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RED HOOK SCHOOL SUPPORT STAFF TRUST 401k Plan overview

Plan NameRED HOOK SCHOOL SUPPORT STAFF TRUST
Plan identification number 501

RED HOOK SCHOOL SUPPORT STAFF TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Vision

401k Sponsoring company profile

RED HOOK SCHOOL SUPPORT STAFF TRUST has sponsored the creation of one or more 401k plans.

Company Name:RED HOOK SCHOOL SUPPORT STAFF TRUST
Employer identification number (EIN):201607576
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RED HOOK SCHOOL SUPPORT STAFF TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-07-01MARY COON
5012016-07-01MARY COON
5012015-07-01MARY COON
5012014-07-01MARGARET VAN NORSTRAND MARGARET VAN NORSTRAND2015-12-13
5012013-07-01WAYNE WILLIAMS
5012012-07-01WAYNE WILLIAMS
5012011-07-01WAYNE WILLIAMS
5012009-07-01WAYNE WILLIAMS

Plan Statistics for RED HOOK SCHOOL SUPPORT STAFF TRUST

401k plan membership statisitcs for RED HOOK SCHOOL SUPPORT STAFF TRUST

Measure Date Value
2017: RED HOOK SCHOOL SUPPORT STAFF TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-01168
Total number of active participants reported on line 7a of the Form 55002017-07-01148
Number of retired or separated participants receiving benefits2017-07-0120
Total of all active and inactive participants2017-07-01168
Total participants2017-07-01168
2016: RED HOOK SCHOOL SUPPORT STAFF TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-01163
Total number of active participants reported on line 7a of the Form 55002016-07-01148
Number of retired or separated participants receiving benefits2016-07-0120
Total of all active and inactive participants2016-07-01168
Total participants2016-07-01168
2015: RED HOOK SCHOOL SUPPORT STAFF TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-01154
Total number of active participants reported on line 7a of the Form 55002015-07-01147
Number of retired or separated participants receiving benefits2015-07-0116
Total of all active and inactive participants2015-07-01163
Total participants2015-07-01163
2014: RED HOOK SCHOOL SUPPORT STAFF TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-01149
Total number of active participants reported on line 7a of the Form 55002014-07-01143
Number of retired or separated participants receiving benefits2014-07-0111
Total of all active and inactive participants2014-07-01154
Total participants2014-07-01154
2013: RED HOOK SCHOOL SUPPORT STAFF TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-01146
Total number of active participants reported on line 7a of the Form 55002013-07-01133
Number of retired or separated participants receiving benefits2013-07-0110
Total of all active and inactive participants2013-07-01143
Total participants2013-07-01143
2012: RED HOOK SCHOOL SUPPORT STAFF TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-01144
Total number of active participants reported on line 7a of the Form 55002012-07-01136
Number of retired or separated participants receiving benefits2012-07-0110
Total of all active and inactive participants2012-07-01146
Total participants2012-07-01146
2011: RED HOOK SCHOOL SUPPORT STAFF TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-01137
Total number of active participants reported on line 7a of the Form 55002011-07-01135
Number of retired or separated participants receiving benefits2011-07-019
Total of all active and inactive participants2011-07-01144
Total participants2011-07-01144
2009: RED HOOK SCHOOL SUPPORT STAFF TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-01125
Total number of active participants reported on line 7a of the Form 55002009-07-01138
Total of all active and inactive participants2009-07-01138
Total participants2009-07-01138

