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NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 401k Plan overview

Plan NameNVI, LLC EMPLOYEE BENEFIT PLAN & TRUST
Plan identification number 501

NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

NVI, LLC has sponsored the creation of one or more 401k plans.

Company Name:NVI, LLC
Employer identification number (EIN):201117678
NAIC Classification:236200

Additional information about NVI, LLC

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2008-04-25
Company Identification Number: 20081227113
Legal Registered Office Address: 1245 South Bellaire, #607

Denver
United States of America (USA)
80246

More information about NVI, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-03-01BLAKE NAQUIN
5012011-03-01BLAKE NAQUIN

Plan Statistics for NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST

401k plan membership statisitcs for NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST

Measure Date Value
2012: NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year2012-03-01388
Total of all active and inactive participants2012-03-010
2011: NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year2011-03-01139
Total number of active participants reported on line 7a of the Form 55002011-03-01183
Total of all active and inactive participants2011-03-01183

Financial Data on NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST

Measure Date Value
2013 : NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$6,196
Total income from all sources (including contributions)2013-02-28$643,029
Total of all expenses incurred2013-02-28$645,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$608,054
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$643,029
Value of total assets at end of year2013-02-28$7
Value of total assets at beginning of year2013-02-28$8,477
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$37,249
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$342,998
Administrative expenses (other) incurred2013-02-28$5,320
Total non interest bearing cash at end of year2013-02-28$7
Total non interest bearing cash at beginning of year2013-02-28$8,477
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$-2,274
Value of net assets at end of year (total assets less liabilities)2013-02-28$7
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$2,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$541,479
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28No
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$300,031
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-02-28$66,575
Contract administrator fees2013-02-28$31,929
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-02-28No
Liabilities. Value of benefit claims payable at end of year2013-02-28$0
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$6,196
Did the plan have assets held for investment2013-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28BROUSSARD & COMPANY CPA'S, LLC
Accountancy firm EIN2013-02-28721447940
2012 : NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$6,196
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-02-29$0
Total income from all sources (including contributions)2012-02-29$1,166,008
Total of all expenses incurred2012-02-29$1,163,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-02-29$1,113,355
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-02-29$1,166,008
Value of total assets at end of year2012-02-29$8,477
Value of total assets at beginning of year2012-02-29$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-02-29$50,372
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-02-29No
Was this plan covered by a fidelity bond2012-02-29Yes
Value of fidelity bond cover2012-02-29$500,000
If this is an individual account plan, was there a blackout period2012-02-29No
Were there any nonexempt tranactions with any party-in-interest2012-02-29No
Contributions received from participants2012-02-29$630,002
Administrative expenses (other) incurred2012-02-29$5,747
Total non interest bearing cash at end of year2012-02-29$8,477
Total non interest bearing cash at beginning of year2012-02-29$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Value of net income/loss2012-02-29$2,281
Value of net assets at end of year (total assets less liabilities)2012-02-29$2,281
Value of net assets at beginning of year (total assets less liabilities)2012-02-29$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2012-02-29No
Were any leases to which the plan was party in default or uncollectible2012-02-29No
Expenses. Payments to insurance carriers foe the provision of benefits2012-02-29$1,041,932
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-02-29No
Was there a failure to transmit to the plan any participant contributions2012-02-29No
Has the plan failed to provide any benefit when due under the plan2012-02-29No
Contributions received in cash from employer2012-02-29$536,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-02-29$71,423
Contract administrator fees2012-02-29$44,625
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-02-29No
Liabilities. Value of benefit claims payable at end of year2012-02-29$6,196
Liabilities. Value of benefit claims payable at beginning of year2012-02-29$0
Did the plan have assets held for investment2012-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-02-29No
Opinion of an independent qualified public accountant for this plan2012-02-29Unqualified
Accountancy firm name2012-02-29BROUSSARD & COMPANY CPAS, LLC
Accountancy firm EIN2012-02-29721447940

Form 5500 Responses for NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST

2012: NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Submission has been amendedNo
2012-03-01This submission is the final filingYes
2012-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-03-01Plan is a collectively bargained planNo
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan benefit arrangement – InsuranceYes
2011: NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01First time form 5500 has been submittedYes
2011-03-01Plan funding arrangement – InsuranceYes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan benefit arrangement – InsuranceYes
2011-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60093 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered0
Insurance policy start date2012-03-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $541,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number477184
Policy instance 1
Insurance contract or identification number477184
Number of Individuals Covered388
Insurance policy start date2012-03-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $28,560
Total amount of fees paid to insurance companyUSD $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 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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
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 $550,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,244
Insurance broker organization code?3
Insurance broker nameALFORD STAPLES LAPEYRE & ROBICHAUX
UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60093 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered183
Insurance policy start date2011-03-01
Insurance policy end date2012-02-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,041,932
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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