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NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 401k Plan overview

Plan NameNORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN
Plan identification number 501

NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

NORTH GEORGIA PREMIUM CAR WASH has sponsored the creation of one or more 401k plans.

Company Name:NORTH GEORGIA PREMIUM CAR WASH
Employer identification number (EIN):272042269
NAIC Classification:811190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-01-01
5012021-01-01CAROLINE BLACK
5012020-01-01
5012019-01-01
5012017-01-01CAROLINE BLACK2018-07-05 CAROLINE BLACK2018-07-05

Plan Statistics for NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN

401k plan membership statisitcs for NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2021: NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014
Total number of active participants reported on line 7a of the Form 55002021-01-014
Total of all active and inactive participants2021-01-014
Total participants2021-01-014
2020: NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014
Total number of active participants reported on line 7a of the Form 55002020-01-014
Total of all active and inactive participants2020-01-014
Total participants2020-01-014
2019: NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013
Total number of active participants reported on line 7a of the Form 55002019-01-014
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-014
Total participants2019-01-014

Financial Data on NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2020 : NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$1,805
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$30,420
Expenses. Total of all expenses incurred2020-12-31$28,615
Benefits paid (including direct rollovers)2020-12-31$2,287
Total plan assets at end of year2020-12-31$1,805
Total plan assets at beginning of year2020-12-31$1,805
Expenses. Other expenses not covered elsewhere2020-12-31$19,332
Net income (gross income less expenses)2020-12-31$1,805
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,805
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,805
Total contributions received or receivable from employer(s)2020-12-31$30,420
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$6,996
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$26,244
Expenses. Total of all expenses incurred2019-12-31$26,415
Benefits paid (including direct rollovers)2019-12-31$2,444
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$171
Total contributions received or receivable from participants2019-12-31$0
Expenses. Other expenses not covered elsewhere2019-12-31$18,096
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$0
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$-171
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$171
Total contributions received or receivable from employer(s)2019-12-31$26,244
Value of corrective distributions2019-12-31$37
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$5,838
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0

Form 5500 Responses for NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN

2021: NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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 benefit arrangement – InsuranceYes
2019: NORTH GEORGIA PREMIUM CAR WASH LLC EMPLOYEE GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract number
Policy instance 1
ALLIED NATIONAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 1

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