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ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 401k Plan overview

Plan NameROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND
Plan identification number 501

ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TRUSTEES OF ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:TRUSTEES OF ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND
Employer identification number (EIN):237159947
NAIC Classification:324120

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-12-01MARK CONROY2024-09-10 RYAN ROMER2024-09-12
5012021-12-01
5012020-12-01
5012019-12-01
5012018-12-01
5012017-12-01
5012016-12-01MICHAEL THEIRL MARK CONROY2018-09-11
5012015-12-01MICHAEL THEIRL MARK CONROY2017-09-08
5012014-12-01MICHAEL THEIRL PETER JAWORSKI2016-09-15
5012013-12-01MICHAEL THEIRL PETER JAWORSKI2015-09-14
5012012-12-01MICHAEL THEIRL PETER JAWORSKI2014-09-09
5012011-12-01MICHAEL THEIRL PETER JAWORSKI2013-09-05
5012009-12-01MICHAEL THEIRL ROBERT SNIDER2011-09-14
5012008-12-01

Plan Statistics for ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND

401k plan membership statisitcs for ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND

Measure Date Value
2022: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-12-011,170
Total number of active participants reported on line 7a of the Form 55002022-12-011,112
Number of retired or separated participants receiving benefits2022-12-01110
Total of all active and inactive participants2022-12-011,222
Number of employers contributing to the scheme2022-12-0157
2021: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-12-011,164
Total number of active participants reported on line 7a of the Form 55002021-12-011,062
Number of retired or separated participants receiving benefits2021-12-01108
Total of all active and inactive participants2021-12-011,170
Number of employers contributing to the scheme2021-12-0158
2020: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-12-011,184
Total number of active participants reported on line 7a of the Form 55002020-12-011,049
Number of retired or separated participants receiving benefits2020-12-01115
Total of all active and inactive participants2020-12-011,164
Number of employers contributing to the scheme2020-12-0159
2019: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-12-011,237
Total number of active participants reported on line 7a of the Form 55002019-12-011,074
Number of retired or separated participants receiving benefits2019-12-01110
Total of all active and inactive participants2019-12-011,184
Number of employers contributing to the scheme2019-12-0157
2018: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-12-011,218
Total number of active participants reported on line 7a of the Form 55002018-12-011,143
Number of retired or separated participants receiving benefits2018-12-0194
Total of all active and inactive participants2018-12-011,237
Number of employers contributing to the scheme2018-12-0160
2017: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-12-011,237
Total number of active participants reported on line 7a of the Form 55002017-12-011,121
Number of retired or separated participants receiving benefits2017-12-0197
Total of all active and inactive participants2017-12-011,218
Number of employers contributing to the scheme2017-12-0165
2016: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-12-011,241
Total number of active participants reported on line 7a of the Form 55002016-12-011,140
Number of retired or separated participants receiving benefits2016-12-0197
Total of all active and inactive participants2016-12-011,237
Number of employers contributing to the scheme2016-12-0164
2015: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-12-011,212
Total number of active participants reported on line 7a of the Form 55002015-12-011,149
Number of retired or separated participants receiving benefits2015-12-0192
Total of all active and inactive participants2015-12-011,241
Number of employers contributing to the scheme2015-12-0164
2014: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-12-011,123
Total number of active participants reported on line 7a of the Form 55002014-12-011,129
Number of retired or separated participants receiving benefits2014-12-0183
Total of all active and inactive participants2014-12-011,212
Number of employers contributing to the scheme2014-12-0165
2013: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-12-01960
Total number of active participants reported on line 7a of the Form 55002013-12-011,041
Number of retired or separated participants receiving benefits2013-12-0182
Total of all active and inactive participants2013-12-011,123
Number of employers contributing to the scheme2013-12-0162
2012: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-12-011,022
Total number of active participants reported on line 7a of the Form 55002012-12-01825
Number of retired or separated participants receiving benefits2012-12-01135
Total of all active and inactive participants2012-12-01960
Number of employers contributing to the scheme2012-12-0162
2011: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-12-011,045
Total number of active participants reported on line 7a of the Form 55002011-12-01994
Number of retired or separated participants receiving benefits2011-12-0128
Total of all active and inactive participants2011-12-011,022
Number of employers contributing to the scheme2011-12-0164
2009: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-12-011,030
Total number of active participants reported on line 7a of the Form 55002009-12-01980
Number of retired or separated participants receiving benefits2009-12-0116
Total of all active and inactive participants2009-12-01996
Number of employers contributing to the scheme2009-12-0154

Financial Data on ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND

Measure Date Value
2023 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-11-30$613,020
Total unrealized appreciation/depreciation of assets2023-11-30$613,020
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-11-30$1,312,344
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-11-30$1,366,048
Total income from all sources (including contributions)2023-11-30$21,443,360
Total loss/gain on sale of assets2023-11-30$18,436
Total of all expenses incurred2023-11-30$17,000,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-11-30$16,100,050
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-11-30$19,671,243
Value of total assets at end of year2023-11-30$22,746,940
Value of total assets at beginning of year2023-11-30$18,357,412
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-11-30$900,078
Total interest from all sources2023-11-30$339,097
Total dividends received (eg from common stock, registered investment company shares)2023-11-30$89,445
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-11-30No
Administrative expenses professional fees incurred2023-11-30$208,586
Assets. Corporate prefeered stocks other than exployer securities at end of year2023-11-30$424,600
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2023-11-30$425,860
Was this plan covered by a fidelity bond2023-11-30Yes
Value of fidelity bond cover2023-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2023-11-30No
Contributions received from participants2023-11-30$671,798
Participant contributions at end of year2023-11-30$4,656
Participant contributions at beginning of year2023-11-30$8,844
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-11-30$366,838
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-11-30$446,013
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-11-30$1,004,633
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-11-30$44,532
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-11-30$42,992
Other income not declared elsewhere2023-11-30$712,119
Administrative expenses (other) incurred2023-11-30$24,532
Liabilities. Value of operating payables at end of year2023-11-30$69,112
Liabilities. Value of operating payables at beginning of year2023-11-30$37,956
Total non interest bearing cash at end of year2023-11-30$6,644,688
Total non interest bearing cash at beginning of year2023-11-30$4,570,166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-11-30No
Value of net income/loss2023-11-30$4,443,232
Value of net assets at end of year (total assets less liabilities)2023-11-30$21,434,596
Value of net assets at beginning of year (total assets less liabilities)2023-11-30$16,991,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-11-30No
Were any leases to which the plan was party in default or uncollectible2023-11-30No
Investment advisory and management fees2023-11-30$58,960
Income. Interest from corporate debt instruments2023-11-30$282,205
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-11-30$168,668
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-11-30$164,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-11-30$164,595
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-11-30$56,892
Expenses. Payments to insurance carriers foe the provision of benefits2023-11-30$450,461
Asset value of US Government securities at end of year2023-11-30$1,917,646
Asset value of US Government securities at beginning of year2023-11-30$888,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-11-30No
Was there a failure to transmit to the plan any participant contributions2023-11-30No
