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TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameTEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND
Plan identification number 501

TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Scholarship (funded)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

TEAMSTERS LOCAL UNION NO.115 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TEAMSTERS LOCAL UNION NO.115 HEALTH AND WELFARE FUND
Employer identification number (EIN):231716164
NAIC Classification:484120
NAIC Description: General Freight Trucking, Long-Distance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01CHARLES ARGEROS
5012016-01-01CHARLES ARGEROS
5012015-01-01CHARLES ARGEROS
5012014-01-01CHARLES ARGEROS
5012013-01-01CHARLES ARGEROS
5012012-01-01CHARLES ARGEROS
5012011-01-01JAMES E. SMITH, JR.
5012010-01-01JAMES E. SMITH, JR.
5012009-01-01JAMES SMITH JEFF ALLEN2010-10-11

Plan Statistics for TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND

401k plan membership statisitcs for TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND

Measure Date Value
2023: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2023 401k membership
Total participants, beginning-of-year2023-01-011,229
Total number of active participants reported on line 7a of the Form 55002023-01-011,273
Total of all active and inactive participants2023-01-011,273
Number of employers contributing to the scheme2023-01-0115
2022: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-011,159
Total number of active participants reported on line 7a of the Form 55002022-01-011,229
Total of all active and inactive participants2022-01-011,229
Number of employers contributing to the scheme2022-01-0117
2021: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-011,094
Total number of active participants reported on line 7a of the Form 55002021-01-011,159
Total of all active and inactive participants2021-01-011,159
Number of employers contributing to the scheme2021-01-0126
2020: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-011,257
Total number of active participants reported on line 7a of the Form 55002020-01-011,091
Number of retired or separated participants receiving benefits2020-01-013
Total of all active and inactive participants2020-01-011,094
Number of employers contributing to the scheme2020-01-0126
2019: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-011,263
Total number of active participants reported on line 7a of the Form 55002019-01-011,253
Number of retired or separated participants receiving benefits2019-01-014
Total of all active and inactive participants2019-01-011,257
Number of employers contributing to the scheme2019-01-0129
2018: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-011,190
Total number of active participants reported on line 7a of the Form 55002018-01-011,259
Number of retired or separated participants receiving benefits2018-01-014
Total of all active and inactive participants2018-01-011,263
Number of employers contributing to the scheme2018-01-0127
2017: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-011,189
Total number of active participants reported on line 7a of the Form 55002017-01-011,188
Number of retired or separated participants receiving benefits2017-01-012
Total of all active and inactive participants2017-01-011,190
Number of employers contributing to the scheme2017-01-0128
2016: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-011,125
Total number of active participants reported on line 7a of the Form 55002016-01-011,185
Number of retired or separated participants receiving benefits2016-01-014
Total of all active and inactive participants2016-01-011,189
Number of employers contributing to the scheme2016-01-0116
2015: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-011,076
Total number of active participants reported on line 7a of the Form 55002015-01-011,122
Number of retired or separated participants receiving benefits2015-01-013
Total of all active and inactive participants2015-01-011,125
Number of employers contributing to the scheme2015-01-0119
2014: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-011,083
Total number of active participants reported on line 7a of the Form 55002014-01-011,076
Total of all active and inactive participants2014-01-011,076
Number of employers contributing to the scheme2014-01-0128
2013: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-011,145
Total number of active participants reported on line 7a of the Form 55002013-01-011,083
Total of all active and inactive participants2013-01-011,083
Number of employers contributing to the scheme2013-01-0145
2012: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-011,131
Total number of active participants reported on line 7a of the Form 55002012-01-011,145
Number of retired or separated participants receiving benefits2012-01-010
Total of all active and inactive participants2012-01-011,145
Number of employers contributing to the scheme2012-01-0145
2011: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-011,178
Total number of active participants reported on line 7a of the Form 55002011-01-011,127
Number of retired or separated participants receiving benefits2011-01-014
Total of all active and inactive participants2011-01-011,131
Number of employers contributing to the scheme2011-01-0145
2010: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-011,212
Total number of active participants reported on line 7a of the Form 55002010-01-011,168
Number of retired or separated participants receiving benefits2010-01-0110
Total of all active and inactive participants2010-01-011,178
Number of employers contributing to the scheme2010-01-0139
2009: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-011,258
Total number of active participants reported on line 7a of the Form 55002009-01-011,209
Number of retired or separated participants receiving benefits2009-01-013
Total of all active and inactive participants2009-01-011,212
Number of employers contributing to the scheme2009-01-0134

Financial Data on TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND

Measure Date Value
2023 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$684,346
Total unrealized appreciation/depreciation of assets2023-12-31$684,346
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,177,709
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$1,058,701
Total income from all sources (including contributions)2023-12-31$18,642,535
Total loss/gain on sale of assets2023-12-31$-232,657
Total of all expenses incurred2023-12-31$12,027,918
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$10,604,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$13,774,249
Value of total assets at end of year2023-12-31$50,851,319
Value of total assets at beginning of year2023-12-31$44,117,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,423,401
Total income from rents2023-12-31$54,420
Total interest from all sources2023-12-31$308,215
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$1,127,505
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$1,099,244
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$16,973
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$387,470
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$337,022
Administrative expenses (other) incurred2023-12-31$845,812
Liabilities. Value of operating payables at end of year2023-12-31$113,315
Liabilities. Value of operating payables at beginning of year2023-12-31$73,663
Total non interest bearing cash at end of year2023-12-31$573,323
