401k Plan data: TYTON HOLDING/ROLFSON OIL BENEFIT PLAN plan

TYTON HOLDING/ROLFSON OIL BENEFIT PLAN 401k Plan overview

Plan Name	TYTON HOLDING/ROLFSON OIL BENEFIT PLAN
Plan identification number	501

TYTON HOLDING/ROLFSON OIL BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TYTON HOLDINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: TYTON HOLDINGS, INC.

Employer identification number (EIN): 061829938

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TYTON HOLDING/ROLFSON OIL BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2017-12-01 CHRISTOPHER FRAIN 2019-09-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2017-12-01	CHRISTOPHER FRAIN	2019-09-16

Plan Statistics for TYTON HOLDING/ROLFSON OIL BENEFIT PLAN

401k plan membership statisitcs for TYTON HOLDING/ROLFSON OIL BENEFIT PLAN

Measure Date Value
2017: TYTON HOLDING/ROLFSON OIL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-12-01 188
Total number of active participants reported on line 7a of the Form 5500 2017-12-01 227
Number of retired or separated participants receiving benefits 2017-12-01 0
Number of other retired or separated participants entitled to future benefits 2017-12-01 0
Total of all active and inactive participants 2017-12-01 227
Number of employers contributing to the scheme 2017-12-01 0

Measure	Date	Value
2017: TYTON HOLDING/ROLFSON OIL BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-12-01	188
Total number of active participants reported on line 7a of the Form 5500	2017-12-01	227
Number of retired or separated participants receiving benefits	2017-12-01	0
Number of other retired or separated participants entitled to future benefits	2017-12-01	0
Total of all active and inactive participants	2017-12-01	227
Number of employers contributing to the scheme	2017-12-01	0

Form 5500 Responses for TYTON HOLDING/ROLFSON OIL BENEFIT PLAN

2017: TYTON HOLDING/ROLFSON OIL BENEFIT PLAN 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGM602383

Policy instance

Insurance contract or identification number	SGM602383
Number of Individuals Covered	134
Insurance policy start date	2017-03-01
Insurance policy end date	2018-02-28
Total amount of commissions paid to insurance broker	USD $3,174
Total amount of fees paid to insurance company	USD $351
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $41,508
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )

Policy contract number

910196

Policy instance

Insurance contract or identification number	910196
Number of Individuals Covered	267
Insurance policy start date	2017-12-01
Insurance policy end date	2018-11-30
Total amount of commissions paid to insurance broker	USD $3,058
Total amount of fees paid to insurance company	USD $8,214
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $742,171
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	TYTON HOLDINGS, INC.
Employer identification number (EIN):	061829938