Financial Data on RED HOOK SCHOOL SUPPORT STAFF TRUST

Measure Date Value
2018 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$5,743
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$5,214
Total income from all sources (including contributions)2018-06-30$172,835
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$206,300
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$201,282
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$172,597
Value of total assets at end of year2018-06-30$113,970
Value of total assets at beginning of year2018-06-30$146,906
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$5,018
Total interest from all sources2018-06-30$238
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$4,638
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$100,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$33,172
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$1,243
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$714
Administrative expenses (other) incurred2018-06-30$380
Liabilities. Value of operating payables at end of year2018-06-30$4,500
Liabilities. Value of operating payables at beginning of year2018-06-30$4,500
Total non interest bearing cash at end of year2018-06-30$15,103
Total non interest bearing cash at beginning of year2018-06-30$1,965
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-33,465
Value of net assets at end of year (total assets less liabilities)2018-06-30$108,227
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$141,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$98,475
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$144,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$144,445
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$238
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$201,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$139,425
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Assets. Value of buildings and other operty used in plan operation at end of year2018-06-30$392
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-06-30$496
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30VANNORSTRAND & HOOLIHAN, CPA'S PC
Accountancy firm EIN2018-06-30141736009
2017 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$5,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$5,016
Total income from all sources (including contributions)2017-06-30$154,413
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$193,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$187,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$154,072
Value of total assets at end of year2017-06-30$146,906
Value of total assets at beginning of year2017-06-30$185,422
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$5,350
Total interest from all sources2017-06-30$341
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$4,868
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$100,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$18,922
Participant contributions at beginning of year2017-06-30$5,085
Assets. Other investments not covered elsewhere at beginning of year2017-06-30$2,770
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$1,016
Administrative expenses (other) incurred2017-06-30$482
Liabilities. Value of operating payables at end of year2017-06-30$4,500
Liabilities. Value of operating payables at beginning of year2017-06-30$4,000
Total non interest bearing cash at end of year2017-06-30$1,965
Total non interest bearing cash at beginning of year2017-06-30$13,093
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-38,714
Value of net assets at end of year (total assets less liabilities)2017-06-30$141,692
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$180,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$144,445
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$164,474
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$164,474
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$341
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$187,777
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$135,150
Assets. Value of buildings and other operty used in plan operation at end of year2017-06-30$496
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30VAN NORSTRAND & HOOLIHAN CPA'S PC
Accountancy firm EIN2017-06-30141736009
2016 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$5,016
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$4,256
Total income from all sources (including contributions)2016-06-30$146,817
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$159,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$154,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$146,396
Value of total assets at end of year2016-06-30$185,422
Value of total assets at beginning of year2016-06-30$197,024
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$4,558
Total interest from all sources2016-06-30$421
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$4,149
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$100,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$16,728
Participant contributions at end of year2016-06-30$5,085
Assets. Other investments not covered elsewhere at end of year2016-06-30$2,770
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$1,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$756
Administrative expenses (other) incurred2016-06-30$409
Total non interest bearing cash at end of year2016-06-30$13,093
Total non interest bearing cash at beginning of year2016-06-30$14,579
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-12,362
Value of net assets at end of year (total assets less liabilities)2016-06-30$180,406
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$192,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$164,474
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$182,445
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$182,445
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$421
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$154,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$129,668
Liabilities. Value of benefit claims payable at end of year2016-06-30$4,000
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$3,500
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30VAN NORSTRAND & HOOLIHAN CPA'S PC
Accountancy firm EIN2016-06-30141736009
2015 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$4,256
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$3,764
Total income from all sources (including contributions)2015-06-30$134,798
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$144,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$140,912
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$134,322
Value of total assets at end of year2015-06-30$197,024
Value of total assets at beginning of year2015-06-30$206,676
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$4,030
Total interest from all sources2015-06-30$476
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$3,832
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$100,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$14,517
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$264
Administrative expenses (other) incurred2015-06-30$198
Liabilities. Value of operating payables at end of year2015-06-30$3,500
Liabilities. Value of operating payables at beginning of year2015-06-30$3,500
Total non interest bearing cash at end of year2015-06-30$14,579
Total non interest bearing cash at beginning of year2015-06-30$1,381
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-10,144
Value of net assets at end of year (total assets less liabilities)2015-06-30$192,768
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$202,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$182,445
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$205,295
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$205,295
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$476
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$140,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$119,805
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30VAN NORSTRAND & HOOLIHAN CPA'S PC
Accountancy firm EIN2015-06-30141736009
2014 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,764
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,950
Total income from all sources (including contributions)2014-06-30$133,439
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$122,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$118,249
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$132,949
Value of total assets at end of year2014-06-30$206,676
Value of total assets at beginning of year2014-06-30$195,491
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$3,819
Total interest from all sources2014-06-30$490
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$3,616
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$100,000
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$14,247
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$264
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$750
Administrative expenses (other) incurred2014-06-30$203
Liabilities. Value of operating payables at end of year2014-06-30$3,500
Liabilities. Value of operating payables at beginning of year2014-06-30$3,200
Total non interest bearing cash at end of year2014-06-30$1,381
Total non interest bearing cash at beginning of year2014-06-30$150
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$11,371
Value of net assets at end of year (total assets less liabilities)2014-06-30$202,912
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$191,541
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$205,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$195,341
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$195,341
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$490
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$118,249
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$118,702
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30VAN NORSTRAND & HOOLIHAN, CPA'S, PC
Accountancy firm EIN2014-06-30141736009
2013 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,950
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$3,636
Total income from all sources (including contributions)2013-06-30$121,273
Total of all expenses incurred2013-06-30$112,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$108,965
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$120,684
Value of total assets at end of year2013-06-30$195,491
Value of total assets at beginning of year2013-06-30$186,189
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$3,320
Total interest from all sources2013-06-30$589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$3,124
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$100,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$13,739
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$750
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$436
Administrative expenses (other) incurred2013-06-30$196
Liabilities. Value of operating payables at end of year2013-06-30$3,200
Liabilities. Value of operating payables at beginning of year2013-06-30$3,200
Total non interest bearing cash at end of year2013-06-30$150
Total non interest bearing cash at beginning of year2013-06-30$41
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$8,988
Value of net assets at end of year (total assets less liabilities)2013-06-30$191,541
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$182,553
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$195,341
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$186,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$186,148
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$589
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$108,965
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$106,945
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30VAN NORSTRAND & HOOLIHAN, CPAS PC
Accountancy firm EIN2013-06-30141736009
2012 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$3,636
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$6,858
Total income from all sources (including contributions)2012-06-30$105,970
Total of all expenses incurred2012-06-30$80,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$76,811
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$105,099
Value of total assets at end of year2012-06-30$186,189
Value of total assets at beginning of year2012-06-30$163,712
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$3,460
Total interest from all sources2012-06-30$871
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$3,364
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$100,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$3,817
Assets. Other investments not covered elsewhere at beginning of year2012-06-30$6,594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$436
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$478
Administrative expenses (other) incurred2012-06-30$96
Liabilities. Value of operating payables at end of year2012-06-30$3,200
Liabilities. Value of operating payables at beginning of year2012-06-30$6,380
Total non interest bearing cash at end of year2012-06-30$41
Total non interest bearing cash at beginning of year2012-06-30$62
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$25,699
Value of net assets at end of year (total assets less liabilities)2012-06-30$182,553
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$156,854
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$186,148
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$157,056
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$157,056
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$871
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$76,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$101,282
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30VAN NORSTRAND & HOOLIHAN, CPA'S PC
Accountancy firm EIN2012-06-30141736009
2011 : RED HOOK SCHOOL SUPPORT STAFF TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$6,858
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,808
Total income from all sources (including contributions)2011-06-30$105,187
Total of all expenses incurred2011-06-30$79,688
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$75,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$104,055
Value of total assets at end of year2011-06-30$163,712
Value of total assets at beginning of year2011-06-30$134,163
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$4,067
Total interest from all sources2011-06-30$1,132
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$3,880
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$100,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$3,407
Assets. Other investments not covered elsewhere at end of year2011-06-30$6,594
Assets. Other investments not covered elsewhere at beginning of year2011-06-30$6,452
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$478
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$308
Administrative expenses (other) incurred2011-06-30$187
Liabilities. Value of operating payables at end of year2011-06-30$6,380
Liabilities. Value of operating payables at beginning of year2011-06-30$2,500
Total non interest bearing cash at end of year2011-06-30$62
Total non interest bearing cash at beginning of year2011-06-30$66
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$25,499
Value of net assets at end of year (total assets less liabilities)2011-06-30$156,854
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$131,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$157,056
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$127,645
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$127,645
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$1,132
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$75,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$100,648
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30VAN NORSTRAND & HOOLIHAN, CPA'S, PC
Accountancy firm EIN2011-06-30141736009

