PAVLOV MEDIA, INC. DENTAL PLAN 401k Plan overview
Plan Name | PAVLOV MEDIA, INC. DENTAL PLAN |
Plan identification number | 503 |
PAVLOV MEDIA, INC. DENTAL PLAN Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | |
401k Sponsoring company profile
PAVLOV MEDIA, INC. has sponsored the creation of one or more 401k plans.
Company Name: | PAVLOV MEDIA, INC. |
Employer identification number (EIN): | 300239661 |
NAIC Classification: | 541512 |
NAIC Description: | Computer Systems Design Services |
Additional information about PAVLOV MEDIA, INC.
Jurisdiction of Incorporation: | Texas Secretary of State |
Incorporation Date: | 2004-09-07 |
Company Identification Number: | 0800385771 |
Legal Registered Office Address: |
PO BOX 25
CHAMPAIGN
United States of America (USA)
61824
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More information about PAVLOV MEDIA, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan PAVLOV MEDIA, INC. DENTAL PLAN
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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503 | 2020-01-01 | LISA FRANZEN | 2021-07-15 | | |
503 | 2019-01-01 | LISA FRANZEN | 2020-10-14 | | |
Plan Statistics for PAVLOV MEDIA, INC. DENTAL PLAN
401k plan membership statisitcs for PAVLOV MEDIA, INC. DENTAL PLAN
Measure | Date | Value |
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2020: PAVLOV MEDIA, INC. DENTAL PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-01-01 | 170 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 0 |
Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
Total of all active and inactive participants | 2020-01-01 | 0 |
Number of employers contributing to the scheme | 2020-01-01 | 0 |
2019: PAVLOV MEDIA, INC. DENTAL PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 123 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 167 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
Total of all active and inactive participants | 2019-01-01 | 167 |
Number of employers contributing to the scheme | 2019-01-01 | 0 |
Form 5500 Responses for PAVLOV MEDIA, INC. DENTAL PLAN
2020: PAVLOV MEDIA, INC. DENTAL PLAN 2020 form 5500 responses |
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2020-01-01 | Type of plan entity | Single employer plan |
2020-01-01 | This submission is the final filing | Yes |
2020-01-01 | Plan funding arrangement – Insurance | Yes |
2020-01-01 | Plan benefit arrangement – Insurance | Yes |
2019: PAVLOV MEDIA, INC. DENTAL PLAN 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | First time form 5500 has been submitted | Yes |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 ) |
Policy contract number | 23842 |
Policy instance | 1 |
Insurance contract or identification number | 23842 | Number of Individuals Covered | 191 | Insurance policy start date | 2020-01-01 | Insurance policy end date | 2020-12-31 | Total amount of commissions paid to insurance broker | USD $13,942 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $139,115 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $13,942 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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KANSAS CITY LIFE (National Association of Insurance Commissioners NAIC id number: 65129 ) |
Policy contract number | 23842 |
Policy instance | 1 |
Insurance contract or identification number | 23842 | Number of Individuals Covered | 167 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $12,007 | Total amount of fees paid to insurance company | USD $0 | Dental Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $114,437 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $12,007 | Amount paid for insurance broker fees | 0 | Insurance broker organization code? | 3 |
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