401k Plan data: AMERICAN BROADBAND PLAN plan

AMERICAN BROADBAND PLAN 401k Plan overview

Plan Name	AMERICAN BROADBAND PLAN
Plan identification number	502

AMERICAN BROADBAND PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness)

401k Sponsoring company profile

AMERICAN BROADBAND HOLDING COMPANY has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN BROADBAND HOLDING COMPANY

Employer identification number (EIN): 208862855

NAIC Classification: 517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN BROADBAND PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2021-01-01
502 2021-01-01 CRISTINA MARTINEZ 2023-09-18
502 2020-01-01
502 2019-01-01

Plan Statistics for AMERICAN BROADBAND PLAN

401k plan membership statisitcs for AMERICAN BROADBAND PLAN

Measure Date Value
2021: AMERICAN BROADBAND PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 238
Total of all active and inactive participants 2021-01-01 238
Total participants 2021-01-01 238
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Number of employers contributing to the scheme 2021-01-01 0
2020: AMERICAN BROADBAND PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 228
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 219
Total of all active and inactive participants 2020-01-01 219
Total participants 2020-01-01 219
2019: AMERICAN BROADBAND PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 219
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 228
Total of all active and inactive participants 2019-01-01 228
Total participants 2019-01-01 228

Measure	Date	Value
2021: AMERICAN BROADBAND PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	238
Total of all active and inactive participants	2021-01-01	238
Total participants	2021-01-01	238
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Number of employers contributing to the scheme	2021-01-01	0
2020: AMERICAN BROADBAND PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	228
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	219
Total of all active and inactive participants	2020-01-01	219
Total participants	2020-01-01	219
2019: AMERICAN BROADBAND PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	219
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	228
Total of all active and inactive participants	2019-01-01	228
Total participants	2019-01-01	228

Form 5500 Responses for AMERICAN BROADBAND PLAN

2021: AMERICAN BROADBAND PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	Yes
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: AMERICAN BROADBAND PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: AMERICAN BROADBAND PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000BH7H

Policy instance

Insurance contract or identification number	G000BH7H
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $6,300
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $41,999
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,725
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3
Number of Individuals Covered	0
Total amount of fees paid to insurance company	USD $0
Amount paid for insurance broker fees	0

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000BH7H

Policy instance

Insurance contract or identification number	G000BH7H
Number of Individuals Covered	219
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of fees paid to insurance company	USD $7,799
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $38,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5849
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

G000BH7H

Policy instance

Insurance contract or identification number	G000BH7H
Number of Individuals Covered	228
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $7,853
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $39,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,890
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	ADMINISTRATIVE FEES

Potentially related plans

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Company Name:	AMERICAN BROADBAND HOLDING COMPANY
Employer identification number (EIN):	208862855
NAIC Classification:	517000

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
502	2021-01-01
502	2021-01-01	CRISTINA MARTINEZ	2023-09-18
502	2020-01-01
502	2019-01-01