401k Plan data: PATHFUL, INC. SHORT TERM DISABILITY PLAN plan

PATHFUL, INC. SHORT TERM DISABILITY PLAN 401k Plan overview

Plan Name	PATHFUL, INC. SHORT TERM DISABILITY PLAN
Plan identification number	502

PATHFUL, INC. SHORT TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

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

Company Name: PATHFUL, INC.

Employer identification number (EIN): 872853247

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PATHFUL, INC. SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01

Plan Statistics for PATHFUL, INC. SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for PATHFUL, INC. SHORT TERM DISABILITY PLAN

Measure Date Value
2023: PATHFUL, INC. SHORT TERM DISABILITY PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 103
Total of all active and inactive participants 2023-01-01 103
Total participants 2023-01-01 103

Measure	Date	Value
2023: PATHFUL, INC. SHORT TERM DISABILITY PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	103
Total of all active and inactive participants	2023-01-01	103
Total participants	2023-01-01	103

Form 5500 Responses for PATHFUL, INC. SHORT TERM DISABILITY PLAN

2023: PATHFUL, INC. SHORT TERM DISABILITY PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MONY (National Association of Insurance Commissioners NAIC id number: 78077 )

Policy contract number

006914

Policy instance

Insurance contract or identification number	006914
Number of Individuals Covered	103
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $5,120
Total amount of fees paid to insurance company	USD $1,089
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	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
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 $34,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PATHFUL, INC.
Employer identification number (EIN):	872853247
NAIC Classification:	611000