Has the plan failed to provide any benefit when due under the plan2023-11-30No
Contributions received in cash from employer2023-11-30$18,999,445
Employer contributions (assets) at end of year2023-11-30$1,806,962
Employer contributions (assets) at beginning of year2023-11-30$1,394,191
Income. Dividends from common stock2023-11-30$89,445
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-11-30$15,282,751
Asset. Corporate debt instrument preferred debt at end of year2023-11-30$6,402,050
Asset. Corporate debt instrument preferred debt at beginning of year2023-11-30$5,608,982
Contract administrator fees2023-11-30$608,000
Assets. Corporate common stocks other than exployer securities at end of year2023-11-30$4,931,657
Assets. Corporate common stocks other than exployer securities at beginning of year2023-11-30$4,291,740
Liabilities. Value of benefit claims payable at end of year2023-11-30$1,198,700
Liabilities. Value of benefit claims payable at beginning of year2023-11-30$1,285,100
Did the plan have assets held for investment2023-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-11-30No
Aggregate proceeds on sale of assets2023-11-30$933,071
Aggregate carrying amount (costs) on sale of assets2023-11-30$914,635
Opinion of an independent qualified public accountant for this plan2023-11-30Unqualified
Accountancy firm name2023-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2023-11-30320043599
2022 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-11-30$-2,143,193
Total unrealized appreciation/depreciation of assets2022-11-30$-2,143,193
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$1,366,048
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$1,531,705
Total income from all sources (including contributions)2022-11-30$17,846,957
Total loss/gain on sale of assets2022-11-30$1,530
Total of all expenses incurred2022-11-30$16,897,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$16,042,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$18,302,092
Value of total assets at end of year2022-11-30$18,357,412
Value of total assets at beginning of year2022-11-30$17,573,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$854,677
Total interest from all sources2022-11-30$275,444
Total dividends received (eg from common stock, registered investment company shares)2022-11-30$88,452
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-30No
Administrative expenses professional fees incurred2022-11-30$204,338
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-11-30$425,860
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-11-30$583,600
Was this plan covered by a fidelity bond2022-11-30Yes
Value of fidelity bond cover2022-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Contributions received from participants2022-11-30$798,664
Participant contributions at end of year2022-11-30$8,844
Participant contributions at beginning of year2022-11-30$4,506
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-11-30$228,742
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-11-30$1,004,633
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-11-30$359,074
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-11-30$42,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-11-30$45,614
Other income not declared elsewhere2022-11-30$1,322,632
Administrative expenses (other) incurred2022-11-30$32,860
Liabilities. Value of operating payables at end of year2022-11-30$37,956
Liabilities. Value of operating payables at beginning of year2022-11-30$40,291
Total non interest bearing cash at end of year2022-11-30$4,570,166
Total non interest bearing cash at beginning of year2022-11-30$2,484,722
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Value of net income/loss2022-11-30$949,449
Value of net assets at end of year (total assets less liabilities)2022-11-30$16,991,364
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$16,041,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Investment advisory and management fees2022-11-30$55,479
Income. Interest from corporate debt instruments2022-11-30$264,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-11-30$164,595
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-11-30$42,543
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-11-30$42,543
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-11-30$10,502
Expenses. Payments to insurance carriers foe the provision of benefits2022-11-30$466,418
Asset value of US Government securities at end of year2022-11-30$888,401
Asset value of US Government securities at beginning of year2022-11-30$641,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30No
Was there a failure to transmit to the plan any participant contributions2022-11-30No
Has the plan failed to provide any benefit when due under the plan2022-11-30No
Contributions received in cash from employer2022-11-30$17,503,428
Employer contributions (assets) at end of year2022-11-30$1,394,191
Employer contributions (assets) at beginning of year2022-11-30$1,503,528
Income. Dividends from common stock2022-11-30$88,452
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-11-30$15,347,671
Asset. Corporate debt instrument preferred debt at end of year2022-11-30$5,608,982
Asset. Corporate debt instrument preferred debt at beginning of year2022-11-30$6,694,176
Contract administrator fees2022-11-30$562,000
Assets. Corporate common stocks other than exployer securities at end of year2022-11-30$4,291,740
Assets. Corporate common stocks other than exployer securities at beginning of year2022-11-30$5,260,062
Liabilities. Value of benefit claims payable at end of year2022-11-30$1,285,100
Liabilities. Value of benefit claims payable at beginning of year2022-11-30$1,445,800
Did the plan have assets held for investment2022-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-30No
Aggregate proceeds on sale of assets2022-11-30$933,009
Aggregate carrying amount (costs) on sale of assets2022-11-30$931,479
Opinion of an independent qualified public accountant for this plan2022-11-30Unqualified
Accountancy firm name2022-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2022-11-30320043599
2021 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-11-30$936,254
Total unrealized appreciation/depreciation of assets2021-11-30$936,254
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$1,531,705
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$2,330,205
Total income from all sources (including contributions)2021-11-30$19,932,880
Total loss/gain on sale of assets2021-11-30$82,334
Total of all expenses incurred2021-11-30$18,705,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$17,852,037
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$17,883,040
Value of total assets at end of year2021-11-30$17,573,620
Value of total assets at beginning of year2021-11-30$17,145,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$853,844
Total interest from all sources2021-11-30$244,399
Total dividends received (eg from common stock, registered investment company shares)2021-11-30$96,582
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Administrative expenses professional fees incurred2021-11-30$232,328
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-11-30$583,600
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-11-30$248,400
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$777,272
Participant contributions at end of year2021-11-30$4,506
Participant contributions at beginning of year2021-11-30$12,177
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-11-30$374,774
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-11-30$359,074
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-11-30$159,105
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-11-30$45,614
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-11-30$524,311
Other income not declared elsewhere2021-11-30$690,271
Administrative expenses (other) incurred2021-11-30$24,273
Liabilities. Value of operating payables at end of year2021-11-30$40,291
Liabilities. Value of operating payables at beginning of year2021-11-30$51,242
Total non interest bearing cash at end of year2021-11-30$2,484,722
Total non interest bearing cash at beginning of year2021-11-30$3,053,201
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$1,226,999
Value of net assets at end of year (total assets less liabilities)2021-11-30$16,041,915
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$14,814,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Investment advisory and management fees2021-11-30$59,243
Income. Interest from corporate debt instruments2021-11-30$242,547
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-11-30$42,543
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-11-30$2,667,191
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-11-30$2,667,191
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-11-30$1,852
Expenses. Payments to insurance carriers foe the provision of benefits2021-11-30$468,869
Asset value of US Government securities at end of year2021-11-30$641,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30No
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$17,105,768
Employer contributions (assets) at end of year2021-11-30$1,503,528
Employer contributions (assets) at beginning of year2021-11-30$1,514,565
Income. Dividends from common stock2021-11-30$96,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-11-30$17,008,394
