401k Plan data: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 plan

MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 401k Plan overview

Plan Name	MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414
Plan identification number	503

MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

MINCO TOOL & MOLD, INC. has sponsored the creation of one or more 401k plans.

Company Name: MINCO TOOL & MOLD, INC.

Employer identification number (EIN): 310720199

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2018-01-01 MARK SMITH 2019-09-27
503 2017-01-01
503 2016-01-01
503 2015-01-01
503 2014-01-01
503 2013-01-01
503 2012-01-01 CHARLES F. BIRTLE
503 2011-01-01 CHARLES F. BIRTLE
503 2010-01-01 CHARLES F. BIRTLE
503 2009-01-01 CHARLES F. BIRTLE

Plan Statistics for MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414

401k plan membership statisitcs for MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414

Measure Date Value
2018: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2018 401k membership
Total participants, beginning-of-year 2018-01-01 489
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
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 0
2017: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2017 401k membership
Total participants, beginning-of-year 2017-01-01 432
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 489
Total of all active and inactive participants 2017-01-01 489
2016: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2016 401k membership
Total participants, beginning-of-year 2016-01-01 415
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 432
Total of all active and inactive participants 2016-01-01 432
2015: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2015 401k membership
Total participants, beginning-of-year 2015-01-01 382
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 415
Total of all active and inactive participants 2015-01-01 415
2014: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2014 401k membership
Total participants, beginning-of-year 2014-01-01 332
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 382
Total of all active and inactive participants 2014-01-01 382
2013: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2013 401k membership
Total participants, beginning-of-year 2013-01-01 265
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 332
Total of all active and inactive participants 2013-01-01 332
2012: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2012 401k membership
Total participants, beginning-of-year 2012-01-01 243
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 265
Total of all active and inactive participants 2012-01-01 265
2011: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2011 401k membership
Total participants, beginning-of-year 2011-01-01 238
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 243
Total of all active and inactive participants 2011-01-01 243
2010: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2010 401k membership
Total participants, beginning-of-year 2010-01-01 241
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 238
Total of all active and inactive participants 2010-01-01 238
2009: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2009 401k membership
Total participants, beginning-of-year 2009-01-01 240
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 241
Total of all active and inactive participants 2009-01-01 241

Measure	Date	Value
2018: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2018 401k membership
Total participants, beginning-of-year	2018-01-01	489
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
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	0
2017: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2017 401k membership
Total participants, beginning-of-year	2017-01-01	432
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	489
Total of all active and inactive participants	2017-01-01	489
2016: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2016 401k membership
Total participants, beginning-of-year	2016-01-01	415
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	432
Total of all active and inactive participants	2016-01-01	432
2015: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2015 401k membership
Total participants, beginning-of-year	2015-01-01	382
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	415
Total of all active and inactive participants	2015-01-01	415
2014: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2014 401k membership
Total participants, beginning-of-year	2014-01-01	332
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	382
Total of all active and inactive participants	2014-01-01	382
2013: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2013 401k membership
Total participants, beginning-of-year	2013-01-01	265
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	332
Total of all active and inactive participants	2013-01-01	332
2012: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2012 401k membership
Total participants, beginning-of-year	2012-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	265
Total of all active and inactive participants	2012-01-01	265
2011: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2011 401k membership
Total participants, beginning-of-year	2011-01-01	238
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	243
Total of all active and inactive participants	2011-01-01	243
2010: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2010 401k membership
Total participants, beginning-of-year	2010-01-01	241
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	238
Total of all active and inactive participants	2010-01-01	238
2009: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2009 401k membership
Total participants, beginning-of-year	2009-01-01	240
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	241
Total of all active and inactive participants	2009-01-01	241

Form 5500 Responses for MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414

