401k Plan data: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN plan

D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 401k Plan overview

Plan Name	D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN
Plan identification number	502

D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance

401k Sponsoring company profile

D'ADDARIO INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: D'ADDARIO INDUSTRIES, INC.

Employer identification number (EIN): 061085254

NAIC Classification: 237310
NAIC Description: Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2020-01-01
502 2019-01-01
502 2018-01-01 SUE M. CONTE
502 2017-01-01 SUE M. CONTE
502 2016-01-01 SUE M. CONTE
502 2015-01-01 SUE M. CONTE
502 2014-01-01 SUE M. CONTE
502 2013-01-01 SUE M. CONTE
502 2012-01-01 SUE M. CONTE
502 2011-01-01 SUE M. CONTE
502 2010-01-01 SUE M. CONTE
502 2009-01-01 SUE M. CONTE

Plan Statistics for D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN

401k plan membership statisitcs for D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN

Measure Date Value
2020: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 0
Total of all active and inactive participants 2020-01-01 0
Total participants 2020-01-01 0
2019: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 4
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 4
Total of all active and inactive participants 2019-01-01 4
Total participants 2019-01-01 4
2018: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 5
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 4
Total of all active and inactive participants 2018-01-01 4
Total participants 2018-01-01 4
2017: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 5
Total of all active and inactive participants 2017-01-01 5
Total participants 2017-01-01 5
2016: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 7
Total of all active and inactive participants 2016-01-01 7
Total participants 2016-01-01 7
2015: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 8
Total of all active and inactive participants 2015-01-01 8
Total participants 2015-01-01 8
2014: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 7
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 10
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 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 10
Number of participants with account balances 2014-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 8
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
Total of all active and inactive participants 2013-01-01 7
Total participants 2013-01-01 7
2012: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
Total of all active and inactive participants 2012-01-01 8
Total participants 2012-01-01 8
2011: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 10
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Total of all active and inactive participants 2011-01-01 9
Total participants 2011-01-01 9
2010: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 10
Total of all active and inactive participants 2010-01-01 10
Total participants 2010-01-01 10
2009: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 12
Total of all active and inactive participants 2009-01-01 12
Total participants 2009-01-01 12

Measure	Date	Value
2020: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	0
Total of all active and inactive participants	2020-01-01	0
Total participants	2020-01-01	0
2019: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	4
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	4
Total of all active and inactive participants	2019-01-01	4
Total participants	2019-01-01	4
2018: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	5
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	4
Total of all active and inactive participants	2018-01-01	4
Total participants	2018-01-01	4
2017: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	5
Total of all active and inactive participants	2017-01-01	5
Total participants	2017-01-01	5
2016: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	7
Total of all active and inactive participants	2016-01-01	7
Total participants	2016-01-01	7
2015: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	8
Total of all active and inactive participants	2015-01-01	8
Total participants	2015-01-01	8
2014: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	7
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	10
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	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	10
Number of participants with account balances	2014-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	8
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
Total of all active and inactive participants	2013-01-01	7
Total participants	2013-01-01	7
2012: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
Total of all active and inactive participants	2012-01-01	8
Total participants	2012-01-01	8
2011: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	10
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Total of all active and inactive participants	2011-01-01	9
Total participants	2011-01-01	9
2010: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	10
Total of all active and inactive participants	2010-01-01	10
Total participants	2010-01-01	10
2009: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	12
Total of all active and inactive participants	2009-01-01	12
Total participants	2009-01-01	12