Asset. Corporate debt instrument preferred debt at end of year2021-11-30$6,694,176
Asset. Corporate debt instrument preferred debt at beginning of year2021-11-30$5,390,467
Contract administrator fees2021-11-30$538,000
Assets. Corporate common stocks other than exployer securities at end of year2021-11-30$5,260,062
Assets. Corporate common stocks other than exployer securities at beginning of year2021-11-30$4,100,015
Liabilities. Value of benefit claims payable at end of year2021-11-30$1,445,800
Liabilities. Value of benefit claims payable at beginning of year2021-11-30$1,754,652
Did the plan have assets held for investment2021-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30No
Aggregate proceeds on sale of assets2021-11-30$1,892,397
Aggregate carrying amount (costs) on sale of assets2021-11-30$1,810,063
Opinion of an independent qualified public accountant for this plan2021-11-30Unqualified
Accountancy firm name2021-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2021-11-30320043599
2020 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-11-30$714,719
Total unrealized appreciation/depreciation of assets2020-11-30$714,719
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$2,330,205
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$1,384,479
Total income from all sources (including contributions)2020-11-30$19,025,795
Total loss/gain on sale of assets2020-11-30$-6,678
Total of all expenses incurred2020-11-30$16,538,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$15,720,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$17,756,855
Value of total assets at end of year2020-11-30$17,145,121
Value of total assets at beginning of year2020-11-30$13,711,767
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$818,101
Total interest from all sources2020-11-30$176,501
Total dividends received (eg from common stock, registered investment company shares)2020-11-30$57,684
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-11-30No
Administrative expenses professional fees incurred2020-11-30$233,026
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-11-30$248,400
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Contributions received from participants2020-11-30$745,317
Participant contributions at end of year2020-11-30$12,177
Participant contributions at beginning of year2020-11-30$8,743
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-11-30$408,287
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-11-30$159,105
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-11-30$144,029
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-11-30$524,311
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-11-30$34,334
Other income not declared elsewhere2020-11-30$326,714
Administrative expenses (other) incurred2020-11-30$28,836
Liabilities. Value of operating payables at end of year2020-11-30$51,242
Liabilities. Value of operating payables at beginning of year2020-11-30$58,285
Total non interest bearing cash at end of year2020-11-30$3,053,201
Total non interest bearing cash at beginning of year2020-11-30$-301,379
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Value of net income/loss2020-11-30$2,487,628
Value of net assets at end of year (total assets less liabilities)2020-11-30$14,814,916
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$12,327,288
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Investment advisory and management fees2020-11-30$43,239
Income. Interest from corporate debt instruments2020-11-30$174,707
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-11-30$2,667,191
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-11-30$4,890,381
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-11-30$4,890,381
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-11-30$1,794
Expenses. Payments to insurance carriers foe the provision of benefits2020-11-30$643,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30No
Was there a failure to transmit to the plan any participant contributions2020-11-30No
Has the plan failed to provide any benefit when due under the plan2020-11-30No
Contributions received in cash from employer2020-11-30$17,011,538
Employer contributions (assets) at end of year2020-11-30$1,514,565
Employer contributions (assets) at beginning of year2020-11-30$1,791,348
Income. Dividends from common stock2020-11-30$57,684
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-11-30$14,668,446
Asset. Corporate debt instrument preferred debt at end of year2020-11-30$5,390,467
Asset. Corporate debt instrument preferred debt at beginning of year2020-11-30$4,125,757
Contract administrator fees2020-11-30$513,000
Assets. Corporate common stocks other than exployer securities at end of year2020-11-30$4,100,015
Assets. Corporate common stocks other than exployer securities at beginning of year2020-11-30$3,052,888
Liabilities. Value of benefit claims payable at end of year2020-11-30$1,754,652
Liabilities. Value of benefit claims payable at beginning of year2020-11-30$1,291,860
Did the plan have assets held for investment2020-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-11-30No
Aggregate proceeds on sale of assets2020-11-30$737,223
Aggregate carrying amount (costs) on sale of assets2020-11-30$743,901
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-11-30No
Opinion of an independent qualified public accountant for this plan2020-11-30Unqualified
Accountancy firm name2020-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2020-11-30320043599
2019 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-11-30$537,922
Total unrealized appreciation/depreciation of assets2019-11-30$537,922
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$1,384,479
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$2,095,608
Total income from all sources (including contributions)2019-11-30$19,405,819
Total loss/gain on sale of assets2019-11-30$2,412
Total of all expenses incurred2019-11-30$16,544,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$15,836,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$18,280,165
Value of total assets at end of year2019-11-30$13,711,767
Value of total assets at beginning of year2019-11-30$11,561,784
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$708,121
Total interest from all sources2019-11-30$183,076
Total dividends received (eg from common stock, registered investment company shares)2019-11-30$56,880
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30No
Administrative expenses professional fees incurred2019-11-30$164,419
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Contributions received from participants2019-11-30$602,800
Participant contributions at end of year2019-11-30$8,743
Participant contributions at beginning of year2019-11-30$2,039
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-11-30$351,499
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-11-30$144,029
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-11-30$113,062
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-11-30$34,334
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-11-30$37,846
Other income not declared elsewhere2019-11-30$345,364
Administrative expenses (other) incurred2019-11-30$27,449
Liabilities. Value of operating payables at end of year2019-11-30$58,285
Liabilities. Value of operating payables at beginning of year2019-11-30$37,548
Total non interest bearing cash at end of year2019-11-30$-301,379
Total non interest bearing cash at beginning of year2019-11-30$-318,195
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net income/loss2019-11-30$2,861,112
Value of net assets at end of year (total assets less liabilities)2019-11-30$12,327,288
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$9,466,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Investment advisory and management fees2019-11-30$37,920
Income. Interest from corporate debt instruments2019-11-30$176,554
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-11-30$4,890,381
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-11-30$3,670,516
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-11-30$3,670,516
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-11-30$6,522
Expenses. Payments to insurance carriers foe the provision of benefits2019-11-30$616,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$17,677,365
Employer contributions (assets) at end of year2019-11-30$1,791,348
Employer contributions (assets) at beginning of year2019-11-30$1,637,417
Income. Dividends from common stock2019-11-30$56,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-11-30$14,869,072
Asset. Corporate debt instrument preferred debt at end of year2019-11-30$4,125,757
Asset. Corporate debt instrument preferred debt at beginning of year2019-11-30$3,786,834
Contract administrator fees2019-11-30$478,333
Assets. Corporate common stocks other than exployer securities at end of year2019-11-30$3,052,888
Assets. Corporate common stocks other than exployer securities at beginning of year2019-11-30$2,670,111
Liabilities. Value of benefit claims payable at end of year2019-11-30$1,291,860
Liabilities. Value of benefit claims payable at beginning of year2019-11-30$2,020,214
Did the plan have assets held for investment2019-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30No
Aggregate proceeds on sale of assets2019-11-30$993,181
