401k Plan data: GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN plan

GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN 401k Plan overview

Plan Name	GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN
Plan identification number	503

GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Other welfare benefit cover

401k Sponsoring company profile

GRACE MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: GRACE MANAGEMENT, INC.

Employer identification number (EIN): 760117314

NAIC Classification: 531110
NAIC Description: Lessors of Residential Buildings and Dwellings

Additional information about GRACE MANAGEMENT, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 1984-04-06

Company Identification Number: 0069947400

Legal Registered Office Address: 6900 WEDGWOOD RD N STE 300

MAPLE GROVE
United States of America (USA)
55311

More information about GRACE MANAGEMENT, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2023-01-01

Plan Statistics for GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN

401k plan membership statisitcs for GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN

Measure Date Value
2023: GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 113
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 0
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 0

Measure	Date	Value
2023: GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	113
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	0
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	0

Form 5500 Responses for GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN

2023: GRACE MANAGEMENT INC. SUPPLEMENTAL INSURANCE PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	Yes
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

73122-6

Policy instance

Insurance contract or identification number	73122-6
Number of Individuals Covered	166
Insurance policy start date	2023-01-01
Insurance policy end date	2023-04-30
Total amount of commissions paid to insurance broker	USD $22,431
Total amount of fees paid to insurance company	USD $1,783
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	No
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
Other welfare benefits provided	ACCIDENT, CRITICAL ILLNESS, HOSPITAL CONFINEMENT (VOLUNTARY)
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 $35,729
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,702
Insurance broker organization code?	3
Amount paid for insurance broker fees	1783
Additional information about fees paid to insurance broker	MARKETING FEE

Potentially related plans

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Company Name:	GRACE MANAGEMENT, INC.
Employer identification number (EIN):	760117314
NAIC Classification:	531110
NAIC Description:	Lessors of Residential Buildings and Dwellings

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	1984-04-06
Company Identification Number:	0069947400
Legal Registered Office Address:	6900 WEDGWOOD RD N STE 300 MAPLE GROVE United States of America (USA) 55311