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HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 401k Plan overview

Plan NameHEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22
Plan identification number 501

HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

HEALTH & WELFARE FUND OF ROOFERS LOCAL N has sponsored the creation of one or more 401k plans.

Company Name:HEALTH & WELFARE FUND OF ROOFERS LOCAL N
Employer identification number (EIN):237381527
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01ADAM HOFFMAN2024-01-19 ERIC WARREN2024-01-18
5012021-07-01MARVIN JEROME2023-02-20 ERIC WARREN2023-02-24
5012020-07-01MARVIN JEROME2022-01-21 RICHARD ALLEN2022-01-21
5012019-07-01MARVIN JEROME2021-03-23 RICHARD ALLEN2021-03-22
5012018-07-01MITCH TERHAAR2020-03-04 RICHARD ALLEN2020-03-03
5012017-07-01
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01THOMAS PEDRICK JAMES R. ERB2015-01-20
5012012-07-01THOMAS PEDRICK JAMES R ERB2013-11-20
5012011-07-01TOM PEDRICK JAMES R ERB2012-12-07
5012009-07-01TODD ROBINSON JAMES R. ERB2011-01-18

Plan Statistics for HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22

401k plan membership statisitcs for HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22

Measure Date Value
2022: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2022 401k membership
Total participants, beginning-of-year2022-07-01127
Total number of active participants reported on line 7a of the Form 55002022-07-01117
Number of retired or separated participants receiving benefits2022-07-0110
Total of all active and inactive participants2022-07-01127
Number of employers contributing to the scheme2022-07-016
2021: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2021 401k membership
Total participants, beginning-of-year2021-07-01133
Total number of active participants reported on line 7a of the Form 55002021-07-01116
Number of retired or separated participants receiving benefits2021-07-0111
Total of all active and inactive participants2021-07-01127
Number of employers contributing to the scheme2021-07-017
2020: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2020 401k membership
Total participants, beginning-of-year2020-07-01139
Total number of active participants reported on line 7a of the Form 55002020-07-01122
Number of retired or separated participants receiving benefits2020-07-0111
Total of all active and inactive participants2020-07-01133
Number of employers contributing to the scheme2020-07-016
2019: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2019 401k membership
Total participants, beginning-of-year2019-07-01129
Total number of active participants reported on line 7a of the Form 55002019-07-01128
Number of retired or separated participants receiving benefits2019-07-0111
Total of all active and inactive participants2019-07-01139
Number of employers contributing to the scheme2019-07-016
2018: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2018 401k membership
Total participants, beginning-of-year2018-07-01146
Total number of active participants reported on line 7a of the Form 55002018-07-01115
Number of retired or separated participants receiving benefits2018-07-0114
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01129
Number of employers contributing to the scheme2018-07-017
2017: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2017 401k membership
Total participants, beginning-of-year2017-07-01139
Total number of active participants reported on line 7a of the Form 55002017-07-01131
Number of retired or separated participants receiving benefits2017-07-0115
Total of all active and inactive participants2017-07-01146
Number of employers contributing to the scheme2017-07-017
2016: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2016 401k membership
Total participants, beginning-of-year2016-07-01139
Total number of active participants reported on line 7a of the Form 55002016-07-01121
Number of retired or separated participants receiving benefits2016-07-0118
Total of all active and inactive participants2016-07-01139
Number of employers contributing to the scheme2016-07-016
2015: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2015 401k membership
Total participants, beginning-of-year2015-07-01138
Total number of active participants reported on line 7a of the Form 55002015-07-01118
Number of retired or separated participants receiving benefits2015-07-0121
Total of all active and inactive participants2015-07-01139
Number of employers contributing to the scheme2015-07-016
2014: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2014 401k membership
Total participants, beginning-of-year2014-07-01133
Total number of active participants reported on line 7a of the Form 55002014-07-01113
Number of retired or separated participants receiving benefits2014-07-0125
Total of all active and inactive participants2014-07-01138
Number of employers contributing to the scheme2014-07-014
2013: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2013 401k membership
Total participants, beginning-of-year2013-07-01162
Total number of active participants reported on line 7a of the Form 55002013-07-01105
Number of retired or separated participants receiving benefits2013-07-0128
Total of all active and inactive participants2013-07-01133
Number of employers contributing to the scheme2013-07-017
2012: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2012 401k membership
Total participants, beginning-of-year2012-07-01159
Total number of active participants reported on line 7a of the Form 55002012-07-01132
Number of retired or separated participants receiving benefits2012-07-0130
Total of all active and inactive participants2012-07-01162
Number of employers contributing to the scheme2012-07-016
2011: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2011 401k membership
Total participants, beginning-of-year2011-07-01158
Total number of active participants reported on line 7a of the Form 55002011-07-01132
Number of retired or separated participants receiving benefits2011-07-0127
Total of all active and inactive participants2011-07-01159
Number of employers contributing to the scheme2011-07-016
2009: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2009 401k membership
Total participants, beginning-of-year2009-07-01170
Total number of active participants reported on line 7a of the Form 55002009-07-01149
Number of retired or separated participants receiving benefits2009-07-0126
Total of all active and inactive participants2009-07-01175
Number of employers contributing to the scheme2009-07-016

Financial Data on HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22

Measure Date Value
2023 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-06-30$-1,134,054
Total unrealized appreciation/depreciation of assets2023-06-30$-1,134,054
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$21,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$31,121
Total income from all sources (including contributions)2023-06-30$3,371,483
Total of all expenses incurred2023-06-30$2,437,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$1,927,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$2,712,410
Value of total assets at end of year2023-06-30$8,155,353
Value of total assets at beginning of year2023-06-30$7,231,197
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$510,222
Total interest from all sources2023-06-30$85,087
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$157,700
