401k Plan data: QUALITY TRUCK WASHES HEALTH PLAN plan

QUALITY TRUCK WASHES HEALTH PLAN 401k Plan overview

Plan Name	QUALITY TRUCK WASHES HEALTH PLAN
Plan identification number	553

QUALITY TRUCK WASHES HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

QUALITY TRUCK WASHES, INC has sponsored the creation of one or more 401k plans.

Company Name: QUALITY TRUCK WASHES, INC

Employer identification number (EIN): 431817944

NAIC Classification: 811190

Additional information about QUALITY TRUCK WASHES, INC

Jurisdiction of Incorporation: Missouri Secretary of State

Incorporation Date:

Company Identification Number: CC0456464

More information about QUALITY TRUCK WASHES, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan QUALITY TRUCK WASHES HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
553 2022-06-01
553 2021-06-01
553 2020-06-01
553 2019-06-01
553 2018-06-01
553 2017-06-01 KRISTEN BAKER

Plan Statistics for QUALITY TRUCK WASHES HEALTH PLAN

401k plan membership statisitcs for QUALITY TRUCK WASHES HEALTH PLAN

Measure Date Value
2017: QUALITY TRUCK WASHES HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 51
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 55
Number of retired or separated participants receiving benefits 2017-06-01 0
Number of other retired or separated participants entitled to future benefits 2017-06-01 0
Total of all active and inactive participants 2017-06-01 55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-06-01 0
Total participants 2017-06-01 55

Measure	Date	Value
2017: QUALITY TRUCK WASHES HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	51
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	55
Number of retired or separated participants receiving benefits	2017-06-01	0
Number of other retired or separated participants entitled to future benefits	2017-06-01	0
Total of all active and inactive participants	2017-06-01	55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-06-01	0
Total participants	2017-06-01	55

Form 5500 Responses for QUALITY TRUCK WASHES HEALTH PLAN

2017: QUALITY TRUCK WASHES HEALTH PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	First time form 5500 has been submitted	Yes
2017-06-01	Submission has been amended	No
2017-06-01	This submission is the final filing	No
2017-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-06-01	Plan is a collectively bargained plan	No
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

NW00083

Policy instance

Insurance contract or identification number	NW00083
Number of Individuals Covered	55
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $15,050
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?	Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Other information about contract	STOP LOSS
Commission paid to Insurance Broker	USD $10,818
Insurance broker organization code?	3
Insurance broker name	GROUP BENEFIT SERVICES, INC.

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Company Name:	QUALITY TRUCK WASHES, INC
Employer identification number (EIN):	431817944
NAIC Classification:	811190

Jurisdiction of Incorporation:	Missouri Secretary of State
Incorporation Date:
Company Identification Number:	CC0456464

Plan id#	Filing Submission Date	Name of Administrator
553	2022-06-01
553	2021-06-01
553	2020-06-01
553	2019-06-01
553	2018-06-01
553	2017-06-01	KRISTEN BAKER