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CAVALLO AUTOMOTIVE MEDICAL PLAN 401k Plan overview

Plan NameCAVALLO AUTOMOTIVE MEDICAL PLAN
Plan identification number 501

CAVALLO AUTOMOTIVE MEDICAL PLAN Benefits

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

401k Sponsoring company profile

CAVALLO AUTOMOTIVE INC has sponsored the creation of one or more 401k plans.

Company Name:CAVALLO AUTOMOTIVE INC
Employer identification number (EIN):262876689
NAIC Classification:811120
NAIC Description: Automotive Body, Paint, Interior, and Glass Repair

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAVALLO AUTOMOTIVE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012021-06-01
5012020-06-01

Plan Statistics for CAVALLO AUTOMOTIVE MEDICAL PLAN

401k plan membership statisitcs for CAVALLO AUTOMOTIVE MEDICAL PLAN

Measure Date Value
2021: CAVALLO AUTOMOTIVE MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0140
Total number of active participants reported on line 7a of the Form 55002021-07-0141
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-0141
Total participants, beginning-of-year2021-06-0140
Total number of active participants reported on line 7a of the Form 55002021-06-0137
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-0137
2020: CAVALLO AUTOMOTIVE MEDICAL PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-0140
Total number of active participants reported on line 7a of the Form 55002020-06-0140
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-0140

Financial Data on CAVALLO AUTOMOTIVE MEDICAL PLAN

Measure Date Value
2022 : CAVALLO AUTOMOTIVE MEDICAL PLAN 2022 401k financial data
Total plan liabilities at end of year2022-06-30$21,168
Total plan liabilities at beginning of year2022-06-30$18,199
Total income from all sources2022-06-30$415,233
Expenses. Total of all expenses incurred2022-06-30$437,334
Benefits paid (including direct rollovers)2022-06-30$223,683
Total plan assets at end of year2022-06-30$21,773
Total plan assets at beginning of year2022-06-30$40,905
Value of fidelity bond covering the plan2022-06-30$200,000
Total contributions received or receivable from participants2022-06-30$119,476
Expenses. Other expenses not covered elsewhere2022-06-30$167,796
Contributions received from other sources (not participants or employers)2022-06-30$2,095
Other income received2022-06-30$0
Net income (gross income less expenses)2022-06-30$-22,101
Net plan assets at end of year (total assets less liabilities)2022-06-30$605
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$22,706
Total contributions received or receivable from employer(s)2022-06-30$293,662
Value of corrective distributions2022-06-30$39,946
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$5,909
2021 : CAVALLO AUTOMOTIVE MEDICAL PLAN 2021 401k financial data
Total plan liabilities at end of year2021-06-30$18,199
Total plan liabilities at beginning of year2021-06-30$24,857
Total income from all sources2021-06-30$29,703
Expenses. Total of all expenses incurred2021-06-30$22,212
Benefits paid (including direct rollovers)2021-06-30$9,713
Total plan assets at end of year2021-06-30$40,905
Total plan assets at beginning of year2021-06-30$40,072
Value of fidelity bond covering the plan2021-06-30$200,000
Total contributions received or receivable from participants2021-06-30$13,611
Expenses. Other expenses not covered elsewhere2021-06-30$12,051
Net income (gross income less expenses)2021-06-30$7,491
Net plan assets at end of year (total assets less liabilities)2021-06-30$22,706
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$15,215
Total contributions received or receivable from employer(s)2021-06-30$16,092
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$448
Total plan liabilities at end of year2021-05-31$24,857
Total plan liabilities at beginning of year2021-05-31$0
Total income from all sources2021-05-31$379,929
Expenses. Total of all expenses incurred2021-05-31$364,714
Benefits paid (including direct rollovers)2021-05-31$207,746
Total plan assets at end of year2021-05-31$40,072
Total plan assets at beginning of year2021-05-31$0
Value of fidelity bond covering the plan2021-05-31$200,000
Total contributions received or receivable from participants2021-05-31$121,747
Expenses. Other expenses not covered elsewhere2021-05-31$151,339
Net income (gross income less expenses)2021-05-31$15,215
Net plan assets at end of year (total assets less liabilities)2021-05-31$15,215
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$0
Total contributions received or receivable from employer(s)2021-05-31$258,182
Expenses. Administrative service providers (salaries,fees and commissions)2021-05-31$5,629

Form 5500 Responses for CAVALLO AUTOMOTIVE MEDICAL PLAN

2021: CAVALLO AUTOMOTIVE MEDICAL PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes
2020: CAVALLO AUTOMOTIVE MEDICAL PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01First time form 5500 has been submittedYes
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000126
Policy instance 1
Insurance contract or identification number31000126
Number of Individuals Covered41
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
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 $135,357
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 number31000126
Policy instance 1
Insurance contract or identification number31000126
Number of Individuals Covered37
Insurance policy start date2021-06-01
Insurance policy end date2021-06-30
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 $9,168
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 number31000126
Policy instance 1
Insurance contract or identification number31000126
Number of Individuals Covered40
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
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 $118,831
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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