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LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 401k Plan overview

Plan NameLOCAL NO 3 HEALTH AND WELFARE TRUST FUND
Plan identification number 501

LOCAL NO 3 HEALTH AND WELFARE TRUST FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES B.A.C. LOCAL NO 3 HEALTH AND WELFARE TRUST FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES B.A.C. LOCAL NO 3 HEALTH AND WELFARE TRUST FUND
Employer identification number (EIN):237034407
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL NO 3 HEALTH AND WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012019-07-01GARY F. PEIFER2021-03-30 RONALD G. BENNETT2021-03-30
5012019-07-01GARY F. PEIFER2022-04-14
5012018-07-01DAVE JACKSON2020-04-07 RON BENNETT2020-04-08
5012017-07-01GARY PEIFER2019-04-02 ROBERT FILIPPI2019-04-02
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01DAVE JACKSON
5012011-07-01ROBERT FILIPPI
5012010-07-01RONALD BENNETT
5012009-07-01DAVID JACKSON

Plan Statistics for LOCAL NO 3 HEALTH AND WELFARE TRUST FUND

401k plan membership statisitcs for LOCAL NO 3 HEALTH AND WELFARE TRUST FUND

Measure Date Value
2021: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-07-01604
Total number of active participants reported on line 7a of the Form 55002021-07-01585
Number of retired or separated participants receiving benefits2021-07-0143
Total of all active and inactive participants2021-07-01628
Total participants2021-07-01628
Number of employers contributing to the scheme2021-07-0187
2020: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-07-01627
Total number of active participants reported on line 7a of the Form 55002020-07-01561
Number of retired or separated participants receiving benefits2020-07-0143
Total of all active and inactive participants2020-07-01604
Total participants2020-07-01604
Number of employers contributing to the scheme2020-07-0187
2019: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-07-01627
Total number of active participants reported on line 7a of the Form 55002019-07-01561
Number of retired or separated participants receiving benefits2019-07-0143
Total of all active and inactive participants2019-07-01604
Number of employers contributing to the scheme2019-07-0187
2018: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-07-01687
Total number of active participants reported on line 7a of the Form 55002018-07-01583
Number of retired or separated participants receiving benefits2018-07-0144
Total of all active and inactive participants2018-07-01627
Number of employers contributing to the scheme2018-07-0185
2017: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-07-01687
Total number of active participants reported on line 7a of the Form 55002017-07-01610
Number of retired or separated participants receiving benefits2017-07-0143
Total of all active and inactive participants2017-07-01653
Number of employers contributing to the scheme2017-07-01117
2016: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-07-01591
Total number of active participants reported on line 7a of the Form 55002016-07-01635
Number of retired or separated participants receiving benefits2016-07-0152
Total of all active and inactive participants2016-07-01687
Number of employers contributing to the scheme2016-07-01120
2015: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-07-01510
Total number of active participants reported on line 7a of the Form 55002015-07-01536
Number of retired or separated participants receiving benefits2015-07-0155
Total of all active and inactive participants2015-07-01591
Number of employers contributing to the scheme2015-07-0198
2014: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-07-01431
Total number of active participants reported on line 7a of the Form 55002014-07-01454
Number of retired or separated participants receiving benefits2014-07-0156
Total of all active and inactive participants2014-07-01510
Number of employers contributing to the scheme2014-07-01109
2013: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-07-01500
Total number of active participants reported on line 7a of the Form 55002013-07-01373
Number of retired or separated participants receiving benefits2013-07-0158
Total of all active and inactive participants2013-07-01431
Number of employers contributing to the scheme2013-07-01186
2012: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-07-01469
Total number of active participants reported on line 7a of the Form 55002012-07-01438
Number of retired or separated participants receiving benefits2012-07-0162
Total of all active and inactive participants2012-07-01500
Number of employers contributing to the scheme2012-07-01177
2011: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-07-01428
Total number of active participants reported on line 7a of the Form 55002011-07-01400
Number of retired or separated participants receiving benefits2011-07-0169
Total of all active and inactive participants2011-07-01469
Number of employers contributing to the scheme2011-07-01173
2010: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2010 401k membership
Total participants, beginning-of-year2010-07-01497
Total number of active participants reported on line 7a of the Form 55002010-07-01346
Number of retired or separated participants receiving benefits2010-07-0182
Total of all active and inactive participants2010-07-01428
Number of employers contributing to the scheme2010-07-01171
2009: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-07-01658
Total number of active participants reported on line 7a of the Form 55002009-07-01497
Total of all active and inactive participants2009-07-01497
Number of employers contributing to the scheme2009-07-01206

Financial Data on LOCAL NO 3 HEALTH AND WELFARE TRUST FUND

Measure Date Value
2022 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-06-30$-486,289
Total unrealized appreciation/depreciation of assets2022-06-30$-486,289
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$5,049,900
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$6,415,935
Total income from all sources (including contributions)2022-06-30$9,932,040
Total loss/gain on sale of assets2022-06-30$107,140
Total of all expenses incurred2022-06-30$9,585,690
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$8,764,290
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$9,937,240
Value of total assets at end of year2022-06-30$16,892,474
Value of total assets at beginning of year2022-06-30$17,912,159
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$821,400
Total interest from all sources2022-06-30$164,347
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$200,760
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$200,760
Administrative expenses professional fees incurred2022-06-30$369,980
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$447,260
Participant contributions at end of year2022-06-30$19,850
Participant contributions at beginning of year2022-06-30$21,415
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$64,631
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-30$127,916
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-06-30$252,016
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-06-30$82,392
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$4,326,766
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$5,442,523
Other income not declared elsewhere2022-06-30$8,842
Administrative expenses (other) incurred2022-06-30$60,592
Liabilities. Value of operating payables at end of year2022-06-30$62,167
Liabilities. Value of operating payables at beginning of year2022-06-30$38,251
Total non interest bearing cash at end of year2022-06-30$2,429,012
Total non interest bearing cash at beginning of year2022-06-30$3,263,096
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$346,350
Value of net assets at end of year (total assets less liabilities)2022-06-30$11,842,574
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$11,496,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Assets. partnership/joint venture interests at beginning of year2022-06-30$3,180,148
Investment advisory and management fees2022-06-30$61,116
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$7,102,072
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$3,757,991
Value of interest in pooled separate accounts at end of year2022-06-30$0
Income. Interest from US Government securities2022-06-30$44,561
Income. Interest from corporate debt instruments2022-06-30$118,231
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$621,762