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-06-30$142,570
Administrative expenses professional fees incurred2023-06-30$86,818
Assets. Corporate prefeered stocks other than exployer securities at end of year2023-06-30$167,096
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2023-06-30$172,347
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$2,000,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$6,282
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-06-30$6,394
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-06-30$23,738
Other income not declared elsewhere2023-06-30$187,417
Administrative expenses (other) incurred2023-06-30$342,293
Liabilities. Value of operating payables at end of year2023-06-30$6,057
Liabilities. Value of operating payables at beginning of year2023-06-30$27,340
Total non interest bearing cash at end of year2023-06-30$213,099
Total non interest bearing cash at beginning of year2023-06-30$191,845
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$934,220
Value of net assets at end of year (total assets less liabilities)2023-06-30$8,134,296
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$7,200,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Investment advisory and management fees2023-06-30$81,111
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-06-30$4,038,427
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-06-30$3,148,392
Income. Interest from corporate debt instruments2023-06-30$37,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-06-30$1,815,041
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-06-30$1,372,966
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-06-30$1,372,966
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-06-30$47,877
Expenses. Payments to insurance carriers foe the provision of benefits2023-06-30$1,834,821
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-06-30$1,362,923
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30Yes
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$2,706,128
Employer contributions (assets) at end of year2023-06-30$419,037
Employer contributions (assets) at beginning of year2023-06-30$298,682
Income. Dividends from preferred stock2023-06-30$10,411
Income. Dividends from common stock2023-06-30$4,719
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$92,220
Asset. Corporate debt instrument debt (other) at end of year2023-06-30$683,512
Asset. Corporate debt instrument debt (other) at beginning of year2023-06-30$611,689
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2023-06-30$812,747
Assets. Corporate common stocks other than exployer securities at beginning of year2023-06-30$1,411,538
Liabilities. Value of benefit claims payable at end of year2023-06-30$15,000
Liabilities. Value of benefit claims payable at beginning of year2023-06-30$3,781
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30BONADIO & CO., LLP
Accountancy firm EIN2023-06-30161131146
2022 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-17,214
Total unrealized appreciation/depreciation of assets2022-06-30$-17,214
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$31,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$88,028
Total income from all sources (including contributions)2022-06-30$2,134,172
Total loss/gain on sale of assets2022-06-30$10,158
Total of all expenses incurred2022-06-30$2,228,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,718,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$2,502,117
Value of total assets at end of year2022-06-30$7,231,197
Value of total assets at beginning of year2022-06-30$7,382,099
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$509,380
Total interest from all sources2022-06-30$36,630
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$171,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$161,335
Administrative expenses professional fees incurred2022-06-30$106,423
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-06-30$172,347
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-06-30$57,994
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$2,000,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$28,976
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$23,738
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$174,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$64,362
Other income not declared elsewhere2022-06-30$221,797
Administrative expenses (other) incurred2022-06-30$325,280
Liabilities. Value of operating payables at end of year2022-06-30$27,340
Liabilities. Value of operating payables at beginning of year2022-06-30$18,842
Total non interest bearing cash at end of year2022-06-30$191,845
Total non interest bearing cash at beginning of year2022-06-30$186,049
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-93,995
Value of net assets at end of year (total assets less liabilities)2022-06-30$7,200,076
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$7,294,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$77,677
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$3,148,392
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$4,465,644
Income. Interest from corporate debt instruments2022-06-30$35,184
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$1,372,966
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$903,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$903,026
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$1,446
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$1,640,255
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-790,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$2,473,141
Employer contributions (assets) at end of year2022-06-30$298,682
Employer contributions (assets) at beginning of year2022-06-30$104,902
Income. Dividends from preferred stock2022-06-30$7,563
Income. Dividends from common stock2022-06-30$2,615
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$78,532
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$611,689
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$730,536
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2022-06-30$1,411,538
Assets. Corporate common stocks other than exployer securities at beginning of year2022-06-30$759,201
Liabilities. Value of benefit claims payable at end of year2022-06-30$3,781
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$4,824
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$1,260,512
Aggregate carrying amount (costs) on sale of assets2022-06-30$1,250,354
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30BONADIO & CO., LLP
Accountancy firm EIN2022-06-30161131146
2021 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$-128,972
Total unrealized appreciation/depreciation of assets2021-06-30$-128,972
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$88,028
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$24,817
Total income from all sources (including contributions)2021-06-30$3,660,758
Total loss/gain on sale of assets2021-06-30$316,246
Total of all expenses incurred2021-06-30$2,638,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$2,161,140
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$2,163,936
Value of total assets at end of year2021-06-30$7,382,099
Value of total assets at beginning of year2021-06-30$6,296,229
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$476,959
Total interest from all sources2021-06-30$46,632
