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| Plan Name | GOODWILL INDUSTRIES OF MID MICHIGAN |
| Plan identification number | 505 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | GOODWILL INDUSTRIES OF MID MICHIGAN, INC. |
| Employer identification number (EIN): | 381358009 |
| NAIC Classification: | 624310 |
| NAIC Description: | Vocational Rehabilitation Services |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 505 | 2021-01-01 | ||||
| 505 | 2021-01-01 | LAURA WELSH | |||
| 505 | 2020-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2021: GOODWILL INDUSTRIES OF MID MICHIGAN 2021 401k membership | ||
| Total participants, beginning-of-year | 2021-01-01 | 182 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 189 |
| Total of all active and inactive participants | 2021-01-01 | 189 |
| Total participants | 2021-01-01 | 189 |
| 2020: GOODWILL INDUSTRIES OF MID MICHIGAN 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 197 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 182 |
| Total of all active and inactive participants | 2020-01-01 | 182 |
| Total participants | 2020-01-01 | 182 |
| 2021: GOODWILL INDUSTRIES OF MID MICHIGAN 2021 form 5500 responses | ||
|---|---|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: GOODWILL INDUSTRIES OF MID MICHIGAN 2020 form 5500 responses | ||
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | First time form 5500 has been submitted | Yes |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |
| Policy contract number | 10155871001 |
| Policy instance | 1 |
| EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 ) | |
| Policy contract number | 10155871001 |
| Policy instance | 1 |
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