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BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameBLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN
Plan identification number 501

BLATEK INDUSTRIES, INC. WELFARE 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

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

Company Name:BLATEK, INC.
Employer identification number (EIN):251365917
NAIC Classification:339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01
5012022-12-01KIMMY L. HENNING
5012021-12-01
5012021-12-01KIMMY L. HENNING

Financial Data on BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN

Measure Date Value
2022 : BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$171,655
Total plan liabilities at beginning of year2022-12-31$125,889
Total income from all sources2022-12-31$50,272
Expenses. Total of all expenses incurred2022-12-31$49,215
Benefits paid (including direct rollovers)2022-12-31$29,064
Total plan assets at end of year2022-12-31$46,906
Total plan assets at beginning of year2022-12-31$83
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$149,623
Expenses. Other expenses not covered elsewhere2022-12-31$20,151
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$5
Net income (gross income less expenses)2022-12-31$1,057
Net plan assets at end of year (total assets less liabilities)2022-12-31$-124,749
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-125,806
Total contributions received or receivable from employer(s)2022-12-31$-99,356
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$0
Total plan liabilities at end of year2022-11-30$125,889
Total plan liabilities at beginning of year2022-11-30$0
Total income from all sources2022-11-30$604,847
Expenses. Total of all expenses incurred2022-11-30$730,653
Benefits paid (including direct rollovers)2022-11-30$486,885
Total plan assets at end of year2022-11-30$83
Total plan assets at beginning of year2022-11-30$0
Value of fidelity bond covering the plan2022-11-30$500,000
Total contributions received or receivable from participants2022-11-30$169,281
Expenses. Other expenses not covered elsewhere2022-11-30$243,768
Contributions received from other sources (not participants or employers)2022-11-30$0
Other income received2022-11-30$38
Net income (gross income less expenses)2022-11-30$-125,806
Net plan assets at end of year (total assets less liabilities)2022-11-30$-125,806
Net plan assets at beginning of year (total assets less liabilities)2022-11-30$0
Total contributions received or receivable from employer(s)2022-11-30$435,528
Value of corrective distributions2022-11-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-11-30$0

Form 5500 Responses for BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN

2022: BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-12-01Type of plan entitySingle employer plan
2022-12-01First time form 5500 has been submittedYes
2022-12-01Submission has been amendedNo
2022-12-01This submission is the final filingNo
2022-12-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-12-01Plan is a collectively bargained planNo
2022-12-01Plan funding arrangement – InsuranceYes
2022-12-01Plan funding arrangement – TrustYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement - TrustYes
2021: BLATEK INDUSTRIES, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-12-01Type of plan entitySingle employer plan
2021-12-01First time form 5500 has been submittedYes
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)No
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

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500842-211
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00000
Policy instance 2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number3943
Policy instance 3
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30500842-211
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00000
Policy instance 2
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number3943
Policy instance 3

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