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$194,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$167,120
Administrative expenses professional fees incurred2021-06-30$81,004
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-06-30$57,994
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-06-30$53,498
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$2,000,000
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$31,480
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$174,747
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$13,065
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$64,362
Other income not declared elsewhere2021-06-30$161,861
Administrative expenses (other) incurred2021-06-30$324,695
Liabilities. Value of operating payables at end of year2021-06-30$18,842
Liabilities. Value of operating payables at beginning of year2021-06-30$20,929
Total non interest bearing cash at end of year2021-06-30$186,049
Total non interest bearing cash at beginning of year2021-06-30$265,536
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$1,022,659
Value of net assets at end of year (total assets less liabilities)2021-06-30$7,294,071
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$6,271,412
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$71,260
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$4,465,644
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$4,052,444
Income. Interest from corporate debt instruments2021-06-30$46,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$903,026
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$1,066,350
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$1,066,350
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$107
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$2,059,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$906,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$2,132,456
Employer contributions (assets) at end of year2021-06-30$104,902
Employer contributions (assets) at beginning of year2021-06-30$175,911
Income. Dividends from preferred stock2021-06-30$3,881
Income. Dividends from common stock2021-06-30$23,368
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$102,048
Asset. Corporate debt instrument debt (other) at end of year2021-06-30$730,536
Asset. Corporate debt instrument debt (other) at beginning of year2021-06-30$668,950
Assets. Corporate common stocks other than exployer securities at end of year2021-06-30$759,201
Liabilities. Value of benefit claims payable at end of year2021-06-30$4,824
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$3,888
Assets. Value of buildings and other operty used in plan operation at end of year2021-06-30$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-06-30$475
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$572,970
Aggregate carrying amount (costs) on sale of assets2021-06-30$256,724
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30BONADIO & CO., LLP
Accountancy firm EIN2021-06-30161131146
2020 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$261,740
Total unrealized appreciation/depreciation of assets2020-06-30$261,740
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$24,817
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$13,630
Total income from all sources (including contributions)2020-06-30$3,002,334
Total loss/gain on sale of assets2020-06-30$26,992
Total of all expenses incurred2020-06-30$2,703,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$2,189,502
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$2,543,257
Value of total assets at end of year2020-06-30$6,296,229
Value of total assets at beginning of year2020-06-30$5,985,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$513,750
Total interest from all sources2020-06-30$60,803
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$152,346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$133,539
Administrative expenses professional fees incurred2020-06-30$97,701
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-06-30$53,498
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-06-30$58,190
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$51,323
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$13,065
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$3,718
Other income not declared elsewhere2020-06-30$232,845
Administrative expenses (other) incurred2020-06-30$353,191
Liabilities. Value of operating payables at end of year2020-06-30$20,929
Liabilities. Value of operating payables at beginning of year2020-06-30$9,838
Total non interest bearing cash at end of year2020-06-30$265,536
Total non interest bearing cash at beginning of year2020-06-30$233,581
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$299,082
Value of net assets at end of year (total assets less liabilities)2020-06-30$6,271,412
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$5,972,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$62,858
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$4,052,444
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$3,013,329
Income. Interest from corporate debt instruments2020-06-30$48,552
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$1,066,350
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$973,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$973,885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$12,251
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$2,127,285
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$-275,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30Yes
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$2,491,934
Employer contributions (assets) at end of year2020-06-30$175,911
Employer contributions (assets) at beginning of year2020-06-30$280,801
Income. Dividends from preferred stock2020-06-30$18,807
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$62,217
Asset. Corporate debt instrument debt (other) at end of year2020-06-30$668,950
Asset. Corporate debt instrument debt (other) at beginning of year2020-06-30$777,586
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Assets. Corporate common stocks other than exployer securities at beginning of year2020-06-30$644,077
Liabilities. Value of benefit claims payable at end of year2020-06-30$3,888
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$3,792
Assets. Value of buildings and other operty used in plan operation at end of year2020-06-30$475
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-06-30$793
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$1,187,971
Aggregate carrying amount (costs) on sale of assets2020-06-30$1,160,979
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30BONADIO & CO., LLP
Accountancy firm EIN2020-06-30161131146
2019 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$-12,419
Total unrealized appreciation/depreciation of assets2019-06-30$-12,419
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$13,630
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$11,464
Total income from all sources (including contributions)2019-06-30$2,778,704
Total loss/gain on sale of assets2019-06-30$-18,656
Total of all expenses incurred2019-06-30$2,398,636
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$2,083,177
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$2,454,091
Value of total assets at end of year2019-06-30$5,985,960
Value of total assets at beginning of year2019-06-30$5,603,726
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$315,459
