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KIRLIN'S INC. PREMIUM CONVERSION PLAN 401k Plan overview

Plan NameKIRLIN'S INC. PREMIUM CONVERSION PLAN
Plan identification number 502

KIRLIN'S INC. PREMIUM CONVERSION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

KIRLIN'S INC has sponsored the creation of one or more 401k plans.

Company Name:KIRLIN'S INC
Employer identification number (EIN):370843226
NAIC Classification:453220
NAIC Description:Gift, Novelty, and Souvenir Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KIRLIN'S INC. PREMIUM CONVERSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-01-01DANIELLE FLEER
5022015-01-01DANIELLE M FLEER
5022014-01-01
5022013-01-01
5022012-01-01JAMES K KNODEL
5022011-01-01JAMES K KNODEL
5022010-01-01JAMES K KNODEL
5022009-01-01MELVIN D DILLMAN MELVIN D DILLMAN2010-07-29
5022009-01-01JAMES K KNODEL JAMES K KNODEL2010-07-23

Plan Statistics for KIRLIN'S INC. PREMIUM CONVERSION PLAN

401k plan membership statisitcs for KIRLIN'S INC. PREMIUM CONVERSION PLAN

Measure Date Value
2016: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01136
Total number of active participants reported on line 7a of the Form 55002016-01-0185
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 participants2016-01-0185
2015: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01195
Total number of active participants reported on line 7a of the Form 55002015-01-01136
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 participants2015-01-01136
2014: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01235
Total number of active participants reported on line 7a of the Form 55002014-01-01195
Total of all active and inactive participants2014-01-01195
Total participants2014-01-01195
2013: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01258
Total number of active participants reported on line 7a of the Form 55002013-01-01235
Total of all active and inactive participants2013-01-01235
Total participants2013-01-01235
2012: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01265
Total number of active participants reported on line 7a of the Form 55002012-01-01258
Total of all active and inactive participants2012-01-01258
Total participants2012-01-01258
2011: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01261
Total number of active participants reported on line 7a of the Form 55002011-01-01265
Total of all active and inactive participants2011-01-01265
Total participants2011-01-01265
2010: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01262
Total number of active participants reported on line 7a of the Form 55002010-01-01261
Total of all active and inactive participants2010-01-01261
Total participants2010-01-01261
2009: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01255
Total number of active participants reported on line 7a of the Form 55002009-01-01262
Total of all active and inactive participants2009-01-01262
Total participants2009-01-01262

