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WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 401k Plan overview

Plan NameWHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND
Plan identification number 501

WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND Benefits

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

401k Sponsoring company profile

WHSE EMPLOYEES UNION LOCAL 169 has sponsored the creation of one or more 401k plans.

Company Name:WHSE EMPLOYEES UNION LOCAL 169
Employer identification number (EIN):237215201
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01BRIAN REICE RAYMOND TARNOWSKI2018-10-08
5012016-01-01BRIAN REICE RAYMOND TARNOWSKI2017-10-11
5012015-01-01BRIAN REICE RAYMOND TARNOWSKI2016-10-12
5012014-01-01BRIAN REICE RAYMOND TARNOWSKI2015-09-25
5012013-01-01BRIAN REICE RAYMOND TARNOWSKI2014-10-15
5012012-01-01BRIAN REICE RAYMOND TARNOWSKI2013-10-10
5012011-01-01BRIAN REICE RAYMOND TARNOWSKI2012-09-21
5012009-01-01BRIAN REICE RAYMOND TARNOWSKI2010-10-12

Plan Statistics for WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND

401k plan membership statisitcs for WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND

Measure Date Value
2022: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01301
Total number of active participants reported on line 7a of the Form 55002022-01-01303
Total of all active and inactive participants2022-01-01303
Total participants2022-01-01303
Number of employers contributing to the scheme2022-01-0111
2021: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01391
Total number of active participants reported on line 7a of the Form 55002021-01-01301
Total of all active and inactive participants2021-01-01301
Total participants2021-01-01301
Number of employers contributing to the scheme2021-01-0111
2020: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01388
Total number of active participants reported on line 7a of the Form 55002020-01-01391
Total of all active and inactive participants2020-01-01391
Total participants2020-01-01391
Number of employers contributing to the scheme2020-01-0111
2019: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01411
Total number of active participants reported on line 7a of the Form 55002019-01-01388
Total of all active and inactive participants2019-01-01388
Total participants2019-01-01388
Number of employers contributing to the scheme2019-01-0113
2018: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01485
Total number of active participants reported on line 7a of the Form 55002018-01-01411
Total of all active and inactive participants2018-01-01411
Total participants2018-01-01411
Number of employers contributing to the scheme2018-01-0113
2017: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01518
Total number of active participants reported on line 7a of the Form 55002017-01-01485
Total of all active and inactive participants2017-01-01485
Total participants2017-01-01485
Number of employers contributing to the scheme2017-01-0113
2016: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01571
Total number of active participants reported on line 7a of the Form 55002016-01-01518
Total of all active and inactive participants2016-01-01518
Total participants2016-01-01518
Number of employers contributing to the scheme2016-01-0115
2015: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01557
Total number of active participants reported on line 7a of the Form 55002015-01-01571
Total of all active and inactive participants2015-01-01571
Total participants2015-01-010
Number of employers contributing to the scheme2015-01-0115
2014: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01481
Total number of active participants reported on line 7a of the Form 55002014-01-01557
Total of all active and inactive participants2014-01-01557
Total participants2014-01-010
Number of employers contributing to the scheme2014-01-0115
2013: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01460
Total number of active participants reported on line 7a of the Form 55002013-01-01481
Total of all active and inactive participants2013-01-01481
Total participants2013-01-010
Number of employers contributing to the scheme2013-01-0118
2012: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01537
Total number of active participants reported on line 7a of the Form 55002012-01-01460
Total of all active and inactive participants2012-01-01460
Total participants2012-01-010
Number of employers contributing to the scheme2012-01-0118
2011: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01570
Total number of active participants reported on line 7a of the Form 55002011-01-01537
Total of all active and inactive participants2011-01-01537
Total participants2011-01-01537
Number of employers contributing to the scheme2011-01-0120
2009: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01610
Total number of active participants reported on line 7a of the Form 55002009-01-01558
Total of all active and inactive participants2009-01-01558
Total participants2009-01-01558

Financial Data on WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND

Measure Date Value
2022 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,485,536
Total unrealized appreciation/depreciation of assets2022-12-31$-1,485,536
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$890,920
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,159,814
Total income from all sources (including contributions)2022-12-31$3,238,846
Total loss/gain on sale of assets2022-12-31$-173,670
Total of all expenses incurred2022-12-31$4,265,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,975,277
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,679,968
Value of total assets at end of year2022-12-31$12,140,295
Value of total assets at beginning of year2022-12-31$13,435,363
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$289,743
Total interest from all sources2022-12-31$141,417
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$67,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$67,061
Administrative expenses professional fees incurred2022-12-31$100,030
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$64,550
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$151,466
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$143,597
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$195,762
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$107,545
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$296,608
Other income not declared elsewhere2022-12-31$9,606
Administrative expenses (other) incurred2022-12-31$17,695
Liabilities. Value of operating payables at end of year2022-12-31$23,818
Liabilities. Value of operating payables at beginning of year2022-12-31$38,928
Total non interest bearing cash at end of year2022-12-31$366,947
Total non interest bearing cash at beginning of year2022-12-31$381,509
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,026,174
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,249,375
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$12,275,549
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$13,015
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,086,658
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,078,181
Value of interest in pooled separate accounts at end of year2022-12-31$0
Income. Interest from US Government securities2022-12-31$41,651
Income. Interest from corporate debt instruments2022-12-31$69,847
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$2,135,545
