401k Plan data: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN plan

SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 401k Plan overview

Plan Name	SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN
Plan identification number	505

SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision

401k Sponsoring company profile

SEAGULL SCIENTIFIC has sponsored the creation of one or more 401k plans.

Company Name: SEAGULL SCIENTIFIC

Employer identification number (EIN): 911428721

NAIC Classification: 518210
NAIC Description: Data Processing, Hosting, and Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2021-11-01
505 2021-11-01
505 2020-11-01 EVA ARMETROUT 2022-07-15

Plan Statistics for SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN

401k plan membership statisitcs for SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN

Measure Date Value
2021: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-11-01 115
Total number of active participants reported on line 7a of the Form 5500 2021-11-01 147
Number of retired or separated participants receiving benefits 2021-11-01 0
Number of other retired or separated participants entitled to future benefits 2021-11-01 0
Total of all active and inactive participants 2021-11-01 147
2020: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-11-01 106
Total number of active participants reported on line 7a of the Form 5500 2020-11-01 114
Number of retired or separated participants receiving benefits 2020-11-01 1
Number of other retired or separated participants entitled to future benefits 2020-11-01 0
Total of all active and inactive participants 2020-11-01 115
Number of employers contributing to the scheme 2020-11-01 0

Measure	Date	Value
2021: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-11-01	115
Total number of active participants reported on line 7a of the Form 5500	2021-11-01	147
Number of retired or separated participants receiving benefits	2021-11-01	0
Number of other retired or separated participants entitled to future benefits	2021-11-01	0
Total of all active and inactive participants	2021-11-01	147
2020: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-11-01	106
Total number of active participants reported on line 7a of the Form 5500	2020-11-01	114
Number of retired or separated participants receiving benefits	2020-11-01	1
Number of other retired or separated participants entitled to future benefits	2020-11-01	0
Total of all active and inactive participants	2020-11-01	115
Number of employers contributing to the scheme	2020-11-01	0

Form 5500 Responses for SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN

2021: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 2021 form 5500 responses
2021-11-01	Type of plan entity	Single employer plan
2021-11-01	Submission has been amended	No
2021-11-01	This submission is the final filing	No
2021-11-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-11-01	Plan is a collectively bargained plan	No
2021-11-01	Plan funding arrangement – Insurance	Yes
2021-11-01	Plan benefit arrangement – Insurance	Yes
2020: SEAGULL SCIENTIFIC HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-11-01	Type of plan entity	Single employer plan
2020-11-01	First time form 5500 has been submitted	Yes
2020-11-01	Plan funding arrangement – Insurance	Yes
2020-11-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )

Policy contract number

30023209

Policy instance

Insurance contract or identification number	30023209
Number of Individuals Covered	143
Insurance policy start date	2021-11-01
Insurance policy end date	2022-10-31
Total amount of commissions paid to insurance broker	USD $935
Total amount of fees paid to insurance company	USD $0
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	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
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 $15,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $935
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 53031 )

Policy contract number

30023209

Policy instance

Insurance contract or identification number	30023209
Number of Individuals Covered	121
Insurance policy start date	2020-11-01
Insurance policy end date	2021-10-31
Total amount of commissions paid to insurance broker	USD $880
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $13,535
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $880
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	SEAGULL SCIENTIFIC
Employer identification number (EIN):	911428721
NAIC Classification:	518210
NAIC Description:	Data Processing, Hosting, and Related Services