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JLS AUTOMATION GROUP MEDICAL PLAN (502) 401k Plan overview

Plan NameJLS AUTOMATION GROUP MEDICAL PLAN (502)
Plan identification number 502

JLS AUTOMATION GROUP MEDICAL PLAN (502) Benefits

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

401k Sponsoring company profile

JLS AUTOMATION has sponsored the creation of one or more 401k plans.

Company Name:JLS AUTOMATION
Employer identification number (EIN):472452035
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JLS AUTOMATION GROUP MEDICAL PLAN (502)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022023-04-01
5022023-04-01SHAWN RAUCHUT
5022023-03-01
5022023-03-01SHAWN RAUCHUT
5022023-03-01SHAWN RAUCHUT

Financial Data on JLS AUTOMATION GROUP MEDICAL PLAN (502)

Measure Date Value
2024 : JLS AUTOMATION GROUP MEDICAL PLAN (502) 2024 401k financial data
Total unrealized appreciation/depreciation of assets2024-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-03-31$423,112
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2024-03-31$15,591
Total income from all sources (including contributions)2024-03-31$1,605,466
Total loss/gain on sale of assets2024-03-31$0
Total of all expenses incurred2024-03-31$1,859,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2024-03-31$1,296,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)2024-03-31$1,600,941
Value of total assets at end of year2024-03-31$225,670
Value of total assets at beginning of year2024-03-31$72,141
Total of administrative expenses incurred including professional, contract, advisory and management fees2024-03-31$563,430
Total interest from all sources2024-03-31$4,525
Total dividends received (eg from common stock, registered investment company shares)2024-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2024-03-31No
Was this plan covered by a fidelity bond2024-03-31Yes
Value of fidelity bond cover2024-03-31$500,000
If this is an individual account plan, was there a blackout period2024-03-31No
Were there any nonexempt tranactions with any party-in-interest2024-03-31No
Contributions received from participants2024-03-31$236,546
Value of other receiveables (less allowance for doubtful accounts) at end of year2024-03-31$164,178
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2024-03-31$277
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2024-03-31$134,878
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2024-03-31$12,000
Administrative expenses (other) incurred2024-03-31$493,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2024-03-31No
Value of net income/loss2024-03-31$-253,992
Value of net assets at end of year (total assets less liabilities)2024-03-31$-197,442
Value of net assets at beginning of year (total assets less liabilities)2024-03-31$56,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2024-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2024-03-31No
Were any leases to which the plan was party in default or uncollectible2024-03-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2024-03-31$61,492
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2024-03-31$71,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2024-03-31$71,864
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2024-03-31$4,525
Expenses. Payments to insurance carriers foe the provision of benefits2024-03-31$1,296,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2024-03-31No
Was there a failure to transmit to the plan any participant contributions2024-03-31No
Has the plan failed to provide any benefit when due under the plan2024-03-31No
Contributions received in cash from employer2024-03-31$1,364,395
Contract administrator fees2024-03-31$69,524
Liabilities. Value of benefit claims payable at end of year2024-03-31$288,234
Liabilities. Value of benefit claims payable at beginning of year2024-03-31$3,591
Did the plan have assets held for investment2024-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2024-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2024-03-31No
Opinion of an independent qualified public accountant for this plan2024-03-31Unqualified
Accountancy firm name2024-03-31YOUNG OAKES BROWN & CO PC
Accountancy firm EIN2024-03-31251589048
2023 : JLS AUTOMATION GROUP MEDICAL PLAN (502) 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-04-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-01$423,112
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-01$15,591
Total income from all sources (including contributions)2023-04-01$1,605,466
Total loss/gain on sale of assets2023-04-01$0
Total of all expenses incurred2023-04-01$1,859,458
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-01$1,296,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-01$1,600,941
Value of total assets at end of year2023-04-01$225,670
Value of total assets at beginning of year2023-04-01$72,141
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-01$563,430
Total interest from all sources2023-04-01$4,525
Total dividends received (eg from common stock, registered investment company shares)2023-04-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-01No
Was this plan covered by a fidelity bond2023-04-01Yes
Value of fidelity bond cover2023-04-01$500,000
If this is an individual account plan, was there a blackout period2023-04-01No
Were there any nonexempt tranactions with any party-in-interest2023-04-01No
Contributions received from participants2023-04-01$236,546
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-04-01$164,178
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-04-01$277
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-04-01$134,878
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-04-01$12,000
Administrative expenses (other) incurred2023-04-01$493,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-01No
Value of net income/loss2023-04-01$-253,992
Value of net assets at end of year (total assets less liabilities)2023-04-01$-197,442
Value of net assets at beginning of year (total assets less liabilities)2023-04-01$56,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-01No
Were any leases to which the plan was party in default or uncollectible2023-04-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-01$61,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-01$4,525
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-01$1,296,028
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-01No
Was there a failure to transmit to the plan any participant contributions2023-04-01No
Has the plan failed to provide any benefit when due under the plan2023-04-01No
Contributions received in cash from employer2023-04-01$1,364,395
Contract administrator fees2023-04-01$69,524
Liabilities. Value of benefit claims payable at end of year2023-04-01$288,234
Liabilities. Value of benefit claims payable at beginning of year2023-04-01$3,591
Did the plan have assets held for investment2023-04-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-01No
Opinion of an independent qualified public accountant for this plan2023-04-011
Accountancy firm name2023-04-01YOUNG OAKES BROWN & CO PC
Accountancy firm EIN2023-04-01251589048

Form 5500 Responses for JLS AUTOMATION GROUP MEDICAL PLAN (502)

2023: JLS AUTOMATION GROUP MEDICAL PLAN (502) 2023 form 5500 responses
2023-04-01Type of plan entitySingle employer plan
2023-04-01Submission has been amendedNo
2023-04-01This submission is the final filingNo
2023-04-01This return/report is a short plan year return/report (less than 12 months)No
2023-04-01Plan is a collectively bargained planNo
2023-04-01Plan funding arrangement – InsuranceYes
2023-04-01Plan funding arrangement – General assets of the sponsorYes
2023-04-01Plan benefit arrangement – InsuranceYes
2023-04-01Plan benefit arrangement – General assets of the sponsorYes
2023-03-01Type of plan entitySingle employer plan
2023-03-01First time form 5500 has been submittedYes
2023-03-01Submission has been amendedNo
2023-03-01This submission is the final filingNo
2023-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-03-01Plan is a collectively bargained planNo
2023-03-01Plan funding arrangement – InsuranceYes
2023-03-01Plan funding arrangement – General assets of the sponsorYes
2023-03-01Plan benefit arrangement – InsuranceYes
2023-03-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30400086
Policy instance 1
Insurance contract or identification number30400086
Number of Individuals Covered159
Insurance policy start date2023-04-01
Insurance policy end date2024-03-31
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?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $493,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 )
Policy contract number30400086
Policy instance 1
Insurance contract or identification number30400086
Number of Individuals Covered124
Insurance policy start date2023-03-01
Insurance policy end date2023-03-31
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?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $33,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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