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$136,599
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$136,599
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$1,555
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$7,202,148
Asset value of US Government securities at end of year2022-06-30$1,848,612
Asset value of US Government securities at beginning of year2022-06-30$2,233,940
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30Yes
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$9,425,349
Employer contributions (assets) at end of year2022-06-30$883,433
Employer contributions (assets) at beginning of year2022-06-30$821,087
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$1,434,226
Asset. Corporate debt instrument debt (other) at end of year2022-06-30$3,735,717
Asset. Corporate debt instrument debt (other) at beginning of year2022-06-30$4,415,491
Contract administrator fees2022-06-30$329,712
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-06-30No
Liabilities. Value of benefit claims payable at end of year2022-06-30$660,967
Liabilities. Value of benefit claims payable at beginning of year2022-06-30$935,161
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Aggregate proceeds on sale of assets2022-06-30$8,070,076
Aggregate carrying amount (costs) on sale of assets2022-06-30$7,962,936
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30MCMENOMY & ASSOCIATES CPAS LLP
Accountancy firm EIN2022-06-30461559312
2021 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-06-30$68,330
Total unrealized appreciation/depreciation of assets2021-06-30$68,330
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$6,415,935
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$6,718,233
Total income from all sources (including contributions)2021-06-30$11,128,160
Total loss/gain on sale of assets2021-06-30$369,251
Total of all expenses incurred2021-06-30$11,723,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$10,973,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$10,239,429
Value of total assets at end of year2021-06-30$17,912,159
Value of total assets at beginning of year2021-06-30$18,810,214
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$750,077
Total interest from all sources2021-06-30$331,120
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$114,289
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$114,289
Administrative expenses professional fees incurred2021-06-30$307,317
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$406,477
Participant contributions at end of year2021-06-30$21,415
Participant contributions at beginning of year2021-06-30$30,159
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$56,491
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-06-30$119,833
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$82,392
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$89,768
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-06-30$5,442,523
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-06-30$5,627,942
Other income not declared elsewhere2021-06-30$5,741
Administrative expenses (other) incurred2021-06-30$55,803
Liabilities. Value of operating payables at end of year2021-06-30$38,251
Liabilities. Value of operating payables at beginning of year2021-06-30$49,712
Total non interest bearing cash at end of year2021-06-30$3,263,096
Total non interest bearing cash at beginning of year2021-06-30$3,412,463
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-595,757
Value of net assets at end of year (total assets less liabilities)2021-06-30$11,496,224
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$12,091,981
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Assets. partnership/joint venture interests at end of year2021-06-30$3,180,148
Assets. partnership/joint venture interests at beginning of year2021-06-30$5,392,700
Investment advisory and management fees2021-06-30$70,992
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$3,757,991
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$1,173,618
Value of interest in pooled separate accounts at end of year2021-06-30$0
Interest earned on other investments2021-06-30$133,269
Income. Interest from US Government securities2021-06-30$62,972
Income. Interest from corporate debt instruments2021-06-30$134,478
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$136,599
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$228,286
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$228,286
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$401
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$7,794,330
Asset value of US Government securities at end of year2021-06-30$2,233,940
Asset value of US Government securities at beginning of year2021-06-30$3,557,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30Yes
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$9,776,461
Employer contributions (assets) at end of year2021-06-30$821,087
Employer contributions (assets) at beginning of year2021-06-30$912,533
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$3,059,677
Asset. Corporate debt instrument debt (other) at end of year2021-06-30$4,415,491
Asset. Corporate debt instrument debt (other) at beginning of year2021-06-30$4,013,017
Contract administrator fees2021-06-30$315,965
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-06-30No
Liabilities. Value of benefit claims payable at end of year2021-06-30$935,161
Liabilities. Value of benefit claims payable at beginning of year2021-06-30$1,040,579
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$8,523,436
Aggregate carrying amount (costs) on sale of assets2021-06-30$8,154,185
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30MCMENOMY & ASSOCIATES CPAS LLP
Accountancy firm EIN2021-06-30461559312
2020 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-06-30$2,779
Total unrealized appreciation/depreciation of assets2020-06-30$2,779
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$5,827,871
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$5,223,714
Total income from all sources (including contributions)2020-06-30$11,458,567
Total loss/gain on sale of assets2020-06-30$130,436
Total of all expenses incurred2020-06-30$13,138,816
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$12,290,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$10,156,849
Value of total assets at end of year2020-06-30$17,842,827
Value of total assets at beginning of year2020-06-30$18,918,919
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$847,850
Total interest from all sources2020-06-30$563,427
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$21,920
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$21,920
Administrative expenses professional fees incurred2020-06-30$302,019
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$469,849
Participant contributions at end of year2020-06-30$30,159
Participant contributions at beginning of year2020-06-30$27,063
Assets. Other investments not covered elsewhere at end of year2020-06-30$14,383,507
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$71,552
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$803,757
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-06-30$4,924,784
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-06-30$4,719,070
Other income not declared elsewhere2020-06-30$1,298,939
Administrative expenses (other) incurred2020-06-30$57,349
Liabilities. Value of operating payables at end of year2020-06-30$49,712
Liabilities. Value of operating payables at beginning of year2020-06-30$44,770
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-1,680,249
Value of net assets at end of year (total assets less liabilities)2020-06-30$12,014,956
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$13,695,205
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Assets. partnership/joint venture interests at end of year2020-06-30$5,392,700
Assets. partnership/joint venture interests at beginning of year2020-06-30$5,921,239
Investment advisory and management fees2020-06-30$25,911
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$1,173,618
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$1,486,975
Interest earned on other investments2020-06-30$328,517
Income. Interest from US Government securities2020-06-30$102,085
Income. Interest from corporate debt instruments2020-06-30$115,634
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$2,445,076
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$2,682,479
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$2,682,479