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$1,933,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$1,933,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$29,919
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$127,790
Asset value of US Government securities at end of year2022-12-31$2,936,102
Asset value of US Government securities at beginning of year2022-12-31$3,018,601
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,615,418
Employer contributions (assets) at end of year2022-12-31$445,529
Employer contributions (assets) at beginning of year2022-12-31$413,531
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,696,021
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$2,025,917
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$2,414,510
Contract administrator fees2022-12-31$159,003
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$759,557
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$824,278
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$3,063,526
Aggregate carrying amount (costs) on sale of assets2022-12-31$3,237,196
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2022-12-31232978066
2021 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$771,327
Total unrealized appreciation/depreciation of assets2021-12-31$771,327
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,159,814
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,171,382
Total income from all sources (including contributions)2021-12-31$6,175,335
Total loss/gain on sale of assets2021-12-31$-34,011
Total of all expenses incurred2021-12-31$4,545,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$4,228,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,209,992
Value of total assets at end of year2021-12-31$13,435,363
Value of total assets at beginning of year2021-12-31$11,816,606
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$316,025
Total interest from all sources2021-12-31$103,265
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$60,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$60,650
Administrative expenses professional fees incurred2021-12-31$116,180
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$53,535
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$137,627
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$195,762
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$131,980
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$296,608
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$159,117
Other income not declared elsewhere2021-12-31$64,112
Administrative expenses (other) incurred2021-12-31$20,818
Liabilities. Value of operating payables at end of year2021-12-31$38,928
Liabilities. Value of operating payables at beginning of year2021-12-31$144,080
Total non interest bearing cash at end of year2021-12-31$381,509
Total non interest bearing cash at beginning of year2021-12-31$150,178
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,630,325
Value of net assets at end of year (total assets less liabilities)2021-12-31$12,275,549
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,645,224
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$13,053
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$5,078,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$4,039,526
Value of interest in pooled separate accounts at end of year2021-12-31$0
Income. Interest from US Government securities2021-12-31$36,304
Income. Interest from corporate debt instruments2021-12-31$66,950
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$1,933,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$1,047,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$1,047,277
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$11
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$412,179
Asset value of US Government securities at end of year2021-12-31$3,018,601
Asset value of US Government securities at beginning of year2021-12-31$3,121,169
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$5,156,457
Employer contributions (assets) at end of year2021-12-31$413,531
Employer contributions (assets) at beginning of year2021-12-31$926,616
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$3,679,179
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$2,414,510
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$2,399,860
Contract administrator fees2021-12-31$165,974
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$824,278
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$868,185
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$2,802,629
Aggregate carrying amount (costs) on sale of assets2021-12-31$2,836,640
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2021-12-31232978066
2020 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$786,378
Total unrealized appreciation/depreciation of assets2020-12-31$786,378
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,171,382
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$762,264
Total income from all sources (including contributions)2020-12-31$6,478,039
Total loss/gain on sale of assets2020-12-31$74,435
Total of all expenses incurred2020-12-31$4,952,194
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,648,173
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,429,326
Value of total assets at end of year2020-12-31$11,816,606
Value of total assets at beginning of year2020-12-31$9,881,643
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$304,021
Total interest from all sources2020-12-31$128,036
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$56,579
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$56,579
Administrative expenses professional fees incurred2020-12-31$97,539
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$58,186
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$174,130
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$131,980
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$52,117
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$159,117
Other income not declared elsewhere2020-12-31$3,285
Administrative expenses (other) incurred2020-12-31$11,152
Liabilities. Value of operating payables at end of year2020-12-31$144,080
Liabilities. Value of operating payables at beginning of year2020-12-31$19,657
Total non interest bearing cash at end of year2020-12-31$150,178
Total non interest bearing cash at beginning of year2020-12-31$9,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,525,845
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,645,224
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,119,379
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$13,173
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,039,526
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,338,785
Value of interest in pooled separate accounts at end of year2020-12-31$0
Income. Interest from US Government securities2020-12-31$59,067
Income. Interest from corporate debt instruments2020-12-31$66,281
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$1,047,277
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$916,055
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$916,055
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$2,688
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$471,822
Asset value of US Government securities at end of year2020-12-31$3,121,169
Asset value of US Government securities at beginning of year2020-12-31$3,047,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$5,371,140
