INFINITIVE, INC. AD&D PLAN 401k Plan overview
| Plan Name | INFINITIVE, INC. AD&D PLAN |
| Plan identification number | 503 |
INFINITIVE, INC. AD&D PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Death benefits (include travel accident but not life insurance)
|
401k Sponsoring company profile
INFINITIVE, INC. has sponsored the creation of one or more 401k plans.
Additional information about INFINITIVE, INC.
| Jurisdiction of Incorporation: | State of Delaware Division of Corporations |
| Incorporation Date: | |
| Company Identification Number: | 3902473 |
More information about INFINITIVE, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan INFINITIVE, INC. AD&D PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 503 | 2021-01-01 | VICTORIA HICKMAN | 2022-07-29 | | |
| 503 | 2021-01-01 | VICTORIA HICKMAN | 2023-05-16 | | |
| 503 | 2020-01-01 | CARRIE HOVELL | 2021-07-02 | | |
Plan Statistics for INFINITIVE, INC. AD&D PLAN
401k plan membership statisitcs for INFINITIVE, INC. AD&D PLAN
| Measure | Date | Value |
|---|
| 2021: INFINITIVE, INC. AD&D PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 109 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 199 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 199 |
| Number of employers contributing to the scheme | 2021-01-01 | 0 |
| 2020: INFINITIVE, INC. AD&D PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 101 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 139 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 139 |
| Number of employers contributing to the scheme | 2020-01-01 | 0 |
Form 5500 Responses for INFINITIVE, INC. AD&D PLAN
| 2021: INFINITIVE, INC. AD&D PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | Yes |
| 2021-01-01 | This submission is the final filing | Yes |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: INFINITIVE, INC. AD&D PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | GVTL0BTBW |
| Policy instance | 1 |
| Insurance contract or identification number | GVTL0BTBW | | Number of Individuals Covered | 46 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $2,180 | | Total amount of fees paid to insurance company | USD $315 | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $14,531 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,180 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADMINISTRATION |
|
| LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 ) |
| Policy contract number | SOK601731 |
| Policy instance | 1 |
| Insurance contract or identification number | SOK601731 | | Number of Individuals Covered | 139 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,095 | | Total amount of fees paid to insurance company | USD $269 | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $6,222 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $1,095 | | Amount paid for insurance broker fees | 157 | | Additional information about fees paid to insurance broker | SALES AND SERVICE | | Insurance broker organization code? | 3 |
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