Financial Data on D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN

Measure	Date	Value
2020 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$4,750
Expenses. Total of all expenses incurred	2020-12-31	$4,790
Benefits paid (including direct rollovers)	2020-12-31	$4,550
Total plan assets at end of year	2020-12-31	$1
Total plan assets at beginning of year	2020-12-31	$41
Total contributions received or receivable from participants	2020-12-31	$4,550
Expenses. Other expenses not covered elsewhere	2020-12-31	$240
Net income (gross income less expenses)	2020-12-31	$-40
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$1
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$41
Total contributions received or receivable from employer(s)	2020-12-31	$200
2019 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2019 401k financial data
Transfers to/from the plan	2019-12-31	$0
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$4,750
Expenses. Total of all expenses incurred	2019-12-31	$4,744
Benefits paid (including direct rollovers)	2019-12-31	$4,500
Total plan assets at end of year	2019-12-31	$41
Total plan assets at beginning of year	2019-12-31	$35
Total contributions received or receivable from participants	2019-12-31	$4,500
Expenses. Other expenses not covered elsewhere	2019-12-31	$244
Net income (gross income less expenses)	2019-12-31	$6
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$41
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$35
Total contributions received or receivable from employer(s)	2019-12-31	$250
2018 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$10,000
Expenses. Total of all expenses incurred	2018-12-31	$10,026
Benefits paid (including direct rollovers)	2018-12-31	$9,720
Total plan assets at end of year	2018-12-31	$35
Total plan assets at beginning of year	2018-12-31	$61
Total contributions received or receivable from participants	2018-12-31	$9,720
Expenses. Other expenses not covered elsewhere	2018-12-31	$306
Net income (gross income less expenses)	2018-12-31	$-26
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$35
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$61
Total contributions received or receivable from employer(s)	2018-12-31	$280
2017 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$10,277
Expenses. Total of all expenses incurred	2017-12-31	$10,263
Benefits paid (including direct rollovers)	2017-12-31	$9,827
Total plan assets at end of year	2017-12-31	$61
Total plan assets at beginning of year	2017-12-31	$47
Total contributions received or receivable from participants	2017-12-31	$9,827
Expenses. Other expenses not covered elsewhere	2017-12-31	$436
Net income (gross income less expenses)	2017-12-31	$14
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$61
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$47
Total contributions received or receivable from employer(s)	2017-12-31	$450
2016 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$12,261
Expenses. Total of all expenses incurred	2016-12-31	$12,397
Benefits paid (including direct rollovers)	2016-12-31	$11,860
Total plan assets at end of year	2016-12-31	$47
Total plan assets at beginning of year	2016-12-31	$183
Total contributions received or receivable from participants	2016-12-31	$11,860
Expenses. Other expenses not covered elsewhere	2016-12-31	$537
Net income (gross income less expenses)	2016-12-31	$-136
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$47
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$183
Total contributions received or receivable from employer(s)	2016-12-31	$401
2015 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$10,543
Expenses. Total of all expenses incurred	2015-12-31	$10,680
Benefits paid (including direct rollovers)	2015-12-31	$10,143
Total plan assets at end of year	2015-12-31	$183
Total plan assets at beginning of year	2015-12-31	$320
Total contributions received or receivable from participants	2015-12-31	$10,143
Expenses. Other expenses not covered elsewhere	2015-12-31	$537
Net income (gross income less expenses)	2015-12-31	$-137
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$183
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$320
Total contributions received or receivable from employer(s)	2015-12-31	$400
2014 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$21,938
Expenses. Total of all expenses incurred	2014-12-31	$21,898
Benefits paid (including direct rollovers)	2014-12-31	$21,438
Total plan assets at end of year	2014-12-31	$320
Total plan assets at beginning of year	2014-12-31	$280
Total contributions received or receivable from participants	2014-12-31	$21,438
Expenses. Other expenses not covered elsewhere	2014-12-31	$460
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$0
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$40
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$320
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$280
Total contributions received or receivable from employer(s)	2014-12-31	$500
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
2013 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year	2013-12-31	$0
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$17,445
Expenses. Total of all expenses incurred	2013-12-31	$17,188
Benefits paid (including direct rollovers)	2013-12-31	$16,939
Total plan assets at end of year	2013-12-31	$280
Total plan assets at beginning of year	2013-12-31	$23
Total contributions received or receivable from participants	2013-12-31	$16,339
Expenses. Other expenses not covered elsewhere	2013-12-31	$249
Net income (gross income less expenses)	2013-12-31	$257
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$280
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$23
Total contributions received or receivable from employer(s)	2013-12-31	$1,106
2012 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$27,856
Expenses. Total of all expenses incurred	2012-12-31	$28,073
Benefits paid (including direct rollovers)	2012-12-31	$27,836
Total plan assets at end of year	2012-12-31	$23
Total plan assets at beginning of year	2012-12-31	$240
Total contributions received or receivable from participants	2012-12-31	$26,856
Expenses. Other expenses not covered elsewhere	2012-12-31	$237
Net income (gross income less expenses)	2012-12-31	$-217
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$23
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$240
Total contributions received or receivable from employer(s)	2012-12-31	$1,000
2011 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$36,414
Expenses. Total of all expenses incurred	2011-12-31	$36,291
Benefits paid (including direct rollovers)	2011-12-31	$36,091
Total plan assets at end of year	2011-12-31	$240
Total plan assets at beginning of year	2011-12-31	$117
Total contributions received or receivable from participants	2011-12-31	$34,964
Expenses. Other expenses not covered elsewhere	2011-12-31	$200
Net income (gross income less expenses)	2011-12-31	$123
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$240
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$117
Total contributions received or receivable from employer(s)	2011-12-31	$1,450
2010 : D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$32,527
Expenses. Total of all expenses incurred	2010-12-31	$32,644
Benefits paid (including direct rollovers)	2010-12-31	$32,466
Total plan assets at end of year	2010-12-31	$117
Total plan assets at beginning of year	2010-12-31	$234
Total contributions received or receivable from participants	2010-12-31	$31,327
Expenses. Other expenses not covered elsewhere	2010-12-31	$178
Net income (gross income less expenses)	2010-12-31	$-117
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$117
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$234
Total contributions received or receivable from employer(s)	2010-12-31	$1,200