Employer contributions (assets) at end of year2020-12-31$926,616
Employer contributions (assets) at beginning of year2020-12-31$425,290
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,002,221
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$2,399,860
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$2,092,113
Contract administrator fees2020-12-31$182,157
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$868,185
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$742,607
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$9,001,732
Aggregate carrying amount (costs) on sale of assets2020-12-31$8,927,297
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2020-12-31232978066
2019 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$789,759
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$789,759
Total unrealized appreciation/depreciation of assets2019-12-31$789,759
Total unrealized appreciation/depreciation of assets2019-12-31$789,759
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$762,264
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$762,264
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,091,984
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,091,984
Total income from all sources (including contributions)2019-12-31$6,270,148
Total income from all sources (including contributions)2019-12-31$6,270,148
Total loss/gain on sale of assets2019-12-31$22,135
Total loss/gain on sale of assets2019-12-31$22,135
Total of all expenses incurred2019-12-31$3,753,886
Total of all expenses incurred2019-12-31$3,753,886
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,452,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,452,862
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,259,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$5,259,228
Value of total assets at end of year2019-12-31$9,881,643
Value of total assets at end of year2019-12-31$9,881,643
Value of total assets at beginning of year2019-12-31$7,695,101
Value of total assets at beginning of year2019-12-31$7,695,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$301,024
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$301,024
Total interest from all sources2019-12-31$145,431
Total interest from all sources2019-12-31$145,431
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$52,067
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$52,067
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$52,067
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$52,067
Administrative expenses professional fees incurred2019-12-31$96,509
Administrative expenses professional fees incurred2019-12-31$96,509
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$98,805
Contributions received from participants2019-12-31$98,805
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$28,752
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$28,752
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$237,698
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$237,698
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$52,117
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$52,117
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$68,073
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$68,073
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$55,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$55,088
Other income not declared elsewhere2019-12-31$1,528
Other income not declared elsewhere2019-12-31$1,528
Administrative expenses (other) incurred2019-12-31$12,472
Administrative expenses (other) incurred2019-12-31$12,472
Liabilities. Value of operating payables at end of year2019-12-31$19,657
Liabilities. Value of operating payables at end of year2019-12-31$19,657
Liabilities. Value of operating payables at beginning of year2019-12-31$23,390
Liabilities. Value of operating payables at beginning of year2019-12-31$23,390
Total non interest bearing cash at end of year2019-12-31$9,717
Total non interest bearing cash at end of year2019-12-31$9,717
Total non interest bearing cash at beginning of year2019-12-31$23,785
Total non interest bearing cash at beginning of year2019-12-31$23,785
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,516,262
Value of net income/loss2019-12-31$2,516,262
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,119,379
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,119,379
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,603,117
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,603,117
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$8,676
Investment advisory and management fees2019-12-31$8,676
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,338,785
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,338,785
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,148,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,148,672
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Income. Interest from US Government securities2019-12-31$59,044
Income. Interest from US Government securities2019-12-31$59,044
Income. Interest from corporate debt instruments2019-12-31$56,813
Income. Interest from corporate debt instruments2019-12-31$56,813
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$916,055
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$916,055
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,672,953
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,672,953
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$1,672,953
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$1,672,953
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$29,574
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$29,574
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$-8,775
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$-8,775
Asset value of US Government securities at end of year2019-12-31$3,047,566
Asset value of US Government securities at beginning of year2019-12-31$2,008,356
Asset value of US Government securities at beginning of year2019-12-31$2,008,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,160,423
Contributions received in cash from employer2019-12-31$5,160,423
Employer contributions (assets) at end of year2019-12-31$425,290
Employer contributions (assets) at end of year2019-12-31$425,290
Employer contributions (assets) at beginning of year2019-12-31$414,159
Employer contributions (assets) at beginning of year2019-12-31$414,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,223,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,223,939
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$2,092,113
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$2,092,113
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,330,351
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,330,351
Contract administrator fees2019-12-31$183,367
Contract administrator fees2019-12-31$183,367
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$742,607
Liabilities. Value of benefit claims payable at end of year2019-12-31$742,607
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,013,506
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,013,506
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$8,638,403
Aggregate proceeds on sale of assets2019-12-31$8,638,403
Aggregate carrying amount (costs) on sale of assets2019-12-31$8,616,268
Aggregate carrying amount (costs) on sale of assets2019-12-31$8,616,268
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BACHELER & COMPANY, P.C.