Form 5500 Responses for RED HOOK SCHOOL SUPPORT STAFF TRUST

2017: RED HOOK SCHOOL SUPPORT STAFF TRUST 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: RED HOOK SCHOOL SUPPORT STAFF TRUST 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: RED HOOK SCHOOL SUPPORT STAFF TRUST 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: RED HOOK SCHOOL SUPPORT STAFF TRUST 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: RED HOOK SCHOOL SUPPORT STAFF TRUST 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: RED HOOK SCHOOL SUPPORT STAFF TRUST 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: RED HOOK SCHOOL SUPPORT STAFF TRUST 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: RED HOOK SCHOOL SUPPORT STAFF TRUST 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 2
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered20
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $35,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5358629
Policy instance 1
Insurance contract or identification number5358629
Number of Individuals Covered148
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 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 BenefitNo
Dental Insurance Welfare BenefitYes
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 $165,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 2
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered163
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $30,754
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 97136 )
Policy contract number5358629
Policy instance 1
Insurance contract or identification number5358629
Number of Individuals Covered149
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 $123,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 97136 )
Policy contract number5358629
Policy instance 1
Insurance contract or identification number5358629
Number of Individuals Covered143
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 BenefitNo
Dental Insurance Welfare BenefitYes
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 $112,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 2
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered154
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 BenefitNo
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 $28,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 2
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered144
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $27,146
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number270-0613
Policy instance 1
Insurance contract or identification number270-0613
Number of Individuals Covered144
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 BenefitNo
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 $91,103
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number270-0613
Policy instance 1
Insurance contract or identification number270-0613
Number of Individuals Covered144
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 2
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered144
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,570
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number270-0613
Policy instance 1
Insurance contract or identification number270-0613
Number of Individuals Covered135
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $49,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 2
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered144
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number30-016-690-0001
Policy instance 1
Insurance contract or identification number30-016-690-0001
Number of Individuals Covered137
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,066
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 79065 )
Policy contract number270-0614
Policy instance 2
Insurance contract or identification number270-0614
Number of Individuals Covered137
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $48,555
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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