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| Plan Name | FIVE STAR EQUIPMENT, INC. GROUP MEDICAL PLAN (501) |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | FIVE STAR EQUIPMENT, INC. |
| Employer identification number (EIN): | 232281067 |
| NAIC Classification: | 423800 |
Additional information about FIVE STAR EQUIPMENT, INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1987-03-16 |
| Company Identification Number: | 0103145000 |
| Legal Registered Office Address: |
PO BOX 658 SPEARMAN United States of America (USA) 79081 |
More information about FIVE STAR EQUIPMENT, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2024-04-01 | MIKE KOZLOWSKI | |||
| 501 | 2023-04-01 | ||||
| 501 | 2023-04-01 | MIKE KOZLOWSKI |
| Measure | Date | Value |
|---|---|---|
| 2023: FIVE STAR EQUIPMENT, INC. GROUP MEDICAL PLAN (501) 2023 401k membership | ||
| Total participants, beginning-of-year | 2023-04-01 | 97 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-04-01 | 105 |
| Number of retired or separated participants receiving benefits | 2023-04-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2023-04-01 | 0 |
| Total of all active and inactive participants | 2023-04-01 | 108 |
| Measure | Date | Value |
|---|---|---|
| 2024 : FIVE STAR EQUIPMENT, INC. GROUP MEDICAL PLAN (501) 2024 401k financial data | ||
| Total plan liabilities at end of year | 2024-03-31 | $377,017 |
| Total plan liabilities at beginning of year | 2024-03-31 | $0 |
| Total income from all sources | 2024-03-31 | $1,679,068 |
| Expenses. Total of all expenses incurred | 2024-03-31 | $2,001,449 |
| Benefits paid (including direct rollovers) | 2024-03-31 | $1,350,239 |
| Total plan assets at end of year | 2024-03-31 | $54,636 |
| Total plan assets at beginning of year | 2024-03-31 | $0 |
| Value of fidelity bond covering the plan | 2024-03-31 | $1,300,000 |
| Total contributions received or receivable from participants | 2024-03-31 | $237,474 |
| Expenses. Other expenses not covered elsewhere | 2024-03-31 | $615,390 |
| Contributions received from other sources (not participants or employers) | 2024-03-31 | $24,275 |
| Other income received | 2024-03-31 | $1,011 |
| Net income (gross income less expenses) | 2024-03-31 | $-322,381 |
| Net plan assets at end of year (total assets less liabilities) | 2024-03-31 | $-322,381 |
| Net plan assets at beginning of year (total assets less liabilities) | 2024-03-31 | $0 |
| Total contributions received or receivable from employer(s) | 2024-03-31 | $1,416,308 |
| Value of corrective distributions | 2024-03-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2024-03-31 | $35,820 |
| 2023: FIVE STAR EQUIPMENT, INC. GROUP MEDICAL PLAN (501) 2023 form 5500 responses | ||
|---|---|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | First time form 5500 has been submitted | Yes |
| 2023-04-01 | Submission has been amended | No |
| 2023-04-01 | This submission is the final filing | No |
| 2023-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-04-01 | Plan is a collectively bargained plan | No |
| 2023-04-01 | Plan funding arrangement – Insurance | Yes |
| 2023-04-01 | Plan funding arrangement – Trust | Yes |
| 2023-04-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2023-04-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-04-01 | Plan benefit arrangement - Trust | Yes |
| 2023-04-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 ) | |||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 408473-A | ||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||
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