401k Plan data: K.J. STEDMAC ANCILLARY PLAN plan

K.J. STEDMAC ANCILLARY PLAN 401k Plan overview

Plan Name	K.J. STEDMAC ANCILLARY PLAN
Plan identification number	501

K.J. STEDMAC ANCILLARY PLAN Benefits

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

401k Sponsoring company profile

K.J. STEDMAC, LLC has sponsored the creation of one or more 401k plans.

Company Name: K.J. STEDMAC, LLC

Employer identification number (EIN): 383602660

NAIC Classification: 531390
NAIC Description: Other Activities Related to Real Estate

Form 5500 Filing Information

Submission information for form 5500 for 401k plan K.J. STEDMAC ANCILLARY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-06-01 JEANINE SCHAAP 2021-12-08
501 2020-06-01 JEANINE SCHAAP 2022-10-24
501 2019-06-01 JEANINE SCHAAP 2021-11-08
501 2018-06-01 JEANINE SCHAAP 2021-11-08
501 2018-01-01 JEANINE SCHAAP 2021-11-08
501 2017-01-01 JEANINE SCHAAP 2021-11-08
501 2016-01-01 JEANINE SCHAAP 2021-11-08
501 2015-01-01 JEANINE SCHAAP 2021-11-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2020-06-01	JEANINE SCHAAP	2021-12-08
501	2020-06-01	JEANINE SCHAAP	2022-10-24
501	2019-06-01	JEANINE SCHAAP	2021-11-08
501	2018-06-01	JEANINE SCHAAP	2021-11-08
501	2018-01-01	JEANINE SCHAAP	2021-11-08
501	2017-01-01	JEANINE SCHAAP	2021-11-08
501	2016-01-01	JEANINE SCHAAP	2021-11-08
501	2015-01-01	JEANINE SCHAAP	2021-11-08

Plan Statistics for K.J. STEDMAC ANCILLARY PLAN

401k plan membership statisitcs for K.J. STEDMAC ANCILLARY PLAN

Measure Date Value
2020: K.J. STEDMAC ANCILLARY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-06-01 192
Total number of active participants reported on line 7a of the Form 5500 2020-06-01 201
Number of retired or separated participants receiving benefits 2020-06-01 0
Number of other retired or separated participants entitled to future benefits 2020-06-01 0
Total of all active and inactive participants 2020-06-01 201
Number of employers contributing to the scheme 2020-06-01 0
2019: K.J. STEDMAC ANCILLARY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 206
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 192
Number of retired or separated participants receiving benefits 2019-06-01 0
Number of other retired or separated participants entitled to future benefits 2019-06-01 0
Total of all active and inactive participants 2019-06-01 192
Number of employers contributing to the scheme 2019-06-01 0
2018: K.J. STEDMAC ANCILLARY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-06-01 198
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 206
Number of retired or separated participants receiving benefits 2018-06-01 0
Number of other retired or separated participants entitled to future benefits 2018-06-01 0
Total of all active and inactive participants 2018-06-01 206
Number of employers contributing to the scheme 2018-06-01 0
Total participants, beginning-of-year 2018-01-01 194
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 198
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 198
Number of employers contributing to the scheme 2018-01-01 0
2017: K.J. STEDMAC ANCILLARY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 194
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 194
Number of employers contributing to the scheme 2017-01-01 0
2016: K.J. STEDMAC ANCILLARY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 130
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 161
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 161
Number of employers contributing to the scheme 2016-01-01 0
2015: K.J. STEDMAC ANCILLARY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 105
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 130
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 130
Number of employers contributing to the scheme 2015-01-01 0

Measure	Date	Value
2020: K.J. STEDMAC ANCILLARY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-06-01	192
Total number of active participants reported on line 7a of the Form 5500	2020-06-01	201
Number of retired or separated participants receiving benefits	2020-06-01	0
Number of other retired or separated participants entitled to future benefits	2020-06-01	0
Total of all active and inactive participants	2020-06-01	201
Number of employers contributing to the scheme	2020-06-01	0
2019: K.J. STEDMAC ANCILLARY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	206
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	192
Number of retired or separated participants receiving benefits	2019-06-01	0
Number of other retired or separated participants entitled to future benefits	2019-06-01	0
Total of all active and inactive participants	2019-06-01	192
Number of employers contributing to the scheme	2019-06-01	0
2018: K.J. STEDMAC ANCILLARY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-06-01	198
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	206
Number of retired or separated participants receiving benefits	2018-06-01	0
Number of other retired or separated participants entitled to future benefits	2018-06-01	0
Total of all active and inactive participants	2018-06-01	206
Number of employers contributing to the scheme	2018-06-01	0
Total participants, beginning-of-year	2018-01-01	194
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	198
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	198
Number of employers contributing to the scheme	2018-01-01	0
2017: K.J. STEDMAC ANCILLARY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	194
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	194
Number of employers contributing to the scheme	2017-01-01	0
2016: K.J. STEDMAC ANCILLARY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	130
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	161
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	161
Number of employers contributing to the scheme	2016-01-01	0
2015: K.J. STEDMAC ANCILLARY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	105
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	130
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	130
Number of employers contributing to the scheme	2015-01-01	0

Form 5500 Responses for K.J. STEDMAC ANCILLARY PLAN

2020: K.J. STEDMAC ANCILLARY PLAN 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Submission has been amended	Yes
2020-06-01	This submission is the final filing	Yes
2020-06-01	Plan funding arrangement – Insurance	Yes
2020-06-01	Plan benefit arrangement – Insurance	Yes
2019: K.J. STEDMAC ANCILLARY PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2018: K.J. STEDMAC ANCILLARY PLAN 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: K.J. STEDMAC ANCILLARY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: K.J. STEDMAC ANCILLARY PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: K.J. STEDMAC ANCILLARY PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	201
Insurance policy start date	2020-06-01
Insurance policy end date	2021-05-31
Total amount of commissions paid to insurance broker	USD $21,950
Total amount of fees paid to insurance company	USD $31,473
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $191,184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $19,867
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	OVERRIDES, BROKER BONUS

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	192
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $20,698
Total amount of fees paid to insurance company	USD $26,419
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $184,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	206
Insurance policy start date	2018-06-01
Insurance policy end date	2019-05-31
Total amount of commissions paid to insurance broker	USD $20,305
Total amount of fees paid to insurance company	USD $26,573
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $168,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,305
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	OVERRIDES

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	198
Insurance policy start date	2018-01-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $16,109
Total amount of fees paid to insurance company	USD $20,601
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $146,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $16,109
Amount paid for insurance broker fees	151
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	194
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,804
Total amount of fees paid to insurance company	USD $352
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $63,897
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,804
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	OVERRIDES

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	161
Insurance policy start date	2016-01-01
Insurance policy end date	2016-12-31
Total amount of commissions paid to insurance broker	USD $8,122
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $116,438
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,122
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

10138372

Policy instance

Insurance contract or identification number	10138372
Number of Individuals Covered	130
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $7,262
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $91,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,813
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	K.J. STEDMAC, LLC
Employer identification number (EIN):	383602660
NAIC Classification:	531390
NAIC Description:	Other Activities Related to Real Estate