Accountancy firm name2019-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2019-12-31232978066
Accountancy firm EIN2019-12-31232978066
2018 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-170,322
Total unrealized appreciation/depreciation of assets2018-12-31$-170,322
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,091,984
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$811,937
Total income from all sources (including contributions)2018-12-31$5,674,281
Total loss/gain on sale of assets2018-12-31$-61,663
Total of all expenses incurred2018-12-31$6,006,591
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,686,865
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,749,409
Value of total assets at end of year2018-12-31$7,695,101
Value of total assets at beginning of year2018-12-31$7,747,364
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$319,726
Total interest from all sources2018-12-31$113,368
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$43,366
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$43,366
Administrative expenses professional fees incurred2018-12-31$111,451
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$132,716
Assets. Other investments not covered elsewhere at end of year2018-12-31$28,752
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$18,057
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$19,471
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$68,073
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$58,987
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$55,088
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$39,869
Other income not declared elsewhere2018-12-31$123
Administrative expenses (other) incurred2018-12-31$16,112
Liabilities. Value of operating payables at end of year2018-12-31$23,390
Liabilities. Value of operating payables at beginning of year2018-12-31$15,356
Total non interest bearing cash at end of year2018-12-31$23,785
Total non interest bearing cash at beginning of year2018-12-31$23,420
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-332,310
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,603,117
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$6,935,427
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$8,796
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,148,672
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,265,841
Value of interest in pooled separate accounts at end of year2018-12-31$0
Income. Interest from US Government securities2018-12-31$41,473
Income. Interest from corporate debt instruments2018-12-31$42,790
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$1,672,953
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,954,395
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,954,395
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$29,105
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$472,873
Asset value of US Government securities at end of year2018-12-31$2,008,356
Asset value of US Government securities at beginning of year2018-12-31$1,768,945
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$5,616,693
Employer contributions (assets) at end of year2018-12-31$414,159
Employer contributions (assets) at beginning of year2018-12-31$473,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$5,194,521
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$1,330,351
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$1,184,027
Contract administrator fees2018-12-31$183,367
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,013,506
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$756,712
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$6,964,448
Aggregate carrying amount (costs) on sale of assets2018-12-31$7,026,111
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2018-12-31232978066
2017 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$330,233
Total unrealized appreciation/depreciation of assets2017-12-31$330,233
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$811,937
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$937,992
Total income from all sources (including contributions)2017-12-31$6,724,850
Total loss/gain on sale of assets2017-12-31$-41,183
Total of all expenses incurred2017-12-31$4,854,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,483,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,327,496
Value of total assets at end of year2017-12-31$7,747,364
Value of total assets at beginning of year2017-12-31$6,003,481
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$370,956
Total interest from all sources2017-12-31$68,575
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$36,642
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$36,642
Administrative expenses professional fees incurred2017-12-31$139,508
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$147,597
Assets. Other investments not covered elsewhere at end of year2017-12-31$18,057
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$19,026
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$20,982
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$58,987
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$25,666
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$39,869
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$19,996
Other income not declared elsewhere2017-12-31$3,087
Administrative expenses (other) incurred2017-12-31$40,490
Liabilities. Value of operating payables at end of year2017-12-31$15,356
Liabilities. Value of operating payables at beginning of year2017-12-31$14,622
Total non interest bearing cash at end of year2017-12-31$23,420
Total non interest bearing cash at beginning of year2017-12-31$43,975
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,869,938
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,935,427
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,065,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$6,972
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,265,841
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,690,570
Income. Interest from US Government securities2017-12-31$27,024
Income. Interest from corporate debt instruments2017-12-31$30,568
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,954,395
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,928,204
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,928,204
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$10,983
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$630,966
Asset value of US Government securities at end of year2017-12-31$1,768,945
Asset value of US Government securities at beginning of year2017-12-31$1,077,596
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$6,179,899
Employer contributions (assets) at end of year2017-12-31$473,692
Employer contributions (assets) at beginning of year2017-12-31$574,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$3,832,008
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$1,184,027
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$643,758
Contract administrator fees2017-12-31$183,986
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$756,712
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$903,374
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$8,952,091
Aggregate carrying amount (costs) on sale of assets2017-12-31$8,993,274
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2017-12-31232978066
2016 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$131,968
