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BLACKHAWK SPECIALTY TOOLS, LLC 401k Plan overview

Plan NameBLACKHAWK SPECIALTY TOOLS, LLC
Plan identification number 501

BLACKHAWK SPECIALTY TOOLS, LLC Benefits

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

401k Sponsoring company profile

BLACKHAWK SPECIALTY TOOLS 401K PLAN has sponsored the creation of one or more 401k plans.

Company Name:BLACKHAWK SPECIALTY TOOLS 401K PLAN
Employer identification number (EIN):261236055
NAIC Classification:811310
NAIC Description:Commercial and Industrial Machinery and Equipment (except Automotive and Electronic) Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACKHAWK SPECIALTY TOOLS, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01
5012015-01-01DIONNE LEBOEUF
5012014-05-01DIONNE LEBOEUF
5012013-05-01DIONNE LEBOEUF
5012012-05-01DIONNE LEBOEUF
5012011-05-01DIONNE LEBOEUF
5012010-05-01DIONNE LEBOEUF

Plan Statistics for BLACKHAWK SPECIALTY TOOLS, LLC

401k plan membership statisitcs for BLACKHAWK SPECIALTY TOOLS, LLC

Measure Date Value
2016: BLACKHAWK SPECIALTY TOOLS, LLC 2016 401k membership
Total participants, beginning-of-year2016-01-01742
Total number of active participants reported on line 7a of the Form 55002016-01-01187
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01187
2015: BLACKHAWK SPECIALTY TOOLS, LLC 2015 401k membership
Total participants, beginning-of-year2015-01-01626
Total number of active participants reported on line 7a of the Form 55002015-01-01742
Total of all active and inactive participants2015-01-01742
2014: BLACKHAWK SPECIALTY TOOLS, LLC 2014 401k membership
Total participants, beginning-of-year2014-05-01526
Total number of active participants reported on line 7a of the Form 55002014-05-01626
Total of all active and inactive participants2014-05-01626
2013: BLACKHAWK SPECIALTY TOOLS, LLC 2013 401k membership
Total participants, beginning-of-year2013-05-01156
Total number of active participants reported on line 7a of the Form 55002013-05-01526
Total of all active and inactive participants2013-05-01526
2012: BLACKHAWK SPECIALTY TOOLS, LLC 2012 401k membership
Total participants, beginning-of-year2012-05-01114
Total number of active participants reported on line 7a of the Form 55002012-05-01156
Total of all active and inactive participants2012-05-01156
2011: BLACKHAWK SPECIALTY TOOLS, LLC 2011 401k membership
Total participants, beginning-of-year2011-05-0174
Total number of active participants reported on line 7a of the Form 55002011-05-01114
Total of all active and inactive participants2011-05-01114
2010: BLACKHAWK SPECIALTY TOOLS, LLC 2010 401k membership
Total participants, beginning-of-year2010-05-0148
Total number of active participants reported on line 7a of the Form 55002010-05-0174
Total of all active and inactive participants2010-05-0174

Financial Data on BLACKHAWK SPECIALTY TOOLS, LLC

Measure Date Value
2013 : BLACKHAWK SPECIALTY TOOLS, LLC 2013 401k financial data
Total income from all sources2013-04-30$1,868,705
Expenses. Total of all expenses incurred2013-04-30$1,783,808
Benefits paid (including direct rollovers)2013-04-30$1,620,950
Total plan assets at end of year2013-04-30$181,194
Total plan assets at beginning of year2013-04-30$96,297
Expenses. Other expenses not covered elsewhere2013-04-30$162,858
Other income received2013-04-30$144,233
Net income (gross income less expenses)2013-04-30$84,897
Net plan assets at end of year (total assets less liabilities)2013-04-30$181,194
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$96,297
Total contributions received or receivable from employer(s)2013-04-30$1,724,472
2012 : BLACKHAWK SPECIALTY TOOLS, LLC 2012 401k financial data
Total income from all sources2012-04-30$1,127,726
Expenses. Total of all expenses incurred2012-04-30$1,050,412
Benefits paid (including direct rollovers)2012-04-30$928,292
Total plan assets at end of year2012-04-30$96,297
Total plan assets at beginning of year2012-04-30$18,983
Net income (gross income less expenses)2012-04-30$77,314
Net plan assets at end of year (total assets less liabilities)2012-04-30$96,297
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$18,983
Total contributions received or receivable from employer(s)2012-04-30$1,127,726
Expenses. Administrative service providers (salaries,fees and commissions)2012-04-30$122,120
2011 : BLACKHAWK SPECIALTY TOOLS, LLC 2011 401k financial data
Total income from all sources2011-04-30$495,981
Expenses. Total of all expenses incurred2011-04-30$476,998
Benefits paid (including direct rollovers)2011-04-30$415,839
Total plan assets at end of year2011-04-30$18,983
Total plan assets at beginning of year2011-04-30$0
Net income (gross income less expenses)2011-04-30$18,983
Net plan assets at end of year (total assets less liabilities)2011-04-30$18,983
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$495,981
Expenses. Administrative service providers (salaries,fees and commissions)2011-04-30$61,159