Aggregate carrying amount (costs) on sale of assets2019-11-30$990,769
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30No
Opinion of an independent qualified public accountant for this plan2019-11-30Unqualified
Accountancy firm name2019-11-30LEGACY PROFESSIONAL LLP
Accountancy firm EIN2019-11-30320043599
2018 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-11-30$-53,224
Total unrealized appreciation/depreciation of assets2018-11-30$-53,224
Total transfer of assets to this plan2018-11-30$71,434
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$2,095,608
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$3,073,999
Total income from all sources (including contributions)2018-11-30$17,691,300
Total loss/gain on sale of assets2018-11-30$-89,516
Total of all expenses incurred2018-11-30$17,533,541
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$16,832,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$16,138,157
Value of total assets at end of year2018-11-30$11,561,784
Value of total assets at beginning of year2018-11-30$12,310,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$700,894
Total interest from all sources2018-11-30$204,694
Total dividends received (eg from common stock, registered investment company shares)2018-11-30$68,263
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-11-30No
Administrative expenses professional fees incurred2018-11-30$171,135
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$500,000
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Contributions received from participants2018-11-30$552,646
Participant contributions at end of year2018-11-30$2,039
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-11-30$311,517
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-11-30$113,062
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-11-30$564,844
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-11-30$37,846
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-11-30$27,322
Other income not declared elsewhere2018-11-30$1,422,926
Administrative expenses (other) incurred2018-11-30$26,048
Liabilities. Value of operating payables at end of year2018-11-30$37,548
Liabilities. Value of operating payables at beginning of year2018-11-30$25,460
Total non interest bearing cash at end of year2018-11-30$-318,195
Total non interest bearing cash at beginning of year2018-11-30$-243,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Value of net income/loss2018-11-30$157,759
Value of net assets at end of year (total assets less liabilities)2018-11-30$9,466,176
Value of net assets at beginning of year (total assets less liabilities)2018-11-30$9,236,983
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Investment advisory and management fees2018-11-30$44,378
Income. Interest from corporate debt instruments2018-11-30$200,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-11-30$3,670,516
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-11-30$491,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-11-30$491,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-11-30$3,809
Expenses. Payments to insurance carriers foe the provision of benefits2018-11-30$726,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30No
Was there a failure to transmit to the plan any participant contributions2018-11-30No
Has the plan failed to provide any benefit when due under the plan2018-11-30No
Contributions received in cash from employer2018-11-30$15,585,511
Employer contributions (assets) at end of year2018-11-30$1,637,417
Employer contributions (assets) at beginning of year2018-11-30$1,256,380
Income. Dividends from common stock2018-11-30$68,263
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-11-30$15,794,458
Asset. Corporate debt instrument preferred debt at end of year2018-11-30$3,786,834
Asset. Corporate debt instrument preferred debt at beginning of year2018-11-30$5,869,189
Contract administrator fees2018-11-30$459,333
Assets. Corporate common stocks other than exployer securities at end of year2018-11-30$2,670,111
Assets. Corporate common stocks other than exployer securities at beginning of year2018-11-30$4,373,099
Liabilities. Value of benefit claims payable at end of year2018-11-30$2,020,214
Liabilities. Value of benefit claims payable at beginning of year2018-11-30$3,021,217
Did the plan have assets held for investment2018-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-11-30No
Aggregate proceeds on sale of assets2018-11-30$4,296,314
Aggregate carrying amount (costs) on sale of assets2018-11-30$4,385,830
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30No
Opinion of an independent qualified public accountant for this plan2018-11-30Unqualified
Accountancy firm name2018-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2018-11-30320043599
2017 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-11-30$557,493
Total unrealized appreciation/depreciation of assets2017-11-30$557,493
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$3,073,999
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$2,159,159
Total income from all sources (including contributions)2017-11-30$16,220,048
Total loss/gain on sale of assets2017-11-30$75,606
Total of all expenses incurred2017-11-30$19,955,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$19,271,757
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$14,430,471
Value of total assets at end of year2017-11-30$12,310,982
Value of total assets at beginning of year2017-11-30$15,131,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$683,253
Total interest from all sources2017-11-30$295,917
Total dividends received (eg from common stock, registered investment company shares)2017-11-30$131,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Administrative expenses professional fees incurred2017-11-30$156,104
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$500,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Contributions received from participants2017-11-30$513,640
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-11-30$327,180
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-11-30$564,844
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-11-30$295,380
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-11-30$27,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-11-30$69,810
Other income not declared elsewhere2017-11-30$729,032
Administrative expenses (other) incurred2017-11-30$37,423
Liabilities. Value of operating payables at end of year2017-11-30$25,460
Liabilities. Value of operating payables at beginning of year2017-11-30$39,588
Total non interest bearing cash at end of year2017-11-30$-243,590
Total non interest bearing cash at beginning of year2017-11-30$-199,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$-3,734,962
Value of net assets at end of year (total assets less liabilities)2017-11-30$9,236,983
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$12,971,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Investment advisory and management fees2017-11-30$51,393
Income. Interest from US Government securities2017-11-30$6,695
Income. Interest from corporate debt instruments2017-11-30$287,776
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-11-30$491,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-11-30$801,885
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-11-30$801,885
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-11-30$1,446
Expenses. Payments to insurance carriers foe the provision of benefits2017-11-30$328,111
Asset value of US Government securities at beginning of year2017-11-30$661,688
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$13,916,831
Employer contributions (assets) at end of year2017-11-30$1,256,380
Employer contributions (assets) at beginning of year2017-11-30$1,201,781
Income. Dividends from common stock2017-11-30$131,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-30$18,616,466
Asset. Corporate debt instrument preferred debt at end of year2017-11-30$5,869,189
Asset. Corporate debt instrument preferred debt at beginning of year2017-11-30$7,221,367
Contract administrator fees2017-11-30$438,333
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2017-11-30$4,373,099
Assets. Corporate common stocks other than exployer securities at beginning of year2017-11-30$5,148,488
Liabilities. Value of benefit claims payable at end of year2017-11-30$3,021,217
Liabilities. Value of benefit claims payable at beginning of year2017-11-30$2,049,761
Did the plan have assets held for investment2017-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Aggregate proceeds on sale of assets2017-11-30$3,781,459
Aggregate carrying amount (costs) on sale of assets2017-11-30$3,705,853
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30No
Opinion of an independent qualified public accountant for this plan2017-11-30Unqualified
Accountancy firm name2017-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2017-11-30320043599
2016 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-11-30$170,486
Total unrealized appreciation/depreciation of assets2016-11-30$170,486
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$2,159,159
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$1,632,217
Total income from all sources (including contributions)2016-11-30$14,577,455
Total loss/gain on sale of assets2016-11-30$120,428