Total unrealized appreciation/depreciation of assets2016-12-31$131,968
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$937,992
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$926,540
Total income from all sources (including contributions)2016-12-31$6,483,880
Total loss/gain on sale of assets2016-12-31$-13,728
Total of all expenses incurred2016-12-31$5,564,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,177,022
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$6,289,086
Value of total assets at end of year2016-12-31$6,003,481
Value of total assets at beginning of year2016-12-31$5,072,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$387,589
Total interest from all sources2016-12-31$40,052
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$30,638
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$30,638
Administrative expenses professional fees incurred2016-12-31$134,536
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$149,009
Assets. Other investments not covered elsewhere at end of year2016-12-31$19,026
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$13,471
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$22,252
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$25,666
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$8,066
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$19,996
Other income not declared elsewhere2016-12-31$5,864
Administrative expenses (other) incurred2016-12-31$65,646
Liabilities. Value of operating payables at end of year2016-12-31$14,622
Liabilities. Value of operating payables at beginning of year2016-12-31$14,713
Total non interest bearing cash at end of year2016-12-31$43,975
Total non interest bearing cash at beginning of year2016-12-31$12,806
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$919,269
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,065,489
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,146,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$5,649
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$1,690,570
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,336,273
Income. Interest from US Government securities2016-12-31$16,438
Income. Interest from corporate debt instruments2016-12-31$20,832
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,928,204
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,621,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,621,004
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,782
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$645,436
Asset value of US Government securities at end of year2016-12-31$1,077,596
Asset value of US Government securities at beginning of year2016-12-31$869,329
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$6,140,077
Employer contributions (assets) at end of year2016-12-31$574,686
Employer contributions (assets) at beginning of year2016-12-31$687,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,509,334
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$643,758
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$523,847
Contract administrator fees2016-12-31$181,758
Liabilities. Value of benefit claims payable at end of year2016-12-31$903,374
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$911,827
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$5,666,976
Aggregate carrying amount (costs) on sale of assets2016-12-31$5,680,704
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2016-12-31232978066
2015 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-45,643
Total unrealized appreciation/depreciation of assets2015-12-31$-45,643
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$926,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$87,211
Total income from all sources (including contributions)2015-12-31$6,946,144
Total loss/gain on sale of assets2015-12-31$-1,316
Total of all expenses incurred2015-12-31$6,600,174
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$6,261,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$6,941,734
Value of total assets at end of year2015-12-31$5,072,760
Value of total assets at beginning of year2015-12-31$3,887,461
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$338,651
Total interest from all sources2015-12-31$32,283
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$19,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$19,077
Administrative expenses professional fees incurred2015-12-31$136,089
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$143,852
Assets. Other investments not covered elsewhere at end of year2015-12-31$13,471
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$18,627
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$24,949
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$8,066
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$22,050
Other income not declared elsewhere2015-12-31$9
Administrative expenses (other) incurred2015-12-31$14,771
Liabilities. Value of operating payables at end of year2015-12-31$14,713
Liabilities. Value of operating payables at beginning of year2015-12-31$31,242
Total non interest bearing cash at end of year2015-12-31$12,806
Total non interest bearing cash at beginning of year2015-12-31$14,979
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$345,970
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,146,220
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,800,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$3,434
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,336,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$555,075
Income. Interest from US Government securities2015-12-31$14,320
Income. Interest from corporate debt instruments2015-12-31$17,954
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,621,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,496,289
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,496,289
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$9
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$663,734
Asset value of US Government securities at end of year2015-12-31$869,329
Asset value of US Government securities at beginning of year2015-12-31$770,524
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$6,797,882
Employer contributions (assets) at end of year2015-12-31$687,964
Employer contributions (assets) at beginning of year2015-12-31$599,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,572,840
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$523,847
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$410,011
Contract administrator fees2015-12-31$184,357
Liabilities. Value of benefit claims payable at end of year2015-12-31$911,827
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$55,969
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$6,421,993
Aggregate carrying amount (costs) on sale of assets2015-12-31$6,423,309
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2015-12-31232978066
2014 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$53,796
Total unrealized appreciation/depreciation of assets2014-12-31$53,796
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$87,211
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$110,081
Total income from all sources (including contributions)2014-12-31$6,214,172
Total loss/gain on sale of assets2014-12-31$-15,835
Total of all expenses incurred2014-12-31$5,560,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,218,970
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$6,139,699
