S.R. PERROTT MEDICAL PLAN 401k Plan overview
Plan Name | S.R. PERROTT MEDICAL PLAN |
Plan identification number | 501 |
S.R. PERROTT MEDICAL PLAN Benefits
401k Plan Type | Welfare Benefit |
Plan Features/Benefits | - Health (other than dental or vision)
- Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
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401k Sponsoring company profile
S.R. PERROTT, INC. has sponsored the creation of one or more 401k plans.
Additional information about S.R. PERROTT, INC.
Jurisdiction of Incorporation: | Florida Department of State Division of Corporations |
Incorporation Date: | 1962-04-01 |
Company Identification Number: | 257058 |
Legal Registered Office Address: |
1280 N US HWY 1
ORMOND BEACH
32174
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More information about S.R. PERROTT, INC.
Form 5500 Filing Information
Submission information for form 5500 for 401k plan S.R. PERROTT MEDICAL PLAN
Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
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501 | 2020-05-01 | EVA MCMULLIN | 2024-01-25 | | |
Plan Statistics for S.R. PERROTT MEDICAL PLAN
401k plan membership statisitcs for S.R. PERROTT MEDICAL PLAN
Measure | Date | Value |
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2020: S.R. PERROTT MEDICAL PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-05-01 | 105 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 99 |
Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
Total of all active and inactive participants | 2020-05-01 | 99 |
Number of employers contributing to the scheme | 2020-05-01 | 0 |
Form 5500 Responses for S.R. PERROTT MEDICAL PLAN
2020: S.R. PERROTT MEDICAL PLAN 2020 form 5500 responses |
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2020-05-01 | Type of plan entity | Single employer plan |
2020-05-01 | First time form 5500 has been submitted | Yes |
2020-05-01 | Plan funding arrangement – Insurance | Yes |
2020-05-01 | Plan benefit arrangement – Insurance | Yes |
Insurance Providers Used on plan
FLORIDA HEALTH CARE PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 13567 ) |
Policy contract number | 542 ET AL |
Policy instance | 1 |
Insurance contract or identification number | 542 ET AL | Number of Individuals Covered | 103 | Insurance policy start date | 2020-05-01 | Insurance policy end date | 2021-04-30 | Total amount of commissions paid to insurance broker | USD $26,777 | Total amount of fees paid to insurance company | USD $0 | Health Insurance Welfare Benefit | Yes | Welfare Benefit Premiums Paid to Carrier | USD $609,839 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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