Total non interest bearing cash at beginning of year2023-12-31$522,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$6,614,617
Value of net assets at end of year (total assets less liabilities)2023-12-31$49,673,610
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$43,058,993
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$36,920
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$36,104,668
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$30,347,383
Income. Interest from US Government securities2023-12-31$74,824
Income. Interest from corporate debt instruments2023-12-31$52,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$6,093,850
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$5,534,384
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$5,534,384
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$180,772
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$630,789
Asset value of US Government securities at end of year2023-12-31$2,457,605
Asset value of US Government securities at beginning of year2023-12-31$2,209,989
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$2,926,457
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$13,757,276
Employer contributions (assets) at end of year2023-12-31$1,330,002
Employer contributions (assets) at beginning of year2023-12-31$1,439,823
Income. Dividends from common stock2023-12-31$28,261
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$9,973,728
Asset. Corporate debt instrument preferred debt at end of year2023-12-31$1,728,267
Asset. Corporate debt instrument preferred debt at beginning of year2023-12-31$1,693,623
Assets. Corporate common stocks other than exployer securities at end of year2023-12-31$928,247
Assets. Corporate common stocks other than exployer securities at beginning of year2023-12-31$765,581
Liabilities. Value of benefit claims payable at end of year2023-12-31$1,064,394
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$985,038
Assets. Value of buildings and other operty used in plan operation at end of year2023-12-31$1,247,887
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-12-31$1,266,914
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Aggregate proceeds on sale of assets2023-12-31$1,867,983
Aggregate carrying amount (costs) on sale of assets2023-12-31$2,100,640
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2023-12-31611436956
2022 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,241,783
Total unrealized appreciation/depreciation of assets2022-12-31$-1,241,783
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,058,701
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$820,016
Total income from all sources (including contributions)2022-12-31$8,389,961
Total loss/gain on sale of assets2022-12-31$-231,888
Total of all expenses incurred2022-12-31$12,968,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$11,693,302
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$13,036,325
Value of total assets at end of year2022-12-31$44,117,694
Value of total assets at beginning of year2022-12-31$48,457,980
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,275,630
Total income from rents2022-12-31$51,088
Total interest from all sources2022-12-31$103,465
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,026,076
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,023,752
Administrative expenses professional fees incurred2022-12-31$163,421
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$19,598
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$337,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$297,386
Other income not declared elsewhere2022-12-31$30
Administrative expenses (other) incurred2022-12-31$1,074,329
Liabilities. Value of operating payables at end of year2022-12-31$73,663
Liabilities. Value of operating payables at beginning of year2022-12-31$57,316
Total non interest bearing cash at end of year2022-12-31$522,975
Total non interest bearing cash at beginning of year2022-12-31$1,192,168
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-4,578,971
Value of net assets at end of year (total assets less liabilities)2022-12-31$43,058,993
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$47,637,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$37,880
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$30,347,383
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$33,626,090
Interest earned on other investments2022-12-31$3,337
Income. Interest from US Government securities2022-12-31$43,538
Income. Interest from corporate debt instruments2022-12-31$56,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$5,534,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$4,366,061
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$4,366,061
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$259
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$540,112
Asset value of US Government securities at end of year2022-12-31$2,209,989
Asset value of US Government securities at beginning of year2022-12-31$2,367,945
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-4,353,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$13,016,727
Employer contributions (assets) at end of year2022-12-31$1,439,823
Employer contributions (assets) at beginning of year2022-12-31$1,399,196
Income. Dividends from common stock2022-12-31$2,324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$11,153,190
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$1,693,623
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$2,708,241
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$765,581
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$1,204,936
Liabilities. Value of benefit claims payable at end of year2022-12-31$985,038
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$762,700
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$1,266,914
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$1,295,957
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$2,788,301
Aggregate carrying amount (costs) on sale of assets2022-12-31$3,020,189
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2022-12-31611436956
2021 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-307,382
Total unrealized appreciation/depreciation of assets2021-12-31$-307,382
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$820,016
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$813,137
Total income from all sources (including contributions)2021-12-31$16,882,924
Total loss/gain on sale of assets2021-12-31$19,182
Total of all expenses incurred2021-12-31$11,080,012
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,926,986
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$11,984,398
Value of total assets at end of year2021-12-31$48,457,980
Value of total assets at beginning of year2021-12-31$42,648,189
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,153,026
Total income from rents2021-12-31$49,422
Total interest from all sources2021-12-31$170,697
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$996,708
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$994,011
Administrative expenses professional fees incurred2021-12-31$153,879
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$29,469
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$297,386
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$281,110
Other income not declared elsewhere2021-12-31$101,481
Administrative expenses (other) incurred2021-12-31$959,952
