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GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameGORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

GORSKI ENGINEERING, INC. has sponsored the creation of one or more 401k plans.

Company Name:GORSKI ENGINEERING, INC.
Employer identification number (EIN):200450234
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-12-01
5012020-12-01

Plan Statistics for GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2021: GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0126
Total number of active participants reported on line 7a of the Form 55002021-12-0122
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0122
2020: GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-0127
Total number of active participants reported on line 7a of the Form 55002020-12-0126
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-010
Total of all active and inactive participants2020-12-0126

Financial Data on GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2021 : GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$13,452
Total plan liabilities at beginning of year2021-12-31$14,589
Total income from all sources2021-12-31$17,792
Expenses. Total of all expenses incurred2021-12-31$13,469
Benefits paid (including direct rollovers)2021-12-31$5,876
Total plan assets at end of year2021-12-31$46,477
Total plan assets at beginning of year2021-12-31$43,291
Value of fidelity bond covering the plan2021-12-31$1,000,000
Expenses. Other expenses not covered elsewhere2021-12-31$7,361
Net income (gross income less expenses)2021-12-31$4,323
Net plan assets at end of year (total assets less liabilities)2021-12-31$33,025
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$28,702
Total contributions received or receivable from employer(s)2021-12-31$17,792
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$232
Total plan liabilities at end of year2021-11-30$14,589
Total income from all sources2021-11-30$273,533
Expenses. Total of all expenses incurred2021-11-30$244,831
Benefits paid (including direct rollovers)2021-11-30$128,512
Total plan assets at end of year2021-11-30$43,291
Value of fidelity bond covering the plan2021-11-30$1,000,000
Expenses. Other expenses not covered elsewhere2021-11-30$112,975
Contributions received from other sources (not participants or employers)2021-11-30$13,627
Net income (gross income less expenses)2021-11-30$28,702
Net plan assets at end of year (total assets less liabilities)2021-11-30$28,702
Net plan assets at beginning of year (total assets less liabilities)2021-11-30$0
Total contributions received or receivable from employer(s)2021-11-30$259,906
Expenses. Administrative service providers (salaries,fees and commissions)2021-11-30$3,344

Form 5500 Responses for GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN

2021: GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-12-01Plan is a collectively bargained planNo
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: GORSKI ENGINEERING, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01First time form 5500 has been submittedYes
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500670
Policy instance 1
Insurance contract or identification number30500670
Number of Individuals Covered22
Insurance policy start date2021-12-01
Insurance policy end date2021-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $5,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500670
Policy instance 1
Insurance contract or identification number30500670
Number of Individuals Covered26
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $90,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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