401k Plan data: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN plan

SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	501

SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

SIKA AUTOMOTIVE GASTONIA INC. has sponsored the creation of one or more 401k plans.

Company Name: SIKA AUTOMOTIVE GASTONIA INC.

Employer identification number (EIN): 621764389

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01 MIRIAM ECHEVARRIA 2023-10-16
501 2021-10-01
501 2021-10-01 AMY HALLMAN
501 2020-10-01
501 2020-10-01
501 2019-10-01 CINDY MCGRADY 2021-04-04 KEVIN R. RUFF 2021-04-04
501 2015-10-01 CINDY MCGRADY 2020-07-12 KEVIN R. RUFF 2020-07-12
501 2014-10-01 CINDY MCGRADY 2020-07-12 KEVIN R. RUFF 2020-07-12
501 2013-10-01 CINDY MCGRADY 2020-07-12 KEVIN R. RUFF 2020-07-12

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2022-01-01	MIRIAM ECHEVARRIA	2023-10-16
501	2021-10-01
501	2021-10-01	AMY HALLMAN
501	2020-10-01
501	2020-10-01
501	2019-10-01	CINDY MCGRADY	2021-04-04	KEVIN R. RUFF	2021-04-04
501	2015-10-01	CINDY MCGRADY	2020-07-12	KEVIN R. RUFF	2020-07-12
501	2014-10-01	CINDY MCGRADY	2020-07-12	KEVIN R. RUFF	2020-07-12
501	2013-10-01	CINDY MCGRADY	2020-07-12	KEVIN R. RUFF	2020-07-12

Plan Statistics for SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 176
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 176
2021: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 124
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 173
Number of retired or separated participants receiving benefits 2021-10-01 0
Number of other retired or separated participants entitled to future benefits 2021-10-01 0
Total of all active and inactive participants 2021-10-01 173
2020: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-10-01 96
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 124
Number of retired or separated participants receiving benefits 2020-10-01 0
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 124
2019: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-10-01 137
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 96
Number of retired or separated participants receiving benefits 2019-10-01 3
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 99
2015: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-10-01 129
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 132
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 132
2014: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-10-01 114
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 129
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 129
2013: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 105
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 114
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 114

Measure	Date	Value
2022: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	176
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	176
2021: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	124
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	173
Number of retired or separated participants receiving benefits	2021-10-01	0
Number of other retired or separated participants entitled to future benefits	2021-10-01	0
Total of all active and inactive participants	2021-10-01	173
2020: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-10-01	96
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	124
Number of retired or separated participants receiving benefits	2020-10-01	0
Number of other retired or separated participants entitled to future benefits	2020-10-01	0
Total of all active and inactive participants	2020-10-01	124
2019: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-10-01	137
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	96
Number of retired or separated participants receiving benefits	2019-10-01	3
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	99
2015: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-10-01	129
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	132
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	132
2014: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-10-01	114
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	129
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	129
2013: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	105
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	114
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	114

Form 5500 Responses for SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN

2022: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
2020-10-01	Submission has been amended	No
2020-10-01	This submission is the final filing	No
2020-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-10-01	Plan is a collectively bargained plan	No
2020-10-01	Plan funding arrangement – Insurance	Yes
2020-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-10-01	Plan benefit arrangement – Insurance	Yes
2020-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2015: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: SIKA AUTOMOTIVE GASTONIA, INC. EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	922171
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882145G
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0922171
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882145G
Policy instance	2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	0922171
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882145G
Policy instance	2
BLUECROSS BLUESHIELD OF NORTH CAROLINA (National Association of Insurance Commissioners NAIC id number: 54631 )
Policy contract number	14158945-1001
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	882145G
Policy instance	2

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Company Name:	SIKA AUTOMOTIVE GASTONIA INC.
Employer identification number (EIN):	621764389
NAIC Classification:	339900