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FEDORKO CHIROPRACTIC HEALTH CENTER 401k Plan overview

Plan NameFEDORKO CHIROPRACTIC HEALTH CENTER
Plan identification number 501

FEDORKO CHIROPRACTIC HEALTH CENTER Benefits

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

401k Sponsoring company profile

FEDORKO CHIROPRACTIC HEALTH CENTER has sponsored the creation of one or more 401k plans.

Company Name:FEDORKO CHIROPRACTIC HEALTH CENTER
Employer identification number (EIN):341373579
NAIC Classification:621310
NAIC Description:Offices of Chiropractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FEDORKO CHIROPRACTIC HEALTH CENTER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01CINDY FEDORKO2021-07-29 CINDY FEDORKO2021-07-29
5012019-01-01JEFF FEDORKO2020-07-14 JEFF FEDORKO2020-07-14
5012019-01-01JEFF FEDORKO2020-07-14 JEFF FEDORKO2020-07-14
5012018-01-01CHRIS GROUBERT

Plan Statistics for FEDORKO CHIROPRACTIC HEALTH CENTER

401k plan membership statisitcs for FEDORKO CHIROPRACTIC HEALTH CENTER

Measure Date Value
2020: FEDORKO CHIROPRACTIC HEALTH CENTER 2020 401k membership
Total participants, beginning-of-year2020-01-014
Total number of active participants reported on line 7a of the Form 55002020-01-016
Total of all active and inactive participants2020-01-016
Total participants2020-01-016
2019: FEDORKO CHIROPRACTIC HEALTH CENTER 2019 401k membership
Total participants, beginning-of-year2019-01-018
Total number of active participants reported on line 7a of the Form 55002019-01-014
Total of all active and inactive participants2019-01-014
Total participants2019-01-014
2018: FEDORKO CHIROPRACTIC HEALTH CENTER 2018 401k membership
Total participants, beginning-of-year2018-01-018
Total number of active participants reported on line 7a of the Form 55002018-01-018
Total of all active and inactive participants2018-01-018
Total participants2018-01-018

Financial Data on FEDORKO CHIROPRACTIC HEALTH CENTER

Measure Date Value
2020 : FEDORKO CHIROPRACTIC HEALTH CENTER 2020 401k financial data
Transfers to/from the plan2020-12-31$6
Total plan liabilities at end of year2020-12-31$4,089
Total plan liabilities at beginning of year2020-12-31$3,325
Total income from all sources2020-12-31$39,467
Expenses. Total of all expenses incurred2020-12-31$36,474
Benefits paid (including direct rollovers)2020-12-31$705
Total plan assets at end of year2020-12-31$16,897
Total plan assets at beginning of year2020-12-31$13,134
Expenses. Other expenses not covered elsewhere2020-12-31$29
Net income (gross income less expenses)2020-12-31$2,993
Net plan assets at end of year (total assets less liabilities)2020-12-31$12,808
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$9,809
Total contributions received or receivable from employer(s)2020-12-31$39,467
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$35,740
2019 : FEDORKO CHIROPRACTIC HEALTH CENTER 2019 401k financial data
Transfers to/from the plan2019-12-31$-39
Total plan liabilities at end of year2019-12-31$3,325
Total plan liabilities at beginning of year2019-12-31$404
Total income from all sources2019-12-31$35,442
Expenses. Total of all expenses incurred2019-12-31$30,048
Benefits paid (including direct rollovers)2019-12-31$6,546
Total plan assets at end of year2019-12-31$13,134
Total plan assets at beginning of year2019-12-31$4,858
Expenses. Other expenses not covered elsewhere2019-12-31$1
Net income (gross income less expenses)2019-12-31$5,394
Net plan assets at end of year (total assets less liabilities)2019-12-31$9,809
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,454
Total contributions received or receivable from employer(s)2019-12-31$35,442
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$23,501
2018 : FEDORKO CHIROPRACTIC HEALTH CENTER 2018 401k financial data
Total plan liabilities at end of year2018-12-31$767
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$7,342
Expenses. Total of all expenses incurred2018-12-31$5,128
Benefits paid (including direct rollovers)2018-12-31$90
Total plan assets at end of year2018-12-31$2,981
Expenses. Other expenses not covered elsewhere2018-12-31$1
Net income (gross income less expenses)2018-12-31$2,214
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,214
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$7,342
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$5,037

Form 5500 Responses for FEDORKO CHIROPRACTIC HEALTH CENTER

2020: FEDORKO CHIROPRACTIC HEALTH CENTER 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: FEDORKO CHIROPRACTIC HEALTH CENTER 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
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
2018: FEDORKO CHIROPRACTIC HEALTH CENTER 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF760
Policy instance 1
Insurance contract or identification numberHF760
Number of Individuals Covered6
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $810
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 BenefitYes
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 $39,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $810
AULTCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract number760
Policy instance 1
Insurance contract or identification number760
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $847
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 BenefitYes
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 $35,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $847
AULTCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 )
Policy contract numberHF760
Policy instance 1
Insurance contract or identification numberHF760
Number of Individuals Covered8
Insurance policy start date2018-11-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $180
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 BenefitYes
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 $7,342
Commission paid to Insurance BrokerUSD $180
Amount paid for insurance broker fees0

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