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$17,191
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$7,586,128
Asset value of US Government securities at end of year2020-06-30$3,557,670
Asset value of US Government securities at beginning of year2020-06-30$3,614,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$41,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$9,687,000
Employer contributions (assets) at end of year2020-06-30$912,533
Employer contributions (assets) at beginning of year2020-06-30$909,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$4,704,838
Asset. Corporate debt instrument debt (other) at end of year2020-06-30$4,013,017
Asset. Corporate debt instrument debt (other) at beginning of year2020-06-30$3,473,949
Contract administrator fees2020-06-30$462,571
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Liabilities. Value of benefit claims payable at end of year2020-06-30$853,375
Liabilities. Value of benefit claims payable at beginning of year2020-06-30$459,874
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Aggregate proceeds on sale of assets2020-06-30$11,379,969
Aggregate carrying amount (costs) on sale of assets2020-06-30$11,249,533
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30EIDE BAILLY LLP
Accountancy firm EIN2020-06-30450250958
2019 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-06-30$317,499
Total unrealized appreciation/depreciation of assets2019-06-30$317,499
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$5,223,714
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$7,355,662
Total income from all sources (including contributions)2019-06-30$12,100,934
Total loss/gain on sale of assets2019-06-30$-65,765
Total of all expenses incurred2019-06-30$10,738,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$9,947,249
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$10,119,115
Value of total assets at end of year2019-06-30$18,918,919
Value of total assets at beginning of year2019-06-30$19,688,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$790,879
Total interest from all sources2019-06-30$576,516
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$28,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$28,061
Administrative expenses professional fees incurred2019-06-30$402,442
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$390,186
Participant contributions at end of year2019-06-30$27,063
Participant contributions at beginning of year2019-06-30$22,395
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$803,757
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$135,329
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-06-30$4,719,070
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-06-30$6,731,370
Other income not declared elsewhere2019-06-30$987,268
Administrative expenses (other) incurred2019-06-30$63,191
Liabilities. Value of operating payables at end of year2019-06-30$44,770
Liabilities. Value of operating payables at beginning of year2019-06-30$45,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$1,362,806
Value of net assets at end of year (total assets less liabilities)2019-06-30$13,695,205
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$12,332,399
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Assets. partnership/joint venture interests at end of year2019-06-30$5,921,239
Assets. partnership/joint venture interests at beginning of year2019-06-30$5,601,714
Investment advisory and management fees2019-06-30$31,786
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$1,486,975
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$1,357,756
Interest earned on other investments2019-06-30$305,666
Income. Interest from US Government securities2019-06-30$114,479
Income. Interest from corporate debt instruments2019-06-30$130,790
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$2,682,479
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$4,535,553
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$4,535,553
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$25,581
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$7,342,020
Asset value of US Government securities at end of year2019-06-30$3,614,428
Asset value of US Government securities at beginning of year2019-06-30$3,353,522
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$138,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30Yes
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$9,728,929
Employer contributions (assets) at end of year2019-06-30$909,029
Employer contributions (assets) at beginning of year2019-06-30$921,598
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$2,605,229
Asset. Corporate debt instrument debt (other) at end of year2019-06-30$3,473,949
Asset. Corporate debt instrument debt (other) at beginning of year2019-06-30$3,760,194
Contract administrator fees2019-06-30$293,460
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Liabilities. Value of benefit claims payable at end of year2019-06-30$459,874
Liabilities. Value of benefit claims payable at beginning of year2019-06-30$578,413
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Aggregate proceeds on sale of assets2019-06-30$7,869,100
Aggregate carrying amount (costs) on sale of assets2019-06-30$7,934,865
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30EIDE BAILLY LLP
Accountancy firm EIN2019-06-30450250958
2018 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-06-30$-140,500
Total unrealized appreciation/depreciation of assets2018-06-30$-140,500
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$7,355,662
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$5,509,768
Total income from all sources (including contributions)2018-06-30$11,671,315
Total loss/gain on sale of assets2018-06-30$-69,984
Total of all expenses incurred2018-06-30$12,071,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$11,040,370
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$11,105,847
Value of total assets at end of year2018-06-30$19,688,061
Value of total assets at beginning of year2018-06-30$18,242,654
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$1,031,432
Total interest from all sources2018-06-30$490,653
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$25,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$25,421
Administrative expenses professional fees incurred2018-06-30$585,283
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
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$397,474
Participant contributions at end of year2018-06-30$22,395
Participant contributions at beginning of year2018-06-30$26,601
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$135,329
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$839,448
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-06-30$6,731,370
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-06-30$4,584,837
Other income not declared elsewhere2018-06-30$112,642
Administrative expenses (other) incurred2018-06-30$84,762
Liabilities. Value of operating payables at end of year2018-06-30$45,879
Liabilities. Value of operating payables at beginning of year2018-06-30$45,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$-400,487
Value of net assets at end of year (total assets less liabilities)2018-06-30$12,332,399
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$12,732,886
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
Assets. partnership/joint venture interests at end of year2018-06-30$1,357,756
Assets. partnership/joint venture interests at beginning of year2018-06-30$5,377,851
Investment advisory and management fees2018-06-30$72,199
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$5,579,351
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$1,229,553
Interest earned on other investments2018-06-30$237,431
Income. Interest from US Government securities2018-06-30$101,322
Income. Interest from corporate debt instruments2018-06-30$137,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$4,535,553
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-06-30$2,420,366
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-06-30$2,420,366
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$14,044
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$7,017,925
Asset value of US Government securities at end of year2018-06-30$3,375,885
Asset value of US Government securities at beginning of year2018-06-30$3,191,621
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$147,236
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30Yes
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$10,708,373