Form 5500 Responses for D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN

2020: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT 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 – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT 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 – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT 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 – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
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 – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2012 form 5500 responses
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)	No
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 – Insurance	Yes
2011: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE 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 – Insurance	Yes
2010: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: D'ADDARIO INDUSTRIES, INC. - FLEXIBLE 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 – Insurance	Yes

Insurance Providers Used on plan

ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )

Policy contract number

P05749

Policy instance

Insurance contract or identification number	P05749
Number of Individuals Covered	8
Insurance policy start date	2019-09-01
Insurance policy end date	2020-08-31
Total amount of commissions paid to insurance broker	USD $2,028
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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	Yes
Dental Insurance Welfare Benefit	No
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 $62,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,092
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )

Policy contract number

P05749

Policy instance

Insurance contract or identification number	P05749
Number of Individuals Covered	6
Insurance policy start date	2018-09-01
Insurance policy end date	2019-08-31
Total amount of commissions paid to insurance broker	USD $2,040
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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	Yes
Dental Insurance Welfare Benefit	No
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 $68,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,040
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )

Policy contract number

P05749

Policy instance

Insurance contract or identification number	P05749
Number of Individuals Covered	8
Insurance policy start date	2017-09-01
Insurance policy end date	2018-08-31
Total amount of commissions paid to insurance broker	USD $3,324
Total amount of fees paid to insurance company	USD $133
Are there contracts with allocated funds for individual policies?	0
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	Yes
Dental Insurance Welfare Benefit	No
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 $78,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,324
Insurance broker organization code?	3

ANTHEM HEALTH PLANS, INC. (National Association of Insurance Commissioners NAIC id number: 60217 )

Policy contract number

P05749

Policy instance

Insurance contract or identification number	P05749
Number of Individuals Covered	9
Insurance policy start date	2017-01-01
Insurance policy end date	3120-01-12
Total amount of commissions paid to insurance broker	USD $4,310
Are there contracts with allocated funds for individual policies?	0
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	Yes
Dental Insurance Welfare Benefit	No
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 $84,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,310
Insurance broker organization code?	3
Insurance broker name	MERIT INSURANCE

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Company Name:	D'ADDARIO INDUSTRIES, INC.
Employer identification number (EIN):	061085254
NAIC Classification:	237310
NAIC Description:	Highway, Street, and Bridge Construction