
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	215
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	215
Number of employers contributing to the scheme	2022-10-01	0
2021: VANCON, INC. CAF PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	230
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	182
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	182
Number of employers contributing to the scheme	2021-10-01	0
2020: VANCON, INC. CAF PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	230
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	0
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	0
Number of employers contributing to the scheme	2020-10-01	0
2019: VANCON, INC. CAF PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	86
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	159
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	159
2016: VANCON, INC. CAF PLAN 2016 401k membership
Total participants, beginning-of-year	2016-10-01	211
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	211
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	211
Total participants, beginning-of-year	2016-01-01	77
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	76
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	76
2015: VANCON, INC. CAF PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	77
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	77

Form 5500 Responses for VANCON, INC. CAF PLAN

2022: VANCON, INC. CAF PLAN 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: VANCON, INC. CAF PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: VANCON, INC. CAF PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	Yes
2020-10-01	This submission is the final filing	Yes
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: VANCON, INC. CAF PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: VANCON, INC. CAF PLAN 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: VANCON, INC. CAF PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	167964
Policy instance	2
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	1
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	2
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	167964
Policy instance	1
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number	167964
Policy instance	3
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	1001379
Policy instance	1
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	7
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	6
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	417003413050
Policy instance	5
BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )
Policy contract number	417002413050
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GUPR0B3PQ
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000B3PQ
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000B3PQ
Policy instance	1
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	5
EDUCATORS MUTUAL PLANS LIFE, ACCIDENT AND HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 12515 )
Policy contract number	4097
Policy instance	4
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000B3PQ
Policy instance	3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000B3PQ
Policy instance	2
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	G000B3PQ
Policy instance	1

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Company Name:	VANCON, INC.
Employer identification number (EIN):	841389681
NAIC Classification:	237100