401k Plan data: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN plan

EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 401k Plan overview

Plan Name	EVANS DELIVERY COMPANY, INC. MEDICAL PLAN
Plan identification number	501

EVANS DELIVERY COMPANY, INC. MEDICAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

EVANS DELIVERY COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: EVANS DELIVERY COMPANY, INC.

Employer identification number (EIN): 231908666

NAIC Classification: 484120
NAIC Description: General Freight Trucking, Long-Distance

Additional information about EVANS DELIVERY COMPANY, INC.

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1996-05-23

Company Identification Number: F125495

Legal Registered Office Address: 709 OLDHUNTWAY

HERNDON
United States of America (USA)
20170

More information about EVANS DELIVERY COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVANS DELIVERY COMPANY, INC. MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 BETTY MURPHY 2023-05-17
501 2021-01-01 BETTY MURPHY 2022-10-04
501 2020-01-01 BETTY MURPHY 2021-03-15
501 2019-01-01 BRIAN FREY 2020-05-04
501 2018-01-01
501 2017-01-01
501 2016-01-01
501 2015-01-01 BRIAN FREY
501 2014-01-01 BRIAN FREY

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-01-01	BETTY MURPHY	2023-05-17
501	2021-01-01	BETTY MURPHY	2022-10-04
501	2020-01-01	BETTY MURPHY	2021-03-15
501	2019-01-01	BRIAN FREY	2020-05-04
501	2018-01-01
501	2017-01-01
501	2016-01-01
501	2015-01-01	BRIAN FREY
501	2014-01-01	BRIAN FREY

Plan Statistics for EVANS DELIVERY COMPANY, INC. MEDICAL PLAN

401k plan membership statisitcs for EVANS DELIVERY COMPANY, INC. MEDICAL PLAN

Measure Date Value
2022: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 456
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 483
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 2022-01-01 483
Number of employers contributing to the scheme 2022-01-01 0
2021: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 388
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 431
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 2021-01-01 432
Number of employers contributing to the scheme 2021-01-01 0
2020: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 307
Number of retired or separated participants receiving benefits 2020-01-01 3
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 310
Number of employers contributing to the scheme 2020-01-01 0
2019: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 325
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 308
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 310
Number of employers contributing to the scheme 2019-01-01 0
2018: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 300
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 300
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 300
Number of employers contributing to the scheme 2018-01-01 0
2017: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 180
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 180
2016: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 178
Number of retired or separated participants receiving benefits 2016-01-01 7
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 185
2015: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 185
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 178
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 178
2014: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 178
Number of retired or separated participants receiving benefits 2014-01-01 7
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 185

Measure	Date	Value
2022: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	456
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	483
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	483
Number of employers contributing to the scheme	2022-01-01	0
2021: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	388
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	431
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	432
Number of employers contributing to the scheme	2021-01-01	0
2020: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	307
Number of retired or separated participants receiving benefits	2020-01-01	3
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	310
Number of employers contributing to the scheme	2020-01-01	0
2019: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	325
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	308
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	310
Number of employers contributing to the scheme	2019-01-01	0
2018: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	300
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	300
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	300
Number of employers contributing to the scheme	2018-01-01	0
2017: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	180
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	180
2016: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	178
Number of retired or separated participants receiving benefits	2016-01-01	7
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	185
2015: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	185
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	178
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	178
2014: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	178
Number of retired or separated participants receiving benefits	2014-01-01	7
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	185

Form 5500 Responses for EVANS DELIVERY COMPANY, INC. MEDICAL PLAN

2022: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
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: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
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: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 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: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 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
2018: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: EVANS DELIVERY COMPANY, INC. MEDICAL PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	First time form 5500 has been submitted	Yes
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CAPITAL ADVANTAGE ASSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 14411 )

Policy contract number

525367

Policy instance

Insurance contract or identification number	525367
Number of Individuals Covered	178
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	EVANS DELIVERY COMPANY, INC.
Employer identification number (EIN):	231908666
NAIC Classification:	484120
NAIC Description:	General Freight Trucking, Long-Distance

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1996-05-23
Company Identification Number:	F125495
Legal Registered Office Address:	709 OLDHUNTWAY HERNDON United States of America (USA) 20170