Liabilities. Value of operating payables at end of year2021-12-31$57,316
Liabilities. Value of operating payables at beginning of year2021-12-31$61,400
Total non interest bearing cash at end of year2021-12-31$1,192,168
Total non interest bearing cash at beginning of year2021-12-31$1,328,249
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$5,802,912
Value of net assets at end of year (total assets less liabilities)2021-12-31$47,637,964
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$41,835,052
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$39,195
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$33,626,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$24,729,024
Interest earned on other investments2021-12-31$53,712
Income. Interest from US Government securities2021-12-31$43,385
Income. Interest from corporate debt instruments2021-12-31$70,343
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$4,366,061
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,307,349
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,307,349
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$3,257
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$415,600
Asset value of US Government securities at end of year2021-12-31$2,367,945
Asset value of US Government securities at beginning of year2021-12-31$2,532,343
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,868,418
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$11,954,929
Employer contributions (assets) at end of year2021-12-31$1,399,196
Employer contributions (assets) at beginning of year2021-12-31$917,336
Income. Dividends from common stock2021-12-31$2,697
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,511,386
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$2,708,241
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$2,534,987
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$1,204,936
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$1,682,741
Liabilities. Value of benefit claims payable at end of year2021-12-31$762,700
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$751,737
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$1,295,957
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$1,335,050
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$2,370,932
Aggregate carrying amount (costs) on sale of assets2021-12-31$2,351,750
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2021-12-31611436956
2020 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$136,795
Total unrealized appreciation/depreciation of assets2020-12-31$136,795
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$813,137
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$975,871
Total income from all sources (including contributions)2020-12-31$16,800,515
Total loss/gain on sale of assets2020-12-31$246,000
Total of all expenses incurred2020-12-31$10,565,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$9,274,266
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$13,065,275
Value of total assets at end of year2020-12-31$42,648,189
Value of total assets at beginning of year2020-12-31$36,576,378
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,291,704
Total income from rents2020-12-31$49,422
Total interest from all sources2020-12-31$275,994
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$465,729
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$426,046
Administrative expenses professional fees incurred2020-12-31$123,494
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$17,972
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$281,110
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$94,981
Other income not declared elsewhere2020-12-31$358
Administrative expenses (other) incurred2020-12-31$1,122,288
Liabilities. Value of operating payables at end of year2020-12-31$61,400
Liabilities. Value of operating payables at beginning of year2020-12-31$67,115
Total non interest bearing cash at end of year2020-12-31$1,328,249
Total non interest bearing cash at beginning of year2020-12-31$889,526
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$6,234,545
Value of net assets at end of year (total assets less liabilities)2020-12-31$41,835,052
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$35,600,507
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$45,922
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$24,729,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$18,010,050
Income. Interest from US Government securities2020-12-31$173,109
Income. Interest from corporate debt instruments2020-12-31$64,529
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,307,349
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$7,507,166
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$7,507,166
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$38,356
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$483,954
Asset value of US Government securities at end of year2020-12-31$2,532,343
Asset value of US Government securities at beginning of year2020-12-31$2,699,096
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,560,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$13,047,303
Employer contributions (assets) at end of year2020-12-31$917,336
Employer contributions (assets) at beginning of year2020-12-31$1,097,552
Income. Dividends from common stock2020-12-31$39,683
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$8,790,312
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$2,534,987
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$2,094,837
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$1,682,741
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$2,809,523
Liabilities. Value of benefit claims payable at end of year2020-12-31$751,737
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$908,756
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$1,335,050
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$1,373,647
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$8,852,959
Aggregate carrying amount (costs) on sale of assets2020-12-31$8,606,959
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2020-12-31611436956
2019 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$614,226
Total unrealized appreciation/depreciation of assets2019-12-31$614,226
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$975,871
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,086,611
Total income from all sources (including contributions)2019-12-31$18,180,748
Total loss/gain on sale of assets2019-12-31$270,724
Total of all expenses incurred2019-12-31$11,914,492
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$10,471,248
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,607,865
Value of total assets at end of year2019-12-31$36,576,378
Value of total assets at beginning of year2019-12-31$30,420,862
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,443,244
Total income from rents2019-12-31$49,422
Total interest from all sources2019-12-31$283,968
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$392,210
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$356,439
Administrative expenses professional fees incurred2019-12-31$128,083
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$33,381
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$94,981
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$104,427
Other income not declared elsewhere2019-12-31$733
Administrative expenses (other) incurred2019-12-31$1,262,001
Liabilities. Value of operating payables at end of year2019-12-31$67,115
