CUSTOM APPLE VISION/DENTAL PLAN 401k Plan overview
| Plan Name | CUSTOM APPLE VISION/DENTAL PLAN |
| Plan identification number | 505 |
CUSTOM APPLE VISION/DENTAL PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | |
401k Sponsoring company profile
CUSTOM APPLE PACKERS, INC has sponsored the creation of one or more 401k plans.
Additional information about CUSTOM APPLE PACKERS, INC
| Jurisdiction of Incorporation: | Washington Secretary of State Corporations Division |
| Incorporation Date: | 1962-05-09 |
| Company Identification Number: | 241000542 |
| Legal Registered Office Address: |
1 ONEONTA DR
WENATCHEE
United States of America (USA)
988011500
|
More information about CUSTOM APPLE PACKERS, INC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan CUSTOM APPLE VISION/DENTAL PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 505 | 2022-01-01 | JOSHUA WELDY | 2023-06-21 | | |
Plan Statistics for CUSTOM APPLE VISION/DENTAL PLAN
401k plan membership statisitcs for CUSTOM APPLE VISION/DENTAL PLAN
| Measure | Date | Value |
|---|
| 2022: CUSTOM APPLE VISION/DENTAL PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 209 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 122 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 122 |
| Number of employers contributing to the scheme | 2022-01-01 | 0 |
Form 5500 Responses for CUSTOM APPLE VISION/DENTAL PLAN
| 2022: CUSTOM APPLE VISION/DENTAL PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | First time form 5500 has been submitted | Yes |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 010-058070 |
| Policy instance | 1 |
| Insurance contract or identification number | 010-058070 | | Number of Individuals Covered | 378 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $4,901 | | Total amount of fees paid to insurance company | USD $0 | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $98,012 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,901 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
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