401k Plan data: DESIGN WORKSHOP AETNA MEDICAL plan

DESIGN WORKSHOP AETNA MEDICAL 401k Plan overview

Plan Name	DESIGN WORKSHOP AETNA MEDICAL
Plan identification number	501

DESIGN WORKSHOP AETNA MEDICAL 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 will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. 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

DESIGN WORKSHOP, INC. has sponsored the creation of one or more 401k plans.

Company Name: DESIGN WORKSHOP, INC.

Employer identification number (EIN): 840819969

NAIC Classification: 541320
NAIC Description: Landscape Architectural Services

Additional information about DESIGN WORKSHOP, INC.

Jurisdiction of Incorporation: Colorado Department of State

Incorporation Date: 1979-05-25

Company Identification Number: 19871374181

Legal Registered Office Address: 1390 Lawrence St Ste 100

Denver
United States of America (USA)
80204

More information about DESIGN WORKSHOP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DESIGN WORKSHOP AETNA MEDICAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 MARLA BOUSQUET 2023-06-11
501 2021-01-01 MARLA BOUSQUET 2022-07-08
501 2020-01-01 MARLA BOUSQUET 2021-09-27
501 2019-01-01 MARLA BOUSQUET 2020-06-15
501 2013-01-01 MARLA BOUSQUET MARLA BOUSQUET 2014-04-30
501 2013-01-01 MARLA BOUSQUET 2020-06-03

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	MARLA BOUSQUET	2023-06-11
501	2021-01-01	MARLA BOUSQUET	2022-07-08
501	2020-01-01	MARLA BOUSQUET	2021-09-27
501	2019-01-01	MARLA BOUSQUET	2020-06-15
501	2013-01-01	MARLA BOUSQUET		MARLA BOUSQUET	2014-04-30
501	2013-01-01	MARLA BOUSQUET	2020-06-03

Plan Statistics for DESIGN WORKSHOP AETNA MEDICAL

401k plan membership statisitcs for DESIGN WORKSHOP AETNA MEDICAL

Measure Date Value
2022: DESIGN WORKSHOP AETNA MEDICAL 2022 401k membership
Total participants, beginning-of-year 2022-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 0
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 0
2021: DESIGN WORKSHOP AETNA MEDICAL 2021 401k membership
Total participants, beginning-of-year 2021-01-01 123
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 152
Number of retired or separated participants receiving benefits 2021-01-01 1
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 153
2020: DESIGN WORKSHOP AETNA MEDICAL 2020 401k membership
Total participants, beginning-of-year 2020-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 126
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 126
Number of employers contributing to the scheme 2020-01-01 0
2019: DESIGN WORKSHOP AETNA MEDICAL 2019 401k membership
Total participants, beginning-of-year 2019-01-01 107
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 111
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 2
Total of all active and inactive participants 2019-01-01 114
Number of employers contributing to the scheme 2019-01-01 0
2013: DESIGN WORKSHOP AETNA MEDICAL 2013 401k membership
Total participants, beginning-of-year 2013-01-01 101
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 102
Number of retired or separated participants receiving benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 104
Total participants 2013-01-01 104
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Number of employers contributing to the scheme 2013-01-01 0

Measure	Date	Value
2022: DESIGN WORKSHOP AETNA MEDICAL 2022 401k membership
Total participants, beginning-of-year	2022-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	0
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	0
2021: DESIGN WORKSHOP AETNA MEDICAL 2021 401k membership
Total participants, beginning-of-year	2021-01-01	123
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	152
Number of retired or separated participants receiving benefits	2021-01-01	1
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	153
2020: DESIGN WORKSHOP AETNA MEDICAL 2020 401k membership
Total participants, beginning-of-year	2020-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	126
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	126
Number of employers contributing to the scheme	2020-01-01	0
2019: DESIGN WORKSHOP AETNA MEDICAL 2019 401k membership
Total participants, beginning-of-year	2019-01-01	107
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	111
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	2
Total of all active and inactive participants	2019-01-01	114
Number of employers contributing to the scheme	2019-01-01	0
2013: DESIGN WORKSHOP AETNA MEDICAL 2013 401k membership
Total participants, beginning-of-year	2013-01-01	101
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	102
Number of retired or separated participants receiving benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	104
Total participants	2013-01-01	104
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Number of employers contributing to the scheme	2013-01-01	0

Form 5500 Responses for DESIGN WORKSHOP AETNA MEDICAL

2022: DESIGN WORKSHOP AETNA MEDICAL 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	Yes
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: DESIGN WORKSHOP AETNA MEDICAL 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 – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: DESIGN WORKSHOP AETNA MEDICAL 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: DESIGN WORKSHOP AETNA MEDICAL 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: DESIGN WORKSHOP AETNA MEDICAL 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

471246

Policy instance

Insurance contract or identification number	471246
Number of Individuals Covered	104
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $17,013
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $427,440
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,013
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

Potentially related plans

DESIGN WORKSHOPS RETIREMENT PLAN [EIN = 941381865]

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Company Name:	DESIGN WORKSHOP, INC.
Employer identification number (EIN):	840819969
NAIC Classification:	541320
NAIC Description:	Landscape Architectural Services

Jurisdiction of Incorporation:	Colorado Department of State
Incorporation Date:	1979-05-25
Company Identification Number:	19871374181
Legal Registered Office Address:	1390 Lawrence St Ste 100 Denver United States of America (USA) 80204