401k Plan data: CAPITOL CONSTRUCTION SERVICES, INC. plan

CAPITOL CONSTRUCTION SERVICES, INC. 401k Plan overview

Plan Name	CAPITOL CONSTRUCTION SERVICES, INC.
Plan identification number	502

CAPITOL CONSTRUCTION SERVICES, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

CAPITOL CONSTRUCTION SERVICES, INC has sponsored the creation of one or more 401k plans.

Company Name: CAPITOL CONSTRUCTION SERVICES, INC

Employer identification number (EIN): 352054647

NAIC Classification: 236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITOL CONSTRUCTION SERVICES, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 CHARLES MITCHELL 2024-05-06
502 2022-01-01 NATHAN SALATI 2023-10-11
502 2021-01-01 NATHAN SALATI 2022-11-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2023-01-01	CHARLES MITCHELL	2024-05-06
502	2022-01-01	NATHAN SALATI	2023-10-11
502	2021-01-01	NATHAN SALATI	2022-11-30

Plan Statistics for CAPITOL CONSTRUCTION SERVICES, INC.

401k plan membership statisitcs for CAPITOL CONSTRUCTION SERVICES, INC.

Measure Date Value
2023: CAPITOL CONSTRUCTION SERVICES, INC. 2023 401k membership
Total participants, beginning-of-year 2023-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 152
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 152
Number of employers contributing to the scheme 2023-01-01 0
2022: CAPITOL CONSTRUCTION SERVICES, INC. 2022 401k membership
Total participants, beginning-of-year 2022-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 147
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 147
Number of employers contributing to the scheme 2022-01-01 0
2021: CAPITOL CONSTRUCTION SERVICES, INC. 2021 401k membership
Total participants, beginning-of-year 2021-01-01 147
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 147
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 147
Number of employers contributing to the scheme 2021-01-01 0

Measure	Date	Value
2023: CAPITOL CONSTRUCTION SERVICES, INC. 2023 401k membership
Total participants, beginning-of-year	2023-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	152
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	152
Number of employers contributing to the scheme	2023-01-01	0
2022: CAPITOL CONSTRUCTION SERVICES, INC. 2022 401k membership
Total participants, beginning-of-year	2022-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	147
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	147
Number of employers contributing to the scheme	2022-01-01	0
2021: CAPITOL CONSTRUCTION SERVICES, INC. 2021 401k membership
Total participants, beginning-of-year	2021-01-01	147
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	147
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	147
Number of employers contributing to the scheme	2021-01-01	0

Form 5500 Responses for CAPITOL CONSTRUCTION SERVICES, INC.

2023: CAPITOL CONSTRUCTION SERVICES, INC. 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2022: CAPITOL CONSTRUCTION SERVICES, INC. 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2021: CAPITOL CONSTRUCTION SERVICES, INC. 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

933244

Policy instance

Insurance contract or identification number	933244
Number of Individuals Covered	152
Insurance policy start date	2022-08-01
Insurance policy end date	2023-07-31
Total amount of commissions paid to insurance broker	USD $24,352
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT, EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $172,874
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNITED HEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

IN2318

Policy instance

ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )

Policy contract number

IN2318

Policy instance

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Company Name:	CAPITOL CONSTRUCTION SERVICES, INC
Employer identification number (EIN):	352054647
NAIC Classification:	236200