401k Plan data: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN plan

COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 401k Plan overview

Plan Name	COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN
Plan identification number	501

COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

THE COMMUNITY BUILDERS, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE COMMUNITY BUILDERS, INC.

Employer identification number (EIN): 042324773

NAIC Classification: 236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-06-01
501 2015-06-01 DAVID JONES
501 2014-06-01 DAVID JONES
501 2013-06-01 LEAH VAN TASSEL
501 2012-06-01 MYRA CARMONA
501 2012-01-01 MYRA CARMONA
501 2011-01-01 MYRA CARMONA
501 2009-01-01 MYRA CARMONA

Plan Statistics for COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN

401k plan membership statisitcs for COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN

Measure Date Value
2016: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 426
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 0
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 0
2015: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 378
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 357
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 357
2014: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 378
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 378
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 378
2013: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 368
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 401
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 401
2012: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 350
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 350
Number of retired or separated participants receiving benefits 2012-06-01 0
Number of other retired or separated participants entitled to future benefits 2012-06-01 0
Total of all active and inactive participants 2012-06-01 350
Total participants, beginning-of-year 2012-01-01 347
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 344
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 344
2011: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 338
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 350
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 350
2009: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 347
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 351
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 351

Measure	Date	Value
2016: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	426
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	0
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	0
2015: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	378
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	357
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	357
2014: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	378
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	378
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	378
2013: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	368
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	401
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	401
2012: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	350
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	350
Number of retired or separated participants receiving benefits	2012-06-01	0
Number of other retired or separated participants entitled to future benefits	2012-06-01	0
Total of all active and inactive participants	2012-06-01	350
Total participants, beginning-of-year	2012-01-01	347
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	344
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	344
2011: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	338
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	350
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	350
2009: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	347
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	351
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	351

Form 5500 Responses for COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN

2016: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Submission has been amended	No
2016-06-01	This submission is the final filing	Yes
2016-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-06-01	Plan is a collectively bargained plan	No
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2015: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2014: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-06-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: COMMUNITY BUILDERS, INC. EMPLOYEE DENTAL BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

DELTA DENTAL OF MASSACHUSETTS (National Association of Insurance Commissioners NAIC id number: 52060 )

Policy contract number

13335

Policy instance

Insurance contract or identification number	13335
Number of Individuals Covered	838
Insurance policy start date	2015-06-01
Insurance policy end date	2016-05-31
Total amount of commissions paid to insurance broker	USD $5,296
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	No
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 $355,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,296
Insurance broker organization code?	3
Insurance broker name	COSTELLO BEN. GROUP INS. BROKERAGE

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Company Name:	THE COMMUNITY BUILDERS, INC.
Employer identification number (EIN):	042324773
NAIC Classification:	236110

Plan id#	Filing Submission Date	Name of Administrator
501	2016-06-01
501	2015-06-01	DAVID JONES
501	2014-06-01	DAVID JONES
501	2013-06-01	LEAH VAN TASSEL
501	2012-06-01	MYRA CARMONA
501	2012-01-01	MYRA CARMONA
501	2011-01-01	MYRA CARMONA
501	2009-01-01	MYRA CARMONA