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NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 401k Plan overview

Plan NameNORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS
Plan identification number 502

NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Other welfare benefit cover

401k Sponsoring company profile

NORTHBEND PATTERN WORKS, LLC has sponsored the creation of one or more 401k plans.

Company Name:NORTHBEND PATTERN WORKS, LLC
Employer identification number (EIN):352032430
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-01-01
5022018-01-01BECKI DROEGE
5022017-01-01BECKI DROEGE BECKI DROEGE2018-10-15
5022016-01-01BECKI DROEGE BECKI DROEGE2017-06-22
5022015-01-01BECKI DROEGE2016-06-13 BECKI DROEGE2016-06-16

Plan Statistics for NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS

401k plan membership statisitcs for NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS

Measure Date Value
2019: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2019 401k membership
Total participants, beginning-of-year2019-01-0123
Total number of active participants reported on line 7a of the Form 55002019-01-0121
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0121
Total participants2019-01-0121
2018: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2018 401k membership
Total participants, beginning-of-year2018-01-0123
Total number of active participants reported on line 7a of the Form 55002018-01-0123
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0123
Total participants2018-01-0123
2017: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2017 401k membership
Total participants, beginning-of-year2017-01-0125
Total number of active participants reported on line 7a of the Form 55002017-01-0123
Total of all active and inactive participants2017-01-0123
Total participants2017-01-0123
2016: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-01-0124
Total number of active participants reported on line 7a of the Form 55002016-01-0124
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 participants2016-01-0124
Total participants2016-01-0124
2015: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2015 401k membership
Total participants, beginning-of-year2015-01-0128
Total number of active participants reported on line 7a of the Form 55002015-01-0124
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0124
Total participants2015-01-0124

Financial Data on NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS

Measure Date Value
2019 : NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2019 401k financial data
Total income from all sources2019-12-31$111,434
Expenses. Total of all expenses incurred2019-12-31$111,434
Benefits paid (including direct rollovers)2019-12-31$111,434
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$0
Value of fidelity bond covering the plan2019-12-31$350,000
Net income (gross income less expenses)2019-12-31$0
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$111,434
2018 : NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2018 401k financial data
Total income from all sources2018-12-31$33,121
Expenses. Total of all expenses incurred2018-12-31$33,121
Benefits paid (including direct rollovers)2018-12-31$33,121
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$0
Value of fidelity bond covering the plan2018-12-31$300,000
Net income (gross income less expenses)2018-12-31$0
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$33,121
2017 : NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2017 401k financial data
Total income from all sources2017-12-31$43,140
Expenses. Total of all expenses incurred2017-12-31$43,140
Benefits paid (including direct rollovers)2017-12-31$43,140
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$0
Value of fidelity bond covering the plan2017-12-31$300,000
Net income (gross income less expenses)2017-12-31$0
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$43,140
2016 : NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2016 401k financial data
Total income from all sources2016-12-31$42,931
Expenses. Total of all expenses incurred2016-12-31$42,931
Benefits paid (including direct rollovers)2016-12-31$42,931
Value of fidelity bond covering the plan2016-12-31$300,000
Net income (gross income less expenses)2016-12-31$0
Net plan assets at end of year (total assets less liabilities)2016-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
Total contributions received or receivable from employer(s)2016-12-31$42,931
2015 : NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2015 401k financial data
Total income from all sources2015-12-31$35,830
Expenses. Total of all expenses incurred2015-12-31$35,830
Benefits paid (including direct rollovers)2015-12-31$35,830
Total plan assets at end of year2015-12-31$0
Total plan assets at beginning of year2015-12-31$0
Value of fidelity bond covering the plan2015-12-31$300,000
Net income (gross income less expenses)2015-12-31$0
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$35,830

Form 5500 Responses for NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS

2019: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 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: NORTHBEND PATTERN WORKS, LLC EMPLOYEE HEALTH BENEFIT PLAN FOR PRESCRIPTION BENEFITS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
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

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