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IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 401k Plan overview

Plan NameIATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST
Plan identification number 501

IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 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

INT'L ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 17 has sponsored the creation of one or more 401k plans.

Company Name:INT'L ALLIANCE OF THEATRICAL STAGE EMPLOYEES LOCAL 17
Employer identification number (EIN):616052379
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012011-01-01JAMES MADISON RICHARD OTTERSBACH2012-10-02
5012010-01-01JAMES MADISON RICHARD OTTERSBACH2012-10-02
5012009-01-01RICHARD OTTERBACH JAMES MADISON2010-10-13

Plan Statistics for IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST

401k plan membership statisitcs for IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST

Measure Date Value
2011: IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01130
Total number of active participants reported on line 7a of the Form 55002011-01-01138
Total of all active and inactive participants2011-01-01138
Number of employers contributing to the scheme2011-01-015
2010: IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01123
Total number of active participants reported on line 7a of the Form 55002010-01-01130
Total of all active and inactive participants2010-01-01130
Number of employers contributing to the scheme2010-01-015
2009: IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01111
Total number of active participants reported on line 7a of the Form 55002009-01-01123
Total of all active and inactive participants2009-01-01123
Number of employers contributing to the scheme2009-01-010

Financial Data on IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST

Measure Date Value
2011 : IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$615,233
Total of all expenses incurred2011-12-31$704,998
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$702,069
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$611,802
Value of total assets at end of year2011-12-31$508,887
Value of total assets at beginning of year2011-12-31$598,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,929
Total interest from all sources2011-12-31$3,431
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$164,394
Administrative expenses (other) incurred2011-12-31$2,929
Total non interest bearing cash at end of year2011-12-31$203,298
Total non interest bearing cash at beginning of year2011-12-31$299,460
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-89,765
Value of net assets at end of year (total assets less liabilities)2011-12-31$508,887
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$598,652
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$216,942
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$213,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$213,958
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$3,431
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$702,069
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$447,408
Employer contributions (assets) at end of year2011-12-31$29,634
Employer contributions (assets) at beginning of year2011-12-31$32,769
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2011-12-31$59,013
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-12-31$52,465
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31COMPTON, KOTTKE & ASSOCIATES P.S.C.
Accountancy firm EIN2011-12-31611031917
2010 : IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$651,315
Total of all expenses incurred2010-12-31$665,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$662,031
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$646,565
Value of total assets at end of year2010-12-31$598,652
Value of total assets at beginning of year2010-12-31$612,431
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,063
Total interest from all sources2010-12-31$4,750
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$155,571
Administrative expenses (other) incurred2010-12-31$3,063
Total non interest bearing cash at end of year2010-12-31$299,460
Total non interest bearing cash at beginning of year2010-12-31$333,344
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-13,779
Value of net assets at end of year (total assets less liabilities)2010-12-31$598,652
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$612,431
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$213,958
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$209,762
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$209,762
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$4,750
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$662,031
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$490,994
Employer contributions (assets) at end of year2010-12-31$32,769
Employer contributions (assets) at beginning of year2010-12-31$19,612
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Value of buildings and other operty used in plan operation at end of year2010-12-31$52,465
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$49,713
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31COMPTON, KOTTKE & ASSOCIATES P.S.C.
Accountancy firm EIN2010-12-31611031917

Form 5500 Responses for IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST

2011: IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: IATSE LOCAL 17 HEALTH AND WELFARE INSURANCE TRUST 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

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