401k Plan data: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN plan

BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	BIG D METAL WORKS EMPLOYEE BENEFIT PLAN
Plan identification number	501

BIG D METAL WORKS EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

BIG D METAL WORKS has sponsored the creation of one or more 401k plans.

Company Name: BIG D METAL WORKS

Employer identification number (EIN): 751778328

NAIC Classification: 332300

Additional information about BIG D METAL WORKS

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1981-10-08

Company Identification Number: 0058110600

Legal Registered Office Address: 2002 QUINCY ST

DALLAS
United States of America (USA)
75212

More information about BIG D METAL WORKS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BIG D METAL WORKS EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-12-01 MELISSA ERNSTHAUSEN 2023-07-05
501 2020-12-01 MELISSA ERNSTHAUSEN 2022-06-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-12-01	MELISSA ERNSTHAUSEN	2023-07-05
501	2020-12-01	MELISSA ERNSTHAUSEN	2022-06-16

Plan Statistics for BIG D METAL WORKS EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for BIG D METAL WORKS EMPLOYEE BENEFIT PLAN

Measure Date Value
2021: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-12-01 15
Total number of active participants reported on line 7a of the Form 5500 2021-12-01 17
Total of all active and inactive participants 2021-12-01 17
2020: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-12-01 18
Total number of active participants reported on line 7a of the Form 5500 2020-12-01 16
Total of all active and inactive participants 2020-12-01 16

Measure	Date	Value
2021: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-12-01	15
Total number of active participants reported on line 7a of the Form 5500	2021-12-01	17
Total of all active and inactive participants	2021-12-01	17
2020: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-12-01	18
Total number of active participants reported on line 7a of the Form 5500	2020-12-01	16
Total of all active and inactive participants	2020-12-01	16

Form 5500 Responses for BIG D METAL WORKS EMPLOYEE BENEFIT PLAN

2021: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Submission has been amended	No
2021-12-01	This submission is the final filing	No
2021-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-12-01	Plan is a collectively bargained plan	No
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: BIG D METAL WORKS EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	First time form 5500 has been submitted	Yes
2020-12-01	Submission has been amended	No
2020-12-01	This submission is the final filing	No
2020-12-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-12-01	Plan is a collectively bargained plan	No
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

FG1533

Policy instance

Insurance contract or identification number	FG1533
Number of Individuals Covered	17
Insurance policy start date	2021-12-01
Insurance policy end date	2022-11-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )

Policy contract number

FG1533

Policy instance

Insurance contract or identification number	FG1533
Number of Individuals Covered	16
Insurance policy start date	2020-12-01
Insurance policy end date	2021-11-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
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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Company Name:	BIG D METAL WORKS
Employer identification number (EIN):	751778328
NAIC Classification:	332300

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1981-10-08
Company Identification Number:	0058110600
Legal Registered Office Address:	2002 QUINCY ST DALLAS United States of America (USA) 75212