Total of all expenses incurred2016-11-30$17,001,083
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$16,263,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$13,488,132
Value of total assets at end of year2016-11-30$15,131,104
Value of total assets at beginning of year2016-11-30$17,027,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$737,858
Total interest from all sources2016-11-30$324,354
Total dividends received (eg from common stock, registered investment company shares)2016-11-30$128,185
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Administrative expenses professional fees incurred2016-11-30$160,854
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$500,000
If this is an individual account plan, was there a blackout period2016-11-30No
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Contributions received from participants2016-11-30$405,299
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-11-30$277,613
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-11-30$295,380
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-11-30$225,213
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-11-30$69,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-11-30$94,140
Other income not declared elsewhere2016-11-30$345,870
Administrative expenses (other) incurred2016-11-30$95,799
Liabilities. Value of operating payables at end of year2016-11-30$39,588
Liabilities. Value of operating payables at beginning of year2016-11-30$53,259
Total non interest bearing cash at end of year2016-11-30$-199,485
Total non interest bearing cash at beginning of year2016-11-30$-190,778
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$-2,423,628
Value of net assets at end of year (total assets less liabilities)2016-11-30$12,971,945
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$15,395,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Investment advisory and management fees2016-11-30$62,872
Income. Interest from US Government securities2016-11-30$19,192
Income. Interest from corporate debt instruments2016-11-30$303,744
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-11-30$801,885
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-11-30$3,261,161
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-11-30$3,261,161
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-11-30$1,418
Expenses. Payments to insurance carriers foe the provision of benefits2016-11-30$282,960
Asset value of US Government securities at end of year2016-11-30$661,688
Asset value of US Government securities at beginning of year2016-11-30$998,039
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$13,082,833
Employer contributions (assets) at end of year2016-11-30$1,201,781
Employer contributions (assets) at beginning of year2016-11-30$1,084,232
Income. Dividends from common stock2016-11-30$128,185
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-30$15,702,652
Asset. Corporate debt instrument preferred debt at end of year2016-11-30$7,221,367
Asset. Corporate debt instrument preferred debt at beginning of year2016-11-30$6,268,980
Contract administrator fees2016-11-30$418,333
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2016-11-30$5,148,488
Assets. Corporate common stocks other than exployer securities at beginning of year2016-11-30$5,380,943
Liabilities. Value of benefit claims payable at end of year2016-11-30$2,049,761
Liabilities. Value of benefit claims payable at beginning of year2016-11-30$1,484,818
Did the plan have assets held for investment2016-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Aggregate proceeds on sale of assets2016-11-30$4,513,980
Aggregate carrying amount (costs) on sale of assets2016-11-30$4,393,552
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30No
Opinion of an independent qualified public accountant for this plan2016-11-30Unqualified
Accountancy firm name2016-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2016-11-30320043599
2015 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-11-30$-196,872
Total unrealized appreciation/depreciation of assets2015-11-30$-196,872
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$1,632,217
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$1,766,057
Total income from all sources (including contributions)2015-11-30$13,425,291
Total loss/gain on sale of assets2015-11-30$-20,110
Total of all expenses incurred2015-11-30$13,618,258
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$12,843,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$12,502,198
Value of total assets at end of year2015-11-30$17,027,790
Value of total assets at beginning of year2015-11-30$17,354,597
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-11-30$774,544
Total interest from all sources2015-11-30$362,664
Total dividends received (eg from common stock, registered investment company shares)2015-11-30$135,485
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Administrative expenses professional fees incurred2015-11-30$180,104
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$500,000
If this is an individual account plan, was there a blackout period2015-11-30No
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Contributions received from participants2015-11-30$420,033
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-11-30$314,102
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-11-30$225,213
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-11-30$148,286
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-11-30$94,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-11-30$508,335
Other income not declared elsewhere2015-11-30$641,926
Administrative expenses (other) incurred2015-11-30$133,201
Liabilities. Value of operating payables at end of year2015-11-30$53,259
Liabilities. Value of operating payables at beginning of year2015-11-30$36,578
Total non interest bearing cash at end of year2015-11-30$-190,778
Total non interest bearing cash at beginning of year2015-11-30$-403,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net income/loss2015-11-30$-192,967
Value of net assets at end of year (total assets less liabilities)2015-11-30$15,395,573
Value of net assets at beginning of year (total assets less liabilities)2015-11-30$15,588,540
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Investment advisory and management fees2015-11-30$62,072
Income. Interest from US Government securities2015-11-30$36,515
Income. Interest from corporate debt instruments2015-11-30$325,969
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-11-30$3,261,161
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-11-30$2,568,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-11-30$2,568,012
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-11-30$180
Expenses. Payments to insurance carriers foe the provision of benefits2015-11-30$217,053
Asset value of US Government securities at end of year2015-11-30$998,039
Asset value of US Government securities at beginning of year2015-11-30$1,152,913
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30No
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$12,082,165
Employer contributions (assets) at end of year2015-11-30$1,084,232
Employer contributions (assets) at beginning of year2015-11-30$961,886
Income. Dividends from common stock2015-11-30$135,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-30$12,312,559
Asset. Corporate debt instrument preferred debt at end of year2015-11-30$6,268,980
Asset. Corporate debt instrument preferred debt at beginning of year2015-11-30$7,296,546
Contract administrator fees2015-11-30$399,167
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2015-11-30$5,380,943
Assets. Corporate common stocks other than exployer securities at beginning of year2015-11-30$5,629,968
Liabilities. Value of benefit claims payable at end of year2015-11-30$1,484,818
Liabilities. Value of benefit claims payable at beginning of year2015-11-30$1,221,144
Did the plan have assets held for investment2015-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Aggregate proceeds on sale of assets2015-11-30$2,495,693
Aggregate carrying amount (costs) on sale of assets2015-11-30$2,515,803
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30No
Opinion of an independent qualified public accountant for this plan2015-11-30Unqualified
Accountancy firm name2015-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2015-11-30320043599
2014 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-11-30$363,706
Total unrealized appreciation/depreciation of assets2014-11-30$363,706
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$1,766,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$785,946
Total income from all sources (including contributions)2014-11-30$12,052,813
Total loss/gain on sale of assets2014-11-30$24,908
Total of all expenses incurred2014-11-30$13,133,513
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$12,388,354
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$10,971,426
Value of total assets at end of year2014-11-30$17,354,597
Value of total assets at beginning of year2014-11-30$17,455,186
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-11-30$745,159
Total interest from all sources2014-11-30$420,471
Total dividends received (eg from common stock, registered investment company shares)2014-11-30$140,898
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Administrative expenses professional fees incurred2014-11-30$152,405
