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A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN 401k Plan overview

Plan NameA AND L CESSPOOL SERVICE GROUP BENEFITS PLAN
Plan identification number 501

A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

A AND L CESSPOOL SERVICE has sponsored the creation of one or more 401k plans.

Company Name:A AND L CESSPOOL SERVICE
Employer identification number (EIN):112349802
NAIC Classification:562000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-05-01

Plan Statistics for A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN

401k plan membership statisitcs for A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN

Measure Date Value
2015: A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-0132
Total number of active participants reported on line 7a of the Form 55002015-05-0133
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0133

Financial Data on A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN

Measure Date Value
2015 : A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN 2015 401k financial data
Total income from all sources2015-11-30$110,262
Expenses. Total of all expenses incurred2015-11-30$110,262
Benefits paid (including direct rollovers)2015-11-30$74,792
Total plan assets at end of year2015-11-30$0
Total plan assets at beginning of year2015-11-30$0
Expenses. Other expenses not covered elsewhere2015-11-30$35,470
Net income (gross income less expenses)2015-11-30$0
Net plan assets at end of year (total assets less liabilities)2015-11-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-11-30$0
Total contributions received or receivable from employer(s)2015-11-30$110,262

Form 5500 Responses for A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN

2015: A AND L CESSPOOL SERVICE GROUP BENEFITS PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01First time form 5500 has been submittedYes
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number2128
Policy instance 1
Insurance contract or identification number2128
Number of Individuals Covered33
Insurance policy start date2015-05-01
Insurance policy end date2015-11-30
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $49,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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