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CUSTOM APPLE 401k Plan overview

Plan NameCUSTOM APPLE
Plan identification number 504

CUSTOM APPLE Benefits

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

401k Sponsoring company profile

CUSTOM APPLE PACKERS, INC has sponsored the creation of one or more 401k plans.

Company Name:CUSTOM APPLE PACKERS, INC
Employer identification number (EIN):910747417
NAIC Classification:111300
NAIC Description:Fruit and Tree Nut Farming

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUSTOM APPLE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042023-01-01JOSH WELDY2024-09-05
5042022-01-01JOSHUA WELDY2023-06-21
5042021-01-01JOHN DOYLE2022-04-11
5042020-01-01JOHN DOYLE2021-06-30
5042019-01-01JOHN DOYLE2020-05-08

Plan Statistics for CUSTOM APPLE

401k plan membership statisitcs for CUSTOM APPLE

Measure Date Value
2023: CUSTOM APPLE 2023 401k membership
Total participants, beginning-of-year2023-01-01122
Total number of active participants reported on line 7a of the Form 55002023-01-01107
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01107
Number of employers contributing to the scheme2023-01-010
2022: CUSTOM APPLE 2022 401k membership
Total participants, beginning-of-year2022-01-01131
Total number of active participants reported on line 7a of the Form 55002022-01-01122
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01122
Number of employers contributing to the scheme2022-01-010
2021: CUSTOM APPLE 2021 401k membership
Total participants, beginning-of-year2021-01-01177
Total number of active participants reported on line 7a of the Form 55002021-01-01174
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01174
Number of employers contributing to the scheme2021-01-010
2020: CUSTOM APPLE 2020 401k membership
Total participants, beginning-of-year2020-01-01157
Total number of active participants reported on line 7a of the Form 55002020-01-01177
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01177
Number of employers contributing to the scheme2020-01-010
2019: CUSTOM APPLE 2019 401k membership
Total participants, beginning-of-year2019-01-01147
Total number of active participants reported on line 7a of the Form 55002019-01-01157
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01157
Number of employers contributing to the scheme2019-01-010

Form 5500 Responses for CUSTOM APPLE

2023: CUSTOM APPLE 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: CUSTOM APPLE 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CUSTOM APPLE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CUSTOM APPLE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CUSTOM APPLE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number10052038
Policy instance 1
Insurance contract or identification number10052038
Number of Individuals Covered133
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $57,973
Total amount of fees paid to insurance companyUSD $4,595
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,159,467
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASURIS NORTHWEST HEALTH (National Association of Insurance Commissioners NAIC id number: 47350 )
Policy contract number10052038
Policy instance 1
Insurance contract or identification number10052038
Number of Individuals Covered159
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $56,897
Total amount of fees paid to insurance companyUSD $8,806
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,249,344
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4019034
Policy instance 1
PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number4019034
Policy instance 1

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