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$500,000
If this is an individual account plan, was there a blackout period2014-11-30No
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Contributions received from participants2014-11-30$386,740
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-11-30$254,570
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-11-30$148,286
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-11-30$156,937
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-11-30$508,335
Other income not declared elsewhere2014-11-30$131,404
Administrative expenses (other) incurred2014-11-30$137,555
Liabilities. Value of operating payables at end of year2014-11-30$36,578
Liabilities. Value of operating payables at beginning of year2014-11-30$25,983
Total non interest bearing cash at end of year2014-11-30$-403,014
Total non interest bearing cash at beginning of year2014-11-30$-224,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$-1,080,700
Value of net assets at end of year (total assets less liabilities)2014-11-30$15,588,540
Value of net assets at beginning of year (total assets less liabilities)2014-11-30$16,669,240
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Investment advisory and management fees2014-11-30$66,032
Income. Interest from US Government securities2014-11-30$10,699
Income. Interest from corporate debt instruments2014-11-30$409,310
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-11-30$2,568,012
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-11-30$2,163,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-11-30$2,163,365
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-11-30$462
Expenses. Payments to insurance carriers foe the provision of benefits2014-11-30$72,453
Asset value of US Government securities at end of year2014-11-30$1,152,913
Asset value of US Government securities at beginning of year2014-11-30$251,475
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30No
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$10,584,686
Employer contributions (assets) at end of year2014-11-30$961,886
Employer contributions (assets) at beginning of year2014-11-30$1,174,857
Income. Dividends from common stock2014-11-30$140,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$12,061,331
Asset. Corporate debt instrument preferred debt at end of year2014-11-30$7,296,546
Asset. Corporate debt instrument preferred debt at beginning of year2014-11-30$7,668,121
Contract administrator fees2014-11-30$389,167
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2014-11-30$5,629,968
Assets. Corporate common stocks other than exployer securities at beginning of year2014-11-30$6,265,261
Liabilities. Value of benefit claims payable at end of year2014-11-30$1,221,144
Liabilities. Value of benefit claims payable at beginning of year2014-11-30$759,963
Did the plan have assets held for investment2014-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Aggregate proceeds on sale of assets2014-11-30$5,812,469
Aggregate carrying amount (costs) on sale of assets2014-11-30$5,787,561
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30No
Opinion of an independent qualified public accountant for this plan2014-11-30Unqualified
Accountancy firm name2014-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2014-11-30320043599
2013 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-11-30$1,352,227
Total unrealized appreciation/depreciation of assets2013-11-30$1,352,227
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$785,946
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$1,097,907
Total income from all sources (including contributions)2013-11-30$12,558,063
Total loss/gain on sale of assets2013-11-30$95,392
Total of all expenses incurred2013-11-30$11,050,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-30$10,424,855
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-30$10,465,075
Value of total assets at end of year2013-11-30$17,455,186
Value of total assets at beginning of year2013-11-30$16,259,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-11-30$625,681
Total interest from all sources2013-11-30$416,380
Total dividends received (eg from common stock, registered investment company shares)2013-11-30$136,727
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-11-30No
Administrative expenses professional fees incurred2013-11-30$137,609
Was this plan covered by a fidelity bond2013-11-30Yes
Value of fidelity bond cover2013-11-30$500,000
If this is an individual account plan, was there a blackout period2013-11-30No
Were there any nonexempt tranactions with any party-in-interest2013-11-30No
Contributions received from participants2013-11-30$376,418
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-11-30$253,942
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-11-30$156,937
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-11-30$151,044
Other income not declared elsewhere2013-11-30$92,262
Administrative expenses (other) incurred2013-11-30$43,590
Liabilities. Value of operating payables at end of year2013-11-30$25,983
Liabilities. Value of operating payables at beginning of year2013-11-30$25,407
Total non interest bearing cash at end of year2013-11-30$-224,830
Total non interest bearing cash at beginning of year2013-11-30$-223,913
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Value of net income/loss2013-11-30$1,507,527
Value of net assets at end of year (total assets less liabilities)2013-11-30$16,669,240
Value of net assets at beginning of year (total assets less liabilities)2013-11-30$15,161,713
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-30No
Were any leases to which the plan was party in default or uncollectible2013-11-30No
Investment advisory and management fees2013-11-30$64,482
Income. Interest from US Government securities2013-11-30$13,480
Income. Interest from corporate debt instruments2013-11-30$401,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-11-30$2,163,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-11-30$1,821,892
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-11-30$1,821,892
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-11-30$1,122
Expenses. Payments to insurance carriers foe the provision of benefits2013-11-30$77,962
Asset value of US Government securities at end of year2013-11-30$251,475
Asset value of US Government securities at beginning of year2013-11-30$602,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-30No
Was there a failure to transmit to the plan any participant contributions2013-11-30No
Has the plan failed to provide any benefit when due under the plan2013-11-30No
Contributions received in cash from employer2013-11-30$10,088,657
Employer contributions (assets) at end of year2013-11-30$1,174,857
Employer contributions (assets) at beginning of year2013-11-30$1,076,551
Income. Dividends from common stock2013-11-30$136,727
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-30$10,092,951
Asset. Corporate debt instrument preferred debt at end of year2013-11-30$7,668,121
Asset. Corporate debt instrument preferred debt at beginning of year2013-11-30$7,707,987
Contract administrator fees2013-11-30$380,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2013-11-30$6,265,261
Assets. Corporate common stocks other than exployer securities at beginning of year2013-11-30$5,123,869
Liabilities. Value of benefit claims payable at end of year2013-11-30$759,963
Liabilities. Value of benefit claims payable at beginning of year2013-11-30$1,072,500
Did the plan have assets held for investment2013-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-11-30No
Aggregate proceeds on sale of assets2013-11-30$3,397,721
Aggregate carrying amount (costs) on sale of assets2013-11-30$3,302,329
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-30No
Opinion of an independent qualified public accountant for this plan2013-11-30Unqualified
Accountancy firm name2013-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2013-11-30320043599
2012 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-11-30$1,195,009
Total unrealized appreciation/depreciation of assets2012-11-30$1,195,009
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$1,097,907
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$756,250
Total income from all sources (including contributions)2012-11-30$12,203,041
Total loss/gain on sale of assets2012-11-30$64,191
Total of all expenses incurred2012-11-30$10,743,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-30$10,142,303
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-30$10,209,183
Value of total assets at end of year2012-11-30$16,259,620
Value of total assets at beginning of year2012-11-30$14,458,038
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-11-30$600,813
Total interest from all sources2012-11-30$397,677
Total dividends received (eg from common stock, registered investment company shares)2012-11-30$127,095
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-11-30No
Administrative expenses professional fees incurred2012-11-30$142,052
Was this plan covered by a fidelity bond2012-11-30Yes
Value of fidelity bond cover2012-11-30$500,000
If this is an individual account plan, was there a blackout period2012-11-30No
Were there any nonexempt tranactions with any party-in-interest2012-11-30No
