401k Plan data: PINE TREE COMMERCIAL REALTY, LLC plan

PINE TREE COMMERCIAL REALTY, LLC 401k Plan overview

Plan Name	PINE TREE COMMERCIAL REALTY, LLC
Plan identification number	501

PINE TREE COMMERCIAL REALTY, LLC Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

PINE TREE COMMERCIAL REALTY, LLC has sponsored the creation of one or more 401k plans.

Company Name: PINE TREE COMMERCIAL REALTY, LLC

Employer identification number (EIN): 364012477

NAIC Classification: 531310

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PINE TREE COMMERCIAL REALTY, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 JOHN FIGUEROA 2024-09-16

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2023-01-01	JOHN FIGUEROA	2024-09-16

Plan Statistics for PINE TREE COMMERCIAL REALTY, LLC

401k plan membership statisitcs for PINE TREE COMMERCIAL REALTY, LLC

Measure Date Value
2023: PINE TREE COMMERCIAL REALTY, LLC 2023 401k membership
Total participants, beginning-of-year 2023-01-01 103
Total number of active participants reported on line 7a of the Form 5500 2023-01-01 103
Number of retired or separated participants receiving benefits 2023-01-01 0
Number of other retired or separated participants entitled to future benefits 2023-01-01 0
Total of all active and inactive participants 2023-01-01 103
Number of employers contributing to the scheme 2023-01-01 0

Measure	Date	Value
2023: PINE TREE COMMERCIAL REALTY, LLC 2023 401k membership
Total participants, beginning-of-year	2023-01-01	103
Total number of active participants reported on line 7a of the Form 5500	2023-01-01	103
Number of retired or separated participants receiving benefits	2023-01-01	0
Number of other retired or separated participants entitled to future benefits	2023-01-01	0
Total of all active and inactive participants	2023-01-01	103
Number of employers contributing to the scheme	2023-01-01	0

Form 5500 Responses for PINE TREE COMMERCIAL REALTY, LLC

2023: PINE TREE COMMERCIAL REALTY, LLC 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	First time form 5500 has been submitted	Yes
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )

Policy contract number

262674

Policy instance

Insurance contract or identification number	262674
Number of Individuals Covered	131
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $46,311
Total amount of fees paid to insurance company	USD $5,632
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Welfare Benefit Premiums Paid to Carrier	USD $1,066,070
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

VF026199

Policy instance

Insurance contract or identification number	VF026199
Number of Individuals Covered	98
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $4,326
Total amount of fees paid to insurance company	USD $2,161
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $33,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1123072

Policy instance

Insurance contract or identification number	1123072
Number of Individuals Covered	77
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,045
Total amount of fees paid to insurance company	USD $2,355
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $20,293
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	PINE TREE COMMERCIAL REALTY, LLC
Employer identification number (EIN):	364012477
NAIC Classification:	531310