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LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameLABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN
Plan identification number 501

LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 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

TRUSTEES LABORERS INTERN'L UNION NA LOCAL NO. 616 HEALTH & WELFARE FD has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES LABORERS INTERN'L UNION NA LOCAL NO. 616 HEALTH & WELFARE FD
Employer identification number (EIN):526128387

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-11-01LANCE WEAVER MARK FARRIS2014-02-05
5012011-11-01LANCE WEAVER MARK FARRIS2013-06-24
5012009-11-012011-08-02 LANCE WEAVER2011-08-09
5012009-11-01LANCE WEAVER
5012008-11-01

Plan Statistics for LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN

401k plan membership statisitcs for LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN

Measure Date Value
2012: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01101
Total number of active participants reported on line 7a of the Form 55002012-11-010
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-010
Total participants2012-11-010
Number of employers contributing to the scheme2012-11-010
2011: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01188
Total number of active participants reported on line 7a of the Form 55002011-11-01101
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-01101
Total participants2011-11-01101
Number of employers contributing to the scheme2011-11-0141
2009: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01197
Total number of active participants reported on line 7a of the Form 55002009-11-01107
Number of retired or separated participants receiving benefits2009-11-0182
Total of all active and inactive participants2009-11-01189
Total participants2009-11-01189
Number of employers contributing to the scheme2009-11-0134

Financial Data on LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN

Measure Date Value
2013 : LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total transfer of assets from this plan2013-10-31$70,288
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$555,226
Total income from all sources (including contributions)2013-10-31$114,774
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$-318,356
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$-419,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$114,774
Value of total assets at end of year2013-10-31$0
Value of total assets at beginning of year2013-10-31$122,096
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$101,043
Total interest from all sources2013-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2013-10-31$0
Administrative expenses professional fees incurred2013-10-31$33,319
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$-457,802
Administrative expenses (other) incurred2013-10-31$22,351
Liabilities. Value of operating payables at end of year2013-10-31$0
Liabilities. Value of operating payables at beginning of year2013-10-31$555,226
Total non interest bearing cash at end of year2013-10-31$0
Total non interest bearing cash at beginning of year2013-10-31$45,409
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$433,130
Value of net assets at end of year (total assets less liabilities)2013-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$-433,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Investment advisory and management fees2013-10-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$114,774
Employer contributions (assets) at end of year2013-10-31$0
Employer contributions (assets) at beginning of year2013-10-31$76,687
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$38,403
Contract administrator fees2013-10-31$45,373
Did the plan have assets held for investment2013-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31JAMES W. LOAR, CPA, PLLC
Accountancy firm EIN2013-10-31202115435
2012 : LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$555,226
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$515,908
Total income from all sources (including contributions)2012-10-31$690,372
Total loss/gain on sale of assets2012-10-31$381
Total of all expenses incurred2012-10-31$954,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$770,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$667,919
Value of total assets at end of year2012-10-31$122,096
Value of total assets at beginning of year2012-10-31$346,649
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$183,258
Total interest from all sources2012-10-31$987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Administrative expenses professional fees incurred2012-10-31$79,704
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$31,889
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-10-31$554
Other income not declared elsewhere2012-10-31$21,085
Administrative expenses (other) incurred2012-10-31$12,466
Liabilities. Value of operating payables at end of year2012-10-31$555,226
Liabilities. Value of operating payables at beginning of year2012-10-31$239,108
Total non interest bearing cash at end of year2012-10-31$45,409
Total non interest bearing cash at beginning of year2012-10-31$101,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$-263,871
Value of net assets at end of year (total assets less liabilities)2012-10-31$-433,130
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$-169,259
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Investment advisory and management fees2012-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-10-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-10-31$41,041
Income. Interest from US Government securities2012-10-31$937
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$4,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$4,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-10-31$50
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$7,615
Asset value of US Government securities at end of year2012-10-31$0
Asset value of US Government securities at beginning of year2012-10-31$93,471
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$636,030
Employer contributions (assets) at end of year2012-10-31$76,687
Employer contributions (assets) at beginning of year2012-10-31$105,554
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$763,370
Contract administrator fees2012-10-31$91,088
Liabilities. Value of benefit claims payable at end of year2012-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$276,800
Did the plan have assets held for investment2012-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Aggregate proceeds on sale of assets2012-10-31$126,802
Aggregate carrying amount (costs) on sale of assets2012-10-31$126,421
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31JAMES W. LOAR, CPA, PLLC
Accountancy firm EIN2012-10-31202115435
2011 : LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-10-31$-27,182
Total unrealized appreciation/depreciation of assets2011-10-31$-27,182
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$515,908
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$307,805
Total income from all sources (including contributions)2011-10-31$1,311,812
Total loss/gain on sale of assets2011-10-31$38,804
Total of all expenses incurred2011-10-31$2,027,613
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$1,703,984
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$1,243,961
Value of total assets at end of year2011-10-31$346,649
Value of total assets at beginning of year2011-10-31$854,347
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$323,629
Total interest from all sources2011-10-31$6,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Administrative expenses professional fees incurred2011-10-31$88,172
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$500,000
If this is an individual account plan, was there a blackout period2011-10-31No
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$247,901
Assets. Other investments not covered elsewhere at beginning of year2011-10-31$10,494
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-31$554
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$2,087
Other income not declared elsewhere2011-10-31$40,744
Administrative expenses (other) incurred2011-10-31$19,746
Liabilities. Value of operating payables at end of year2011-10-31$239,108
Liabilities. Value of operating payables at beginning of year2011-10-31$77,989
Total non interest bearing cash at end of year2011-10-31$101,879
Total non interest bearing cash at beginning of year2011-10-31$215,659
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$-715,801
Value of net assets at end of year (total assets less liabilities)2011-10-31$-169,259
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$546,542
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Investment advisory and management fees2011-10-31$20,404
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-10-31$41,041
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-10-31$158,795
Income. Interest from US Government securities2011-10-31$6,426
Income. Interest from corporate debt instruments2011-10-31$212
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$4,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$36,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$36,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$61
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$9,856
Asset value of US Government securities at end of year2011-10-31$93,471
Asset value of US Government securities at beginning of year2011-10-31$305,887
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-10-31$8,786
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$996,060
Employer contributions (assets) at end of year2011-10-31$105,554
Employer contributions (assets) at beginning of year2011-10-31$125,105
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$1,694,128
Contract administrator fees2011-10-31$195,307
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-10-31No
Liabilities. Value of benefit claims payable at end of year2011-10-31$276,800
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$229,816
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Aggregate proceeds on sale of assets2011-10-31$965,791
Aggregate carrying amount (costs) on sale of assets2011-10-31$926,987
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31JAMES W. LOAR, CPA, PLLC
Accountancy firm EIN2011-10-31202115435

Form 5500 Responses for LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN

2012: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-11-01Type of plan entityMulti-employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingYes
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planYes
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2011 form 5500 responses
2011-11-01Type of plan entityMulti-employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planYes
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2009: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2009 form 5500 responses
2009-11-01Type of plan entityMulti-employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planYes
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL NO. 616 HEALTH AND WELFARE PLAN 2008 form 5500 responses
2008-11-01Type of plan entityMulti-employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

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