401k Plan data: PURE FISHING, INC. DENTAL PLAN plan

PURE FISHING, INC. DENTAL PLAN 401k Plan overview

Plan Name	PURE FISHING, INC. DENTAL PLAN
Plan identification number	502

PURE FISHING, INC. DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

PURE FISHING FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name: PURE FISHING FOUNDATION

Employer identification number (EIN): 205101603

NAIC Classification: 423910
NAIC Description: Sporting and Recreational Goods and Supplies Merchant Wholesalers

Additional information about PURE FISHING FOUNDATION

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 2006-06-23

Company Identification Number: 329912

Legal Registered Office Address: 666 WALNUT STREET
SUITE 2000
DES MOINES
United States of America (USA)
50309

More information about PURE FISHING FOUNDATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PURE FISHING, INC. DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2019-03-21

Plan Statistics for PURE FISHING, INC. DENTAL PLAN

401k plan membership statisitcs for PURE FISHING, INC. DENTAL PLAN

Measure Date Value
2019: PURE FISHING, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-03-21 597
Total number of active participants reported on line 7a of the Form 5500 2019-03-21 561
Number of retired or separated participants receiving benefits 2019-03-21 3
Number of other retired or separated participants entitled to future benefits 2019-03-21 0
Total of all active and inactive participants 2019-03-21 564

Measure	Date	Value
2019: PURE FISHING, INC. DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-03-21	597
Total number of active participants reported on line 7a of the Form 5500	2019-03-21	561
Number of retired or separated participants receiving benefits	2019-03-21	3
Number of other retired or separated participants entitled to future benefits	2019-03-21	0
Total of all active and inactive participants	2019-03-21	564

Form 5500 Responses for PURE FISHING, INC. DENTAL PLAN

2019: PURE FISHING, INC. DENTAL PLAN 2019 form 5500 responses
2019-03-21	Type of plan entity	Single employer plan
2019-03-21	First time form 5500 has been submitted	Yes
2019-03-21	Submission has been amended	No
2019-03-21	This submission is the final filing	No
2019-03-21	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-03-21	Plan is a collectively bargained plan	No
2019-03-21	Plan funding arrangement – Insurance	Yes
2019-03-21	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0917138*

Policy instance

Insurance contract or identification number	0917138*
Number of Individuals Covered	1249
Insurance policy start date	2019-03-21
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $108,051
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	Yes
Vision Insurance Welfare Benefit	No
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 $4,154,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $108,051
Insurance broker organization code?	3

Potentially related plans

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Company Name:	PURE FISHING FOUNDATION
Employer identification number (EIN):	205101603
NAIC Classification:	423910
NAIC Description:	Sporting and Recreational Goods and Supplies Merchant Wholesalers

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	2006-06-23
Company Identification Number:	329912
Legal Registered Office Address:	666 WALNUT STREET SUITE 2000 DES MOINES United States of America (USA) 50309