401k Plan data: plan

Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name: M.J. SHERIDAN INC.

Employer identification number (EIN): 760243183

NAIC Classification: 237310
NAIC Description: Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2022-10-01 DEBBIE BEARD 2024-01-11
504 2021-10-01 DEBBIE BEARD 2023-10-17
504 2020-10-01 DEBBIE BEARD 2022-04-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
504	2022-10-01	DEBBIE BEARD	2024-01-11
504	2021-10-01	DEBBIE BEARD	2023-10-17
504	2020-10-01	DEBBIE BEARD	2022-04-26

Plan Statistics for

401k plan membership statisitcs for

Measure Date Value
2022: 2022 401k membership
Total participants, beginning-of-year 2022-10-01 114
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 0
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 0
Number of employers contributing to the scheme 2022-10-01 0
2021: 2021 401k membership
Total participants, beginning-of-year 2021-10-01 114
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 169
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 169
Number of employers contributing to the scheme 2021-10-01 0
2020: 2020 401k membership
Total participants, beginning-of-year 2020-10-01 114
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 114
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 114
Number of employers contributing to the scheme 2020-10-01 0

Measure	Date	Value
2022: 2022 401k membership
Total participants, beginning-of-year	2022-10-01	114
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	0
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	0
Number of employers contributing to the scheme	2022-10-01	0
2021: 2021 401k membership
Total participants, beginning-of-year	2021-10-01	114
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	169
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	169
Number of employers contributing to the scheme	2021-10-01	0
2020: 2020 401k membership
Total participants, beginning-of-year	2020-10-01	114
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	114
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	114
Number of employers contributing to the scheme	2020-10-01	0

Form 5500 Responses for

2022: 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	This submission is the final filing	Yes
2022-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2020: 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	623525
Policy instance	1
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number	623525
Policy instance	1

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Company Name:	M.J. SHERIDAN INC.
Employer identification number (EIN):	760243183
NAIC Classification:	237310
NAIC Description:	Highway, Street, and Bridge Construction