Value of total assets at end of year2014-12-31$3,887,461
Value of total assets at beginning of year2014-12-31$3,256,599
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$341,470
Total interest from all sources2014-12-31$28,255
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$7,504
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$7,504
Administrative expenses professional fees incurred2014-12-31$135,681
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$166,545
Assets. Other investments not covered elsewhere at end of year2014-12-31$18,627
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$28,979
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$23,220
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$22,050
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$40,488
Other income not declared elsewhere2014-12-31$753
Administrative expenses (other) incurred2014-12-31$18,510
Liabilities. Value of operating payables at end of year2014-12-31$31,242
Liabilities. Value of operating payables at beginning of year2014-12-31$31,806
Total non interest bearing cash at end of year2014-12-31$14,979
Total non interest bearing cash at beginning of year2014-12-31$8,580
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$653,732
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,800,250
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,146,518
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$3,912
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$555,075
Income. Interest from US Government securities2014-12-31$12,368
Income. Interest from corporate debt instruments2014-12-31$15,887
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,496,289
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,507,492
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,507,492
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,880,889
Asset value of US Government securities at end of year2014-12-31$770,524
Asset value of US Government securities at beginning of year2014-12-31$770,627
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$5,973,154
Employer contributions (assets) at end of year2014-12-31$599,906
Employer contributions (assets) at beginning of year2014-12-31$522,577
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,314,861
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$410,011
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$377,856
Contract administrator fees2014-12-31$183,367
Liabilities. Value of benefit claims payable at end of year2014-12-31$55,969
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$78,275
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$463,788
Aggregate carrying amount (costs) on sale of assets2014-12-31$479,623
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2014-12-31232978066
2013 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-31,092
Total unrealized appreciation/depreciation of assets2013-12-31$-31,092
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$110,081
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$87,240
Total income from all sources (including contributions)2013-12-31$6,106,663
Total loss/gain on sale of assets2013-12-31$-14,411
Total of all expenses incurred2013-12-31$5,124,970
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,780,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,129,393
Value of total assets at end of year2013-12-31$3,256,599
Value of total assets at beginning of year2013-12-31$2,252,065
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$344,967
Total interest from all sources2013-12-31$22,534
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$137,215
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$167,412
Assets. Other investments not covered elsewhere at end of year2013-12-31$28,979
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$73,781
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$21,442
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$40,488
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$3,391
Other income not declared elsewhere2013-12-31$239
Administrative expenses (other) incurred2013-12-31$21,413
Liabilities. Value of operating payables at end of year2013-12-31$31,806
Liabilities. Value of operating payables at beginning of year2013-12-31$35,977
Total non interest bearing cash at end of year2013-12-31$8,580
Total non interest bearing cash at beginning of year2013-12-31$4,336
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$981,693
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,146,518
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,164,825
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$2,972
Income. Interest from US Government securities2013-12-31$10,151
Income. Interest from corporate debt instruments2013-12-31$12,383
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,507,492
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,056,386
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,056,386
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,658,624
Asset value of US Government securities at end of year2013-12-31$770,627
Asset value of US Government securities at beginning of year2013-12-31$469,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$5,961,981
Employer contributions (assets) at end of year2013-12-31$522,577
Employer contributions (assets) at beginning of year2013-12-31$452,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,099,937
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$377,856
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$191,913
Contract administrator fees2013-12-31$183,367
Liabilities. Value of benefit claims payable at end of year2013-12-31$78,275
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$51,263
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$353,401
Aggregate carrying amount (costs) on sale of assets2013-12-31$367,812
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2013-12-31232978066
2012 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$2,463
Total unrealized appreciation/depreciation of assets2012-12-31$2,463
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$87,240
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$113,135
Total income from all sources (including contributions)2012-12-31$5,746,209
Total loss/gain on sale of assets2012-12-31$-418
Total of all expenses incurred2012-12-31$4,948,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$4,613,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,731,882
Value of total assets at end of year2012-12-31$2,252,065
Value of total assets at beginning of year2012-12-31$1,480,654
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$335,195
Total interest from all sources2012-12-31$9,874
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$135,737
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$171,546
Assets. Other investments not covered elsewhere at end of year2012-12-31$73,781
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$70,771
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$20,808
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$3,391
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$4,506
Other income not declared elsewhere2012-12-31$2,408
Administrative expenses (other) incurred2012-12-31$14,571
Liabilities. Value of operating payables at end of year2012-12-31$35,977
Liabilities. Value of operating payables at beginning of year2012-12-31$21,973
Total non interest bearing cash at end of year2012-12-31$4,336
