401k Plan data: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN plan

C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 401k Plan overview

Plan Name	C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN
Plan identification number	502

C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

C.C. CLARK, INC. has sponsored the creation of one or more 401k plans.

Company Name: C.C. CLARK, INC.

Employer identification number (EIN): 640315032

NAIC Classification: 312110
NAIC Description: Soft Drink and Ice Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2016-01-01 JIMMY BRIGGS
502 2016-01-01 WILLIAM DALLAS CLARK III 2018-10-12
502 2015-01-01 JIMMY BRIGGS
502 2014-01-01 JIMMY BIGGS
502 2013-01-01 JIMMY BRIGGS

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2016-01-01	JIMMY BRIGGS
502	2016-01-01	WILLIAM DALLAS CLARK III	2018-10-12
502	2015-01-01	JIMMY BRIGGS
502	2014-01-01	JIMMY BIGGS
502	2013-01-01	JIMMY BRIGGS

Plan Statistics for C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN

401k plan membership statisitcs for C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN

Measure Date Value
2016: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 464
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 951
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 951
2015: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 490
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 464
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 464
2014: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 530
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 490
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 490
2013: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 594
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 594

Measure	Date	Value
2016: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	464
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	951
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	951
2015: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	490
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	464
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	464
2014: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	530
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	490
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	490
2013: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	594
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	594

Form 5500 Responses for C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN

2016: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: C. C. CLARK, INC. DENTAL, VISION, LIFE AND ADD PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	First time form 5500 has been submitted	Yes
2013-01-01	Submission has been amended	Yes
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

481549

Policy instance

Insurance contract or identification number	481549
Number of Individuals Covered	464
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $12,597
Total amount of fees paid to insurance company	USD $9,491
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $236,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $12,597
Amount paid for insurance broker fees	9491
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	ASSURED NEACE LUKENS INS. AGENCY

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

481549

Policy instance

Insurance contract or identification number	481549
Number of Individuals Covered	478
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $7,233
Total amount of fees paid to insurance company	USD $9,789
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $215,550
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,233
Amount paid for insurance broker fees	9789
Additional information about fees paid to insurance broker	FEES
Insurance broker organization code?	3
Insurance broker name	ASSURED NEACE LUKENS

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

481549

Policy instance

Insurance contract or identification number	481549
Number of Individuals Covered	594
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $12,506
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $311,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,529
Insurance broker organization code?	3
Insurance broker name	NEACE LUKENS, INC.

Potentially related plans

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	C.C. CLARK, INC.
Employer identification number (EIN):	640315032
NAIC Classification:	312110
NAIC Description:	Soft Drink and Ice Manufacturing