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DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN 401k Plan overview

Plan NameDONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN
Plan identification number 501

DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

DON'S MACHINE SHOP LLC has sponsored the creation of one or more 401k plans.

Company Name:DON'S MACHINE SHOP LLC
Employer identification number (EIN):873904574
NAIC Classification:332700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012023-01-01WELSEY TERRY
5012022-01-01

Plan Statistics for DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN

401k plan membership statisitcs for DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2025: DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN 2025 401k membership
Total number of particpants at beginning of year2025-07-115
Total number of particpants at end of year2025-07-116
2023: DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-014
Total number of active participants reported on line 7a of the Form 55002023-01-014
Total of all active and inactive participants2023-01-014
Total participants2023-01-014

Financial Data on DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2025 : DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN 2025 401k financial data
Total liabilities as of the end of the plan year2025-07-110
Total liabilities as of the beginning of the plan year2025-07-110
Total expenses incurred by plan in this plan year2025-07-1146167
Net assets as of the end of the plan year2025-07-11740
Total assets as of the beginning of the plan year2025-07-110
Other expenses paid from plan in this plan year2025-07-1129089
Plan net income in this plan year2025-07-11740
Net assets as of the end of the plan year2025-07-11740
Net assets as of the beginning of the plan year2025-07-110
Employer contributions to plan in this plan year2025-07-1146907
Expensese paid to adminstrative service provicers from plan in this plan year2025-07-1112651

Form 5500 Responses for DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN

2023: DONS MACHINE SHOP LLC EMPLOYEE GROUP HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract number501
Policy instance 1
Insurance contract or identification number501
Number of Individuals Covered9
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of fees paid to insurance companyUSD $17,565
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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