401k Plan data: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT plan

GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 401k Plan overview

Plan Name	GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT
Plan identification number	900

GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT Benefits

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

401k Sponsoring company profile

GRACELAND UNIVERSITY has sponsored the creation of one or more 401k plans.

Company Name: GRACELAND UNIVERSITY

Employer identification number (EIN): 420707114

NAIC Classification: 611000

Additional information about GRACELAND UNIVERSITY

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 1895-06-06

Company Identification Number: 071037

Legal Registered Office Address: 505 5TH AVENUE
SUITE 729
DES MOINES
United States of America (USA)
50309

More information about GRACELAND UNIVERSITY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
900 2012-06-01 JANICE TIFFANY JANICE TIFFANY 2013-12-24
900 2012-06-01 DAVID SIDDALL 2020-02-20
900 2011-06-01 JANICE TIFFANY
900 2010-06-01 JANICE TIFFANY
900 2009-06-01 JANICE TIFFANY
900 2009-01-01 JANICE TIFFANY
900 2009-01-01 JANICE TIFFANY 2010-02-06

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
900	2012-06-01	JANICE TIFFANY		JANICE TIFFANY	2013-12-24
900	2012-06-01	DAVID SIDDALL	2020-02-20
900	2011-06-01	JANICE TIFFANY
900	2010-06-01	JANICE TIFFANY
900	2009-06-01	JANICE TIFFANY
900	2009-01-01	JANICE TIFFANY
900	2009-01-01			JANICE TIFFANY	2010-02-06

Plan Statistics for GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT

401k plan membership statisitcs for GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT

Measure Date Value
2012: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2012 401k membership
Total participants, beginning-of-year 2012-06-01 305
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 312
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 312
Total participants 2012-06-01 312
Number of participants with account balances 2012-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-06-01 0
Number of employers contributing to the scheme 2012-06-01 0
2011: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2011 401k membership
Total participants, beginning-of-year 2011-06-01 296
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 305
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 305
Total participants 2011-06-01 305
2010: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2010 401k membership
Total participants, beginning-of-year 2010-06-01 290
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 296
Number of retired or separated participants receiving benefits 2010-06-01 0
Number of other retired or separated participants entitled to future benefits 2010-06-01 0
Total of all active and inactive participants 2010-06-01 296
Total participants 2010-06-01 296
2009: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2009 401k membership
Total participants, beginning-of-year 2009-06-01 334
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 297
Number of retired or separated participants receiving benefits 2009-06-01 0
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 297
Total participants 2009-06-01 297
Total participants, beginning-of-year 2009-01-01 341
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 334
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 334
Total participants 2009-01-01 334

Measure	Date	Value
2012: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2012 401k membership
Total participants, beginning-of-year	2012-06-01	305
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	312
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	312
Total participants	2012-06-01	312
Number of participants with account balances	2012-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-06-01	0
Number of employers contributing to the scheme	2012-06-01	0
2011: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2011 401k membership
Total participants, beginning-of-year	2011-06-01	296
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	305
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	305
Total participants	2011-06-01	305
2010: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2010 401k membership
Total participants, beginning-of-year	2010-06-01	290
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	296
Number of retired or separated participants receiving benefits	2010-06-01	0
Number of other retired or separated participants entitled to future benefits	2010-06-01	0
Total of all active and inactive participants	2010-06-01	296
Total participants	2010-06-01	296
2009: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2009 401k membership
Total participants, beginning-of-year	2009-06-01	334
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	297
Number of retired or separated participants receiving benefits	2009-06-01	0
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	297
Total participants	2009-06-01	297
Total participants, beginning-of-year	2009-01-01	341
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	334
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	334
Total participants	2009-01-01	334

Form 5500 Responses for GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT

2012: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2010: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Submission has been amended	No
2010-06-01	This submission is the final filing	No
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2009: GRACELAND UNIVERSITY CARVE OUT ACCIDENTAL DEATH & DISMEMBERMENT 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	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

201304

Policy instance

Insurance contract or identification number	201304
Number of Individuals Covered	312
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $161
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $1,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $161
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	GRACELAND UNIVERSITY
Employer identification number (EIN):	420707114
NAIC Classification:	611000

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	1895-06-06
Company Identification Number:	071037
Legal Registered Office Address:	505 5TH AVENUE SUITE 729 DES MOINES United States of America (USA) 50309