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SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 401k Plan overview

Plan NameSCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC.
Plan identification number 503

SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

ALPHA TESTING, INC. has sponsored the creation of one or more 401k plans.

Company Name:ALPHA TESTING, INC.
Employer identification number (EIN):010278678
NAIC Classification:621210
NAIC Description:Offices of Dentists

Additional information about ALPHA TESTING, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1993-02-23
Company Identification Number: 601449431
Legal Registered Office Address: 16515 28TH AVE W

LYNNWOOD
United States of America (USA)
98037

More information about ALPHA TESTING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032015-04-01RAYETTA LAMBERT
5032012-01-01THOMASINE GRASS
5032011-01-01THOMASINE GRASS

Plan Statistics for SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC.

401k plan membership statisitcs for SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC.

Measure Date Value
2015: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 2015 401k membership
Total participants, beginning-of-year2015-04-01161
Total number of active participants reported on line 7a of the Form 55002015-04-01155
Total of all active and inactive participants2015-04-01155
Total participants2015-04-01155
2012: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-01149
Total number of active participants reported on line 7a of the Form 55002012-01-01150
Total of all active and inactive participants2012-01-01150
Total participants2012-01-01150
2011: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-0189
Total number of active participants reported on line 7a of the Form 55002011-01-01149
Total of all active and inactive participants2011-01-01149
Total participants2011-01-01149

Form 5500 Responses for SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC.

2015: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan benefit arrangement – InsuranceYes
2012: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: SCIOTO PAINT VALLEY MENTAL HEALTH CENTER, INC. 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number566340
Policy instance 1
Insurance contract or identification number566340
Number of Individuals Covered155
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $5,337
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 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?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $60,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,337
Insurance broker organization code?3
Insurance broker nameMCNELLY INSURANCE & CONSULTING
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number135844
Policy instance 1
Insurance contract or identification number135844
Number of Individuals Covered150
Insurance policy start date2012-01-01
Insurance policy end date2013-01-01
Total amount of commissions paid to insurance brokerUSD $5,307
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,307
Insurance broker organization code?3
Insurance broker nameJOHN F SULLIVAN INC DBA SULLIV
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number135844
Policy instance 1
Insurance contract or identification number135844
Number of Individuals Covered149
Insurance policy start date2011-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $5,655
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $56,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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