Employer contributions (assets) at end of year2018-06-30$921,598
Employer contributions (assets) at beginning of year2018-06-30$1,029,142
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$4,022,445
Asset. Corporate debt instrument debt (other) at end of year2018-06-30$3,760,194
Asset. Corporate debt instrument debt (other) at beginning of year2018-06-30$4,128,072
Contract administrator fees2018-06-30$289,188
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
Liabilities. Value of benefit claims payable at end of year2018-06-30$578,413
Liabilities. Value of benefit claims payable at beginning of year2018-06-30$879,869
Did the plan have assets held for investment2018-06-30Yes
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
Aggregate proceeds on sale of assets2018-06-30$6,884,513
Aggregate carrying amount (costs) on sale of assets2018-06-30$6,954,497
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 name2018-06-30VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2018-06-30952648289
2017 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-06-30$4,930
Total unrealized appreciation/depreciation of assets2017-06-30$4,930
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$5,509,768
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$5,104,598
Total income from all sources (including contributions)2017-06-30$12,324,268
Total loss/gain on sale of assets2017-06-30$102,848
Total of all expenses incurred2017-06-30$11,410,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$10,464,189
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$10,796,564
Value of total assets at end of year2017-06-30$18,242,654
Value of total assets at beginning of year2017-06-30$16,923,766
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$946,361
Total interest from all sources2017-06-30$436,026
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$30,848
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$11,270
Administrative expenses professional fees incurred2017-06-30$521,242
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
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$445,026
Participant contributions at end of year2017-06-30$26,601
Participant contributions at beginning of year2017-06-30$26,026
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$839,448
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$235,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-06-30$4,584,837
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-06-30$4,286,372
Other income not declared elsewhere2017-06-30$930,428
Administrative expenses (other) incurred2017-06-30$62,830
Liabilities. Value of operating payables at end of year2017-06-30$45,062
Liabilities. Value of operating payables at beginning of year2017-06-30$71,995
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$913,718
Value of net assets at end of year (total assets less liabilities)2017-06-30$12,732,886
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$11,819,168
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
Assets. partnership/joint venture interests at end of year2017-06-30$5,377,851
Assets. partnership/joint venture interests at beginning of year2017-06-30$5,057,940
Investment advisory and management fees2017-06-30$74,931
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$1,229,553
Interest earned on other investments2017-06-30$212,370
Income. Interest from US Government securities2017-06-30$82,624
Income. Interest from corporate debt instruments2017-06-30$136,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-06-30$2,420,366
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-06-30$2,006,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-06-30$2,006,530
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$4,420
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$6,559,248
Asset value of US Government securities at end of year2017-06-30$3,191,621
Asset value of US Government securities at beginning of year2017-06-30$3,325,738
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$22,624
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30Yes
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$10,351,538
Employer contributions (assets) at end of year2017-06-30$1,029,142
Employer contributions (assets) at beginning of year2017-06-30$856,277
Income. Dividends from common stock2017-06-30$19,578
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$3,904,941
Asset. Corporate debt instrument debt (other) at end of year2017-06-30$4,128,072
Asset. Corporate debt instrument debt (other) at beginning of year2017-06-30$4,299,140
Contract administrator fees2017-06-30$287,358
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Assets. Corporate common stocks other than exployer securities at beginning of year2017-06-30$1,116,864
Liabilities. Value of benefit claims payable at end of year2017-06-30$879,869
Liabilities. Value of benefit claims payable at beginning of year2017-06-30$746,231
Did the plan have assets held for investment2017-06-30Yes
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
Aggregate proceeds on sale of assets2017-06-30$19,783,402
Aggregate carrying amount (costs) on sale of assets2017-06-30$19,680,554
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 name2017-06-30VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2017-06-30952648289
2016 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-06-30$234,223
Total unrealized appreciation/depreciation of assets2016-06-30$234,223
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$5,104,598
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$3,155,669
Total income from all sources (including contributions)2016-06-30$10,611,322
Total loss/gain on sale of assets2016-06-30$-24,017
Total of all expenses incurred2016-06-30$11,656,597
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$10,723,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$9,572,616
Value of total assets at end of year2016-06-30$16,923,766
Value of total assets at beginning of year2016-06-30$16,020,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$932,832
Total interest from all sources2016-06-30$431,174
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$22,049
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$534,663
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
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$469,294
Participant contributions at end of year2016-06-30$26,026
Participant contributions at beginning of year2016-06-30$25,046
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$235,251
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$95,284
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$4,286,372
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$2,683,315
Other income not declared elsewhere2016-06-30$375,277
Administrative expenses (other) incurred2016-06-30$61,011
Liabilities. Value of operating payables at end of year2016-06-30$71,995
Liabilities. Value of operating payables at beginning of year2016-06-30$77,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-1,045,275
Value of net assets at end of year (total assets less liabilities)2016-06-30$11,819,168
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$12,864,443
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
Assets. partnership/joint venture interests at end of year2016-06-30$5,057,940
Assets. partnership/joint venture interests at beginning of year2016-06-30$4,780,973
Investment advisory and management fees2016-06-30$73,710
Interest earned on other investments2016-06-30$151,341
Income. Interest from US Government securities2016-06-30$86,108
Income. Interest from corporate debt instruments2016-06-30$193,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$2,006,530
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$1,654,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$1,654,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$152
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$5,938,367
Asset value of US Government securities at end of year2016-06-30$3,325,738
Asset value of US Government securities at beginning of year2016-06-30$3,224,877
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30Yes
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$9,103,322
Employer contributions (assets) at end of year2016-06-30$856,277
Employer contributions (assets) at beginning of year2016-06-30$669,570
Income. Dividends from common stock2016-06-30$22,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$4,785,398
Asset. Corporate debt instrument debt (other) at end of year2016-06-30$4,299,140
