401k Plan data: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN plan

RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 401k Plan overview

Plan Name	RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN
Plan identification number	501

RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision Temporary disability (accident and sickness)

401k Sponsoring company profile

RIVERSIDE MFG., LLC has sponsored the creation of one or more 401k plans.

Company Name: RIVERSIDE MFG., LLC

Employer identification number (EIN): 260332652

NAIC Classification: 335900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 TINA KEINSLEY 2024-03-11
501 2022-01-01 TINA KEINSLEY 2023-03-08
501 2021-01-01 TINA KEINSLEY 2022-06-20
501 2020-01-01 TINA KEINSLEY 2021-03-24
501 2019-01-01 TINA KEINSLEY 2020-04-07
501 2018-01-01 TINA KEINSLEY 2019-09-17
501 2017-01-01
501 2017-01-01 TINA KEINSLEY 2019-09-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	TINA KEINSLEY	2024-03-11
501	2022-01-01	TINA KEINSLEY	2023-03-08
501	2021-01-01	TINA KEINSLEY	2022-06-20
501	2020-01-01	TINA KEINSLEY	2021-03-24
501	2019-01-01	TINA KEINSLEY	2020-04-07
501	2018-01-01	TINA KEINSLEY	2019-09-17
501	2017-01-01
501	2017-01-01	TINA KEINSLEY	2019-09-17

Plan Statistics for RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN

401k plan membership statisitcs for RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN

Measure Date Value
2023: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year 2023-01-01 150
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 150
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 150
Number of employers contributing to the scheme 2023-01-01 0
2022: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 157
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 150
Number of retired or separated participants receiving benefits 2022-01-01 0
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 150
Number of employers contributing to the scheme 2022-01-01 0
2021: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 160
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 142
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 142
Number of employers contributing to the scheme 2021-01-01 0
2020: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 168
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 168
Number of employers contributing to the scheme 2020-01-01 0
2019: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 168
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 168
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 168
Number of employers contributing to the scheme 2019-01-01 0
2018: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 193
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 168
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 168
Number of employers contributing to the scheme 2018-01-01 0
2017: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 120
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 153
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 153
Number of employers contributing to the scheme 2017-01-01 0

Measure	Date	Value
2023: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year	2023-01-01	150
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	150
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	150
Number of employers contributing to the scheme	2023-01-01	0
2022: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	157
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	150
Number of retired or separated participants receiving benefits	2022-01-01	0
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	150
Number of employers contributing to the scheme	2022-01-01	0
2021: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	160
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	142
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	142
Number of employers contributing to the scheme	2021-01-01	0
2020: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	168
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	168
Number of employers contributing to the scheme	2020-01-01	0
2019: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	168
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	168
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	168
Number of employers contributing to the scheme	2019-01-01	0
2018: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	168
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	168
Number of employers contributing to the scheme	2018-01-01	0
2017: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	120
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	153
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	153
Number of employers contributing to the scheme	2017-01-01	0

Form 5500 Responses for RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN

2023: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: RIVERSIDE MANUFACTURING LLC WEEKLY ACCIDENT & ILLNESS INCOME BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SHD500170

Policy instance

Insurance contract or identification number	SHD500170
Number of Individuals Covered	153
Insurance policy start date	2017-01-01
Insurance policy end date	2017-04-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,355
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

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Company Name:	RIVERSIDE MFG., LLC
Employer identification number (EIN):	260332652
NAIC Classification:	335900