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CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan NameCASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number 501

CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

CASEY FAMILY LLC DBA OZARK TAPE AND LABEL has sponsored the creation of one or more 401k plans.

Company Name:CASEY FAMILY LLC DBA OZARK TAPE AND LABEL
Employer identification number (EIN):822192514
NAIC Classification:323100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01

Plan Statistics for CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2022: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-010
Total number of active participants reported on line 7a of the Form 55002022-07-010
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-010
2021: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-010
Total number of active participants reported on line 7a of the Form 55002021-07-010
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-010
2020: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0110
Total number of active participants reported on line 7a of the Form 55002020-07-019
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-019
2019: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0110
Total number of active participants reported on line 7a of the Form 55002019-07-0110
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-0110

Financial Data on CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2023 : CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2023 401k financial data
Total income from all sources2023-06-30$0
Expenses. Total of all expenses incurred2023-06-30$3
Total plan assets at end of year2023-06-30$9,730
Total plan assets at beginning of year2023-06-30$9,733
Net income (gross income less expenses)2023-06-30$-3
Net plan assets at end of year (total assets less liabilities)2023-06-30$9,730
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$9,733
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$3
2022 : CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k financial data
Total income from all sources2022-06-30$11,269
Expenses. Total of all expenses incurred2022-06-30$10,731
Benefits paid (including direct rollovers)2022-06-30$10,731
Total plan assets at end of year2022-06-30$9,733
Total plan assets at beginning of year2022-06-30$9,195
Other income received2022-06-30$2
Net income (gross income less expenses)2022-06-30$538
Net plan assets at end of year (total assets less liabilities)2022-06-30$9,733
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$9,195
Total contributions received or receivable from employer(s)2022-06-30$11,267
2021 : CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 401k financial data
Total income from all sources2021-06-30$114,514
Expenses. Total of all expenses incurred2021-06-30$111,111
Benefits paid (including direct rollovers)2021-06-30$103,650
Total plan assets at end of year2021-06-30$9,195
Total plan assets at beginning of year2021-06-30$5,792
Other income received2021-06-30$2
Net income (gross income less expenses)2021-06-30$3,403
Net plan assets at end of year (total assets less liabilities)2021-06-30$9,195
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$5,792
Total contributions received or receivable from employer(s)2021-06-30$114,512
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$7,461
2020 : CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 401k financial data
Total income from all sources2020-06-30$23,946
Expenses. Total of all expenses incurred2020-06-30$18,154
Benefits paid (including direct rollovers)2020-06-30$10,887
Total plan assets at end of year2020-06-30$5,792
Total plan assets at beginning of year2020-06-30$0
Other income received2020-06-30$21
Net income (gross income less expenses)2020-06-30$5,792
Net plan assets at end of year (total assets less liabilities)2020-06-30$5,792
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$0
Total contributions received or receivable from employer(s)2020-06-30$23,925
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$7,267

Form 5500 Responses for CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2022: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement - TrustYes
2021: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement - TrustYes
2020: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement - TrustYes
2019: CASEY FAMILY LLC DBA OZARK TAPE AND LABEL SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01First time form 5500 has been submittedYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement - TrustYes

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