401k Plan data: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN plan

BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 401k Plan overview

Plan Name	BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN
Plan identification number	502

BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC. has sponsored the creation of one or more 401k plans.

Company Name: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC.

Employer identification number (EIN): 640434535

NAIC Classification: 611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2020-09-01
502 2019-09-01
502 2018-09-01
502 2017-09-01
502 2016-09-01 KIMBERLY NOLAN
502 2015-09-01 KIMBERLY NOLAN
502 2014-09-01 KIMBERLY NOLAN
502 2013-10-01 KIMBERLY NOLAN

Plan Statistics for BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN

401k plan membership statisitcs for BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN

Measure Date Value
2020: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-09-01 176
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 172
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 0
Total of all active and inactive participants 2020-09-01 172
2019: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 177
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 176
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 2019-09-01 176
2018: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 178
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 182
Number of retired or separated participants receiving benefits 2018-09-01 0
Number of other retired or separated participants entitled to future benefits 2018-09-01 0
Total of all active and inactive participants 2018-09-01 182
2017: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 178
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 177
Number of retired or separated participants receiving benefits 2017-09-01 0
Number of other retired or separated participants entitled to future benefits 2017-09-01 0
Total of all active and inactive participants 2017-09-01 177
2016: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 180
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 188
Number of retired or separated participants receiving benefits 2016-09-01 0
Number of other retired or separated participants entitled to future benefits 2016-09-01 0
Total of all active and inactive participants 2016-09-01 188
2015: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 171
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 175
Number of retired or separated participants receiving benefits 2015-09-01 0
Number of other retired or separated participants entitled to future benefits 2015-09-01 0
Total of all active and inactive participants 2015-09-01 175
2014: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 175
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 175
Number of retired or separated participants receiving benefits 2014-09-01 0
Number of other retired or separated participants entitled to future benefits 2014-09-01 0
Total of all active and inactive participants 2014-09-01 175
2013: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 175
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 175
Total of all active and inactive participants 2013-10-01 175

Measure	Date	Value
2020: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	176
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	172
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	0
Total of all active and inactive participants	2020-09-01	172
2019: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	177
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	176
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	176
2018: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	178
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	182
Number of retired or separated participants receiving benefits	2018-09-01	0
Number of other retired or separated participants entitled to future benefits	2018-09-01	0
Total of all active and inactive participants	2018-09-01	182
2017: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	178
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	177
Number of retired or separated participants receiving benefits	2017-09-01	0
Number of other retired or separated participants entitled to future benefits	2017-09-01	0
Total of all active and inactive participants	2017-09-01	177
2016: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	180
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	188
Number of retired or separated participants receiving benefits	2016-09-01	0
Number of other retired or separated participants entitled to future benefits	2016-09-01	0
Total of all active and inactive participants	2016-09-01	188
2015: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	171
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	175
Number of retired or separated participants receiving benefits	2015-09-01	0
Number of other retired or separated participants entitled to future benefits	2015-09-01	0
Total of all active and inactive participants	2015-09-01	175
2014: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	175
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	175
Number of retired or separated participants receiving benefits	2014-09-01	0
Number of other retired or separated participants entitled to future benefits	2014-09-01	0
Total of all active and inactive participants	2014-09-01	175
2013: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	175
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	175
Total of all active and inactive participants	2013-10-01	175

Form 5500 Responses for BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN

2020: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC BRIDGE PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	First time form 5500 has been submitted	Yes
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )

Policy contract number

000000425610

Policy instance

Insurance contract or identification number	000000425610
Number of Individuals Covered	177
Insurance policy start date	2020-01-09
Insurance policy end date	2021-01-09
Total amount of commissions paid to insurance broker	USD $3,104
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $15,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,328

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Company Name:	BOLIVAR COUNTY COMMUNITY ACTION AGENCY INC.
Employer identification number (EIN):	640434535
NAIC Classification:	611000