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EMPLOYER SPONSORED LIFE 401k Plan overview

Plan NameEMPLOYER SPONSORED LIFE
Plan identification number 504

EMPLOYER SPONSORED LIFE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

BOBBIE JESSIE, LLC has sponsored the creation of one or more 401k plans.

Company Name:BOBBIE JESSIE, LLC
Employer identification number (EIN):364465724
NAIC Classification:541700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYER SPONSORED LIFE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042020-04-01KEITH SABIN2022-01-13
5042019-04-01KEITH SABIN2021-03-05
5042019-04-01KEITH SABIN2022-01-14

Plan Statistics for EMPLOYER SPONSORED LIFE

401k plan membership statisitcs for EMPLOYER SPONSORED LIFE

Measure Date Value
2020: EMPLOYER SPONSORED LIFE 2020 401k membership
Total participants, beginning-of-year2020-04-01126
Total number of active participants reported on line 7a of the Form 55002020-04-010
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-010
Number of employers contributing to the scheme2020-04-010
2019: EMPLOYER SPONSORED LIFE 2019 401k membership
Total participants, beginning-of-year2019-04-0195
Total number of active participants reported on line 7a of the Form 55002019-04-01126
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01126
Number of employers contributing to the scheme2019-04-010

Financial Data on EMPLOYER SPONSORED LIFE

Measure Date Value
2021 : EMPLOYER SPONSORED LIFE 2021 401k financial data
Total income from all sources (including contributions)2021-03-31$68,715
Total of all expenses incurred2021-03-31$68,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-31$67,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-31$68,715
Value of total assets at end of year2021-03-31$0
Value of total assets at beginning of year2021-03-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-31$1,355
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-03-31$0
Was this plan covered by a fidelity bond2021-03-31Yes
Value of fidelity bond cover2021-03-31$10,000
If this is an individual account plan, was there a blackout period2021-03-31No
Were there any nonexempt tranactions with any party-in-interest2021-03-31No
Contributions received from participants2021-03-31$11,875
Total non interest bearing cash at end of year2021-03-31$0
Total non interest bearing cash at beginning of year2021-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Value of net income/loss2021-03-31$0
Value of net assets at end of year (total assets less liabilities)2021-03-31$0
Value of net assets at beginning of year (total assets less liabilities)2021-03-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-31No
Were any leases to which the plan was party in default or uncollectible2021-03-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-31$67,360
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-31No
Was there a failure to transmit to the plan any participant contributions2021-03-31No
Has the plan failed to provide any benefit when due under the plan2021-03-31No
Contributions received in cash from employer2021-03-31$56,840
Contract administrator fees2021-03-31$1,355
Did the plan have assets held for investment2021-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-31No
Opinion of an independent qualified public accountant for this plan2021-03-31Unqualified
Accountancy firm name2021-03-31ARMANINO, LLP
Accountancy firm EIN2021-03-31946214841
2020 : EMPLOYER SPONSORED LIFE 2020 401k financial data
Total plan liabilities at end of year2020-03-31$68,442
Total plan liabilities at beginning of year2020-03-31$0
Total income from all sources2020-03-31$313,068
Expenses. Total of all expenses incurred2020-03-31$313,068
Benefits paid (including direct rollovers)2020-03-31$313,068
Total plan assets at end of year2020-03-31$68,442
Total plan assets at beginning of year2020-03-31$0
Value of fidelity bond covering the plan2020-03-31$10,000
Total contributions received or receivable from participants2020-03-31$27,873
Net income (gross income less expenses)2020-03-31$0
Net plan assets at end of year (total assets less liabilities)2020-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$0
Total contributions received or receivable from employer(s)2020-03-31$285,195

Form 5500 Responses for EMPLOYER SPONSORED LIFE

2020: EMPLOYER SPONSORED LIFE 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01This submission is the final filingYes
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: EMPLOYER SPONSORED LIFE 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01First time form 5500 has been submittedYes
2019-04-01Submission has been amendedYes
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1108705
Policy instance 1
Insurance contract or identification number1108705
Number of Individuals Covered157
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $10,507
Total amount of fees paid to insurance companyUSD $1,955
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $67,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,531
Amount paid for insurance broker fees1955
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1108705
Policy instance 1
Insurance contract or identification number1108705
Number of Individuals Covered126
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $8,696
Total amount of fees paid to insurance companyUSD $4,486
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,696
Amount paid for insurance broker fees4486
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3

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