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LOCAL 1358 WELFARE FUND 401k Plan overview

Plan NameLOCAL 1358 WELFARE FUND
Plan identification number 501

LOCAL 1358 WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL 1358 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:LABORERS INTERNATIONAL UNION OF NORTH AMERICA LOCAL 1358 WELFARE FUND
Employer identification number (EIN):166029998
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 1358 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-01-01DAVID P. MARSH
5012011-01-01PERRY COON
5012010-01-01PERRY COON DENNIS JORDAN2011-10-17
5012009-01-01LINDA RINER DENNIS JORDAN2010-10-13

Plan Statistics for LOCAL 1358 WELFARE FUND

401k plan membership statisitcs for LOCAL 1358 WELFARE FUND

Measure Date Value
2012: LOCAL 1358 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01157
Total number of active participants reported on line 7a of the Form 55002012-01-010
Total of all active and inactive participants2012-01-010
Number of employers contributing to the scheme2012-01-0132
2011: LOCAL 1358 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01202
Total number of active participants reported on line 7a of the Form 55002011-01-01146
Number of retired or separated participants receiving benefits2011-01-0111
Total of all active and inactive participants2011-01-01157
Number of employers contributing to the scheme2011-01-0151
2010: LOCAL 1358 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-01-01205
Total number of active participants reported on line 7a of the Form 55002010-01-01173
Number of retired or separated participants receiving benefits2010-01-0129
Total of all active and inactive participants2010-01-01202
Total participants2010-01-01202
Number of employers contributing to the scheme2010-01-0159
2009: LOCAL 1358 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01163
Total number of active participants reported on line 7a of the Form 55002009-01-01205
Total of all active and inactive participants2009-01-01205
Total participants2009-01-01205
Number of employers contributing to the scheme2009-01-0169