Asset. Corporate debt instrument debt (other) at beginning of year2016-06-30$4,382,750
Contract administrator fees2016-06-30$263,448
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2016-06-30$1,116,864
Assets. Corporate common stocks other than exployer securities at beginning of year2016-06-30$1,186,980
Liabilities. Value of benefit claims payable at end of year2016-06-30$746,231
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$394,937
Did the plan have assets held for investment2016-06-30Yes
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
Aggregate proceeds on sale of assets2016-06-30$6,714,424
Aggregate carrying amount (costs) on sale of assets2016-06-30$6,738,441
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 name2016-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-06-30300702322
2015 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-06-30$19,601
Total unrealized appreciation/depreciation of assets2015-06-30$19,601
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$3,155,669
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$3,188,661
Total income from all sources (including contributions)2015-06-30$7,577,715
Total loss/gain on sale of assets2015-06-30$-9,502
Total of all expenses incurred2015-06-30$6,860,495
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$6,066,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$7,078,742
Value of total assets at end of year2015-06-30$16,020,112
Value of total assets at beginning of year2015-06-30$15,335,884
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$794,431
Total interest from all sources2015-06-30$416,701
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$10,791
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$400,719
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
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$477,846
Participant contributions at end of year2015-06-30$25,046
Participant contributions at beginning of year2015-06-30$27,075
Assets. Other investments not covered elsewhere at beginning of year2015-06-30$964,388
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$95,284
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$103,556
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$2,683,315
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$2,568,703
Other income not declared elsewhere2015-06-30$61,382
Administrative expenses (other) incurred2015-06-30$69,036
Liabilities. Value of operating payables at end of year2015-06-30$77,417
Liabilities. Value of operating payables at beginning of year2015-06-30$72,737
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$717,220
Value of net assets at end of year (total assets less liabilities)2015-06-30$12,864,443
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$12,147,223
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
Assets. partnership/joint venture interests at end of year2015-06-30$4,780,973
Assets. partnership/joint venture interests at beginning of year2015-06-30$2,668,708
Investment advisory and management fees2015-06-30$65,068
Interest earned on other investments2015-06-30$176,021
Income. Interest from US Government securities2015-06-30$94,154
Income. Interest from corporate debt instruments2015-06-30$146,394
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$1,654,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$2,544,633
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$2,544,633
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$132
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$4,557,730
Asset value of US Government securities at end of year2015-06-30$3,224,877
Asset value of US Government securities at beginning of year2015-06-30$4,172,058
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30Yes
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$6,600,896
Employer contributions (assets) at end of year2015-06-30$669,570
Employer contributions (assets) at beginning of year2015-06-30$446,199
Income. Dividends from common stock2015-06-30$10,791
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$1,508,334
Asset. Corporate debt instrument debt (other) at end of year2015-06-30$4,382,750
Asset. Corporate debt instrument debt (other) at beginning of year2015-06-30$4,409,267
Contract administrator fees2015-06-30$259,608
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Assets. Corporate common stocks other than exployer securities at end of year2015-06-30$1,186,980
Liabilities. Value of benefit claims payable at end of year2015-06-30$394,937
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$547,221
Did the plan have assets held for investment2015-06-30Yes
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
Aggregate proceeds on sale of assets2015-06-30$9,021,633
Aggregate carrying amount (costs) on sale of assets2015-06-30$9,031,135
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 name2015-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2015-06-30300702322
2014 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$110,284
Total unrealized appreciation/depreciation of assets2014-06-30$110,284
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$3,188,661
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$5,004,482
Total income from all sources (including contributions)2014-06-30$7,878,002
Total loss/gain on sale of assets2014-06-30$-8,175
Total of all expenses incurred2014-06-30$7,516,921
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$6,653,568
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$7,134,388
Value of total assets at end of year2014-06-30$15,335,884
Value of total assets at beginning of year2014-06-30$16,790,624
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$863,353
Total interest from all sources2014-06-30$511,867
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$424,637
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$518,019
Participant contributions at end of year2014-06-30$27,075
Assets. Other investments not covered elsewhere at end of year2014-06-30$964,388
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$103,556
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-06-30$2,171,241
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$2,568,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$2,650,249
Other income not declared elsewhere2014-06-30$129,638
Administrative expenses (other) incurred2014-06-30$65,578
Liabilities. Value of operating payables at end of year2014-06-30$72,737
Liabilities. Value of operating payables at beginning of year2014-06-30$43,912
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$361,081
Value of net assets at end of year (total assets less liabilities)2014-06-30$12,147,223
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$11,786,142
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
Assets. partnership/joint venture interests at end of year2014-06-30$2,668,708
Assets. partnership/joint venture interests at beginning of year2014-06-30$2,361,106
Investment advisory and management fees2014-06-30$121,096
Interest earned on other investments2014-06-30$235,625
Income. Interest from US Government securities2014-06-30$106,268
Income. Interest from corporate debt instruments2014-06-30$167,932
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$2,544,633
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$2,342,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$2,342,542
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$2,042
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$4,347,962
Asset value of US Government securities at end of year2014-06-30$4,172,058
Asset value of US Government securities at beginning of year2014-06-30$3,918,550
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30Yes
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$6,616,369
Employer contributions (assets) at end of year2014-06-30$446,199
Employer contributions (assets) at beginning of year2014-06-30$622,420
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$2,305,606
Asset. Corporate debt instrument debt (other) at end of year2014-06-30$4,409,267
Asset. Corporate debt instrument debt (other) at beginning of year2014-06-30$5,374,765
Contract administrator fees2014-06-30$252,042
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Liabilities. Value of benefit claims payable at end of year2014-06-30$547,221
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$2,310,321
Did the plan have assets held for investment2014-06-30Yes
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
