401k Plan data: WING INFLATABLES INC BENEFIT PLAN plan

WING INFLATABLES INC BENEFIT PLAN 401k Plan overview

Plan Name	WING INFLATABLES INC BENEFIT PLAN
Plan identification number	502

WING INFLATABLES INC BENEFIT PLAN Benefits

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

401k Sponsoring company profile

WING INFLATABLES, INC. has sponsored the creation of one or more 401k plans.

Company Name: WING INFLATABLES, INC.

Employer identification number (EIN): 680400996

NAIC Classification: 336610

Additional information about WING INFLATABLES, INC.

Jurisdiction of Incorporation: California Department of State

Incorporation Date: 1997-11-12

Company Identification Number: C2060341

Legal Registered Office Address: 3701 Mount Diablo Boulevard #201

Lafayette
United States of America (USA)
94549

More information about WING INFLATABLES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WING INFLATABLES INC BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01 LISA ZAMBAS 2021-10-11
502 2020-01-01 LISA ZAMBAS 2021-10-11

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2021-01-01	LISA ZAMBAS	2021-10-11
502	2020-01-01	LISA ZAMBAS	2021-10-11

Plan Statistics for WING INFLATABLES INC BENEFIT PLAN

401k plan membership statisitcs for WING INFLATABLES INC BENEFIT PLAN

Measure Date Value
2021: WING INFLATABLES INC BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
2020: WING INFLATABLES INC BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 133
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 122
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 8
Total of all active and inactive participants 2020-01-01 130

Measure	Date	Value
2021: WING INFLATABLES INC BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
2020: WING INFLATABLES INC BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	133
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	122
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	8
Total of all active and inactive participants	2020-01-01	130

Form 5500 Responses for WING INFLATABLES INC BENEFIT PLAN

2021: WING INFLATABLES INC BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: WING INFLATABLES INC BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	First time form 5500 has been submitted	Yes
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

ANTHEM BLUE CROSS LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62825 )

Policy contract number

280916

Policy instance

Insurance contract or identification number	280916
Number of Individuals Covered	174
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $27,241
Total amount of fees paid to insurance company	USD $7,547
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	Yes
Vision Insurance Welfare Benefit	Yes
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 $726,072
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $27,241
Insurance broker organization code?	3
Amount paid for insurance broker fees	7547
Additional information about fees paid to insurance broker	INCENTIVES, EDUCATION, COMMUNICATION AND TRAINING

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Company Name:	WING INFLATABLES, INC.
Employer identification number (EIN):	680400996
NAIC Classification:	336610

Jurisdiction of Incorporation:	California Department of State
Incorporation Date:	1997-11-12
Company Identification Number:	C2060341
Legal Registered Office Address:	3701 Mount Diablo Boulevard #201 Lafayette United States of America (USA) 94549