2018: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2018 form 5500 responses
2018-01-01	Type of plan entity	Mulitple employer plan
2018-01-01	This submission is the final filing	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2017 form 5500 responses
2017-01-01	Type of plan entity	Mulitple employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2016 form 5500 responses
2016-01-01	Type of plan entity	Mulitple employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2015 form 5500 responses
2015-01-01	Type of plan entity	Mulitple employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2014 form 5500 responses
2014-01-01	Type of plan entity	Mulitple employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2013 form 5500 responses
2013-01-01	Type of plan entity	Mulitple employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2012 form 5500 responses
2012-01-01	Type of plan entity	Mulitple employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2011 form 5500 responses
2011-01-01	Type of plan entity	Mulitple employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2010 form 5500 responses
2010-01-01	Type of plan entity	Mulitple employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: MINCO TOOL & MOLD CORP EMPLOYEE BENEFIT PLAN 5690 WEBSTER STREET DAYTON OH 45414 2009 form 5500 responses
2009-01-01	Type of plan entity	Mulitple employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUDB0AMQU

Policy instance

Insurance contract or identification number	GUDB0AMQU
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $287
Total amount of fees paid to insurance company	USD $323
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,413
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	323
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $287

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG0AMQU

Policy instance

Insurance contract or identification number	GUG0AMQU
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $433
Total amount of fees paid to insurance company	USD $464
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $8,180
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	464
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $433

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AMQU

Policy instance

Insurance contract or identification number	GLTD0AMQU
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $150
Total amount of fees paid to insurance company	USD $61
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $1,001
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $150
Insurance broker organization code?	3
Amount paid for insurance broker fees	61
Additional information about fees paid to insurance broker	OTHER COMPENSATION

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AMQU

Policy instance

Insurance contract or identification number	GVTL0AMQU
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $673
Total amount of fees paid to insurance company	USD $391
Other welfare benefits provided	VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $6,736
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $673
Insurance broker organization code?	3
Amount paid for insurance broker fees	391
Additional information about fees paid to insurance broker	OTHER COMPENSATION

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AMQU

Policy instance

Insurance contract or identification number	GLUG0AMQU
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $311
Total amount of fees paid to insurance company	USD $205
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $3,719
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $311
Insurance broker organization code?	3
Amount paid for insurance broker fees	205
Additional information about fees paid to insurance broker	OTHER COMPENSATION

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AMQU

Policy instance

Insurance contract or identification number	GVTL0AMQU
Number of Individuals Covered	253
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $8,092
Total amount of fees paid to insurance company	USD $6,626
Other welfare benefits provided	VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $78,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,092
Insurance broker organization code?	3
Amount paid for insurance broker fees	6626
Additional information about fees paid to insurance broker	OTHER COMPENSATON
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AMQU

Policy instance

Insurance contract or identification number	GLUG0AMQU
Number of Individuals Covered	489
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,572
Total amount of fees paid to insurance company	USD $3,566
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $40,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,572
Insurance broker organization code?	3
Amount paid for insurance broker fees	3566
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AMQU

Policy instance

Insurance contract or identification number	GLTD0AMQU
Number of Individuals Covered	60
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,843
Total amount of fees paid to insurance company	USD $1,123
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,843
Insurance broker organization code?	3
Amount paid for insurance broker fees	1123
Additional information about fees paid to insurance broker	OTHER COMPENSATIONOTHER COMPENSATION
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG0AMQU

Policy instance

Insurance contract or identification number	GUG0AMQU
Number of Individuals Covered	489
Insurance policy start date	2017-12-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $5,137
Total amount of fees paid to insurance company	USD $8,088
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $92,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	8088
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $5,137
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG0AMQU

Policy instance

Insurance contract or identification number	GUG0AMQU
Number of Individuals Covered	415
Insurance policy start date	2015-12-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $4,665
Total amount of fees paid to insurance company	USD $5,661
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $75,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	5661
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $4,665
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AMQU

Policy instance

Insurance contract or identification number	GLTD0AMQU
Number of Individuals Covered	66
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $1,826
Total amount of fees paid to insurance company	USD $1,028
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $12,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,826
Insurance broker organization code?	3
Amount paid for insurance broker fees	1028
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AMQU

Policy instance

Insurance contract or identification number	GLUG0AMQU
Number of Individuals Covered	415
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $3,327
Total amount of fees paid to insurance company	USD $3,032
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $36,421
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,327
Insurance broker organization code?	3
Amount paid for insurance broker fees	3032
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AMQU

Policy instance

Insurance contract or identification number	GVTL0AMQU
Number of Individuals Covered	230
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $7,572
Total amount of fees paid to insurance company	USD $5,159
Other welfare benefits provided	VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $68,138
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,572
Insurance broker organization code?	3
Amount paid for insurance broker fees	5159
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG0AMQU

