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SPIRITT FAMILY SERVICES 403(B) PLAN 401k Plan overview

Plan NameSPIRITT FAMILY SERVICES 403(B) PLAN
Plan identification number 001

SPIRITT FAMILY SERVICES 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SPIRITT FAMILY SERVICES has sponsored the creation of one or more 401k plans.

Company Name:SPIRITT FAMILY SERVICES
Employer identification number (EIN):952852683
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about SPIRITT FAMILY SERVICES

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0649100

More information about SPIRITT FAMILY SERVICES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPIRITT FAMILY SERVICES 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012022-07-01
0012021-07-01
0012021-07-01
0012020-07-01
0012020-07-01
0012019-07-01
0012019-07-01
0012018-07-01ELVIA TORRES2020-04-21
0012017-07-01PERLA PELAYO2019-04-12 PERLA PELAYO2019-04-12
0012016-07-01ELVIA TORRES2018-03-22 ELVIA TORRES2018-03-22
0012015-07-01ELVIA TORRES2017-01-26 ELVIA TORRES2017-01-26
0012014-07-01ELVIA TORRES2016-01-29 ELVIA TORRES2016-01-29
0012013-07-01ELVIA TORRES2014-12-19 ELVIA TORRES2014-12-19
0012012-07-01ELVIA TORRES2014-01-23
0012011-07-01ELVIA TORRES2013-01-29
0012010-07-01ELVIA TORRES2012-04-11

Plan Statistics for SPIRITT FAMILY SERVICES 403(B) PLAN

401k plan membership statisitcs for SPIRITT FAMILY SERVICES 403(B) PLAN

Measure Date Value
2022: SPIRITT FAMILY SERVICES 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01155
Total number of active participants reported on line 7a of the Form 55002022-07-0173
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-0160
Total of all active and inactive participants2022-07-01133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-010
Total participants2022-07-01133
Number of participants with account balances2022-07-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-013
2021: SPIRITT FAMILY SERVICES 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01156
Total number of active participants reported on line 7a of the Form 55002021-07-0188
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0163
Total of all active and inactive participants2021-07-01151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01151
Number of participants with account balances2021-07-01141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-015
2020: SPIRITT FAMILY SERVICES 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01156
Total number of active participants reported on line 7a of the Form 55002020-07-01124
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0132
Total of all active and inactive participants2020-07-01156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01156
Number of participants with account balances2020-07-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: SPIRITT FAMILY SERVICES 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01148
Total number of active participants reported on line 7a of the Form 55002019-07-01128
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0128
Total of all active and inactive participants2019-07-01156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01156
Number of participants with account balances2019-07-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010

