401k Plan data: GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN plan

GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan Name	GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN
Plan identification number	501

GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

GRACELAND MANAGEMENT SERVICES has sponsored the creation of one or more 401k plans.

Company Name: GRACELAND MANAGEMENT SERVICES

Employer identification number (EIN): 271289683

NAIC Classification: 541990
NAIC Description: All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-10-01

Plan Statistics for GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN

Measure Date Value
2019: GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 121
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 136
Total of all active and inactive participants 2019-10-01 136

Measure	Date	Value
2019: GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	121
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	136
Total of all active and inactive participants	2019-10-01	136

Form 5500 Responses for GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN

2019: GRACELAND MANAGEMENT SERVICES, LLC EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	First time form 5500 has been submitted	Yes
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )

Policy contract number

G 00614146

Policy instance

Insurance contract or identification number	G 00614146
Number of Individuals Covered	136
Insurance policy start date	2019-10-01
Insurance policy end date	2020-09-30
Total amount of commissions paid to insurance broker	USD $7,072
Total amount of fees paid to insurance company	USD $59
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 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	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D, VOL. LIFE AND AD&D, DEP. VOL. LIFE AND AD&D
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 Carrier	USD $49,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Commission paid to Insurance Broker	USD $3,592
Amount paid for insurance broker fees	59
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3

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Company Name:	GRACELAND MANAGEMENT SERVICES
Employer identification number (EIN):	271289683
NAIC Classification:	541990
NAIC Description:	All Other Professional, Scientific, and Technical Services