Total non interest bearing cash at beginning of year2012-12-31$-5,673
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$797,306
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,164,825
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,367,519
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$1,520
Income. Interest from US Government securities2012-12-31$5,062
Income. Interest from corporate debt instruments2012-12-31$4,812
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,056,386
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$539,896
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$539,896
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$3,571,883
Asset value of US Government securities at end of year2012-12-31$469,881
Asset value of US Government securities at beginning of year2012-12-31$267,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$5,560,336
Employer contributions (assets) at end of year2012-12-31$452,377
Employer contributions (assets) at beginning of year2012-12-31$496,011
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,021,017
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$191,913
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$107,634
Contract administrator fees2012-12-31$183,367
Liabilities. Value of benefit claims payable at end of year2012-12-31$51,263
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$91,162
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$387,413
Aggregate carrying amount (costs) on sale of assets2012-12-31$387,831
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2012-12-31232978066
2011 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$11,740
Total unrealized appreciation/depreciation of assets2011-12-31$11,740
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$113,135
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$525,803
Total income from all sources (including contributions)2011-12-31$5,749,510
Total loss/gain on sale of assets2011-12-31$5,663
Total of all expenses incurred2011-12-31$6,305,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$5,965,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,713,401
Value of total assets at end of year2011-12-31$1,480,654
Value of total assets at beginning of year2011-12-31$2,449,523
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$340,568
Total interest from all sources2011-12-31$18,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$134,700
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$157,039
Assets. Other investments not covered elsewhere at end of year2011-12-31$70,771
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$65,890
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$25,689
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$4,506
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$284
Administrative expenses (other) incurred2011-12-31$21,163
Liabilities. Value of operating payables at end of year2011-12-31$21,973
Liabilities. Value of operating payables at beginning of year2011-12-31$476,600
Total non interest bearing cash at end of year2011-12-31$-5,673
Total non interest bearing cash at beginning of year2011-12-31$102,537
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-556,201
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,367,519
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,923,720
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$1,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,796,139
Income. Interest from US Government securities2011-12-31$8,329
Income. Interest from corporate debt instruments2011-12-31$10,351
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$539,896
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$26
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$4,826,381
Asset value of US Government securities at end of year2011-12-31$267,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$5,556,362
Employer contributions (assets) at end of year2011-12-31$496,011
Employer contributions (assets) at beginning of year2011-12-31$484,673
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,113,073
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$107,634
Contract administrator fees2011-12-31$183,367
Liabilities. Value of benefit claims payable at end of year2011-12-31$91,162
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$49,203
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$3,414,652
Aggregate carrying amount (costs) on sale of assets2011-12-31$3,408,989
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2011-12-31232978066
2010 : WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$525,803
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$159,027
Total income from all sources (including contributions)2010-12-31$5,373,601
Total loss/gain on sale of assets2010-12-31$41,311
Total of all expenses incurred2010-12-31$6,764,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,410,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$5,248,082
Value of total assets at end of year2010-12-31$2,449,523
Value of total assets at beginning of year2010-12-31$3,473,521
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$353,818
Total interest from all sources2010-12-31$82,733
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$138,182
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$113,982
Assets. Other investments not covered elsewhere at end of year2010-12-31$65,890
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$57,686
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$22,780
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$284
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$20,596
Other income not declared elsewhere2010-12-31$1,475
Administrative expenses (other) incurred2010-12-31$20,514
Liabilities. Value of operating payables at end of year2010-12-31$476,600
Liabilities. Value of operating payables at beginning of year2010-12-31$57,988
Total non interest bearing cash at end of year2010-12-31$102,537
Total non interest bearing cash at beginning of year2010-12-31$89,858
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-1,390,774
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,923,720
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,314,494
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$11,755
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,796,139
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$141,961
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$141,961
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$82,733
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$5,289,062
Asset value of US Government securities at beginning of year2010-12-31$1,080,434
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$5,134,100
Employer contributions (assets) at end of year2010-12-31$484,673
Employer contributions (assets) at beginning of year2010-12-31$478,589
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,098,715
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$1,250,210
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$354,187
Contract administrator fees2010-12-31$183,367
Liabilities. Value of benefit claims payable at end of year2010-12-31$49,203
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$101,039
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$4,833,646
Aggregate carrying amount (costs) on sale of assets2010-12-31$4,792,335
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BACHELER & COMPANY, P.C.
