401k Plan data: WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN plan

WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN 401k Plan overview

Plan Name	WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN
Plan identification number	506

WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover 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.

401k Sponsoring company profile

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

Company Name: WALDBERG, INC.

Employer identification number (EIN): 205773286

NAIC Classification: 541400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2021-01-01 CHRISTY FULL 2022-06-06
506 2021-01-01 CHRISTY FULL 2023-10-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2021-01-01	CHRISTY FULL	2022-06-06
506	2021-01-01	CHRISTY FULL	2023-10-23

Plan Statistics for WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN

401k plan membership statisitcs for WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN

Measure Date Value
2021: WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 103
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 103
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2021: WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	103
Number of retired or separated participants receiving benefits	2021-01-01	0
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	103
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN

2021: WALDBERG, INC. EMPLOYEE ASSISTANCE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Submission has been amended	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

COMPSYCH (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

Policy instance

Insurance contract or identification number	00
Number of Individuals Covered	1
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $2,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	WALDBERG, INC.
Employer identification number (EIN):	205773286
NAIC Classification:	541400