Contributions received from participants2012-11-30$324,576
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-11-30$188,089
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-11-30$151,044
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-11-30$128,699
Other income not declared elsewhere2012-11-30$209,886
Administrative expenses (other) incurred2012-11-30$18,697
Liabilities. Value of operating payables at end of year2012-11-30$25,407
Liabilities. Value of operating payables at beginning of year2012-11-30$24,750
Total non interest bearing cash at end of year2012-11-30$-223,913
Total non interest bearing cash at beginning of year2012-11-30$-307,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Value of net income/loss2012-11-30$1,459,925
Value of net assets at end of year (total assets less liabilities)2012-11-30$15,161,713
Value of net assets at beginning of year (total assets less liabilities)2012-11-30$13,701,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-30No
Were any leases to which the plan was party in default or uncollectible2012-11-30No
Investment advisory and management fees2012-11-30$61,314
Income. Interest from US Government securities2012-11-30$29,633
Income. Interest from corporate debt instruments2012-11-30$367,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-11-30$1,821,892
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-11-30$3,533,661
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-11-30$3,533,661
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-11-30$721
Expenses. Payments to insurance carriers foe the provision of benefits2012-11-30$82,814
Asset value of US Government securities at end of year2012-11-30$602,190
Asset value of US Government securities at beginning of year2012-11-30$756,912
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-30No
Was there a failure to transmit to the plan any participant contributions2012-11-30No
Has the plan failed to provide any benefit when due under the plan2012-11-30No
Contributions received in cash from employer2012-11-30$9,884,607
Employer contributions (assets) at end of year2012-11-30$1,076,551
Employer contributions (assets) at beginning of year2012-11-30$1,037,014
Income. Dividends from common stock2012-11-30$127,095
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-30$9,871,400
Asset. Corporate debt instrument preferred debt at end of year2012-11-30$7,707,987
Asset. Corporate debt instrument preferred debt at beginning of year2012-11-30$5,380,553
Contract administrator fees2012-11-30$378,750
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2012-11-30$5,123,869
Assets. Corporate common stocks other than exployer securities at beginning of year2012-11-30$3,929,067
Liabilities. Value of benefit claims payable at end of year2012-11-30$1,072,500
Liabilities. Value of benefit claims payable at beginning of year2012-11-30$731,500
Did the plan have assets held for investment2012-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-11-30No
Aggregate proceeds on sale of assets2012-11-30$1,278,073
Aggregate carrying amount (costs) on sale of assets2012-11-30$1,213,882
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-30No
Opinion of an independent qualified public accountant for this plan2012-11-30Unqualified
Accountancy firm name2012-11-30LEGACY PROFESSIONALS LLP
Accountancy firm EIN2012-11-30320043599
2011 : ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-11-30$89,905
Total unrealized appreciation/depreciation of assets2011-11-30$89,905
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$756,250
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$1,091,163
Total income from all sources (including contributions)2011-11-30$11,120,798
Total loss/gain on sale of assets2011-11-30$39,338
Total of all expenses incurred2011-11-30$8,746,571
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-11-30$8,189,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-11-30$10,209,401
Value of total assets at end of year2011-11-30$14,458,038
Value of total assets at beginning of year2011-11-30$12,418,724
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-11-30$557,059
Total interest from all sources2011-11-30$328,183
Total dividends received (eg from common stock, registered investment company shares)2011-11-30$82,858
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-11-30No
Administrative expenses professional fees incurred2011-11-30$99,859
Was this plan covered by a fidelity bond2011-11-30Yes
Value of fidelity bond cover2011-11-30$500,000
If this is an individual account plan, was there a blackout period2011-11-30No
Were there any nonexempt tranactions with any party-in-interest2011-11-30No
Contributions received from participants2011-11-30$379,397
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-11-30$181,891
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-11-30$128,699
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-11-30$162,504
Other income not declared elsewhere2011-11-30$371,113
Administrative expenses (other) incurred2011-11-30$21,759
Liabilities. Value of operating payables at end of year2011-11-30$24,750
Liabilities. Value of operating payables at beginning of year2011-11-30$33,263
Total non interest bearing cash at end of year2011-11-30$-307,868
Total non interest bearing cash at beginning of year2011-11-30$1,955,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Value of net income/loss2011-11-30$2,374,227
Value of net assets at end of year (total assets less liabilities)2011-11-30$13,701,788
Value of net assets at beginning of year (total assets less liabilities)2011-11-30$11,327,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-11-30No
Were any leases to which the plan was party in default or uncollectible2011-11-30No
Investment advisory and management fees2011-11-30$52,244
Income. Interest from US Government securities2011-11-30$40,880
Income. Interest from corporate debt instruments2011-11-30$286,211
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-11-30$3,533,661
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-11-30$712,503
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-11-30$712,503
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-11-30$1,092
Expenses. Payments to insurance carriers foe the provision of benefits2011-11-30$86,680
Asset value of US Government securities at end of year2011-11-30$756,912
Asset value of US Government securities at beginning of year2011-11-30$346,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-11-30No
Was there a failure to transmit to the plan any participant contributions2011-11-30No
Has the plan failed to provide any benefit when due under the plan2011-11-30No
Contributions received in cash from employer2011-11-30$9,830,004
Employer contributions (assets) at end of year2011-11-30$1,037,014
Employer contributions (assets) at beginning of year2011-11-30$1,032,957
Income. Dividends from common stock2011-11-30$82,858
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-11-30$7,920,941
Asset. Corporate debt instrument preferred debt at end of year2011-11-30$5,380,553
Asset. Corporate debt instrument preferred debt at beginning of year2011-11-30$5,136,440
Contract administrator fees2011-11-30$383,197
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-11-30No
Assets. Corporate common stocks other than exployer securities at end of year2011-11-30$3,929,067
Assets. Corporate common stocks other than exployer securities at beginning of year2011-11-30$3,071,656
Liabilities. Value of benefit claims payable at end of year2011-11-30$731,500
Liabilities. Value of benefit claims payable at beginning of year2011-11-30$1,057,900
Did the plan have assets held for investment2011-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-11-30No
Aggregate proceeds on sale of assets2011-11-30$2,199,360
Aggregate carrying amount (costs) on sale of assets2011-11-30$2,160,022
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-11-30No
Opinion of an independent qualified public accountant for this plan2011-11-30Unqualified
Accountancy firm name2011-11-30LEGACY PROFESSIONAL LLP
Accountancy firm EIN2011-11-30320043599

Form 5500 Responses for ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND

2022: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2022 form 5500 responses
2022-12-01Type of plan entityMulti-employer plan
2022-12-01Plan is a collectively bargained planYes
2022-12-01Plan funding arrangement – TrustYes
2022-12-01Plan benefit arrangement – InsuranceYes
2022-12-01Plan benefit arrangement - TrustYes
2021: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2021 form 5500 responses
2021-12-01Type of plan entityMulti-employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2020 form 5500 responses
2020-12-01Type of plan entityMulti-employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2019 form 5500 responses
2019-12-01Type of plan entityMulti-employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2018 form 5500 responses
2018-12-01Type of plan entityMulti-employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2017 form 5500 responses
2017-12-01Type of plan entityMulti-employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes
2016: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2016 form 5500 responses
2016-12-01Type of plan entityMulti-employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2015 form 5500 responses