Form 5500 Responses for KIRLIN'S INC. PREMIUM CONVERSION PLAN

2016: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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
2014: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: KIRLIN'S INC. PREMIUM CONVERSION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP51901
Policy instance 1
Insurance contract or identification numberP51901
Number of Individuals Covered136
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $38,799
Total amount of fees paid to insurance companyUSD $1,359
Welfare Benefit Premiums Paid to CarrierUSD $990,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,799
Amount paid for insurance broker fees1359
Additional information about fees paid to insurance brokerMISCELLANEOUS
Insurance broker organization code?3
Insurance broker nameR W GARRETT AGENCY
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number58-0663085
Policy instance 2
Insurance contract or identification number58-0663085
Number of Individuals Covered77
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,473
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedOTHER SUPP HEALTH, INTENSIVE CARE,
Welfare Benefit Premiums Paid to CarrierUSD $38,607
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $591
Insurance broker organization code?3
Insurance broker nameJOHN ROBERT DE LARIOS
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number58-0663085
Policy instance 2
Insurance contract or identification number58-0663085
Number of Individuals Covered69
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,766
Total amount of fees paid to insurance companyUSD $36
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedSUPP HEALTH, INTENSIVE CARE, CANCER, HOSPITAL CONFINEMENT INDEMNITY,
Welfare Benefit Premiums Paid to CarrierUSD $42,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $505
Insurance broker organization code?3
Amount paid for insurance broker fees9
Insurance broker nameKELSEY E ICENOGLE
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP51901
Policy instance 1
Insurance contract or identification numberP51901
Number of Individuals Covered195
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $58,212
Total amount of fees paid to insurance companyUSD $1,531
Welfare Benefit Premiums Paid to CarrierUSD $1,472,882
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,212
Amount paid for insurance broker fees1531
Additional information about fees paid to insurance brokerMISCELLANEOUS
Insurance broker organization code?3
Insurance broker nameR W GARRET AGENCY
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP51901
Policy instance 1
Insurance contract or identification numberP51901
Number of Individuals Covered235
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $59,919
Total amount of fees paid to insurance companyUSD $1,564
Welfare Benefit Premiums Paid to CarrierUSD $1,501,677
Commission paid to Insurance BrokerUSD $59,919
Amount paid for insurance broker fees1564
Additional information about fees paid to insurance brokerMISCELLANEOUS
Insurance broker organization code?3
Insurance broker nameR W GARRETT AGENCY INC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number58-0663085
Policy instance 2
Insurance contract or identification number58-0663085
Number of Individuals Covered90
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,639
Total amount of fees paid to insurance companyUSD $40
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedSUPP HEALTH, INTENSIVE CARE, CANCER, HOSPITAL CONFINEMENT INDEMNITY,
Welfare Benefit Premiums Paid to CarrierUSD $58,850
Commission paid to Insurance BrokerUSD $717
Insurance broker organization code?3
Amount paid for insurance broker fees12
Additional information about fees paid to insurance broker3
Insurance broker nameMELISSA BRINKER
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number58-0663085
Policy instance 2
Insurance contract or identification number58-0663085
Number of Individuals Covered101
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,798
Total amount of fees paid to insurance companyUSD $336
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedSUPP HEALTH, INTENSIVE CARE, CANCER, HOSPITAL CONFINEMENT INDEMNITY,
Welfare Benefit Premiums Paid to CarrierUSD $63,120
Commission paid to Insurance BrokerUSD $1,039
Amount paid for insurance broker fees57
Insurance broker organization code?3
Insurance broker nameHARROLD HUGHES INSURANCE
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP51901
Policy instance 1
Insurance contract or identification numberP51901
Number of Individuals Covered258
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $61,220
Total amount of fees paid to insurance companyUSD $935
Welfare Benefit Premiums Paid to CarrierUSD $1,526,732
Commission paid to Insurance BrokerUSD $61,220
Amount paid for insurance broker fees935
Additional information about fees paid to insurance brokerMISCELLANEOUS
Insurance broker organization code?3
Insurance broker nameR W GARRETT AGENCY INC
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP51901
Policy instance 1
Insurance contract or identification numberP51901
Number of Individuals Covered265
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $59,435
Welfare Benefit Premiums Paid to CarrierUSD $1,390,037
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number58-0663085
Policy instance 2
Insurance contract or identification number58-0663085
Number of Individuals Covered89
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,201
Total amount of fees paid to insurance companyUSD $267
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedSUPP HEALTH, INTENSIVE CARE, CANCER, HOSPITAL CONFINEMENT INDEMNITY,
Welfare Benefit Premiums Paid to CarrierUSD $61,870
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP51901
Policy instance 1
Insurance contract or identification numberP51901
Number of Individuals Covered261
Insurance policy start date2009-06-01
Insurance policy end date2010-05-31
Total amount of commissions paid to insurance brokerUSD $53,974
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,314,654
Commission paid to Insurance BrokerUSD $52,340
Insurance broker nameR W GARRETT AGENCY INC
AFLAC (National Association of Insurance Commissioners NAIC id number: 60380 )
Policy contract number58-0663085
Policy instance 2
Insurance contract or identification number58-0663085
Number of Individuals Covered110
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10,309
Total amount of fees paid to insurance companyUSD $241
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedSUPP HEALTH, INTENSIVE CARE, CANCER, HOSPITAL CONFINEMENT INDEMNITY, HOSPITAL CONFINEMENT SICKNESS INDEMN
Welfare Benefit Premiums Paid to CarrierUSD $65,188
Commission paid to Insurance BrokerUSD $1,165
Amount paid for insurance broker fees57
Insurance broker nameJOSEPH BLESSING

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