401k Plan data: DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN plan

DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan Name	DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN
Plan identification number	501

DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

DRAFTPROS, LLC DBA DRAFTPROS, INC. has sponsored the creation of one or more 401k plans.

Company Name: DRAFTPROS, LLC DBA DRAFTPROS, INC.

Employer identification number (EIN): 611795374

NAIC Classification: 236200

Additional information about DRAFTPROS, LLC DBA DRAFTPROS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2016-05-27

Company Identification Number: L16000109025

Legal Registered Office Address: 515 EAST PARK AVENUE

TALLAHASSEE

32301

More information about DRAFTPROS, LLC DBA DRAFTPROS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-09-01 KAREL GOMEZ 2021-03-31

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2019-09-01	KAREL GOMEZ	2021-03-31

Plan Statistics for DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2019: DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 143
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 98
Number of retired or separated participants receiving benefits 2019-09-01 0
Number of other retired or separated participants entitled to future benefits 2019-09-01 0
Total of all active and inactive participants 2019-09-01 98
Total participants 2019-09-01 98

Measure	Date	Value
2019: DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	143
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	98
Number of retired or separated participants receiving benefits	2019-09-01	0
Number of other retired or separated participants entitled to future benefits	2019-09-01	0
Total of all active and inactive participants	2019-09-01	98
Total participants	2019-09-01	98

Form 5500 Responses for DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN

2019: DRAFTPROS, LLC HEALTH AND WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	First time form 5500 has been submitted	Yes
2019-09-01	Submission has been amended	No
2019-09-01	This submission is the final filing	No
2019-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-09-01	Plan is a collectively bargained plan	No
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )

Policy contract number

00626861

Policy instance

Insurance contract or identification number	00626861
Number of Individuals Covered	98
Insurance policy start date	2019-09-01
Insurance policy end date	2020-08-31
Total amount of commissions paid to insurance broker	USD $45,294
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 $250,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $45,294
Insurance broker organization code?	3

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Company Name:	DRAFTPROS, LLC DBA DRAFTPROS, INC.
Employer identification number (EIN):	611795374
NAIC Classification:	236200

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2016-05-27
Company Identification Number:	L16000109025
Legal Registered Office Address:	515 EAST PARK AVENUE TALLAHASSEE 32301