Liabilities. Value of operating payables at beginning of year2019-12-31$55,610
Total non interest bearing cash at end of year2019-12-31$889,526
Total non interest bearing cash at beginning of year2019-12-31$1,061,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$6,266,256
Value of net assets at end of year (total assets less liabilities)2019-12-31$35,600,507
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$29,334,251
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$53,160
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$18,010,050
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$12,759,366
Income. Interest from US Government securities2019-12-31$49,621
Income. Interest from corporate debt instruments2019-12-31$64,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$7,507,166
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$7,895,538
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$7,895,538
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$169,503
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$475,888
Asset value of US Government securities at end of year2019-12-31$2,699,096
Asset value of US Government securities at beginning of year2019-12-31$2,077,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,961,600
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$13,574,484
Employer contributions (assets) at end of year2019-12-31$1,097,552
Employer contributions (assets) at beginning of year2019-12-31$1,025,003
Income. Dividends from common stock2019-12-31$35,771
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$9,995,360
Asset. Corporate debt instrument preferred debt at end of year2019-12-31$2,094,837
Asset. Corporate debt instrument preferred debt at beginning of year2019-12-31$2,009,067
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$2,809,523
Assets. Corporate common stocks other than exployer securities at beginning of year2019-12-31$2,068,459
Liabilities. Value of benefit claims payable at end of year2019-12-31$908,756
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,031,001
Assets. Value of buildings and other operty used in plan operation at end of year2019-12-31$1,373,647
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-12-31$1,420,186
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$8,177,486
Aggregate carrying amount (costs) on sale of assets2019-12-31$7,906,762
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2019-12-31611436956
2018 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-228,913
Total unrealized appreciation/depreciation of assets2018-12-31$-228,913
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,086,611
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,011,806
Total income from all sources (including contributions)2018-12-31$11,899,851
Total loss/gain on sale of assets2018-12-31$10,239
Total of all expenses incurred2018-12-31$10,790,961
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$9,454,844
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$12,434,178
Value of total assets at end of year2018-12-31$30,420,862
Value of total assets at beginning of year2018-12-31$29,237,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,336,117
Total income from rents2018-12-31$47,968
Total interest from all sources2018-12-31$232,074
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$364,578
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$290,994
Administrative expenses professional fees incurred2018-12-31$128,182
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$14,422
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$104,427
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$152,217
Other income not declared elsewhere2018-12-31$171
Administrative expenses (other) incurred2018-12-31$1,160,533
Liabilities. Value of operating payables at end of year2018-12-31$55,610
Liabilities. Value of operating payables at beginning of year2018-12-31$88,830
Total non interest bearing cash at end of year2018-12-31$1,061,241
Total non interest bearing cash at beginning of year2018-12-31$577,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,108,890
Value of net assets at end of year (total assets less liabilities)2018-12-31$29,334,251
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$28,225,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$47,402
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$12,759,366
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,723,190
Income. Interest from US Government securities2018-12-31$35,111
Income. Interest from corporate debt instruments2018-12-31$67,453
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$7,895,538
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$7,459,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$7,459,074
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$129,510
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$555,998
Asset value of US Government securities at end of year2018-12-31$2,077,575
Asset value of US Government securities at beginning of year2018-12-31$1,973,304
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-960,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$12,419,756
Employer contributions (assets) at end of year2018-12-31$1,025,003
Employer contributions (assets) at beginning of year2018-12-31$1,135,089
Income. Dividends from common stock2018-12-31$73,584
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$8,898,846
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$2,009,067
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$1,962,409
Assets. Corporate common stocks other than exployer securities at end of year2018-12-31$2,068,459
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$1,817,044
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,031,001
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$922,976
Assets. Value of buildings and other operty used in plan operation at end of year2018-12-31$1,420,186
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-12-31$1,436,954
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$8,960,331
Aggregate carrying amount (costs) on sale of assets2018-12-31$8,950,092
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2018-12-31611436956
2017 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$250,815
Total unrealized appreciation/depreciation of assets2017-12-31$250,815
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,011,806
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$743,725
Total income from all sources (including contributions)2017-12-31$15,265,623
Total loss/gain on sale of assets2017-12-31$113,560
Total of all expenses incurred2017-12-31$13,401,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$11,943,260
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,678,480
Value of total assets at end of year2017-12-31$29,237,167
Value of total assets at beginning of year2017-12-31$27,105,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,458,438
Total income from rents2017-12-31$71,712
Total interest from all sources2017-12-31$155,898
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$279,154
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$257,217
Administrative expenses professional fees incurred2017-12-31$133,570
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$8,263
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$152,217
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$155,441
Other income not declared elsewhere2017-12-31$767,870
Administrative expenses (other) incurred2017-12-31$1,278,086