Total interest from all sources2019-06-30$51,143
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$148,826
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$144,950
Administrative expenses professional fees incurred2019-06-30$85,563
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-06-30$58,190
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-06-30$766,332
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$2,000,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$40,085
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$3,718
Administrative expenses (other) incurred2019-06-30$163,480
Liabilities. Value of operating payables at end of year2019-06-30$9,838
Liabilities. Value of operating payables at beginning of year2019-06-30$6,335
Total non interest bearing cash at end of year2019-06-30$233,581
Total non interest bearing cash at beginning of year2019-06-30$261,070
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$380,068
Value of net assets at end of year (total assets less liabilities)2019-06-30$5,972,330
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$5,592,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$66,416
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$3,013,329
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$2,998,154
Income. Interest from corporate debt instruments2019-06-30$38,025
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$973,885
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$855,214
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$855,214
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$13,118
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$2,002,747
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$155,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$2,414,006
Employer contributions (assets) at end of year2019-06-30$280,801
Employer contributions (assets) at beginning of year2019-06-30$274,906
Income. Dividends from preferred stock2019-06-30$3,876
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$80,430
Asset. Corporate debt instrument debt (other) at end of year2019-06-30$777,586
Assets. Corporate common stocks other than exployer securities at end of year2019-06-30$644,077
Assets. Corporate common stocks other than exployer securities at beginning of year2019-06-30$446,940
Liabilities. Value of benefit claims payable at end of year2019-06-30$3,792
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$5,129
Assets. Value of buildings and other operty used in plan operation at end of year2019-06-30$793
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-06-30$1,110
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$674,750
Aggregate carrying amount (costs) on sale of assets2019-06-30$693,406
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30BONADIO & CO., LLP
Accountancy firm EIN2019-06-30161131146
2018 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-396,045
Total unrealized appreciation/depreciation of assets2018-06-30$-396,045
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$11,464
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$10,479
Total income from all sources (including contributions)2018-06-30$2,615,504
Total of all expenses incurred2018-06-30$2,392,308
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$2,135,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$2,401,986
Value of total assets at end of year2018-06-30$5,603,726
Value of total assets at beginning of year2018-06-30$5,379,545
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$256,466
Total interest from all sources2018-06-30$4,788
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$147,598
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$127,662
Administrative expenses professional fees incurred2018-06-30$62,071
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-06-30$766,332
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-06-30$729,689
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$2,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$28,776
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$4,658
Other income not declared elsewhere2018-06-30$490
Administrative expenses (other) incurred2018-06-30$133,989
Liabilities. Value of operating payables at end of year2018-06-30$6,335
Liabilities. Value of operating payables at beginning of year2018-06-30$7,409
Total non interest bearing cash at end of year2018-06-30$261,070
Total non interest bearing cash at beginning of year2018-06-30$227,901
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$223,196
Value of net assets at end of year (total assets less liabilities)2018-06-30$5,592,262
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$5,369,066
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$60,406
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$2,998,154
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$2,955,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$855,214
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$849,997
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$849,997
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$4,788
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$2,040,574
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$456,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$2,373,210
Employer contributions (assets) at end of year2018-06-30$274,906
Employer contributions (assets) at beginning of year2018-06-30$259,154
Income. Dividends from preferred stock2018-06-30$19,936
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$95,268
Assets. Corporate common stocks other than exployer securities at end of year2018-06-30$446,940
Assets. Corporate common stocks other than exployer securities at beginning of year2018-06-30$351,605
Liabilities. Value of benefit claims payable at end of year2018-06-30$5,129
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$3,070
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$1,110
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$1,427
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30BONADIO & CO., LLP
Accountancy firm EIN2018-06-30161131146
2017 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$14,490
Total unrealized appreciation/depreciation of assets2017-06-30$14,490
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$10,479
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$9,513
Total income from all sources (including contributions)2017-06-30$2,441,928
Total of all expenses incurred2017-06-30$2,220,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$1,963,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$2,081,538
Value of total assets at end of year2017-06-30$5,379,545
Value of total assets at beginning of year2017-06-30$5,157,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$257,749
Total interest from all sources2017-06-30$165
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$179,538
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$162,848
Administrative expenses professional fees incurred2017-06-30$74,652
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-06-30$729,689
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-06-30$121,253
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$2,000,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$29,192
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$4,658
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$9,974
