401k Plan data: DEPAUL FAMILY SERVICES, INC. WELFARE BENEFIT PLAN plan

DEPAUL FAMILY SERVICES, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	DEPAUL FAMILY SERVICES, INC. WELFARE BENEFIT PLAN
Plan identification number	501

DEPAUL FAMILY SERVICES, INC. WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	SELECT distinct(Description) AS Description FROM 401k_benefit_codes LEFT JOIN 401k_benefit_code_description ON BenefitCode=Code COLLATE utf8_unicode_ci WHERE EIN='541108079' AND PlanID='501'

401k Sponsoring company profile

DEPAUL COMMUNITY RESOURCES has sponsored the creation of one or more 401k plans.

Company Name: DEPAUL COMMUNITY RESOURCES

Employer identification number (EIN): 541108079

NAIC Classification: 624100
NAIC Description: Individual and Family Services

Additional information about DEPAUL COMMUNITY RESOURCES

Jurisdiction of Incorporation: Virginia Secretary of State

Incorporation Date: 1977-03-01

Company Identification Number: 0173256

Legal Registered Office Address: 5650 HOLLINS RD
10 S JEFFERSON ST STE 1400
ROANOKE
United States of America (USA)
24019

More information about DEPAUL COMMUNITY RESOURCES

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEPAUL FAMILY SERVICES, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2024-01-01 MIKE NORTON
501 2023-01-01
501 2023-01-01 MIKE NORTON
501 2022-01-01
501 2022-01-01 MIKE NORTON
501 2021-01-01
501 2021-01-01 MIKE NORTON
501 2020-01-01
501 2019-01-01
501 2018-01-01 GREG ADAMS
501 2017-01-01 GREG ADAMS
501 2016-01-01 GARY RATLIFF
501 2015-01-01 GARY RATLIFF
501 2014-01-01 GARY RATLIFF
501 2013-01-01 GARY RATLIFF
501 2012-12-01 LAURA E. SPAFFORD
501 2011-12-01 LAURA E. SPAFFORD
501 2009-12-01 LAURA SPAFFORD
501 2007-12-01 LAURA SPAFFORD 2010-04-21
501 2006-12-01 LAURA SPAFFORD
501 2005-12-01 LAURA SPAFFORD 2010-04-21
501 2004-12-01 LAURA SPAFFORD 2010-04-21
501 2003-12-01 LAURA SPAFFORD
501 2002-12-01 LAURA SPAFFORD 2010-04-19
501 2001-12-01 LAURA SPAFFORD 2010-04-19

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2024-01-01	MIKE NORTON
501	2023-01-01
501	2023-01-01	MIKE NORTON
501	2022-01-01
501	2022-01-01	MIKE NORTON
501	2021-01-01
501	2021-01-01	MIKE NORTON
501	2020-01-01
501	2019-01-01
501	2018-01-01	GREG ADAMS
501	2017-01-01	GREG ADAMS
501	2016-01-01	GARY RATLIFF
501	2015-01-01	GARY RATLIFF
501	2014-01-01	GARY RATLIFF
501	2013-01-01	GARY RATLIFF
501	2012-12-01	LAURA E. SPAFFORD
501	2011-12-01	LAURA E. SPAFFORD
501	2009-12-01	LAURA SPAFFORD
501	2007-12-01		LAURA SPAFFORD	2010-04-21
501	2006-12-01	LAURA SPAFFORD
501	2005-12-01		LAURA SPAFFORD	2010-04-21
501	2004-12-01		LAURA SPAFFORD	2010-04-21
501	2003-12-01	LAURA SPAFFORD
501	2002-12-01		LAURA SPAFFORD	2010-04-19
501	2001-12-01		LAURA SPAFFORD	2010-04-19

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00033625

Policy instance

Insurance contract or identification number	00033625
Number of Individuals Covered	140
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $27,094
Total amount of fees paid to insurance company	USD $8,472
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 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	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
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	CANCER, VOLUNTARY LIFE, VOLUNTARY CRITICAL ILLNESS, VOLUNTARY AD&D, ACCIDENT, AD&D
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 Carrier	USD $168,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PIEDMONT COMMUNITY HEALTHCARE (National Association of Insurance Commissioners NAIC id number: 95811 )

Policy contract number

10407

Policy instance

Insurance contract or identification number	10407
Number of Individuals Covered	79
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
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 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
Welfare Benefit Premiums Paid to Carrier	USD $675,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00033625

Policy instance

Insurance contract or identification number	00033625
Number of Individuals Covered	136
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $29,727
Total amount of fees paid to insurance company	USD $0
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 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	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
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	CANCER, VOLUNTARY LIFE, VOLUNTARY CRITICAL ILLNESS, VOLUNTARY AD&D, ACCIDENT, AD&D
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 Carrier	USD $177,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00581922

Policy instance

BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )

Policy contract number

G-54543

Policy instance

BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )

Policy contract number

G-54543

Policy instance

BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )

Policy contract number

G-54543

Policy instance

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )

Policy contract number

0837920

Policy instance

BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 )

Policy contract number

G54543

Policy instance

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Company Name:	DEPAUL COMMUNITY RESOURCES
Employer identification number (EIN):	541108079
NAIC Classification:	624100
NAIC Description:	Individual and Family Services

Jurisdiction of Incorporation:	Virginia Secretary of State
Incorporation Date:	1977-03-01
Company Identification Number:	0173256
Legal Registered Office Address:	5650 HOLLINS RD 10 S JEFFERSON ST STE 1400 ROANOKE United States of America (USA) 24019