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AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN 401k Plan overview

Plan NameAMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN
Plan identification number 501

AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental

401k Sponsoring company profile

AMERICAN TERRAZZO COMPANY, LTD. has sponsored the creation of one or more 401k plans.

Company Name:AMERICAN TERRAZZO COMPANY, LTD.
Employer identification number (EIN):223856454
NAIC Classification:238900

Additional information about AMERICAN TERRAZZO COMPANY, LTD.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2002-06-01
Company Identification Number: 0800089393
Legal Registered Office Address: 309 GOLD ST

GARLAND
United States of America (USA)
75042

More information about AMERICAN TERRAZZO COMPANY, LTD.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-06-01ANN MACON ANN MACON2016-11-04
5012014-06-01ANN STURGEON ANN STURGEON2015-07-20

Plan Statistics for AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN

401k plan membership statisitcs for AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN

Measure Date Value
2015: AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01111
Total number of active participants reported on line 7a of the Form 55002015-06-0197
Total of all active and inactive participants2015-06-0197
2014: AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01111
Total number of active participants reported on line 7a of the Form 55002014-06-01111
Total of all active and inactive participants2014-06-01111

Form 5500 Responses for AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN

2015: AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: AMERICAN TERRAZZO, LTD. WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1043970
Policy instance 1
Insurance contract or identification number1043970
Number of Individuals Covered138
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $8,598
Total amount of fees paid to insurance companyUSD $311
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,598
Amount paid for insurance broker fees311
Additional information about fees paid to insurance brokerBONUS.
Insurance broker organization code?3
Insurance broker nameUSI SOUTHWEST INC.
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1043970
Policy instance 1
Insurance contract or identification number1043970
Number of Individuals Covered142
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $6,790
Total amount of fees paid to insurance companyUSD $2,263
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $45,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,790
Amount paid for insurance broker fees2263
Additional information about fees paid to insurance brokerBONUS.
Insurance broker organization code?3
Insurance broker nameUSI SOUTHWEST INC.

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