Administrative expenses (other) incurred2017-06-30$123,782
Liabilities. Value of operating payables at end of year2017-06-30$7,409
Liabilities. Value of operating payables at beginning of year2017-06-30$5,162
Total non interest bearing cash at end of year2017-06-30$227,901
Total non interest bearing cash at beginning of year2017-06-30$181,450
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$221,139
Value of net assets at end of year (total assets less liabilities)2017-06-30$5,369,066
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$5,147,927
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$59,315
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$2,955,114
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$3,704,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$849,997
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$665,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$665,622
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$165
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$1,745,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$166,197
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$2,052,346
Employer contributions (assets) at end of year2017-06-30$259,154
Employer contributions (assets) at beginning of year2017-06-30$270,006
Income. Dividends from preferred stock2017-06-30$16,690
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$217,882
Assets. Corporate common stocks other than exployer securities at end of year2017-06-30$351,605
Assets. Corporate common stocks other than exployer securities at beginning of year2017-06-30$201,688
Liabilities. Value of benefit claims payable at end of year2017-06-30$3,070
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$4,351
Assets. Value of buildings and other operty used in plan operation at end of year2017-06-30$1,427
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-06-30$2,947
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30BONADIO & CO., LLP
Accountancy firm EIN2017-06-30161131146
2016 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$59,421
Total unrealized appreciation/depreciation of assets2016-06-30$59,421
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$9,513
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$10,682
Total income from all sources (including contributions)2016-06-30$2,238,011
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$2,037,248
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$1,797,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$2,004,315
Value of total assets at end of year2016-06-30$5,157,440
Value of total assets at beginning of year2016-06-30$4,957,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$239,757
Total interest from all sources2016-06-30$288
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$209,980
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$204,735
Administrative expenses professional fees incurred2016-06-30$73,832
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-06-30$121,253
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-06-30$56,070
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$2,000,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$12,147
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$9,974
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$1,007
Administrative expenses (other) incurred2016-06-30$109,467
Liabilities. Value of operating payables at end of year2016-06-30$5,162
Liabilities. Value of operating payables at beginning of year2016-06-30$4,852
Total non interest bearing cash at end of year2016-06-30$181,450
Total non interest bearing cash at beginning of year2016-06-30$138,199
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$200,763
Value of net assets at end of year (total assets less liabilities)2016-06-30$5,147,927
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$4,947,164
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$56,458
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$3,704,500
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$3,837,059
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$665,622
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$719,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$719,492
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$288
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$1,422,397
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-35,993
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$1,992,168
Employer contributions (assets) at end of year2016-06-30$270,006
Employer contributions (assets) at beginning of year2016-06-30$200,485
Income. Dividends from preferred stock2016-06-30$5,245
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$375,094
Assets. Corporate common stocks other than exployer securities at end of year2016-06-30$201,688
Liabilities. Value of benefit claims payable at end of year2016-06-30$4,351
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$5,830
Assets. Value of buildings and other operty used in plan operation at end of year2016-06-30$2,947
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-06-30$5,534
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Aggregate proceeds on sale of assets2016-06-30$120,625
Aggregate carrying amount (costs) on sale of assets2016-06-30$120,625
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30BONADIO & CO., LLP
Accountancy firm EIN2016-06-30161131146
2015 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$-967
Total unrealized appreciation/depreciation of assets2015-06-30$-967
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$10,682
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$24,032
Total income from all sources (including contributions)2015-06-30$1,783,750
Total loss/gain on sale of assets2015-06-30$-14,513
Total of all expenses incurred2015-06-30$1,953,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$1,661,120
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,688,308
Value of total assets at end of year2015-06-30$4,957,846
Value of total assets at beginning of year2015-06-30$5,140,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$292,363
Total interest from all sources2015-06-30$31
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$178,923
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$174,845
Administrative expenses professional fees incurred2015-06-30$74,139
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-06-30$56,070
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-06-30$321,412
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$2,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$62,316
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$1,007
Administrative expenses (other) incurred2015-06-30$176,876
Liabilities. Value of operating payables at end of year2015-06-30$4,852
Liabilities. Value of operating payables at beginning of year2015-06-30$15,107
Total non interest bearing cash at end of year2015-06-30$138,199
Total non interest bearing cash at beginning of year2015-06-30$214,343
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-169,733
Value of net assets at end of year (total assets less liabilities)2015-06-30$4,947,164
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$5,116,897
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$41,348
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$3,837,059
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$3,935,263