Financial Data on LOCAL 1358 WELFARE FUND

Measure Date Value
2012 : LOCAL 1358 WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$47,504
Total unrealized appreciation/depreciation of assets2012-12-31$47,504
Total transfer of assets from this plan2012-12-31$2,500,219
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$173,607
Total income from all sources (including contributions)2012-12-31$1,568,024
Total loss/gain on sale of assets2012-12-31$204
Total of all expenses incurred2012-12-31$4,193,230
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,471,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,442,599
Value of total assets at beginning of year2012-12-31$2,730,549
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,721,430
Total interest from all sources2012-12-31$51,731
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$19,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$6,375
Administrative expenses professional fees incurred2012-12-31$78,863
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$53,957
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$21,321
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$103,510
Other income not declared elsewhere2012-12-31$1,928
Administrative expenses (other) incurred2012-12-31$2,625,583
Liabilities. Value of operating payables at beginning of year2012-12-31$1,833
Total non interest bearing cash at beginning of year2012-12-31$723
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-2,625,206
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,556,942
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$16,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$174,256
Income. Interest from US Government securities2012-12-31$32,775
Income. Interest from corporate debt instruments2012-12-31$18,389
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$342,054
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$342,054
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$567
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,190,129
Asset value of US Government securities at beginning of year2012-12-31$1,149,894
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$4,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,388,642
Employer contributions (assets) at beginning of year2012-12-31$397,801
Income. Dividends from common stock2012-12-31$13,308
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$281,671
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$256,288
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$388,212
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$68,264
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31Yes
Aggregate proceeds on sale of assets2012-12-31$923,647
Aggregate carrying amount (costs) on sale of assets2012-12-31$923,443
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BONADIO & CO. LLP.
Accountancy firm EIN2012-12-31161131146
2011 : LOCAL 1358 WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-215,860
Total unrealized appreciation/depreciation of assets2011-12-31$-215,860
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$105,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$389,788
Total income from all sources (including contributions)2011-12-31$1,720,733
Total loss/gain on sale of assets2011-12-31$189,288
Total of all expenses incurred2011-12-31$2,081,305
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,865,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,693,927
Value of total assets at end of year2011-12-31$2,730,549
Value of total assets at beginning of year2011-12-31$3,375,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$215,575
Total interest from all sources2011-12-31$39,689
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$23,557
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$5,235
Administrative expenses professional fees incurred2011-12-31$34,872
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$58,408
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$21,321
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$19,732
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$42,247
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$203,984
Other income not declared elsewhere2011-12-31$3,300
Administrative expenses (other) incurred2011-12-31$163,888
Liabilities. Value of operating payables at end of year2011-12-31$1,833
Liabilities. Value of operating payables at beginning of year2011-12-31$16,890
Total non interest bearing cash at end of year2011-12-31$723
Total non interest bearing cash at beginning of year2011-12-31$3,713
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-360,572
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,625,206
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,985,778
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$16,815
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$174,256
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$532,570
Income. Interest from US Government securities2011-12-31$27,911
Income. Interest from corporate debt instruments2011-12-31$11,110
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$342,054
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$433,402
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$433,402
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$668
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$192,634
Asset value of US Government securities at end of year2011-12-31$1,149,894
Asset value of US Government securities at beginning of year2011-12-31$535,046
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-13,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,635,519
Employer contributions (assets) at end of year2011-12-31$397,801
Employer contributions (assets) at beginning of year2011-12-31$453,235
Income. Dividends from common stock2011-12-31$18,322
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,673,096
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$256,288
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$212,500
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$388,212
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$1,185,368
Liabilities. Value of benefit claims payable at end of year2011-12-31$61,263
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$168,914
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$2,686,883
Aggregate carrying amount (costs) on sale of assets2011-12-31$2,497,595
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BONADIO & CO. LLP
Accountancy firm EIN2011-12-31161131146
2010 : LOCAL 1358 WELFARE FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$132,482
Total unrealized appreciation/depreciation of assets2010-12-31$132,482
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$315,385
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$171,515
Total income from all sources (including contributions)2010-12-31$1,548,036
Total loss/gain on sale of assets2010-12-31$52,668
Total of all expenses incurred2010-12-31$2,064,143
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,852,040
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,284,912
Value of total assets at end of year2010-12-31$3,149,990
Value of total assets at beginning of year2010-12-31$3,522,227
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$212,103
Total interest from all sources2010-12-31$33,487
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$44,487
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$24,176
Administrative expenses professional fees incurred2010-12-31$44,785
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$42,959
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$14,655
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$15,819
Administrative expenses (other) incurred2010-12-31$101,467
Liabilities. Value of operating payables at end of year2010-12-31$180,014
Liabilities. Value of operating payables at beginning of year2010-12-31$152,771
Total non interest bearing cash at end of year2010-12-31$2,437
Total non interest bearing cash at beginning of year2010-12-31$1,683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-516,107
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,834,605
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,350,712
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$18,507
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$532,570
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$546,436
Interest earned on other investments2010-12-31$41
Income. Interest from US Government securities2010-12-31$20,688
Income. Interest from corporate debt instruments2010-12-31$12,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$39,891
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$286,985
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$286,985
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$746
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$1,280,315
Asset value of US Government securities at end of year2010-12-31$535,046
Asset value of US Government securities at beginning of year2010-12-31$739,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,241,953
Employer contributions (assets) at end of year2010-12-31$627,523
Employer contributions (assets) at beginning of year2010-12-31$248,704
Income. Dividends from common stock2010-12-31$20,311
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$571,725
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$212,500
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$293,574
Contract administrator fees2010-12-31$47,344
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$1,185,368
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$1,389,775
Liabilities. Value of benefit claims payable at end of year2010-12-31$135,371
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$18,744
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$1,497,661
Aggregate carrying amount (costs) on sale of assets2010-12-31$1,444,993
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31EDWARD K. HOFFMAN JR., CPA
Accountancy firm EIN2010-12-31161088129

Form 5500 Responses for LOCAL 1358 WELFARE FUND

2012: LOCAL 1358 WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LOCAL 1358 WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedYes
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: LOCAL 1358 WELFARE FUND 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: LOCAL 1358 WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number10272
Policy instance 1
Insurance contract or identification number10272
Number of Individuals Covered157
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $43,204
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees43204
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameENV INSURANCE AGENCY, LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number10272
Policy instance 1
Insurance contract or identification number10272
Number of Individuals Covered159
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $43,065
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number10272
Policy instance 1
Insurance contract or identification number10272
Number of Individuals Covered202
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes

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