401k Plan data: AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN plan

AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN 401k Plan overview

Plan Name	AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN
Plan identification number	502

AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

AUTOKINITON US HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: AUTOKINITON US HOLDINGS, INC.

Employer identification number (EIN): 825285212

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2022-01-01 JEANNINE EDGREN 2023-09-20
502 2021-01-01 JEANNINE EDGREN 2022-07-22

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2022-01-01	JEANNINE EDGREN	2023-09-20
502	2021-01-01	JEANNINE EDGREN	2022-07-22

Plan Statistics for AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN

401k plan membership statisitcs for AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN

Measure Date Value
2022: AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 3,495
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,590
Number of retired or separated participants receiving benefits 2022-01-01 6
Number of other retired or separated participants entitled to future benefits 2022-01-01 1,861
Total of all active and inactive participants 2022-01-01 3,457
2021: AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 3,727
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,547
Number of retired or separated participants receiving benefits 2021-01-01 3
Number of other retired or separated participants entitled to future benefits 2021-01-01 1,945
Total of all active and inactive participants 2021-01-01 3,495

Measure	Date	Value
2022: AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	3,495
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,590
Number of retired or separated participants receiving benefits	2022-01-01	6
Number of other retired or separated participants entitled to future benefits	2022-01-01	1,861
Total of all active and inactive participants	2022-01-01	3,457
2021: AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	3,727
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,547
Number of retired or separated participants receiving benefits	2021-01-01	3
Number of other retired or separated participants entitled to future benefits	2021-01-01	1,945
Total of all active and inactive participants	2021-01-01	3,495

Form 5500 Responses for AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN

2022: AUTOKINITON US HOLDINGS, INC. ASSOCIATE 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	Yes
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: AUTOKINITON US HOLDINGS, INC. ASSOCIATE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	First time form 5500 has been submitted	Yes
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

481899

Policy instance

Insurance contract or identification number	481899
Number of Individuals Covered	3156
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $76,325
Total amount of fees paid to insurance company	USD $26,313
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 $1,467,783
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $76,325
Amount paid for insurance broker fees	26313
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

ULLIANCE, INC. (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

CTS # 632

Policy instance

Insurance contract or identification number	CTS # 632
Number of Individuals Covered	1590
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	EMPLOYEE ASSISTANCE PROGRAM
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 $23,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

481899

Policy instance

Insurance contract or identification number	481899
Number of Individuals Covered	3461
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $71,308
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
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 $1,403,691
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $71,308
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3

ULLIANCE, INC. (National Association of Insurance Commissioners NAIC id number: 62419 )

Policy contract number

NONE

Policy instance

Insurance contract or identification number	NONE
Number of Individuals Covered	1547
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
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	EMPLOYEE ASSISTANCE PROGRAM
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 $30,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	AUTOKINITON US HOLDINGS, INC.
Employer identification number (EIN):	825285212
NAIC Classification:	332900