401k Plan data: ARMAND AGRA, INC. PREMIUM CONVERSION PLAN plan

ARMAND AGRA, INC. PREMIUM CONVERSION PLAN 401k Plan overview

Plan Name	ARMAND AGRA, INC. PREMIUM CONVERSION PLAN
Plan identification number	503

ARMAND AGRA, INC. PREMIUM CONVERSION PLAN Benefits

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

401k Sponsoring company profile

ARMAND AGRA, INC. has sponsored the creation of one or more 401k plans.

Company Name: ARMAND AGRA, INC.

Employer identification number (EIN): 880272710

NAIC Classification: 424400

Additional information about ARMAND AGRA, INC.

Jurisdiction of Incorporation: Nevada Department of State

Incorporation Date: 1991-04-26

Company Identification Number: 19911023619

Legal Registered Office Address: 1330 CAPITAL BLVD

RENO
United States of America (USA)
89510

More information about ARMAND AGRA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARMAND AGRA, INC. PREMIUM CONVERSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2021-10-01 CATHLEEN ZIMMERMAN 2023-04-26

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
503	2021-10-01	CATHLEEN ZIMMERMAN	2023-04-26

Plan Statistics for ARMAND AGRA, INC. PREMIUM CONVERSION PLAN

401k plan membership statisitcs for ARMAND AGRA, INC. PREMIUM CONVERSION PLAN

Measure Date Value
2021: ARMAND AGRA, INC. PREMIUM CONVERSION PLAN 2021 401k membership
Total participants, beginning-of-year 2021-10-01 252
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 247
Number of retired or separated participants receiving benefits 2021-10-01 6
Number of other retired or separated participants entitled to future benefits 2021-10-01 6
Total of all active and inactive participants 2021-10-01 259

Measure	Date	Value
2021: ARMAND AGRA, INC. PREMIUM CONVERSION PLAN 2021 401k membership
Total participants, beginning-of-year	2021-10-01	252
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	247
Number of retired or separated participants receiving benefits	2021-10-01	6
Number of other retired or separated participants entitled to future benefits	2021-10-01	6
Total of all active and inactive participants	2021-10-01	259

Form 5500 Responses for ARMAND AGRA, INC. PREMIUM CONVERSION PLAN

2021: ARMAND AGRA, INC. PREMIUM CONVERSION PLAN 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

0918968

Policy instance

Insurance contract or identification number	0918968
Number of Individuals Covered	247
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $56,633
Total amount of fees paid to insurance company	USD $0
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	No
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 $1,205,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $56,633
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3

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

Policy contract number

5965850

Policy instance

Insurance contract or identification number	5965850
Number of Individuals Covered	197
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
Total amount of commissions paid to insurance broker	USD $26,454
Total amount of fees paid to insurance company	USD $3,386
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	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND 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 $139,320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $18,375
Amount paid for insurance broker fees	871
Additional information about fees paid to insurance broker	COMMISSIONS AND FEES
Insurance broker organization code?	3

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Company Name:	ARMAND AGRA, INC.
Employer identification number (EIN):	880272710
NAIC Classification:	424400

Jurisdiction of Incorporation:	Nevada Department of State
Incorporation Date:	1991-04-26
Company Identification Number:	19911023619
Legal Registered Office Address:	1330 CAPITAL BLVD RENO United States of America (USA) 89510