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GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 401k Plan overview

Plan NameGERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH
Plan identification number 501

GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH Benefits

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

401k Sponsoring company profile

GERTRUDE B. NIELSEN CHILD CARE & LEARNING CENTER has sponsored the creation of one or more 401k plans.

Company Name:GERTRUDE B. NIELSEN CHILD CARE & LEARNING CENTER
Employer identification number (EIN):363551662
NAIC Classification:624410
NAIC Description:Child Day Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01
5012012-07-01ANNE C. RUZICKA ANNE C. RUZICKA2014-04-15
5012011-07-01ANNE C. RUZICKA
5012010-07-01ANNE C. RUZICKA
5012009-07-01ANNE C. RUZICKA

Plan Statistics for GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH

401k plan membership statisitcs for GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH

Measure Date Value
2016: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2016 401k membership
Total participants, beginning-of-year2016-07-0132
Total number of active participants reported on line 7a of the Form 55002016-07-0129
Total of all active and inactive participants2016-07-0129
2015: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2015 401k membership
Total participants, beginning-of-year2015-07-0130
Total number of active participants reported on line 7a of the Form 55002015-07-0132
Total of all active and inactive participants2015-07-0132
2012: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2012 401k membership
Total participants, beginning-of-year2012-07-013
Total number of active participants reported on line 7a of the Form 55002012-07-0122
Total of all active and inactive participants2012-07-0122
Total participants2012-07-0122
Number of participants with account balances2012-07-010
2011: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2011 401k membership
Total participants, beginning-of-year2011-07-0131
Total number of active participants reported on line 7a of the Form 55002011-07-0132
Total of all active and inactive participants2011-07-0132
Total participants2011-07-0132
Number of participants with account balances2011-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2010 401k membership
Total participants, beginning-of-year2010-07-0130
Total number of active participants reported on line 7a of the Form 55002010-07-0141
Total of all active and inactive participants2010-07-0141
Total participants2010-07-0141
2009: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2009 401k membership
Total participants, beginning-of-year2009-07-0132
Total number of active participants reported on line 7a of the Form 55002009-07-0130
Total of all active and inactive participants2009-07-0130
Total participants2009-07-0130

Financial Data on GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH

Measure Date Value
2017 : GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2017 401k financial data
Total income from all sources (including contributions)2017-06-30$200,474
Total of all expenses incurred2017-06-30$200,474
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$200,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$200,474
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30No
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$95,949
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Income. Non cash contributions2017-06-30$11,178
Value of net income/loss2017-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$189,296
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$93,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$11,178
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
2016 : GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2016 401k financial data
Total income from all sources (including contributions)2016-06-30$161,549
Total of all expenses incurred2016-06-30$161,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$161,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$161,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30No
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$161,549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$161,549
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No

Form 5500 Responses for GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH

2016: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2012: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2010: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan benefit arrangement – InsuranceYes
2009: GERTRUDE B. NIELSEN CHILD CARE ASSISTANCE & HEALTH 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00501472
Policy instance 1
Insurance contract or identification number00501472
Number of Individuals Covered23
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $644
Total amount of fees paid to insurance companyUSD $116
Dental 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 $644
Amount paid for insurance broker fees116
Insurance broker organization code?3
Insurance broker nameLUNDSTROM INSURANCE AGENCY
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP14989 & R14989
Policy instance 2
Insurance contract or identification numberP14989 & R14989
Number of Individuals Covered30
Insurance policy end date2016-07-01
Total amount of commissions paid to insurance brokerUSD $8,659
Total amount of fees paid to insurance companyUSD $200
Health 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 $8,659
Amount paid for insurance broker fees200
Insurance broker organization code?3
Insurance broker nameLUNDSTROM INSURANCE AGENCY
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5208013
Policy instance 1
Insurance contract or identification number5208013
Number of Individuals Covered22
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $420
Insurance broker organization code?3
Insurance broker nameFRANK MILAZZO
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB14989 & P14989
Policy instance 2
Insurance contract or identification numberB14989 & P14989
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $138,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $505
Amount paid for insurance broker fees440
Additional information about fees paid to insurance brokerSPECIAL PROGRAM BONUS
Insurance broker organization code?3
Insurance broker nameLUNDSTROM INSURANCE AGENCY, INC.
UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )
Policy contract number5208013
Policy instance 1
Insurance contract or identification number5208013
Number of Individuals Covered25
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberB14989 & P14989
Policy instance 2
Insurance contract or identification numberB14989 & P14989
Number of Individuals Covered27
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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