2015-12-01Type of plan entityMulti-employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2014: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2014 form 5500 responses
2014-12-01Type of plan entityMulti-employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement - TrustYes
2013: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2013 form 5500 responses
2013-12-01Type of plan entityMulti-employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement - TrustYes
2012: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2012 form 5500 responses
2012-12-01Type of plan entityMulti-employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2011 form 5500 responses
2011-12-01Type of plan entityMulti-employer plan
2011-12-01Plan is a collectively bargained planYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2009: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2009 form 5500 responses
2009-12-01Type of plan entityMulti-employer plan
2009-12-01This submission is the final filingNo
2009-12-01Plan is a collectively bargained planYes
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes
2008: ROOFERS LOCAL NO. 96 HEALTH AND WELFARE FUND 2008 form 5500 responses
2008-12-01Type of plan entityMulti-employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34672
Policy instance 5
Insurance contract or identification numberHCL34672
Number of Individuals Covered1126
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $293,224
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0085
Policy instance 4
Insurance contract or identification numberRG0085
Number of Individuals Covered3
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $281
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $281
Insurance broker organization code?4
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0537
Policy instance 3
Insurance contract or identification numberRG0537
Number of Individuals Covered18
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $904
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $38,700
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $904
Insurance broker organization code?4
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number73123
Policy instance 2
Insurance contract or identification number73123
Number of Individuals Covered12
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 12459 )
Policy contract number70612/136809
Policy instance 1
Insurance contract or identification number70612/136809
Number of Individuals Covered10
Insurance policy start date2022-12-01
Insurance policy end date2023-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $46,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0537
Policy instance 1
Insurance contract or identification numberRG0537
Number of Individuals Covered18
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $899
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $37,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $899
Insurance broker organization code?4
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number73123
Policy instance 2
Insurance contract or identification number73123
Number of Individuals Covered16
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,525
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 numberHCL34672
Policy instance 3
Insurance contract or identification numberHCL34672
Number of Individuals Covered1150
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $299,433
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number70612/136809
Policy instance 4
Insurance contract or identification number70612/136809
Number of Individuals Covered10
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0085
Policy instance 5
Insurance contract or identification numberRG0085
Number of Individuals Covered3
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $302
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $302
Insurance broker organization code?4
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number70612/136809
Policy instance 5
Insurance contract or identification number70612/136809
Number of Individuals Covered8
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,006
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0537
Policy instance 4
Insurance contract or identification numberRG0537
Number of Individuals Covered17
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $791
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $41,336
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $791
Insurance broker organization code?4
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34672
Policy instance 3
Insurance contract or identification numberHCL34672
Number of Individuals Covered1144
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $494,300
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0085
Policy instance 2
Insurance contract or identification numberRG0085
Number of Individuals Covered3
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $252
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,022
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $252
Insurance broker organization code?4
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number73123
Policy instance 1
Insurance contract or identification number73123
Number of Individuals Covered17
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $66,551
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 numberHCL34672
Policy instance 5
Insurance contract or identification numberHCL34672
Number of Individuals Covered1186
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,026
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $474,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number136809
Policy instance 4
Insurance contract or identification number136809
Number of Individuals Covered8
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number149165
Policy instance 3
Insurance contract or identification number149165
Number of Individuals Covered14
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $63,176
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0085
Policy instance 2
Insurance contract or identification numberRG0085
Number of Individuals Covered3
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $258
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,676
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0537
Policy instance 1
Insurance contract or identification numberRG0537
Number of Individuals Covered17
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $714
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $29,308
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0537
Policy instance 1
Insurance contract or identification numberRG0537
Number of Individuals Covered14
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $1,837
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $30,435
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,837
Insurance broker organization code?4
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0085
Policy instance 2
Insurance contract or identification numberRG0085
Number of Individuals Covered3
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $147
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $147
Insurance broker organization code?4
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number149165
Policy instance 3
Insurance contract or identification number149165
Number of Individuals Covered16
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,166
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number136809
Policy instance 4
Insurance contract or identification number136809
Number of Individuals Covered10
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BCBSM, INC. DBA BLUE CROSS AND BLUE SHIELD OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 55026 )
Policy contract number211868
Policy instance 5
Insurance contract or identification number211868
Number of Individuals Covered1179
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $646,298
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number70612/136809
Policy instance 4
Insurance contract or identification number70612/136809
Number of Individuals Covered21
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $87,253
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UCARE MINNESOTA (National Association of Insurance Commissioners NAIC id number: 52629 )
Policy contract numberRG0085/RG0537
Policy instance 3
Insurance contract or identification numberRG0085/RG0537
Number of Individuals Covered9
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $248
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $17,760
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICA (National Association of Insurance Commissioners NAIC id number: 99372 )
Policy contract number70611/136809
Policy instance 1
Insurance contract or identification number70611/136809
Number of Individuals Covered12
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,380
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN ALTERNATIVE INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 19720 )
Policy contract number30801
Policy instance 2
Insurance contract or identification number30801
Number of Individuals Covered1191
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $221,813
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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