Aggregate proceeds on sale of assets2014-06-30$8,541,656
Aggregate carrying amount (costs) on sale of assets2014-06-30$8,549,831
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-06-30300702322
2013 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$-621,475
Total unrealized appreciation/depreciation of assets2013-06-30$-621,475
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$5,004,482
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$2,504,761
Total income from all sources (including contributions)2013-06-30$10,194,379
Total loss/gain on sale of assets2013-06-30$201,004
Total of all expenses incurred2013-06-30$10,218,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$9,593,264
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$7,553,327
Value of total assets at end of year2013-06-30$16,790,624
Value of total assets at beginning of year2013-06-30$14,315,326
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$625,538
Total interest from all sources2013-06-30$407,231
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$289,682
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$583,694
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-06-30$2,171,241
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$131,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-06-30$2,650,249
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$2,033,791
Other income not declared elsewhere2013-06-30$2,654,292
Administrative expenses (other) incurred2013-06-30$45,895
Liabilities. Value of operating payables at end of year2013-06-30$43,912
Liabilities. Value of operating payables at beginning of year2013-06-30$48,468
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$-24,423
Value of net assets at end of year (total assets less liabilities)2013-06-30$11,786,142
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$11,810,565
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
Assets. partnership/joint venture interests at end of year2013-06-30$2,361,106
Investment advisory and management fees2013-06-30$47,555
Income. Interest from US Government securities2013-06-30$167,492
Income. Interest from corporate debt instruments2013-06-30$236,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$2,342,542
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$1,835,866
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$1,835,866
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-06-30$2,824
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$4,096,427
Asset value of US Government securities at end of year2013-06-30$3,918,550
Asset value of US Government securities at beginning of year2013-06-30$6,127,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
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$6,969,633
Employer contributions (assets) at end of year2013-06-30$622,420
Employer contributions (assets) at beginning of year2013-06-30$629,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$5,496,837
Asset. Corporate debt instrument debt (other) at end of year2013-06-30$5,374,765
Asset. Corporate debt instrument debt (other) at beginning of year2013-06-30$5,590,983
Contract administrator fees2013-06-30$242,406
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Liabilities. Value of benefit claims payable at end of year2013-06-30$2,310,321
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$422,502
Did the plan have assets held for investment2013-06-30Yes
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
Aggregate proceeds on sale of assets2013-06-30$15,394,129
Aggregate carrying amount (costs) on sale of assets2013-06-30$15,193,125
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 name2013-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2013-06-30300702322
2012 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$226,228
Total unrealized appreciation/depreciation of assets2012-06-30$226,228
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$2,504,761
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$2,397,342
Total income from all sources (including contributions)2012-06-30$7,148,560
Total loss/gain on sale of assets2012-06-30$53,127
Total of all expenses incurred2012-06-30$6,163,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$5,511,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$6,278,129
Value of total assets at end of year2012-06-30$14,315,326
Value of total assets at beginning of year2012-06-30$13,222,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$652,466
Total interest from all sources2012-06-30$444,491
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$322,858
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$677,752
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$131,403
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$137,581
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$2,033,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$2,101,718
Other income not declared elsewhere2012-06-30$146,585
Administrative expenses (other) incurred2012-06-30$48,200
Liabilities. Value of operating payables at end of year2012-06-30$48,468
Liabilities. Value of operating payables at beginning of year2012-06-30$49,356
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$984,986
Value of net assets at end of year (total assets less liabilities)2012-06-30$11,810,565
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$10,825,579
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
Investment advisory and management fees2012-06-30$45,501
Income. Interest from US Government securities2012-06-30$211,325
Income. Interest from corporate debt instruments2012-06-30$231,030
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$1,835,866
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,605,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,605,864
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$2,136
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$3,690,076
Asset value of US Government securities at end of year2012-06-30$6,127,404
Asset value of US Government securities at beginning of year2012-06-30$6,957,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
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$5,600,377
Employer contributions (assets) at end of year2012-06-30$629,670
Employer contributions (assets) at beginning of year2012-06-30$472,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$1,821,032
Asset. Corporate debt instrument debt (other) at end of year2012-06-30$5,590,983
Asset. Corporate debt instrument debt (other) at beginning of year2012-06-30$4,049,544
Contract administrator fees2012-06-30$235,907
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Liabilities. Value of benefit claims payable at end of year2012-06-30$422,502
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$246,268
Did the plan have assets held for investment2012-06-30Yes
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
Aggregate proceeds on sale of assets2012-06-30$6,864,855
Aggregate carrying amount (costs) on sale of assets2012-06-30$6,811,728
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2012-06-30300702322
2011 : LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$-121,850
Total unrealized appreciation/depreciation of assets2011-06-30$-121,850
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,397,342
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$2,545,657
Total income from all sources (including contributions)2011-06-30$7,495,410
Total loss/gain on sale of assets2011-06-30$86,746
Total of all expenses incurred2011-06-30$6,644,417
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$6,013,569
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$6,477,855
Value of total assets at end of year2011-06-30$13,222,921
Value of total assets at beginning of year2011-06-30$12,520,243
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$630,848
Total interest from all sources2011-06-30$444,005
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$45
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$45
Administrative expenses professional fees incurred2011-06-30$302,648
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
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$753,593
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$137,581
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$159,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$2,101,718
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$1,943,654
Other income not declared elsewhere2011-06-30$608,609
Administrative expenses (other) incurred2011-06-30$55,384
