401k Plan data: DESIGN WORKSHOP DENTAL PLAN plan

DESIGN WORKSHOP DENTAL PLAN 401k Plan overview

Plan Name	DESIGN WORKSHOP DENTAL PLAN
Plan identification number	502

DESIGN WORKSHOP DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

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 DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2022-01-01 MARLA BOUSQUET 2023-06-11
502 2021-01-01 MARLA BOUSQUET 2022-07-08
502 2020-01-01 MARLA BOUSQUET 2021-09-27
502 2019-01-01 MARLA BOUSQUET 2020-06-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2022-01-01	MARLA BOUSQUET	2023-06-11
502	2021-01-01	MARLA BOUSQUET	2022-07-08
502	2020-01-01	MARLA BOUSQUET	2021-09-27
502	2019-01-01	MARLA BOUSQUET	2020-06-15

Plan Statistics for DESIGN WORKSHOP DENTAL PLAN

401k plan membership statisitcs for DESIGN WORKSHOP DENTAL PLAN

Measure Date Value
2022: DESIGN WORKSHOP DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 127
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 DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 148
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 2021-01-01 149
2020: DESIGN WORKSHOP DENTAL PLAN 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 DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 109
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 2019-01-01 112
Number of employers contributing to the scheme 2019-01-01 0

Measure	Date	Value
2022: DESIGN WORKSHOP DENTAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	127
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 DENTAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	148
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	149
2020: DESIGN WORKSHOP DENTAL PLAN 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 DENTAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	109
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	112
Number of employers contributing to the scheme	2019-01-01	0

Form 5500 Responses for DESIGN WORKSHOP DENTAL PLAN

2022: DESIGN WORKSHOP DENTAL PLAN 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 DENTAL PLAN 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 – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: DESIGN WORKSHOP DENTAL PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: DESIGN WORKSHOP DENTAL PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	First time form 5500 has been submitted	Yes
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 )

Policy contract number

000011374

Policy instance

Insurance contract or identification number	000011374
Number of Individuals Covered	192
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $3,299
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	No
Dental Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,137
Insurance broker organization code?	3

DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 )

Policy contract number

000011374

Policy instance

Insurance contract or identification number	000011374
Number of Individuals Covered	160
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $2,768
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $55,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,768
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

DELTA DENTAL OF COLORADO (National Association of Insurance Commissioners NAIC id number: 55875 )

Policy contract number

000011374

Policy instance

Insurance contract or identification number	000011374
Number of Individuals Covered	152
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $2,692
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $54,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,692
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