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KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 401k Plan overview

Plan NameKINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN
Plan identification number 501

KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Death benefits (include travel accident but not life insurance)
  • 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

KINSEYS ARCHERY PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:KINSEYS ARCHERY PRODUCTS, INC.
Employer identification number (EIN):231677831
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01SHERRI GORMAN2023-11-09
5012021-08-01SHERRI GORMAN2022-11-09
5012020-08-01SHERRI GORMAN2021-12-01
5012019-08-01SHERRI GORMAN2020-11-03
5012018-08-01SHERRI GORMAN2020-02-14

Plan Statistics for KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN

401k plan membership statisitcs for KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN

Measure Date Value
2022: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-01113
Total number of active participants reported on line 7a of the Form 55002022-08-01112
Number of retired or separated participants receiving benefits2022-08-010
Number of other retired or separated participants entitled to future benefits2022-08-010
Total of all active and inactive participants2022-08-01112
Number of employers contributing to the scheme2022-08-010
2021: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-01107
Total number of active participants reported on line 7a of the Form 55002021-08-01113
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-01113
Number of employers contributing to the scheme2021-08-010
2020: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-0191
Total number of active participants reported on line 7a of the Form 55002020-08-01107
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-01107
Number of employers contributing to the scheme2020-08-010
2019: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-01100
Total number of active participants reported on line 7a of the Form 55002019-08-0191
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-0191
Number of employers contributing to the scheme2019-08-010
2018: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01100
Total number of active participants reported on line 7a of the Form 55002018-08-01100
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-01100
Number of employers contributing to the scheme2018-08-010

Form 5500 Responses for KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN

2022: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan funding arrangement – General assets of the sponsorYes
2022-08-01Plan benefit arrangement – InsuranceYes
2022-08-01Plan benefit arrangement – General assets of the sponsorYes
2021: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan benefit arrangement – InsuranceYes
2020: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan benefit arrangement – InsuranceYes
2019: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan benefit arrangement – InsuranceYes
2018: KINSEY'S ARCHERY PRODUCTS, INC. - LIFE/AD&D PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01First time form 5500 has been submittedYes
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number112098
Policy instance 1
Insurance contract or identification number112098
Number of Individuals Covered112
Insurance policy start date2022-08-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $391
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $391
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number112098
Policy instance 1
Insurance contract or identification number112098
Number of Individuals Covered113
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $446
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $446
Amount paid for insurance broker fees0
Insurance broker organization code?3
CAPITAL ADVANTAGE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 41203 )
Policy contract number702573
Policy instance 2
Insurance contract or identification number702573
Number of Individuals Covered101
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $15,910
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $470,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,910
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number112098
Policy instance 1
Insurance contract or identification number112098
Number of Individuals Covered107
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
Total amount of commissions paid to insurance brokerUSD $339
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $339
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number112098
Policy instance 1
Insurance contract or identification number112098
Number of Individuals Covered91
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
Total amount of commissions paid to insurance brokerUSD $310
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $310
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number112098
Policy instance 1
Insurance contract or identification number112098
Number of Individuals Covered100
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Total amount of commissions paid to insurance brokerUSD $289
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $289
Amount paid for insurance broker fees0
Insurance broker organization code?3

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