Liabilities. Value of operating payables at end of year2017-12-31$88,830
Liabilities. Value of operating payables at beginning of year2017-12-31$66,087
Total non interest bearing cash at end of year2017-12-31$577,886
Total non interest bearing cash at beginning of year2017-12-31$506,002
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,863,925
Value of net assets at end of year (total assets less liabilities)2017-12-31$28,225,361
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$26,361,436
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$46,782
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$12,723,190
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,846,777
Income. Interest from US Government securities2017-12-31$47,339
Income. Interest from corporate debt instruments2017-12-31$57,570
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$7,459,074
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$6,690,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$6,690,768
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$50,989
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$428,295
Asset value of US Government securities at end of year2017-12-31$1,973,304
Asset value of US Government securities at beginning of year2017-12-31$2,890,020
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,948,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$11,670,217
Employer contributions (assets) at end of year2017-12-31$1,135,089
Employer contributions (assets) at beginning of year2017-12-31$999,144
Income. Dividends from common stock2017-12-31$21,937
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$11,514,965
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$1,962,409
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$2,938,569
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$1,817,044
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$1,482,892
Liabilities. Value of benefit claims payable at end of year2017-12-31$922,976
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$677,638
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$1,436,954
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$595,548
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$6,155,532
Aggregate carrying amount (costs) on sale of assets2017-12-31$6,041,972
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2017-12-31611436956
2016 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$48,342
Total unrealized appreciation/depreciation of assets2016-12-31$48,342
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$743,725
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$973,886
Total income from all sources (including contributions)2016-12-31$12,427,222
Total loss/gain on sale of assets2016-12-31$38,531
Total of all expenses incurred2016-12-31$12,302,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$10,999,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$10,955,800
Value of total assets at end of year2016-12-31$27,105,161
Value of total assets at beginning of year2016-12-31$27,210,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,302,183
Total income from rents2016-12-31$71,711
Total interest from all sources2016-12-31$165,861
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$266,331
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$237,168
Administrative expenses professional fees incurred2016-12-31$104,650
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$20,747
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$155,441
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$100,483
Other income not declared elsewhere2016-12-31$16,250
Administrative expenses (other) incurred2016-12-31$1,143,396
Liabilities. Value of operating payables at end of year2016-12-31$66,087
Liabilities. Value of operating payables at beginning of year2016-12-31$43,317
Total non interest bearing cash at end of year2016-12-31$506,002
Total non interest bearing cash at beginning of year2016-12-31$124,235
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$125,118
Value of net assets at end of year (total assets less liabilities)2016-12-31$26,361,436
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$26,236,318
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$54,137
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,846,777
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$10,601,464
Income. Interest from US Government securities2016-12-31$58,314
Income. Interest from corporate debt instruments2016-12-31$89,808
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$6,690,768
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$6,976,833
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$6,976,833
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$17,739
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$336,918
Asset value of US Government securities at end of year2016-12-31$2,890,020
Asset value of US Government securities at beginning of year2016-12-31$3,151,868
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$864,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$10,935,053
Employer contributions (assets) at end of year2016-12-31$999,144
Employer contributions (assets) at beginning of year2016-12-31$807,784
Income. Dividends from common stock2016-12-31$29,163
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$10,663,003
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$2,938,569
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$2,840,277
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$1,482,892
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$1,963,219
Liabilities. Value of benefit claims payable at end of year2016-12-31$677,638
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$930,569
Assets. Value of buildings and other operty used in plan operation at end of year2016-12-31$595,548
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-12-31$644,041
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$6,913,500
Aggregate carrying amount (costs) on sale of assets2016-12-31$6,874,969
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2016-12-31611436956
2015 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$54,173
Total unrealized appreciation/depreciation of assets2015-12-31$54,173
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$973,886
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$243,452
Total income from all sources (including contributions)2015-12-31$10,108,220
Total loss/gain on sale of assets2015-12-31$-829,530
Total of all expenses incurred2015-12-31$11,237,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,847,307
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,734,512
Value of total assets at end of year2015-12-31$27,210,204
Value of total assets at beginning of year2015-12-31$27,608,782
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,389,925
Total income from rents2015-12-31$71,711
Total interest from all sources2015-12-31$152,705
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$270,500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$237,825
Administrative expenses professional fees incurred2015-12-31$97,678
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$23,384
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$100,483
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$98,817
Other income not declared elsewhere2015-12-31$920
Administrative expenses (other) incurred2015-12-31$1,237,125
Liabilities. Value of operating payables at end of year2015-12-31$43,317