Financial Data on SPIRITT FAMILY SERVICES 403(B) PLAN

Measure Date Value
2023 : SPIRITT FAMILY SERVICES 403(B) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total income from all sources (including contributions)2023-06-30$486,984
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$271,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$268,236
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$302,398
Value of total assets at end of year2023-06-30$1,978,341
Value of total assets at beginning of year2023-06-30$1,762,705
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$3,112
Total interest from all sources2023-06-30$2,981
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$22,745
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-06-30$22,745
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$500,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$156,126
Participant contributions at end of year2023-06-30$44,460
Participant contributions at beginning of year2023-06-30$53,624
Participant contributions at end of year2023-06-30$5,764
Income. Received or receivable in cash from other sources (including rollovers)2023-06-30$41,710
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$215,636
Value of net assets at end of year (total assets less liabilities)2023-06-30$1,978,341
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$1,762,705
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-06-30$1,922,732
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-06-30$1,708,612
Interest on participant loans2023-06-30$2,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$1,653
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$469
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$469
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-06-30$158,860
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$104,562
Employer contributions (assets) at end of year2023-06-30$3,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$268,236
Contract administrator fees2023-06-30$3,112
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Aggregate carrying amount (costs) on sale of assets2023-06-30$0
Opinion of an independent qualified public accountant for this plan2023-06-30Disclaimer
Accountancy firm name2023-06-30HOLTHOUSE CARLIN & VAN TRIGT LLP
Accountancy firm EIN2023-06-30954345526
2022 : SPIRITT FAMILY SERVICES 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$14,497
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$165,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$160,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$310,525
Value of total assets at end of year2022-06-30$1,777,205
Value of total assets at beginning of year2022-06-30$1,928,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$5,098
Total interest from all sources2022-06-30$1,004
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$49,318
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$49,318
Administrative expenses professional fees incurred2022-06-30$2,757
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$185,952
Participant contributions at end of year2022-06-30$53,624
Participant contributions at beginning of year2022-06-30$17,436
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$7,952
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-151,185
Value of net assets at end of year (total assets less liabilities)2022-06-30$1,777,205
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$1,928,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$1,722,722
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$1,851,764
Interest on participant loans2022-06-30$1,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$469
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$554
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$554
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-346,350
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$116,621
Employer contributions (assets) at end of year2022-06-30$390
Employer contributions (assets) at beginning of year2022-06-30$58,636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$160,584
Contract administrator fees2022-06-30$2,341
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Disclaimer
Accountancy firm name2022-06-30HOLTHOUSE CARLIN & VAN TRIGT LLP
Accountancy firm EIN2022-06-30954345526
2021 : SPIRITT FAMILY SERVICES 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$711,708
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$98,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$97,374
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$336,734
Value of total assets at end of year2021-06-30$1,928,390
Value of total assets at beginning of year2021-06-30$1,315,341
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$1,285
Total interest from all sources2021-06-30$1,320
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$16,125
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$16,125
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$147,139
Participant contributions at end of year2021-06-30$17,436
Participant contributions at beginning of year2021-06-30$28,008
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$30,085
Other income not declared elsewhere2021-06-30$23
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$613,049
Value of net assets at end of year (total assets less liabilities)2021-06-30$1,928,390
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,315,341
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$1,285
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$1,851,764
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$1,286,932
Interest on participant loans2021-06-30$1,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$554
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$401
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$401
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$357,506
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$159,510
Employer contributions (assets) at end of year2021-06-30$58,636
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$97,374
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30HOLTHOUSE CARLIN & VAN TRIGT LLP
Accountancy firm EIN2021-06-30954345526
2020 : SPIRITT FAMILY SERVICES 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$233,642
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$269,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$268,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$205,124
Value of total assets at end of year2020-06-30$1,188,413
Value of total assets at beginning of year2020-06-30$1,224,227
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$1,178
Total interest from all sources2020-06-30$2,241
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$12,450
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$12,450
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$119,413
Participant contributions at end of year2020-06-30$28,008
Participant contributions at beginning of year2020-06-30$40,497
Participant contributions at beginning of year2020-06-30$515
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$13,598
Administrative expenses (other) incurred2020-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-35,814
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,188,413
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$1,224,227
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$1,160,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$1,164,192
Interest on participant loans2020-06-30$2,241
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$401
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$50
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$50
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$18,973
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$13,827
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30Yes
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$72,113
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$268,278
Contract administrator fees2020-06-30$1,178
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30HOLTHOUSE CARLIN & VAN TRIGT LLP
Accountancy firm EIN2020-06-30954345526

Form 5500 Responses for SPIRITT FAMILY SERVICES 403(B) PLAN

2022: SPIRITT FAMILY SERVICES 403(B) PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: SPIRITT FAMILY SERVICES 403(B) PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: SPIRITT FAMILY SERVICES 403(B) PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: SPIRITT FAMILY SERVICES 403(B) PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT AMERICAN LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93661 )
Policy contract number0CA451
Policy instance 1
Insurance contract or identification number0CA451
Number of Individuals Covered5
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $7
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4
Insurance broker organization code?3
GREAT AMERICAN LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93661 )
Policy contract number0CA451
Policy instance 1
Insurance contract or identification number0CA451
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $7
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Insurance broker organization code?3
GREAT AMERICAN LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93661 )
Policy contract number0CA451
Policy instance 1
Insurance contract or identification number0CA451
Number of Individuals Covered6
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $7
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered152
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $25
Total amount of fees paid to insurance companyUSD $3
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
GREAT AMERICAN LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93661 )
Policy contract number0CA451
Policy instance 2
Insurance contract or identification number0CA451
Number of Individuals Covered4
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $7
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Insurance broker organization code?3
GREAT AMERICAN LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93661 )
Policy contract number0CA451
Policy instance 1
Insurance contract or identification number0CA451
Number of Individuals Covered4
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $7
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 2
Insurance contract or identification number613953
Number of Individuals Covered152
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $25
Total amount of fees paid to insurance companyUSD $3
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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