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$719,492
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$482,574
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$482,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$31
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,323,665
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$-68,032
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$1,625,992
Employer contributions (assets) at end of year2015-06-30$200,485
Employer contributions (assets) at beginning of year2015-06-30$178,949
Income. Dividends from preferred stock2015-06-30$4,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$337,455
Liabilities. Value of benefit claims payable at end of year2015-06-30$5,830
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$8,925
Assets. Value of buildings and other operty used in plan operation at end of year2015-06-30$5,534
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-06-30$8,388
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Aggregate proceeds on sale of assets2015-06-30$249,862
Aggregate carrying amount (costs) on sale of assets2015-06-30$264,375
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30BONADIO & CO., LLP
Accountancy firm EIN2015-06-30161131146
2014 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$3,364
Total unrealized appreciation/depreciation of assets2014-06-30$3,364
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$24,032
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$38,385
Total income from all sources (including contributions)2014-06-30$2,130,086
Total of all expenses incurred2014-06-30$1,934,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,683,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,539,535
Value of total assets at end of year2014-06-30$5,140,929
Value of total assets at beginning of year2014-06-30$4,960,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$251,405
Total interest from all sources2014-06-30$31
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$209,921
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$197,522
Administrative expenses professional fees incurred2014-06-30$67,764
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-06-30$321,412
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-06-30$277,144
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$2,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$85,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$3,355
Administrative expenses (other) incurred2014-06-30$143,389
Liabilities. Value of operating payables at end of year2014-06-30$15,107
Liabilities. Value of operating payables at beginning of year2014-06-30$31,060
Total non interest bearing cash at end of year2014-06-30$214,343
Total non interest bearing cash at beginning of year2014-06-30$230,736
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$195,224
Value of net assets at end of year (total assets less liabilities)2014-06-30$5,116,897
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$4,921,673
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$40,252
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$3,935,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$3,579,206
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$482,574
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$700,105
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$700,105
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$31
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$1,313,327
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$377,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,453,989
Employer contributions (assets) at end of year2014-06-30$178,949
Employer contributions (assets) at beginning of year2014-06-30$161,167
Income. Dividends from preferred stock2014-06-30$12,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$370,130
Liabilities. Value of benefit claims payable at end of year2014-06-30$8,925
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$7,325
Assets. Value of buildings and other operty used in plan operation at end of year2014-06-30$8,388
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-06-30$8,345
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30BONADIO & CO., LLP
Accountancy firm EIN2014-06-30161131146
2013 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$-855
Total unrealized appreciation/depreciation of assets2013-06-30$-855
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$38,385
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$12,995
Total income from all sources (including contributions)2013-06-30$2,011,657
Total loss/gain on sale of assets2013-06-30$-1,531
Total of all expenses incurred2013-06-30$2,107,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$1,827,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$1,676,691
Value of total assets at end of year2013-06-30$4,960,058
Value of total assets at beginning of year2013-06-30$5,030,629
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$279,763
Total interest from all sources2013-06-30$108
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$144,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$135,890
Administrative expenses professional fees incurred2013-06-30$61,802
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-06-30$277,144
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-06-30$265,676
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$1,000,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$58,109
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$3,355
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$3,355
Administrative expenses (other) incurred2013-06-30$178,247
Liabilities. Value of operating payables at end of year2013-06-30$31,060
Liabilities. Value of operating payables at beginning of year2013-06-30$6,395
Total non interest bearing cash at end of year2013-06-30$230,736
Total non interest bearing cash at beginning of year2013-06-30$244,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-95,961
Value of net assets at end of year (total assets less liabilities)2013-06-30$4,921,673
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$5,017,634
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Investment advisory and management fees2013-06-30$39,714
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$3,579,206
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$3,612,618
Income. Interest from US Government securities2013-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$700,105
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$556,887
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$556,887
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$108
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$1,463,171
Asset value of US Government securities at end of year2013-06-30$0
Asset value of US Government securities at beginning of year2013-06-30$150,716
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$193,226
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$1,618,582
Employer contributions (assets) at end of year2013-06-30$161,167
Employer contributions (assets) at beginning of year2013-06-30$185,395
Income. Dividends from preferred stock2013-06-30$8,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$364,684
Liabilities. Value of benefit claims payable at end of year2013-06-30$7,325
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$6,600