Liabilities. Value of operating payables at beginning of year2015-12-31$51,305
Total non interest bearing cash at end of year2015-12-31$124,235
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,129,012
Value of net assets at end of year (total assets less liabilities)2015-12-31$26,236,318
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$27,365,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$55,122
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$10,601,464
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,609,701
Income. Interest from US Government securities2015-12-31$61,622
Income. Interest from corporate debt instruments2015-12-31$87,610
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$6,976,833
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$7,075,601
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$7,075,601
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,473
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$242,060
Asset value of US Government securities at end of year2015-12-31$3,151,868
Asset value of US Government securities at beginning of year2015-12-31$3,060,193
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$653,229
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$9,711,128
Employer contributions (assets) at end of year2015-12-31$807,784
Employer contributions (assets) at beginning of year2015-12-31$761,841
Income. Dividends from common stock2015-12-31$32,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$9,605,247
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$2,840,277
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$2,896,394
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$1,963,219
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$2,417,304
Liabilities. Value of benefit claims payable at end of year2015-12-31$930,569
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$192,147
Assets. Value of buildings and other operty used in plan operation at end of year2015-12-31$644,041
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-12-31$688,931
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$12,087,558
Aggregate carrying amount (costs) on sale of assets2015-12-31$12,917,088
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2015-12-31611436956
2014 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$138,206
Total unrealized appreciation/depreciation of assets2014-12-31$138,206
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$243,452
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,072,381
Total income from all sources (including contributions)2014-12-31$10,923,728
Total loss/gain on sale of assets2014-12-31$24,971
Total of all expenses incurred2014-12-31$10,509,154
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$9,299,670
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$9,218,990
Value of total assets at end of year2014-12-31$27,608,782
Value of total assets at beginning of year2014-12-31$28,023,137
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$1,209,484
Total income from rents2014-12-31$71,518
Total interest from all sources2014-12-31$138,144
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$268,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$224,748
Administrative expenses professional fees incurred2014-12-31$94,046
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$23,072
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$98,817
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$90,576
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$21,420
Other income not declared elsewhere2014-12-31$5,008
Administrative expenses (other) incurred2014-12-31$1,044,916
Liabilities. Value of operating payables at end of year2014-12-31$51,305
Liabilities. Value of operating payables at beginning of year2014-12-31$49,184
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$414,574
Value of net assets at end of year (total assets less liabilities)2014-12-31$27,365,330
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$26,950,756
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$70,522
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,609,701
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$11,626,336
Income. Interest from US Government securities2014-12-31$49,979
Income. Interest from corporate debt instruments2014-12-31$85,158
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$7,075,601
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$7,250,712
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$7,250,712
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3,007
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$194,752
Asset value of US Government securities at end of year2014-12-31$3,060,193
Asset value of US Government securities at beginning of year2014-12-31$2,793,296
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,058,617
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$9,195,918
Employer contributions (assets) at end of year2014-12-31$761,841
Employer contributions (assets) at beginning of year2014-12-31$936,769
Income. Dividends from common stock2014-12-31$43,526
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$9,104,918
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$2,896,394
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$2,296,819
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$2,417,304
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$2,281,518
Liabilities. Value of benefit claims payable at end of year2014-12-31$192,147
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,001,777
Assets. Value of buildings and other operty used in plan operation at end of year2014-12-31$688,931
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-12-31$747,111
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$14,460,837
Aggregate carrying amount (costs) on sale of assets2014-12-31$14,435,866
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2014-12-31611436956
2013 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$277,193
Total unrealized appreciation/depreciation of assets2013-12-31$277,193
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,072,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$909,589
Total income from all sources (including contributions)2013-12-31$13,332,989
Total loss/gain on sale of assets2013-12-31$278,247
Total of all expenses incurred2013-12-31$11,475,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$10,229,364
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$9,877,936
Value of total assets at end of year2013-12-31$28,023,137
Value of total assets at beginning of year2013-12-31$26,002,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,245,763
Total income from rents2013-12-31$72,482
Total interest from all sources2013-12-31$96,740
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$254,741
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$221,976
Administrative expenses professional fees incurred2013-12-31$90,664
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$19,856
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$90,576
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$58,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$21,420
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$-51
Other income not declared elsewhere2013-12-31$23
Administrative expenses (other) incurred2013-12-31$1,089,184
Liabilities. Value of operating payables at end of year2013-12-31$49,184
Liabilities. Value of operating payables at beginning of year2013-12-31$50,926