Accountancy firm EIN2010-12-31232978066

Form 5500 Responses for WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND

2022: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: WHSE EMPLOYEES UNION LOCAL 169 CONTRIB EMPL HEALTH & WELFARE FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2871
Policy instance 2
Insurance contract or identification number2871
Number of Individuals Covered306
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0047-VU
Policy instance 1
Insurance contract or identification numberGL-0047-VU
Number of Individuals Covered292
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $370,297
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0047-VU
Policy instance 1
Insurance contract or identification numberGL-0047-VU
Number of Individuals Covered345
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $498,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2871
Policy instance 2
Insurance contract or identification number2871
Number of Individuals Covered316
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0047-VU
Policy instance 1
Insurance contract or identification numberGL-0047-VU
Number of Individuals Covered391
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $535,553
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2871
Policy instance 2
Insurance contract or identification number2871
Number of Individuals Covered363
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGL-0047-VU
Policy instance 1
Insurance contract or identification numberGL-0047-VU
Number of Individuals Covered360
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Welfare Benefit Premiums Paid to CarrierUSD $449,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2871
Policy instance 2
Insurance contract or identification number2871
Number of Individuals Covered350
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0863634HNO
Policy instance 1
Insurance contract or identification number0863634HNO
Number of Individuals Covered385
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $34,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2871
Policy instance 2
Insurance contract or identification number2871
Number of Individuals Covered374
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0863634HNO
Policy instance 1
Insurance contract or identification number0863634HNO
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $126,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number2871
Policy instance 2
Insurance contract or identification number2871
Number of Individuals Covered459
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44317
Policy instance 1
Insurance contract or identification number44317
Number of Individuals Covered531
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0863634HNO
Policy instance 2
Insurance contract or identification number0863634HNO
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0863634HNO
Policy instance 2
Insurance contract or identification number0863634HNO
Number of Individuals Covered564
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,880,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44317
Policy instance 1
Insurance contract or identification number44317
Number of Individuals Covered569
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA HEALTH, INC. (National Association of Insurance Commissioners NAIC id number: 95109 )
Policy contract number0863634HNO
Policy instance 4
Insurance contract or identification number0863634HNO
Number of Individuals Covered250
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Welfare Benefit Premiums Paid to CarrierUSD $3,584,539
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number
Policy instance 3
Number of Individuals Covered668
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $228,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number
Policy instance 2
Number of Individuals Covered297
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $99,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44317
Policy instance 1
Insurance contract or identification number44317
Number of Individuals Covered478
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number
Policy instance 2
Number of Individuals Covered159
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,083,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number
Policy instance 1
Number of Individuals Covered310
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,548,292
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44317
Policy instance 3
Insurance contract or identification number44317
Number of Individuals Covered464
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number44317
Policy instance 3
Insurance contract or identification number44317
Number of Individuals Covered532
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number
Policy instance 1
Number of Individuals Covered322
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,775,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number
Policy instance 2
Number of Individuals Covered211
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,986,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )
Policy contract number
Policy instance 3
Number of Individuals Covered191
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,632,726
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION BENEFITS OF AMERICA (National Association of Insurance Commissioners NAIC id number: 53953 )
Policy contract number
Policy instance 1
Number of Individuals Covered570
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number
Policy instance 4
Number of Individuals Covered521
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $22,702
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )
Policy contract number
Policy instance 2
Number of Individuals Covered331
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,479,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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