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J. J. POWELL, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameJ. J. POWELL, INC. GROUP MEDICAL PLAN
Plan identification number 503

J. J. POWELL, INC. GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

J.J. POWELL INC. has sponsored the creation of one or more 401k plans.

Company Name:J.J. POWELL INC.
Employer identification number (EIN):251099474
NAIC Classification:445120
NAIC Description:Convenience Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J. J. POWELL, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032024-01-01JILL CURTORILLO
5032023-01-01
5032023-01-01JILL CURTORILLO

Financial Data on J. J. POWELL, INC. GROUP MEDICAL PLAN

Measure Date Value
2024 : J. J. POWELL, INC. GROUP MEDICAL PLAN 2024 401k financial data
Total plan liabilities at end of year2024-01-01$158,519
Total plan liabilities at beginning of year2024-01-01$110,902
Total income from all sources2024-01-01$994,734
Expenses. Total of all expenses incurred2024-01-01$1,051,160
Benefits paid (including direct rollovers)2024-01-01$601,673
Total plan assets at end of year2024-01-01$12,335
Total plan assets at beginning of year2024-01-01$21,144
Value of fidelity bond covering the plan2024-01-01$500,000
Total contributions received or receivable from participants2024-01-01$103,623
Expenses. Other expenses not covered elsewhere2024-01-01$459,785
Contributions received from other sources (not participants or employers)2024-01-01$1,624
Other income received2024-01-01$583
Noncash contributions received2024-01-01$0
Net income (gross income less expenses)2024-01-01$-56,426
Net plan assets at end of year (total assets less liabilities)2024-01-01$-146,184
Net plan assets at beginning of year (total assets less liabilities)2024-01-01$-89,758
Total contributions received or receivable from employer(s)2024-01-01$888,904
Value of certain deemed distributions of participant loans2024-01-01$0
Value of corrective distributions2024-01-01$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-01-01$-10,298
2023 : J. J. POWELL, INC. GROUP MEDICAL PLAN 2023 401k financial data
Total plan liabilities at end of year2023-12-31$110,902
Total income from all sources2023-12-31$880,494
Expenses. Total of all expenses incurred2023-12-31$970,252
Benefits paid (including direct rollovers)2023-12-31$552,866
Total plan assets at end of year2023-12-31$21,144
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$94,713
Expenses. Other expenses not covered elsewhere2023-12-31$392,468
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$580
Net income (gross income less expenses)2023-12-31$-89,758
Net plan assets at end of year (total assets less liabilities)2023-12-31$-89,758
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$785,201
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$24,918

Form 5500 Responses for J. J. POWELL, INC. GROUP MEDICAL PLAN

2023: J. J. POWELL, INC. GROUP MEDICAL PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01First time form 5500 has been submittedYes
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number408237
Policy instance 1
Insurance contract or identification number408237
Number of Individuals Covered87
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 $329,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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