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,857,862
Value of net assets at end of year (total assets less liabilities)2013-12-31$26,950,756
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$25,092,894
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$65,915
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$11,626,336
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$9,806,789
Income. Interest from US Government securities2013-12-31$32,016
Income. Interest from corporate debt instruments2013-12-31$61,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$7,250,712
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$12,942,161
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$12,942,161
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$3,599
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$210,278
Asset value of US Government securities at end of year2013-12-31$2,793,296
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,475,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$9,858,080
Employer contributions (assets) at end of year2013-12-31$936,769
Employer contributions (assets) at beginning of year2013-12-31$831,592
Income. Dividends from common stock2013-12-31$32,765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$10,019,086
Asset. Corporate debt instrument preferred debt at end of year2013-12-31$2,296,819
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-12-31$2,281,518
Assets. Corporate common stocks other than exployer securities at beginning of year2013-12-31$1,547,867
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,001,777
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$858,714
Assets. Value of buildings and other operty used in plan operation at end of year2013-12-31$747,111
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-12-31$815,269
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$22,642,208
Aggregate carrying amount (costs) on sale of assets2013-12-31$22,363,961
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31NOVAK FRANCELLA, LLC
Accountancy firm EIN2013-12-31611436956
2012 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$144,793
Total unrealized appreciation/depreciation of assets2012-12-31$144,793
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$909,589
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$705,883
Total income from all sources (including contributions)2012-12-31$11,336,423
Total loss/gain on sale of assets2012-12-31$49,143
Total of all expenses incurred2012-12-31$9,175,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$8,014,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$9,760,784
Value of total assets at end of year2012-12-31$26,002,483
Value of total assets at beginning of year2012-12-31$23,638,159
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,161,044
Total income from rents2012-12-31$72,482
Total interest from all sources2012-12-31$2,658
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$257,447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$227,663
Administrative expenses professional fees incurred2012-12-31$75,095
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$13,948
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$58,805
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$55,997
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$-51
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$13,274
Other income not declared elsewhere2012-12-31$10,086
Administrative expenses (other) incurred2012-12-31$1,039,920
Liabilities. Value of operating payables at end of year2012-12-31$50,926
Liabilities. Value of operating payables at beginning of year2012-12-31$59,013
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,160,618
Value of net assets at end of year (total assets less liabilities)2012-12-31$25,092,894
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$22,932,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$46,029
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$9,806,789
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$8,181,475
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$12,942,161
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$12,138,839
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$12,138,839
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$2,658
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$188,723
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,039,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$9,746,836
Employer contributions (assets) at end of year2012-12-31$831,592
Employer contributions (assets) at beginning of year2012-12-31$1,079,415
Income. Dividends from common stock2012-12-31$29,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,826,038
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-12-31$1,547,867
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$1,284,893
Liabilities. Value of benefit claims payable at end of year2012-12-31$858,714
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$633,596
Assets. Value of buildings and other operty used in plan operation at end of year2012-12-31$815,269
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-12-31$897,540
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$2,135,286
Aggregate carrying amount (costs) on sale of assets2012-12-31$2,086,143
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31NOVAK FRANCELLA,LLC
Accountancy firm EIN2012-12-31611436956
2011 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-51,616
Total unrealized appreciation/depreciation of assets2011-12-31$-51,616
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$705,883
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$543,867
Total income from all sources (including contributions)2011-12-31$9,719,245
Total loss/gain on sale of assets2011-12-31$513,994
Total of all expenses incurred2011-12-31$8,790,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$7,658,124
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$9,422,715
Value of total assets at end of year2011-12-31$23,638,159
Value of total assets at beginning of year2011-12-31$22,547,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,132,039
Total income from rents2011-12-31$72,482
Total interest from all sources2011-12-31$6,897
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$202,453
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$155,196
Administrative expenses professional fees incurred2011-12-31$95,501
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$33,325
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$55,997
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$51,457
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$13,274
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$64,500
Other income not declared elsewhere2011-12-31$1,423
Administrative expenses (other) incurred2011-12-31$1,013,832
Liabilities. Value of operating payables at end of year2011-12-31$59,013
Liabilities. Value of operating payables at beginning of year2011-12-31$44,743
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$929,082
Value of net assets at end of year (total assets less liabilities)2011-12-31$22,932,276
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$22,003,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$22,706
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$8,181,475
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$7,051,917
Income. Interest from US Government securities2011-12-31$0
