401k Plan data: GIRL SCOUTS HEART OF NEW JERSEY, INC. plan

GIRL SCOUTS HEART OF NEW JERSEY, INC. 401k Plan overview

Plan Name	GIRL SCOUTS HEART OF NEW JERSEY, INC.
Plan identification number	001

GIRL SCOUTS HEART OF NEW JERSEY, INC. Benefits

401k Plan Type

Defined 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(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
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.

401k Sponsoring company profile

GIRL SCOUT HEART OF NEW JERSEY, INC. has sponsored the creation of one or more 401k plans.

Company Name: GIRL SCOUT HEART OF NEW JERSEY, INC.

Employer identification number (EIN): 221638950

NAIC Classification: 813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GIRL SCOUTS HEART OF NEW JERSEY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 CHRISTIANE GRATZEL 2023-07-24 CHRISTIANE GRATZEL 2023-07-24
001 2021-01-01 CHRISTIANE GRATZEL 2022-07-29 CHRISTIANE GRATZEL 2022-07-29
001 2020-01-01 CHRISTIANE GRATZEL 2021-06-30 CHRISTIANE GRATZEL 2021-06-30
001 2019-01-01 CHRISTIANE GRATZEL 2021-06-30 CHRISTIANE GRATZEL 2021-06-30
001 2019-01-01 CHRISTIANE GRATZEL 2021-08-31 CHRISTIANE GRATZEL 2021-08-31
001 2018-01-01 CHRISTIANE GRATZEL 2019-10-02
001 2017-01-01 THOMAS TRAGESER 2018-04-25 THOMAS TRAGESER 2018-04-25
001 2016-01-01 THOMAS TRAGESER 2017-07-26 THOMAS TRAGESER 2017-07-26
001 2015-01-01 SUSAN BROOKS 2016-07-21 SUSAN BROOKS 2016-07-21
001 2014-01-01 SUSAN BROOKS 2015-07-30 SUSAN BROOKS 2015-07-30
001 2013-01-01 SUSAN BROOKS 2014-07-25
001 2012-01-01 SUSAN BROOKS
001 2011-01-01 SUSAN BROOKS 2012-10-10
001 2010-01-01 SUSAN BROOKS 2012-05-02

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01	CHRISTIANE GRATZEL	2023-07-24	CHRISTIANE GRATZEL	2023-07-24
001	2021-01-01	CHRISTIANE GRATZEL	2022-07-29	CHRISTIANE GRATZEL	2022-07-29
001	2020-01-01	CHRISTIANE GRATZEL	2021-06-30	CHRISTIANE GRATZEL	2021-06-30
001	2019-01-01	CHRISTIANE GRATZEL	2021-06-30	CHRISTIANE GRATZEL	2021-06-30
001	2019-01-01	CHRISTIANE GRATZEL	2021-08-31	CHRISTIANE GRATZEL	2021-08-31
001	2018-01-01	CHRISTIANE GRATZEL	2019-10-02
001	2017-01-01	THOMAS TRAGESER	2018-04-25	THOMAS TRAGESER	2018-04-25
001	2016-01-01	THOMAS TRAGESER	2017-07-26	THOMAS TRAGESER	2017-07-26
001	2015-01-01	SUSAN BROOKS	2016-07-21	SUSAN BROOKS	2016-07-21
001	2014-01-01	SUSAN BROOKS	2015-07-30	SUSAN BROOKS	2015-07-30
001	2013-01-01	SUSAN BROOKS	2014-07-25
001	2012-01-01	SUSAN BROOKS
001	2011-01-01	SUSAN BROOKS	2012-10-10
001	2010-01-01	SUSAN BROOKS	2012-05-02

Plan Statistics for GIRL SCOUTS HEART OF NEW JERSEY, INC.

401k plan membership statisitcs for GIRL SCOUTS HEART OF NEW JERSEY, INC.

Measure Date Value
2012: GIRL SCOUTS HEART OF NEW JERSEY, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 0
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 14
Total of all active and inactive participants 2012-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 15
Number of participants with account balances 2012-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2012: GIRL SCOUTS HEART OF NEW JERSEY, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	0
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	14
Total of all active and inactive participants	2012-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	15
Number of participants with account balances	2012-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on GIRL SCOUTS HEART OF NEW JERSEY, INC.

Measure	Date	Value
2012 : GIRL SCOUTS HEART OF NEW JERSEY, INC. 2012 401k financial data
Total income from all sources	2012-12-31	$27,888
Expenses. Total of all expenses incurred	2012-12-31	$60,142
Total plan assets at end of year	2012-12-31	$254,495
Total plan assets at beginning of year	2012-12-31	$286,749
Expenses. Other expenses not covered elsewhere	2012-12-31	$60,142
Other income received	2012-12-31	$27,888
Net income (gross income less expenses)	2012-12-31	$-32,254
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$254,495
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$286,749

Form 5500 Responses for GIRL SCOUTS HEART OF NEW JERSEY, INC.

2012: GIRL SCOUTS HEART OF NEW JERSEY, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

069133-A-10

Policy instance

Insurance contract or identification number	069133-A-10
Number of Individuals Covered	15
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	GIRL SCOUT HEART OF NEW JERSEY, INC.
Employer identification number (EIN):	221638950
NAIC Classification:	813000
NAIC Description:	Religious, Grantmaking, Civic, Professional, and Similar Organizations