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ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN 401k Plan overview

Plan NameETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN
Plan identification number 501

ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

ETB ARIZONA LLC has sponsored the creation of one or more 401k plans.

Company Name:ETB ARIZONA LLC
Employer identification number (EIN):273941498
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01MARY STEWART
5012023-01-01
5012023-01-01MARY STEWART

Plan Statistics for ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN

401k plan membership statisitcs for ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2023: ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-016
Total number of active participants reported on line 7a of the Form 55002023-01-017
Total of all active and inactive participants2023-01-017
Total participants2023-01-017

Financial Data on ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN

Measure Date Value
2024 : ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN 2024 401k financial data
Total income from all sources (including contributions)2024-01-01$67,870
Total of all expenses incurred2024-01-01$68,948
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2024-01-01$52,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2024-01-01$67,870
Value of total assets at end of year2024-01-01$5,971
Value of total assets at beginning of year2024-01-01$7,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2024-01-01$16,618
Were there any nonexempt tranactions with any party-in-interest2024-01-01No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2024-01-01$7,246
Total non interest bearing cash at end of year2024-01-01$5,971
Total non interest bearing cash at beginning of year2024-01-01$7,049
Value of net income/loss2024-01-01$-1,078
Value of net assets at end of year (total assets less liabilities)2024-01-01$5,971
Value of net assets at beginning of year (total assets less liabilities)2024-01-01$7,049
Were any loans by the plan or fixed income obligations due to the plan in default2024-01-01No
Were any leases to which the plan was party in default or uncollectible2024-01-01No
Value of interest in pooled separate accounts at end of year2024-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2024-01-01$39,659
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2024-01-01No
Has the plan failed to provide any benefit when due under the plan2024-01-01No
Contributions received in cash from employer2024-01-01$67,870
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2024-01-01$5,425
Contract administrator fees2024-01-01$16,618
Did the plan have assets held for investment2024-01-01No
Opinion of an independent qualified public accountant for this plan2024-01-011
Accountancy firm name2024-01-01ALLIED NATIONAL
Accountancy firm EIN2024-01-01431625757
2023 : ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN 2023 401k financial data
Total income from all sources (including contributions)2023-12-31$54,552
Total of all expenses incurred2023-12-31$47,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$33,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$54,552
Value of total assets at end of year2023-12-31$7,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$13,583
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$54,552
Total non interest bearing cash at end of year2023-12-31$7,049
Value of net income/loss2023-12-31$7,049
Value of net assets at end of year (total assets less liabilities)2023-12-31$7,049
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in pooled separate accounts at end of year2023-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$31,479
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$2,441
Contract administrator fees2023-12-31$13,583
Did the plan have assets held for investment2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31ALLIED NATIONAL
Accountancy firm EIN2023-12-31431625757
Total income from all sources (including contributions)2023-01-01$54,552
Total of all expenses incurred2023-01-01$47,503
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$33,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$54,552
Value of total assets at end of year2023-01-01$7,049
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$13,583
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$54,552
Total non interest bearing cash at end of year2023-01-01$7,049
Value of net income/loss2023-01-01$7,049
Value of net assets at end of year (total assets less liabilities)2023-01-01$7,049
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in pooled separate accounts at end of year2023-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$31,479
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$2,441
Contract administrator fees2023-01-01$13,583
Did the plan have assets held for investment2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01ALLIED NATIONAL
Accountancy firm EIN2023-01-01431625757
2022 : ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-01-01$42,664
Total of all expenses incurred2022-01-01$42,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$32,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$42,664
Value of total assets at end of year2022-01-01$0
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$42,664
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in pooled separate accounts at end of year2022-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$24,553
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$7,546
Did the plan have assets held for investment2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01ALLIED NATIONAL
Accountancy firm EIN2022-01-01431625757

Form 5500 Responses for ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN

2023: ETB ARIZONA LLC EMPLOYEE GROUP HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entityDFE (Diect Filing Entity)
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract number
Policy instance 1
Number of Individuals Covered6
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract number
Policy instance 1

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