Assets. Value of buildings and other operty used in plan operation at end of year2013-06-30$8,345
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-06-30$11,250
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Aggregate proceeds on sale of assets2013-06-30$233,541
Aggregate carrying amount (costs) on sale of assets2013-06-30$235,072
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30BONADIO & CO., LLP
Accountancy firm EIN2013-06-30161131146
2012 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$716
Total unrealized appreciation/depreciation of assets2012-06-30$716
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$12,995
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$24,483
Total income from all sources (including contributions)2012-06-30$1,708,452
Total loss/gain on sale of assets2012-06-30$29,278
Total of all expenses incurred2012-06-30$1,844,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,623,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$1,581,735
Value of total assets at end of year2012-06-30$5,030,629
Value of total assets at beginning of year2012-06-30$5,178,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$221,076
Total interest from all sources2012-06-30$12,079
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$144,060
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$137,160
Administrative expenses professional fees incurred2012-06-30$66,107
Assets. Corporate prefeered stocks other than exployer securities at end of year2012-06-30$265,676
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$1,000,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$48,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$3,355
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$4,270
Administrative expenses (other) incurred2012-06-30$114,414
Liabilities. Value of operating payables at end of year2012-06-30$6,395
Liabilities. Value of operating payables at beginning of year2012-06-30$18,483
Total non interest bearing cash at end of year2012-06-30$244,732
Total non interest bearing cash at beginning of year2012-06-30$174,795
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-136,524
Value of net assets at end of year (total assets less liabilities)2012-06-30$5,017,634
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$5,154,158
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$40,555
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$3,612,618
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$3,657,061
Income. Interest from US Government securities2012-06-30$11,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$556,887
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$296,210
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$296,210
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$141
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$1,288,567
Asset value of US Government securities at end of year2012-06-30$150,716
Asset value of US Government securities at beginning of year2012-06-30$801,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-59,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$1,533,685
Employer contributions (assets) at end of year2012-06-30$185,395
Employer contributions (assets) at beginning of year2012-06-30$241,685
Income. Dividends from preferred stock2012-06-30$6,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$335,333
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$6,600
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$6,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-06-30$11,250
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-06-30$2,842
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$1,081,720
Aggregate carrying amount (costs) on sale of assets2012-06-30$1,052,442
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30BONADIO & CO., LLP
Accountancy firm EIN2012-06-30161131146
2011 : HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$10,031
Total unrealized appreciation/depreciation of assets2011-06-30$10,031
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$24,483
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$21,750
Total income from all sources (including contributions)2011-06-30$2,342,293
Total loss/gain on sale of assets2011-06-30$-436
Total of all expenses incurred2011-06-30$1,714,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$1,438,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,620,143
Value of total assets at end of year2011-06-30$5,178,641
Value of total assets at beginning of year2011-06-30$4,548,120
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$275,781
Total interest from all sources2011-06-30$138,932
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$75,358
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$1,000,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$49,495
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$4,270
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$4,477
Administrative expenses (other) incurred2011-06-30$141,753
Liabilities. Value of operating payables at end of year2011-06-30$18,483
Liabilities. Value of operating payables at beginning of year2011-06-30$8,250
Total non interest bearing cash at end of year2011-06-30$174,795
Total non interest bearing cash at beginning of year2011-06-30$188,601
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$627,788
Value of net assets at end of year (total assets less liabilities)2011-06-30$5,154,158
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$4,526,370
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$58,670
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$3,657,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$3,048,359
Interest earned on other investments2011-06-30$122,156
Income. Interest from US Government securities2011-06-30$16,339
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$296,210
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$370,231
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$370,231
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$437
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$1,134,964
Asset value of US Government securities at end of year2011-06-30$801,778
Asset value of US Government securities at beginning of year2011-06-30$761,078
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$573,623
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,570,648
Employer contributions (assets) at end of year2011-06-30$241,685
Employer contributions (assets) at beginning of year2011-06-30$174,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$303,760
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$6,000
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$13,500
Assets. Value of buildings and other operty used in plan operation at end of year2011-06-30$2,842
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-06-30$514
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$2,938,976
Aggregate carrying amount (costs) on sale of assets2011-06-30$2,939,412
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30BONADIO & CO., LLP
Accountancy firm EIN2011-06-30161131146

Form 5500 Responses for HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22

2022: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2022 form 5500 responses
2022-07-01Type of plan entityMulti-employer plan
2022-07-01Plan is a collectively bargained planYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: HEALTH & WELFARE FUND OF ROOFERS LOCAL NO. 22 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered134
