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DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501) 401k Plan overview

Plan NameDA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501)
Plan identification number 501

DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501) Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Other welfare benefit cover

401k Sponsoring company profile

THE DA VINCI DISCOVERY CENTER OF SCIENCE AND TECHNOLOGY, INC has sponsored the creation of one or more 401k plans.

Company Name:THE DA VINCI DISCOVERY CENTER OF SCIENCE AND TECHNOLOGY, INC
Employer identification number (EIN):232824084
NAIC Classification:712100
NAIC Description: Museums, Historical Sites, and Similar Institutions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01

Plan Statistics for DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501)

401k plan membership statisitcs for DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501)

Measure Date Value
2022: DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501) 2022 401k membership
Total participants, beginning-of-year2022-12-0127
Total number of active participants reported on line 7a of the Form 55002022-12-0129
Number of retired or separated participants receiving benefits2022-12-011
Number of other retired or separated participants entitled to future benefits2022-12-010
Total of all active and inactive participants2022-12-0130

Financial Data on DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501)

Measure Date Value
2022 : DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501) 2022 401k financial data
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$17,327
Expenses. Total of all expenses incurred2022-12-31$8,202
Benefits paid (including direct rollovers)2022-12-31$0
Total plan assets at end of year2022-12-31$9,125
Total plan assets at beginning of year2022-12-31$0
Value of fidelity bond covering the plan2022-12-31$200,000
Total contributions received or receivable from participants2022-12-31$750
Expenses. Other expenses not covered elsewhere2022-12-31$8,202
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$9,125
Net plan assets at end of year (total assets less liabilities)2022-12-31$9,125
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$16,577
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$0

Form 5500 Responses for DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501)

2022: DA VINCI DISCOVERY CENTER HEALTH BENEFITS PLAN (501) 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01First time form 5500 has been submittedYes
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – TrustYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500996-221
Policy instance 1
Insurance contract or identification number30500996-221
Number of Individuals Covered29
Insurance policy start date2022-12-01
Insurance policy end date2022-12-01
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $6,151
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number913486
Policy instance 2
Insurance contract or identification number913486
Number of Individuals Covered2
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $48
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 CarrierUSD $318
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNONE
Insurance broker organization code?3

Potentially related plans

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