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PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan NamePERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number 501

PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

PERFECTION TIRE PASCO, LLC has sponsored the creation of one or more 401k plans.

Company Name:PERFECTION TIRE PASCO, LLC
Employer identification number (EIN):454685330
NAIC Classification:811190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-05-01
5012021-05-01SHANE ANDERSON

Financial Data on PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2022 : PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2022 401k financial data
Total income from all sources2022-04-30$10,893
Expenses. Total of all expenses incurred2022-04-30$2,796
Benefits paid (including direct rollovers)2022-04-30$153
Total plan assets at end of year2022-04-30$8,097
Total plan assets at beginning of year2022-04-30$0
Total contributions received or receivable from participants2022-04-30$1,068
Other income received2022-04-30$2
Net income (gross income less expenses)2022-04-30$8,097
Net plan assets at end of year (total assets less liabilities)2022-04-30$8,097
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$0
Total contributions received or receivable from employer(s)2022-04-30$9,823
Expenses. Administrative service providers (salaries,fees and commissions)2022-04-30$2,643

Form 5500 Responses for PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2021: PERFECTION TIRE PASCO, LLC SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01First time form 5500 has been submittedYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement - TrustYes

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