Liabilities. Value of operating payables at end of year2011-06-30$49,356
Liabilities. Value of operating payables at beginning of year2011-06-30$119,170
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$850,993
Value of net assets at end of year (total assets less liabilities)2011-06-30$10,825,579
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$9,974,586
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
Investment advisory and management fees2011-06-30$41,951
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$397,569
Income. Interest from US Government securities2011-06-30$195,314
Income. Interest from corporate debt instruments2011-06-30$239,010
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,605,864
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,727,470
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,727,470
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$9,681
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$3,606,142
Asset value of US Government securities at end of year2011-06-30$6,957,456
Asset value of US Government securities at beginning of year2011-06-30$6,185,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30Yes
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$5,724,262
Employer contributions (assets) at end of year2011-06-30$472,476
Employer contributions (assets) at beginning of year2011-06-30$365,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$2,407,427
Asset. Corporate debt instrument debt (other) at end of year2011-06-30$4,049,544
Asset. Corporate debt instrument debt (other) at beginning of year2011-06-30$3,685,072
Contract administrator fees2011-06-30$230,865
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
Liabilities. Value of benefit claims payable at end of year2011-06-30$246,268
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$482,833
Did the plan have assets held for investment2011-06-30Yes
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
Aggregate proceeds on sale of assets2011-06-30$6,303,608
Aggregate carrying amount (costs) on sale of assets2011-06-30$6,216,862
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 name2011-06-30HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2011-06-30300702322

Form 5500 Responses for LOCAL NO 3 HEALTH AND WELFARE TRUST FUND

2021: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedYes
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2018 form 5500 responses
2018-07-01Type of plan entityMulti-employer plan
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2017 form 5500 responses
2017-07-01Type of plan entityMulti-employer plan
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2016 form 5500 responses
2016-07-01Type of plan entityMulti-employer plan
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2015 form 5500 responses
2015-07-01Type of plan entityMulti-employer plan
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2014 form 5500 responses
2014-07-01Type of plan entityMulti-employer plan
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2013 form 5500 responses
2013-07-01Type of plan entityMulti-employer plan
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2012 form 5500 responses
2012-07-01Type of plan entityMulti-employer plan
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2011 form 5500 responses
2011-07-01Type of plan entityMulti-employer plan
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2010 form 5500 responses
2010-07-01Type of plan entityMulti-employer plan
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: LOCAL NO 3 HEALTH AND WELFARE TRUST FUND 2009 form 5500 responses
2009-07-01Type of plan entityMulti-employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 4
Insurance contract or identification numberG0009H86
Number of Individuals Covered582
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number05-7658500000
Policy instance 3
Insurance contract or identification number05-7658500000
Number of Individuals Covered21
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 2
Insurance contract or identification number149921
Number of Individuals Covered7
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Welfare Benefit Premiums Paid to CarrierUSD $54,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number941340523
Policy instance 1
Insurance contract or identification number941340523
Number of Individuals Covered1093
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Welfare Benefit Premiums Paid to CarrierUSD $6,239,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberHCL34184
Policy instance 5
Insurance contract or identification numberHCL34184
Number of Individuals Covered224
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Welfare Benefit Premiums Paid to CarrierUSD $858,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 4
Insurance contract or identification numberG0009H86
Number of Individuals Covered515
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,191
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 2
Insurance contract or identification number149921
Number of Individuals Covered11
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Welfare Benefit Premiums Paid to CarrierUSD $62,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number05-7658500000
Policy instance 3
Insurance contract or identification number05-7658500000
Number of Individuals Covered28
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,930
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberHCL34184
Policy instance 5
Insurance contract or identification numberHCL34184
Number of Individuals Covered230
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Welfare Benefit Premiums Paid to CarrierUSD $779,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number941340523
Policy instance 1
Insurance contract or identification number941340523
Number of Individuals Covered352
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Welfare Benefit Premiums Paid to CarrierUSD $6,921,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG09H86
Policy instance 1
Insurance contract or identification numberGLUG09H86
Insurance policy start date2018-09-01
Insurance policy end date2019-09-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered1155
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $6,755,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76585
Policy instance 4
Insurance contract or identification number76585
Number of Individuals Covered88
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,883
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34184
Policy instance 5
Insurance contract or identification numberHCL34184
Number of Individuals Covered235
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $35,289
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $705,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,289
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34184
Policy instance 5
Insurance contract or identification numberHCL34184
Number of Individuals Covered246
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $36,657
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $733,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,657
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76585
Policy instance 4
Insurance contract or identification number76585
Number of Individuals Covered93
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,439
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Number of Individuals Covered6
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $36,604
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered1184
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $6,487,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG09H86
Policy instance 1
Insurance contract or identification numberGLUG09H86
Number of Individuals Covered579
Insurance policy start date2017-09-01
Insurance policy end date2018-09-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,053
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered1131
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,862,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG09H86
Policy instance 1
Insurance contract or identification numberGLUG09H86
Number of Individuals Covered607
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Number of Individuals Covered6
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $41,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76585
Policy instance 4
Insurance contract or identification number76585
Number of Individuals Covered80