Policy instance

Insurance contract or identification number	GUG0AMQU
Number of Individuals Covered	382
Insurance policy start date	2014-12-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,581
Total amount of fees paid to insurance company	USD $3,767
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $62,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,581
Amount paid for insurance broker fees	3767
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AMQU

Policy instance

Insurance contract or identification number	GLTD0AMQU
Number of Individuals Covered	61
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $1,703
Total amount of fees paid to insurance company	USD $722
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $11,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,703
Amount paid for insurance broker fees	722
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AMQU

Policy instance

Insurance contract or identification number	GLUG0AMQU
Number of Individuals Covered	382
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $3,198
Total amount of fees paid to insurance company	USD $2,101
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $33,646
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,198
Amount paid for insurance broker fees	2101
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AMQU

Policy instance

Insurance contract or identification number	GVTL0AMQU
Number of Individuals Covered	213
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $6,845
Total amount of fees paid to insurance company	USD $3,770
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $59,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,116
Insurance broker organization code?	3
Amount paid for insurance broker fees	3770
Additional information about fees paid to insurance broker	OTHER COMPENSATION
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

00170177

Policy instance

Insurance contract or identification number	00170177
Number of Individuals Covered	0
Insurance policy start date	2013-01-01
Insurance policy end date	2013-11-30
Total amount of commissions paid to insurance broker	USD $9,032
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $101,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,032
Insurance broker organization code?	3
Insurance broker name	BROWER INSRUAHCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AMQU

Policy instance

Insurance contract or identification number	GVTL0AMQU
Number of Individuals Covered	193
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,680
Total amount of fees paid to insurance company	USD $512
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $55,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,680
Amount paid for insurance broker fees	512
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD OTHER COMPENSATION
Insurance broker organization code?	3
Insurance broker name	BROWER INSURANCE AGENCY LLC

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AMQU

Policy instance

Insurance contract or identification number	GLUG0AMQU
Number of Individuals Covered	332
Insurance policy start date	2013-12-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $262
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $2,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $262
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLTD0AMQU

Policy instance

Insurance contract or identification number	GLTD0AMQU
Number of Individuals Covered	60
Insurance policy start date	2013-12-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $142
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $946
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $142
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG0AMQU

Policy instance

Insurance contract or identification number	GUG0AMQU
Number of Individuals Covered	332
Insurance policy start date	2013-12-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $460
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Temporary Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,603
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $460
Insurance broker organization code?	3
Insurance broker name	MARSH & MCLENNAN AGENCY LLC-BROWER

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GVTL0AMQU

Policy instance

Insurance contract or identification number	GVTL0AMQU
Number of Individuals Covered	177
Insurance policy start date	2012-11-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,315
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	VOLUNTARY LIFE
Welfare Benefit Premiums Paid to Carrier	USD $8,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,315
Insurance broker organization code?	3
Insurance broker name	BROWER INSURANCE AGENCY LLC

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )

Policy contract number

00170177

Policy instance

Insurance contract or identification number	00170177
Number of Individuals Covered	265
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $9,560
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $94,188
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,560
Insurance broker organization code?	3
Insurance broker name	BROWER INSRUAHCE AGENCY LLC

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

306031

Policy instance

Insurance contract or identification number	306031
Number of Individuals Covered	243
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $8,752
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $89,737
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

306031

Policy instance

Insurance contract or identification number	306031
Number of Individuals Covered	238
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $8,370
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $91,511
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,370
Insurance broker organization code?	3
Insurance broker name	DUNN, JAMES E. EMPLOYER BENEFIT SVC

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Company Name:	MINCO TOOL & MOLD, INC.
Employer identification number (EIN):	310720199
NAIC Classification:	332900

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2018-01-01	MARK SMITH	2019-09-27
503	2017-01-01
503	2016-01-01
503	2015-01-01
503	2014-01-01
503	2013-01-01
503	2012-01-01	CHARLES F. BIRTLE
503	2011-01-01	CHARLES F. BIRTLE
503	2010-01-01	CHARLES F. BIRTLE
503	2009-01-01	CHARLES F. BIRTLE