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389
Policy instance 1
Insurance contract or identification number00005389
Number of Individuals Covered118
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $68,027
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,962
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered122
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,207
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389
Policy instance 1
Insurance contract or identification number00005389
Number of Individuals Covered90
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $66,153
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,746,716
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $66,153
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389
Policy instance 1
Insurance contract or identification number00005389
Number of Individuals Covered125
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $76,491
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $76,491
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered144
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389
Policy instance 1
Insurance contract or identification number00005389
Number of Individuals Covered138
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $70,522
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70,522
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered131
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389
Policy instance 1
Insurance contract or identification number00005389
Number of Individuals Covered139
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $73,745
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $73,745
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered145
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $253
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,892
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $253
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered135
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $241
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $241
Additional information about fees paid to insurance brokerFULLFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389-0001
Policy instance 1
Insurance contract or identification number00005389-0001
Number of Individuals Covered141
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $71,256
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $71,256
Insurance broker organization code?3
Insurance broker nameTITAN INS EMPLOYEE BENEFITS AGENCY
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389-R0001
Policy instance 4
Insurance contract or identification number00005389-R0001
Number of Individuals Covered2
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00501469-0001
Policy instance 3
Insurance contract or identification number00501469-0001
Number of Individuals Covered15
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
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,772
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered123
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $213
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $213
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389-0001
Policy instance 1
Insurance contract or identification number00005389-0001
Number of Individuals Covered106
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $56,576
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,576
Insurance broker organization code?3
Insurance broker nameTITAN INS & EMPLOYEE BENEFITS AGENC
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered119
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $203
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,184
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $203
Additional information about fees paid to insurance brokerFULFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389-0001
Policy instance 1
Insurance contract or identification number00005389-0001
Number of Individuals Covered111
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $51,186
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,186
Insurance broker organization code?3
Insurance broker nameTITAN INS & EMPLOYEE BENEFITS AGENC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389-0001
Policy instance 1
Insurance contract or identification number00005389-0001
Number of Individuals Covered124
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $50,100
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,100
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTITAN INS & EMPLOYEE BENEFITS AGENC
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered146
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $202
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $4,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $202
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFULLFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00005389-0001
Policy instance 1
Insurance contract or identification number00005389-0001
Number of Individuals Covered141
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $50,148
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,148
Insurance broker organization code?3
Insurance broker nameTITAN INS & EMPLOYEE BENEFITS AGENC
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered138
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $183
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $183
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFULLFILLMENT OF COMMISSION AGREEMENT
Insurance broker organization code?3
Insurance broker nameTHE SEGAL CO.
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number8765-001/401
Policy instance 3
Insurance contract or identification number8765-001/401
Number of Individuals Covered0
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number8765-001
Policy instance 3
Insurance contract or identification number8765-001
Number of Individuals Covered122
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $40,070
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number8765-401
Policy instance 1
Insurance contract or identification number8765-401
Number of Individuals Covered1
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG2735/C4015
Policy instance 2
Insurance contract or identification numberG2735/C4015
Number of Individuals Covered128
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $167
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69744 )
Policy contract numberG-2735/C-4015
Policy instance 2
Insurance contract or identification numberG-2735/C-4015
Number of Individuals Covered150
Insurance policy start date2009-11-01
Insurance policy end date2010-10-31
Total amount of commissions paid to insurance brokerUSD $181
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
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number8765-001
Policy instance 3
Insurance contract or identification number8765-001
Number of Individuals Covered366
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $42,441
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number8765-401
Policy instance 1
Insurance contract or identification number8765-401
Number of Individuals Covered4
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
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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