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MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameMARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

MARTIN S FLOORING CARPET ONE has sponsored the creation of one or more 401k plans.

Company Name:MARTIN S FLOORING CARPET ONE
Employer identification number (EIN):232385853
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-04-01
5012022-04-01

Plan Statistics for MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-04-0135
Total number of active participants reported on line 7a of the Form 55002023-04-0134
Number of retired or separated participants receiving benefits2023-04-011
Number of other retired or separated participants entitled to future benefits2023-04-010
Total of all active and inactive participants2023-04-0135
2022: MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-0135
Total number of active participants reported on line 7a of the Form 55002022-04-0134
Number of retired or separated participants receiving benefits2022-04-011
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-0135

Financial Data on MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2023 : MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$162,743
Total plan liabilities at beginning of year2023-06-30$45,750
Total income from all sources2023-06-30$105,823
Expenses. Total of all expenses incurred2023-06-30$241,811
Benefits paid (including direct rollovers)2023-06-30$192,261
Total plan assets at end of year2023-06-30$14,759
Total plan assets at beginning of year2023-06-30$33,754
Value of fidelity bond covering the plan2023-06-30$400,000
Total contributions received or receivable from participants2023-06-30$29,006
Expenses. Other expenses not covered elsewhere2023-06-30$48,265
Contributions received from other sources (not participants or employers)2023-06-30$2,405
Other income received2023-06-30$105
Net income (gross income less expenses)2023-06-30$-135,988
Net plan assets at end of year (total assets less liabilities)2023-06-30$-147,984
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$-11,996
Total contributions received or receivable from employer(s)2023-06-30$74,307
Value of corrective distributions2023-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$1,285
Total plan liabilities at end of year2023-03-31$45,750
Total plan liabilities at beginning of year2023-03-31$0
Total income from all sources2023-03-31$421,076
Expenses. Total of all expenses incurred2023-03-31$433,072
Benefits paid (including direct rollovers)2023-03-31$218,605
Total plan assets at end of year2023-03-31$33,754
Total plan assets at beginning of year2023-03-31$0
Value of fidelity bond covering the plan2023-03-31$400,000
Total contributions received or receivable from participants2023-03-31$175,933
Expenses. Other expenses not covered elsewhere2023-03-31$209,102
Contributions received from other sources (not participants or employers)2023-03-31$2,405
Other income received2023-03-31$86
Net income (gross income less expenses)2023-03-31$-11,996
Net plan assets at end of year (total assets less liabilities)2023-03-31$-11,996
Net plan assets at beginning of year (total assets less liabilities)2023-03-31$0
Total contributions received or receivable from employer(s)2023-03-31$242,652
Value of corrective distributions2023-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-03-31$5,365

Form 5500 Responses for MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN

2023: MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Submission has been amendedNo
2023-04-01This submission is the final filingNo
2023-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-04-01Plan is a collectively bargained planNo
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – TrustYes
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement - TrustYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes
2022: MARTIN'S FLOORING, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01First time form 5500 has been submittedYes
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan funding arrangement – General assets of the sponsorYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2022-04-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSTOPLOSS POLIC
Policy instance 1
Insurance contract or identification numberSTOPLOSS POLIC
Number of Individuals Covered35
Insurance policy start date2023-04-01
Insurance policy end date2023-06-30
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 $34,422
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number923551
Policy instance 2
Insurance contract or identification number923551
Number of Individuals Covered0
Insurance policy start date2023-04-01
Insurance policy end date2023-06-30
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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSTOPLOSS POLIC
Policy instance 1
Insurance contract or identification numberSTOPLOSS POLIC
Number of Individuals Covered43
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
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 $151,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number923551
Policy instance 2
Insurance contract or identification number923551
Number of Individuals Covered35
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $5,488
Total amount of fees paid to insurance companyUSD $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 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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY
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 $31,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,933
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerNONE
Insurance broker organization code?3

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