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PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NamePLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN
Plan identification number 502

PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

PLEASANT MOUNT WELDING, INC. has sponsored the creation of one or more 401k plans.

Company Name:PLEASANT MOUNT WELDING, INC.
Employer identification number (EIN):232515052
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-12-01
5022020-12-01

Plan Statistics for PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN

Measure Date Value
2022: PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0198
Total number of active participants reported on line 7a of the Form 55002022-01-0191
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0191
2021: PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-12-0198
Total number of active participants reported on line 7a of the Form 55002021-12-0198
Number of retired or separated participants receiving benefits2021-12-011
Number of other retired or separated participants entitled to future benefits2021-12-010
Total of all active and inactive participants2021-12-0199
2020: PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-01102
Total number of active participants reported on line 7a of the Form 55002020-12-0198
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 participants2020-12-0198

Financial Data on PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN

Measure Date Value
2021 : PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$77,744
Total plan liabilities at beginning of year2021-12-31$73,455
Total income from all sources2021-12-31$66,142
Expenses. Total of all expenses incurred2021-12-31$108,326
Benefits paid (including direct rollovers)2021-12-31$84,431
Total plan assets at end of year2021-12-31$72,119
Total plan assets at beginning of year2021-12-31$110,014
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$18,136
Contributions received from other sources (not participants or employers)2021-12-31$494
Other income received2021-12-31$21
Net income (gross income less expenses)2021-12-31$-42,184
Net plan assets at end of year (total assets less liabilities)2021-12-31$-5,625
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$36,559
Total contributions received or receivable from employer(s)2021-12-31$65,627
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$5,759
Total unrealized appreciation/depreciation of assets2021-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$73,455
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$0
Total income from all sources (including contributions)2021-11-30$801,381
Total loss/gain on sale of assets2021-11-30$0
Total of all expenses incurred2021-11-30$764,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$671,203
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$801,106
Value of total assets at end of year2021-11-30$110,014
Value of total assets at beginning of year2021-11-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$93,619
Total interest from all sources2021-11-30$275
Total dividends received (eg from common stock, registered investment company shares)2021-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$500,000
If this is an individual account plan, was there a blackout period2021-11-30No
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$47,268
Income. Received or receivable in cash from other sources (including rollovers)2021-11-30$1,276
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-11-30$50,291
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-11-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$36,559
Value of net assets at end of year (total assets less liabilities)2021-11-30$36,559
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-11-30$59,723
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-11-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-11-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-11-30$275
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$196,973
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30Yes
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$752,562
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-11-30$474,230
Contract administrator fees2021-11-30$93,619
Liabilities. Value of benefit claims payable at end of year2021-11-30$73,455
Liabilities. Value of benefit claims payable at beginning of year2021-11-30$0
Did the plan have assets held for investment2021-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30No
Opinion of an independent qualified public accountant for this plan2021-11-30Unqualified
Accountancy firm name2021-11-30MCGRAIL MERKEL QUINN & ASSOC. P.C.
Accountancy firm EIN2021-11-30232226550

Form 5500 Responses for PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN

2022: PLEASANT MOUNT WELDING, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: PLEASANT MOUNT WELDING, INC. GROUP MEDICAL 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 funding arrangement – General assets of the sponsorYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2021-12-01Plan benefit arrangement – General assets of the sponsorYes
2020: PLEASANT MOUNT WELDING, INC. GROUP MEDICAL 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 funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2020-12-01Plan 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 number30500660
Policy instance 1
Insurance contract or identification number30500660
Number of Individuals Covered80
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $214,142
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 number30500660
Policy instance 1
Insurance contract or identification number30500660
Number of Individuals Covered99
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 $16,291
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 number30500660
Policy instance 1
Insurance contract or identification number30500660
Number of Individuals Covered98
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 $196,973
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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