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-4717
Policy instance 5
Insurance contract or identification number947-4717
Number of Individuals Covered288
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $944,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered983
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,016,838
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10122
Policy instance 5
Insurance contract or identification numberSL10122
Number of Individuals Covered259
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $571,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number05381
Policy instance 4
Insurance contract or identification number05381
Number of Individuals Covered1445
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $609,917
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 1
Insurance contract or identification numberG0009H86
Number of Individuals Covered413
Insurance policy start date2014-09-01
Insurance policy end date2015-09-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Number of Individuals Covered10
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $67,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Number of Individuals Covered16
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $79,520
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered833
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $3,825,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 1
Insurance contract or identification numberG0009H86
Number of Individuals Covered450
Insurance policy start date2013-09-01
Insurance policy end date2014-09-01
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,818
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10122
Policy instance 5
Insurance contract or identification numberSL10122
Number of Individuals Covered198
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $428,547
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberSRSUP
Policy instance 6
Insurance contract or identification numberSRSUP
Number of Individuals Covered17
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 $32,806
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5921
Policy instance 7
Insurance contract or identification numberS5921
Number of Individuals Covered17
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $38,023
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number05381
Policy instance 4
Insurance contract or identification number05381
Number of Individuals Covered1243
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $501,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberSRSUPP
Policy instance 7
Insurance contract or identification numberSRSUPP
Number of Individuals Covered18
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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 $34,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 1
Insurance contract or identification numberG0009H86
Number of Individuals Covered440
Insurance policy start date2012-09-01
Insurance policy end date2013-09-01
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered740
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $3,761,488
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Number of Individuals Covered17
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $92,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number05381
Policy instance 4
Insurance contract or identification number05381
Number of Individuals Covered1167
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $624,284
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76585
Policy instance 5
Insurance contract or identification number76585
Number of Individuals Covered57
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,978
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10122
Policy instance 6
Insurance contract or identification numberSL10122
Number of Individuals Covered219
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $426,384
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5921
Policy instance 8
Insurance contract or identification numberS5921
Number of Individuals Covered18
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $42,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered764
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $3,368,720
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 1
Insurance contract or identification numberG0009H86
Number of Individuals Covered341
Insurance policy start date2011-09-01
Insurance policy end date2012-09-01
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
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149921
Policy instance 3
Insurance contract or identification number149921
Number of Individuals Covered23
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $98,018
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number05381
Policy instance 4
Insurance contract or identification number05381
Number of Individuals Covered1245
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $540,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number76585
Policy instance 5
Insurance contract or identification number76585
Number of Individuals Covered55
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,848
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10122
Policy instance 6
Insurance contract or identification numberSL10122
Number of Individuals Covered224
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $343,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberSRSUP
Policy instance 7
Insurance contract or identification numberSRSUP
Number of Individuals Covered21
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 $41,763
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract numberS5820
Policy instance 8
Insurance contract or identification numberS5820
Number of Individuals Covered21
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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
Welfare Benefit Premiums Paid to CarrierUSD $69,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
DELTA DENTAL OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number06585
Policy instance 6
Insurance contract or identification number06585
Number of Individuals Covered16
Insurance policy start date2011-08-01
Insurance policy end date2012-06-30
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 1
Insurance contract or identification numberG0009H86
Number of Individuals Covered268
Insurance policy start date2011-09-01
Insurance policy end date2012-06-30
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
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number403897
Policy instance 5
Insurance contract or identification number403897
Number of Individuals Covered198
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $230,014
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 number0717489
Policy instance 4
Insurance contract or identification number0717489
Number of Individuals Covered2
Insurance policy start date2011-07-01
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 $23,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149920
Policy instance 3
Insurance contract or identification number149920
Number of Individuals Covered0
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $639,862
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered701
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
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
Other welfare benefits providedHEALTH CARE SERVICE PLAN
Welfare Benefit Premiums Paid to CarrierUSD $2,512,870
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number149920
Policy instance 3
Insurance contract or identification number149920
Number of Individuals Covered57
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $1,003,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number7748
Policy instance 2
Insurance contract or identification number7748
Number of Individuals Covered898
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
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
Other welfare benefits providedHEALTH CARE SERVICE PLAN
Welfare Benefit Premiums Paid to CarrierUSD $2,479,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG0009H86
Policy instance 1
Insurance contract or identification numberG0009H86
Number of Individuals Covered268
Insurance policy start date2010-09-01
Insurance policy end date2011-06-30
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
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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