Form 5500 Responses for BLACKHAWK SPECIALTY TOOLS, LLC

2016: BLACKHAWK SPECIALTY TOOLS, LLC 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: BLACKHAWK SPECIALTY TOOLS, LLC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: BLACKHAWK SPECIALTY TOOLS, LLC 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – General assets of the sponsorYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – General assets of the sponsorYes
2013: BLACKHAWK SPECIALTY TOOLS, LLC 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – General assets of the sponsorYes
2012: BLACKHAWK SPECIALTY TOOLS, LLC 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: BLACKHAWK SPECIALTY TOOLS, LLC 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: BLACKHAWK SPECIALTY TOOLS, LLC 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number114026
Policy instance 1
Insurance contract or identification number114026
Number of Individuals Covered742
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $94,438
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $372,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94,438
Insurance broker organization code?3
Insurance broker nameEDRIDGE JOSEPH ROBICHAUX
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number114026
Policy instance 1
Insurance contract or identification number114026
Number of Individuals Covered626
Insurance policy start date2014-05-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $48,260
Total amount of fees paid to insurance companyUSD $2,422
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $184,448
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,260
Amount paid for insurance broker fees2422
Additional information about fees paid to insurance brokerSPECIAL PROGRAM FEES
Insurance broker organization code?3
Insurance broker nameEDRIDGE JOSEPH ROBICHAUX
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number114026
Policy instance 1
Insurance contract or identification number114026
Number of Individuals Covered526
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $72,592
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $72,592
Insurance broker organization code?3
Insurance broker nameELDRIDGE JOSEPH ROBICHAUX
TRUSTMARK INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61425 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered156
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $40,412
Total amount of fees paid to insurance companyUSD $131,578
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLIANCE
Welfare Benefit Premiums Paid to CarrierUSD $264,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,412
Amount paid for insurance broker fees103759
Additional information about fees paid to insurance brokerTHIRD PARTY ADMIN FEES
Insurance broker organization code?5
Insurance broker nameROBICHAUX & ASSOCIATES
PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 4
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered156
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $1,654
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $9,924
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,654
Insurance broker organization code?5
Insurance broker nameIMA, INC.
IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 3
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered156
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $2,481
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH MANAGEMENT SERVICES
Welfare Benefit Premiums Paid to CarrierUSD $9,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,481
Insurance broker organization code?5
Insurance broker nameIMA, INC.
IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered156
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $910
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedPRE-CERTIFICATION
Welfare Benefit Premiums Paid to CarrierUSD $4,383
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $910
Insurance broker organization code?5
Insurance broker nameIMA, INC.
IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 3
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered114
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $1,943
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH MANAGEMENT SERVICES
Welfare Benefit Premiums Paid to CarrierUSD $7,123
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered114
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $712
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedPRE-CERTIFICATION
Welfare Benefit Premiums Paid to CarrierUSD $3,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PERICO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered114
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $13,208
Total amount of fees paid to insurance companyUSD $101,140
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLIANCE
Welfare Benefit Premiums Paid to CarrierUSD $265,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 4
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered114
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $1,295
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $7,444
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PPO PLUS (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 4
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered74
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $647
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $3,397
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $647
Insurance broker organization code?5
Insurance broker nameINSURANCE MANAGEMENT ADMINISTRATORS
IHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 3
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered74
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $971
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedHEALTH MANAGEMENT SERVICES
Welfare Benefit Premiums Paid to CarrierUSD $3,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $971
Insurance broker organization code?5
Insurance broker nameINSURANCE MANAGEMENT ADMINISTRATORS
IPROCERT (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNOT AVAILABLE
Policy instance 2
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered74
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $356
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedPRE-CERTIFICATION
Welfare Benefit Premiums Paid to CarrierUSD $1,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $356
Insurance broker organization code?5
Insurance broker nameINSURANCE MANAGEMENT ADMINISTRATORS
PERICO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract numberNOT AVAILABLE
Policy instance 1
Insurance contract or identification numberNOT AVAILABLE
Number of Individuals Covered74
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $22,159
Total amount of fees paid to insurance companyUSD $48,465
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Other welfare benefits providedCOMPLIANCE
Welfare Benefit Premiums Paid to CarrierUSD $145,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,159
Amount paid for insurance broker fees37476
Additional information about fees paid to insurance brokerTHIRD PARTY ADMIN FEES
Insurance broker organization code?5
Insurance broker nameROBICHAUX & ASSOCIATES

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