401k Plan data: INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN plan

INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN 401k Plan overview

Plan Name	INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN
Plan identification number	504

INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Vision Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20. Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

INDIANA TOOL & MANUFACTURING CO., INC. has sponsored the creation of one or more 401k plans.

Company Name: INDIANA TOOL & MANUFACTURING CO., INC.

Employer identification number (EIN): 350987380

NAIC Classification: 333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2023-01-01 TRISHA CRAWFORD 2024-04-18
504 2022-01-01 TRISHA CRAWFORD 2023-09-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2023-01-01	TRISHA CRAWFORD	2024-04-18
504	2022-01-01	TRISHA CRAWFORD	2023-09-06

Form 5500 Responses for INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN

2023: INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: INDIANA TOOL AND MANUFACTURING CO., INC. VISION PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	First time form 5500 has been submitted	Yes
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30062995

Policy instance

Insurance contract or identification number	30062995
Number of Individuals Covered	87
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $797
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30062995

Policy instance

Insurance contract or identification number	30062995
Number of Individuals Covered	68
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $786
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

INDIANA TOOL & DIE 401(K) PROFIT SHARING PLAN [EIN = 251847945]

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Company Name:	INDIANA TOOL & MANUFACTURING CO., INC.
Employer identification number (EIN):	350987380
NAIC Classification:	333900