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THE EMPLOYEE RETIREMENT 401(K) PLAN 401k Plan overview

Plan NameTHE EMPLOYEE RETIREMENT 401(K) PLAN
Plan identification number 333

THE EMPLOYEE RETIREMENT 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ROX ACCESS NETWORK has sponsored the creation of one or more 401k plans.

Company Name:ROX ACCESS NETWORK
Employer identification number (EIN):275429359
NAIC Classification:621320
NAIC Description:Offices of Optometrists

Additional information about ROX ACCESS NETWORK

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2011-02-25
Company Identification Number: 0801389764
Legal Registered Office Address: 100 E 15TH ST STE 520

FORT WORTH
United States of America (USA)
76102

More information about ROX ACCESS NETWORK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE EMPLOYEE RETIREMENT 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
3332019-01-01
3332018-01-01
3332017-01-01PATRICIA NIELSEN2018-10-15
3332016-12-01DONAL K FORD2018-01-30

Plan Statistics for THE EMPLOYEE RETIREMENT 401(K) PLAN

401k plan membership statisitcs for THE EMPLOYEE RETIREMENT 401(K) PLAN

Measure Date Value
2019: THE EMPLOYEE RETIREMENT 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01435
Total number of active participants reported on line 7a of the Form 55002019-01-01478
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-01489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01489
Number of participants with account balances2019-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: THE EMPLOYEE RETIREMENT 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01300
Total number of active participants reported on line 7a of the Form 55002018-01-01281
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0118
Total of all active and inactive participants2018-01-01299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01299
Number of participants with account balances2018-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010

Financial Data on THE EMPLOYEE RETIREMENT 401(K) PLAN

Measure Date Value
2019 : THE EMPLOYEE RETIREMENT 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$47,756
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$47,756
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$17,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$17,397
Total income from all sources (including contributions)2019-12-31$158,340
Total income from all sources (including contributions)2019-12-31$158,340
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$106,813
Total of all expenses incurred2019-12-31$106,813
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$54,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$54,536
Value of total corrective distributions2019-12-31$46,547
Value of total corrective distributions2019-12-31$46,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$112,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$112,264
Value of total assets at end of year2019-12-31$258,806
Value of total assets at end of year2019-12-31$258,806
Value of total assets at beginning of year2019-12-31$176,920
Value of total assets at beginning of year2019-12-31$176,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$5,730
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$5,730
Total interest from all sources2019-12-31$176
Total interest from all sources2019-12-31$176
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$111,672
Contributions received from participants2019-12-31$111,672
Participant contributions at end of year2019-12-31$836
Participant contributions at end of year2019-12-31$836
Participant contributions at end of year2019-12-31$7,899
Participant contributions at end of year2019-12-31$7,899
Participant contributions at beginning of year2019-12-31$10,004
Participant contributions at beginning of year2019-12-31$10,004
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$592
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$592
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,854
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,854
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,854
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,854
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$47,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$47,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$17,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$17,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$51,527
Value of net income/loss2019-12-31$51,527
Value of net assets at end of year (total assets less liabilities)2019-12-31$211,050
Value of net assets at end of year (total assets less liabilities)2019-12-31$211,050
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$159,523
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$159,523
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$5,730
Investment advisory and management fees2019-12-31$5,730
Value of interest in pooled separate accounts at end of year2019-12-31$246,098
Value of interest in pooled separate accounts at end of year2019-12-31$246,098
Value of interest in pooled separate accounts at beginning of year2019-12-31$163,438
Value of interest in pooled separate accounts at beginning of year2019-12-31$163,438
Interest on participant loans2019-12-31$176
Interest on participant loans2019-12-31$176
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,119
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$2,119
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,624
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,624
Net investment gain/loss from pooled separate accounts2019-12-31$45,900
Net investment gain/loss from pooled separate accounts2019-12-31$45,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$54,536
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$54,536
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31JASON F. CLAUSEN, P.C.
Accountancy firm name2019-12-31JASON F. CLAUSEN, P.C.
Accountancy firm EIN2019-12-31274097479
Accountancy firm EIN2019-12-31274097479
2018 : THE EMPLOYEE RETIREMENT 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$17,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$88,408
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$30,885
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$10,607
Value of total corrective distributions2018-12-31$17,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$101,167
Value of total assets at end of year2018-12-31$176,920
Value of total assets at beginning of year2018-12-31$102,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,216
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$101,167
Participant contributions at end of year2018-12-31$10,004
Participant contributions at beginning of year2018-12-31$4,913
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,854
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$17,397
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$57,523
Value of net assets at end of year (total assets less liabilities)2018-12-31$159,523
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$102,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$163,438
Value of interest in pooled separate accounts at beginning of year2018-12-31$96,156
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,624
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$931
Net investment gain/loss from pooled separate accounts2018-12-31$-12,759
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$10,607
Contract administrator fees2018-12-31$3,216
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31JASON F. CLAUSEN, P.C.
Accountancy firm EIN2018-12-31274097479

Form 5500 Responses for THE EMPLOYEE RETIREMENT 401(K) PLAN

2019: THE EMPLOYEE RETIREMENT 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THE EMPLOYEE RETIREMENT 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA392448-007
Policy instance 1
Insurance contract or identification numberTA392448-007
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $292
Total amount of fees paid to insurance companyUSD $356
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $292
Insurance broker organization code?3
Amount paid for insurance broker fees191
Additional information about fees paid to insurance brokerTPA SERVICE FEE INCOME
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTA392448-007
Policy instance 1
Insurance contract or identification numberTA392448-007
Number of Individuals Covered48
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $559
Total amount of fees paid to insurance companyUSD $220
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $559
Insurance broker organization code?3
Amount paid for insurance broker fees220
Additional information about fees paid to insurance brokerTPA SERVICE FEE INCOME

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