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FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 401k Plan overview

Plan NameFOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)
Plan identification number 502

FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) Benefits

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

401k Sponsoring company profile

FOREVER MEDIA, INC. has sponsored the creation of one or more 401k plans.

Company Name:FOREVER MEDIA, INC.
Employer identification number (EIN):581935744
NAIC Classification:515100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-07-01

Plan Statistics for FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

401k plan membership statisitcs for FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

Measure Date Value
2021: FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2021 401k membership
Total participants, beginning-of-year2021-07-01130
Total number of active participants reported on line 7a of the Form 55002021-07-01118
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01118

Financial Data on FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

Measure Date Value
2022 : FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$79,967
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$1,655,753
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$1,302,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$787,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,655,098
Value of total assets at end of year2022-06-30$433,397
Value of total assets at beginning of year2022-06-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$515,323
Total interest from all sources2022-06-30$655
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$719,339
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$11,255
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$79,967
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$0
Administrative expenses (other) incurred2022-06-30$442,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$353,430
Value of net assets at end of year (total assets less liabilities)2022-06-30$353,430
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$29,927
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$422,142
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$655
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$787,000
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$935,759
Contract administrator fees2022-06-30$42,874
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30YOUNG OAKES BROWN & CO PC
Accountancy firm EIN2022-06-30251589048

Form 5500 Responses for FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502)

2021: FOREVER MEDIA, INC. GROUP MEDICAL PLAN (502) 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01First time form 5500 has been submittedYes
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000238
Policy instance 1
Insurance contract or identification number31000238
Number of Individuals Covered118
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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 $442,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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