401k Plan data: plan

Benefits

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

401k Sponsoring company profile

PRESCO POLYMERS OPCO, INC. has sponsored the creation of one or more 401k plans.

Company Name: PRESCO POLYMERS OPCO, INC.

Employer identification number (EIN): 833165375

NAIC Classification: 326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-10-01 LISA MCGREGOR 2024-03-01
501 2022-10-01 LISA MCGREGOR 2024-01-19
501 2021-10-01 DAVID E. CHISUM 2023-01-13
501 2020-10-01 DAVID E. CHISUM 2022-01-25
501 2019-10-01 DAVID E. CHISUM 2021-02-25

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-10-01	LISA MCGREGOR	2024-03-01
501	2022-10-01	LISA MCGREGOR	2024-01-19
501	2021-10-01	DAVID E. CHISUM	2023-01-13
501	2020-10-01	DAVID E. CHISUM	2022-01-25
501	2019-10-01	DAVID E. CHISUM	2021-02-25

Plan Statistics for

401k plan membership statisitcs for

Measure Date Value
2023: 2023 401k membership
Total participants, beginning-of-year 2023-10-01 257
Total number of active participants reported on line 7a of the Form 5500 2023-10-01 274
Number of retired or separated participants receiving benefits 2023-10-01 0
Number of other retired or separated participants entitled to future benefits 2023-10-01 0
Total of all active and inactive participants 2023-10-01 274
Number of employers contributing to the scheme 2023-10-01 0
2022: 2022 401k membership
Total participants, beginning-of-year 2022-10-01 257
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 277
Number of retired or separated participants receiving benefits 2022-10-01 0
Number of other retired or separated participants entitled to future benefits 2022-10-01 0
Total of all active and inactive participants 2022-10-01 277
Number of employers contributing to the scheme 2022-10-01 0
2021: 2021 401k membership
Total participants, beginning-of-year 2021-10-01 166
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 257
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 2021-10-01 257
Number of employers contributing to the scheme 2021-10-01 0
2020: 2020 401k membership
Total participants, beginning-of-year 2020-10-01 123
Total number of active participants reported on line 7a of the Form 5500 2020-10-01 166
Number of retired or separated participants receiving benefits 2020-10-01 2
Number of other retired or separated participants entitled to future benefits 2020-10-01 0
Total of all active and inactive participants 2020-10-01 168
Number of employers contributing to the scheme 2020-10-01 0
2019: 2019 401k membership
Total participants, beginning-of-year 2019-10-01 151
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 123
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 123
Number of employers contributing to the scheme 2019-10-01 0

Measure	Date	Value
2023: 2023 401k membership
Total participants, beginning-of-year	2023-10-01	257
Total number of active participants reported on line 7a of the Form 5500	2023-10-01	274
Number of retired or separated participants receiving benefits	2023-10-01	0
Number of other retired or separated participants entitled to future benefits	2023-10-01	0
Total of all active and inactive participants	2023-10-01	274
Number of employers contributing to the scheme	2023-10-01	0
2022: 2022 401k membership
Total participants, beginning-of-year	2022-10-01	257
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	277
Number of retired or separated participants receiving benefits	2022-10-01	0
Number of other retired or separated participants entitled to future benefits	2022-10-01	0
Total of all active and inactive participants	2022-10-01	277
Number of employers contributing to the scheme	2022-10-01	0
2021: 2021 401k membership
Total participants, beginning-of-year	2021-10-01	166
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	257
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	257
Number of employers contributing to the scheme	2021-10-01	0
2020: 2020 401k membership
Total participants, beginning-of-year	2020-10-01	123
Total number of active participants reported on line 7a of the Form 5500	2020-10-01	166
Number of retired or separated participants receiving benefits	2020-10-01	2
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	168
Number of employers contributing to the scheme	2020-10-01	0
2019: 2019 401k membership
Total participants, beginning-of-year	2019-10-01	151
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	123
Number of retired or separated participants receiving benefits	2019-10-01	0
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	123
Number of employers contributing to the scheme	2019-10-01	0

Form 5500 Responses for

2023: 2023 form 5500 responses
2023-10-01	Type of plan entity	Single employer plan
2023-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2023-10-01	Plan funding arrangement – Insurance	Yes
2023-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-10-01	Plan benefit arrangement – Insurance	Yes
2023-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
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: 2020 form 5500 responses
2020-10-01	Type of plan entity	Single employer plan
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: 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2019-10-01	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

577527

Policy instance

Insurance contract or identification number	577527
Number of Individuals Covered	329
Insurance policy start date	2023-10-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,042
Total amount of fees paid to insurance company	USD $805
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $40,420
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

39849

Policy instance

Insurance contract or identification number	39849
Number of Individuals Covered	333
Insurance policy start date	2023-10-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $929
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,826
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

577527

Policy instance

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

39849

Policy instance

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

Policy contract number

577527

Policy instance

NATIONAL GUARDIAN LIFE (National Association of Insurance Commissioners NAIC id number: 66583 )

Policy contract number

39849

Policy instance

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

Policy contract number

577527

Policy instance

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

P57524/R57524

Policy instance

BLOCK VISION (National Association of Insurance Commissioners NAIC id number: 95387 )

Policy contract number

326290

Policy instance

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

857524

Policy instance

UNITED CONCORDIA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85766 )

Policy contract number

903650-000

Policy instance

BLOCK VISION (National Association of Insurance Commissioners NAIC id number: 95387 )

Policy contract number

326290

Policy instance

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Company Name:	PRESCO POLYMERS OPCO, INC.
Employer identification number (EIN):	833165375
NAIC Classification:	326100