GORE NITROGEN BENEFIT PLAN 401k Plan overview
| Plan Name | GORE NITROGEN BENEFIT PLAN |
| Plan identification number | 501 |
GORE NITROGEN BENEFIT PLAN Benefits
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits | - Health (other than dental or vision)
- Dental
|
401k Sponsoring company profile
GORE NITROGEN PUMPING SERVICE, LLC has sponsored the creation of one or more 401k plans.
Additional information about GORE NITROGEN PUMPING SERVICE, LLC
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 2001-08-27 |
| Company Identification Number: | 0800010180 |
| Legal Registered Office Address: |
PO BOX 65
SEILING
United States of America (USA)
73663
|
More information about GORE NITROGEN PUMPING SERVICE, LLC
Form 5500 Filing Information
Submission information for form 5500 for 401k plan GORE NITROGEN BENEFIT PLAN
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|
| 501 | 2022-12-01 | GENIA GORE | 2024-03-22 | | |
Plan Statistics for GORE NITROGEN BENEFIT PLAN
401k plan membership statisitcs for GORE NITROGEN BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022: GORE NITROGEN BENEFIT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-12-01 | 674 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-12-01 | 716 |
| Number of retired or separated participants receiving benefits | 2022-12-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-12-01 | 0 |
| Total of all active and inactive participants | 2022-12-01 | 716 |
| Number of employers contributing to the scheme | 2022-12-01 | 0 |
Form 5500 Responses for GORE NITROGEN BENEFIT PLAN
| 2022: GORE NITROGEN BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-12-01 | Type of plan entity | Single employer plan |
| 2022-12-01 | Plan funding arrangement – Insurance | Yes |
| 2022-12-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
| BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 ) |
| Policy contract number | 269001 |
| Policy instance | 1 |
| Insurance contract or identification number | 269001 | | Number of Individuals Covered | 617 | | Insurance policy start date | 2022-12-01 | | Insurance policy end date | 2023-11-30 | | Total amount of commissions paid to insurance broker | USD $133,781 | | Total amount of fees paid to insurance company | USD $4,550 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $2,448,909 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes | | Commission paid to Insurance Broker | USD $133,781 | | Amount paid for insurance broker fees | 4550 | | Additional information about fees paid to insurance broker | SPECIAL PROGRAMS | | Insurance broker organization code? | 3 |
|
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