MICRO-CLEAN, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan MICRO-CLEAN, INC. GROUP MEDICAL PLAN
401k plan membership statisitcs for MICRO-CLEAN, INC. GROUP MEDICAL PLAN
| Measure | Date | Value |
|---|
| 2015: MICRO-CLEAN, INC. GROUP MEDICAL PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 68 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 74 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 77 |
| 2014: MICRO-CLEAN, INC. GROUP MEDICAL PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 62 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 68 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 68 |
| Measure | Date | Value |
|---|
| 2015 : MICRO-CLEAN, INC. GROUP MEDICAL PLAN 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $68,917 |
| Total plan liabilities at beginning of year | 2015-12-31 | $36,239 |
| Total income from all sources | 2015-12-31 | $595,090 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $621,349 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $395,749 |
| Total plan assets at end of year | 2015-12-31 | $6,750 |
| Total plan assets at beginning of year | 2015-12-31 | $331 |
| Value of fidelity bond covering the plan | 2015-12-31 | $460,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $221,531 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $184,701 |
| Other income received | 2015-12-31 | $38 |
| Net income (gross income less expenses) | 2015-12-31 | $-26,259 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $-62,167 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $-35,908 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $373,521 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $40,899 |
| 2014 : MICRO-CLEAN, INC. GROUP MEDICAL PLAN 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-12-31 | $36,239 |
| Total income from all sources | 2014-12-31 | $508,699 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $544,607 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $335,646 |
| Total plan assets at end of year | 2014-12-31 | $331 |
| Value of fidelity bond covering the plan | 2014-12-31 | $55,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $210,533 |
| Other income received | 2014-12-31 | $23 |
| Net income (gross income less expenses) | 2014-12-31 | $-35,908 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $-35,908 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $298,143 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $208,961 |
| 2015: MICRO-CLEAN, INC. GROUP MEDICAL PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: MICRO-CLEAN, INC. GROUP MEDICAL PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | First time form 5500 has been submitted | Yes |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 0 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $382 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | VERIS |
| Policy instance | 2 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 77 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $143,986 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EXCESS REINSURANCE UNDERWRITERS (National Association of Insurance Commissioners NAIC id number: 26921 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Carrier | USD $113,571 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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