Income. Interest from corporate debt instruments2011-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$12,138,839
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$11,312,971
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$11,312,971
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$6,897
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$197,728
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-449,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$9,389,390
Employer contributions (assets) at end of year2011-12-31$1,079,415
Employer contributions (assets) at beginning of year2011-12-31$898,764
Income. Dividends from common stock2011-12-31$47,257
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$7,460,396
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$1,284,893
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$2,278,096
Liabilities. Value of benefit claims payable at end of year2011-12-31$633,596
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$434,624
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$897,540
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$953,856
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$6,713,290
Aggregate carrying amount (costs) on sale of assets2011-12-31$6,199,296
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2011-12-31611436956
2010 : TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$211,058
Total unrealized appreciation/depreciation of assets2010-12-31$211,058
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$543,867
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$900,150
Total income from all sources (including contributions)2010-12-31$10,792,923
Total loss/gain on sale of assets2010-12-31$30,009
Total of all expenses incurred2010-12-31$8,605,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$7,490,516
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$9,508,708
Value of total assets at end of year2010-12-31$22,547,061
Value of total assets at beginning of year2010-12-31$20,715,819
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,114,882
Total income from rents2010-12-31$72,482
Total interest from all sources2010-12-31$19,636
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$154,174
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$115,705
Administrative expenses professional fees incurred2010-12-31$78,085
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$63,750
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$51,457
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$72,644
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$64,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$23,144
Other income not declared elsewhere2010-12-31$14,015
Administrative expenses (other) incurred2010-12-31$1,016,626
Liabilities. Value of operating payables at end of year2010-12-31$44,743
Liabilities. Value of operating payables at beginning of year2010-12-31$39,151
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,187,525
Value of net assets at end of year (total assets less liabilities)2010-12-31$22,003,194
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$19,815,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$20,171
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$7,051,917
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$5,953,371
Income. Interest from US Government securities2010-12-31$5,493
Income. Interest from corporate debt instruments2010-12-31$3,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$11,312,971
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$9,704,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$9,704,175
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$10,703
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$212,885
Asset value of US Government securities at beginning of year2010-12-31$840,847
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$782,841
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$9,444,958
Employer contributions (assets) at end of year2010-12-31$898,764
Employer contributions (assets) at beginning of year2010-12-31$826,394
Income. Dividends from common stock2010-12-31$38,469
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$7,277,631
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$519,280
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$2,278,096
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$1,776,403
Liabilities. Value of benefit claims payable at end of year2010-12-31$434,624
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$837,855
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$953,856
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$1,022,705
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$7,183,886
Aggregate carrying amount (costs) on sale of assets2010-12-31$7,153,877
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31NOVAK FRANCELLA LLC
Accountancy firm EIN2010-12-31611436956

Form 5500 Responses for TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND

2023: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2023 form 5500 responses
2023-01-01Type of plan entityMulti-employer plan
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TEAMSTERS LOCAL UNION NO. 115 HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVIS5160
Policy instance 1
Insurance contract or identification numberVIS5160
Number of Individuals Covered1273
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $630,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVIS5160
Policy instance 1
Insurance contract or identification numberVIS5160
Number of Individuals Covered1229
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $540,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVIS5160
Policy instance 1
Insurance contract or identification numberVIS5160
Number of Individuals Covered1159
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $415,600
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVIS5160
Policy instance 1
Insurance contract or identification numberVIS5160
Number of Individuals Covered1094
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $483,954
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberVIS5160
Policy instance 1
Insurance contract or identification numberVIS5160
Number of Individuals Covered1257
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $474,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $555,998
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Number of Individuals Covered583
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $428,295
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Number of Individuals Covered594
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $242,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $194,752
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Number of Individuals Covered521
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $210,278
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Number of Individuals Covered614
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $188,723
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Number of Individuals Covered644
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $197,728
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3215972
Policy instance 1
Insurance contract or identification number3215972
Number of Individuals Covered684
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $212,177
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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