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PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NamePETRA OIL COMPANY EMPLOYEE BENEFITS PLAN
Plan identification number 501

PETRA OIL COMPANY EMPLOYEE BENEFITS 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

PETRA OIL COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:PETRA OIL COMPANY, INC.
Employer identification number (EIN):271951934
NAIC Classification:423100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN

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

Plan Statistics for PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN

Measure Date Value
2021: PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014
Total number of active participants reported on line 7a of the Form 55002021-01-013
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-013
2020: PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-015
Total number of active participants reported on line 7a of the Form 55002020-01-014
Total of all active and inactive participants2020-01-014

Financial Data on PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN

Measure Date Value
2021 : PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$214
Total plan liabilities at beginning of year2021-12-31$1,678
Total income from all sources2021-12-31$132,531
Expenses. Total of all expenses incurred2021-12-31$131,067
Benefits paid (including direct rollovers)2021-12-31$127,990
Total plan assets at end of year2021-12-31$0
Total plan assets at beginning of year2021-12-31$0
Value of fidelity bond covering the plan2021-12-31$100,000
Total contributions received or receivable from participants2021-12-31$28,778
Expenses. Other expenses not covered elsewhere2021-12-31$612
Net income (gross income less expenses)2021-12-31$1,464
Net plan assets at end of year (total assets less liabilities)2021-12-31$-214
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-1,678
Total contributions received or receivable from employer(s)2021-12-31$103,753
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,465
2020 : PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$1,678
Total income from all sources2020-12-31$44,504
Expenses. Total of all expenses incurred2020-12-31$46,182
Benefits paid (including direct rollovers)2020-12-31$41,115
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$0
Value of fidelity bond covering the plan2020-12-31$100,000
Total contributions received or receivable from participants2020-12-31$29,260
Expenses. Other expenses not covered elsewhere2020-12-31$887
Net income (gross income less expenses)2020-12-31$-1,678
Net plan assets at end of year (total assets less liabilities)2020-12-31$-1,678
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$15,244
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$4,180

Form 5500 Responses for PETRA OIL COMPANY EMPLOYEE BENEFITS PLAN

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

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00566963
Policy instance 1
Insurance contract or identification number00566963
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $310
Total amount of fees paid to insurance companyUSD $24
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedVOLUNTARY AD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,014
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $251
Insurance broker organization code?3
Amount paid for insurance broker fees24
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00566963
Policy instance 1
Insurance contract or identification number00566963
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $413
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 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 CarrierUSD $2,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $411
Insurance broker organization code?3

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