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AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameAG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 002

AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Life insurance

401k Sponsoring company profile

AG POWER ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name:AG POWER ENTERPRISES, INC.
Employer identification number (EIN):410855620
NAIC Classification:441228
NAIC Description:Motorcycle, ATV, and All Other Motor Vehicle Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-01-01MICHAEL J. VELDMAN2018-09-06
0022018-01-01MICHAEL J. VELDMAN2018-09-06
0022017-01-01MICHAEL J. VELDMAN
0022016-01-01MICHAEL J. VELDMAN
0022015-01-01MICHAEL J. VELDMAN
0022014-01-01MICHAEL J. VELDMAN2015-07-29 MICHAEL J. VELDMAN2015-07-29
0022013-01-01MICHAEL J. VELDMAN2014-06-04 MICHAEL J. VELDMAN2014-06-04
0022012-01-01MICHAEL J. VELDMAN2013-07-16 MICHAEL J. VELDMAN2013-07-16
0022011-01-01MICHAEL J. VELDMAN2012-06-09 MICHAEL J. VELDMAN2012-06-09
0022010-01-01MICHAEL J. VELDMAN2011-05-18 MICHAEL J. VELDMAN2011-05-18

Plan Statistics for AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01122
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0146
Total of all active and inactive participants2017-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0146
Number of participants with account balances2017-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01148
Total number of active participants reported on line 7a of the Form 55002016-01-01121
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 participants2016-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01121
Number of participants with account balances2016-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0117
2015: AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01145
Total number of active participants reported on line 7a of the Form 55002015-01-01128
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-0113
Total of all active and inactive participants2015-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01143
Number of participants with account balances2015-01-01139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-014

Financial Data on AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017 : AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,187
Total unrealized appreciation/depreciation of assets2017-12-31$1,187
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,885
Total income from all sources (including contributions)2017-12-31$2,075,481
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$15,526,286
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$15,506,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$614,430
Value of total assets at end of year2017-12-31$878,189
Value of total assets at beginning of year2017-12-31$14,331,879
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$19,741
Total interest from all sources2017-12-31$5,134
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$302,905
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$302,905
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$393,113
Participant contributions at beginning of year2017-12-31$208,584
Participant contributions at beginning of year2017-12-31$7,732
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$87,022
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$14,620
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$2,885
Administrative expenses (other) incurred2017-12-31$14,336
Total non interest bearing cash at beginning of year2017-12-31$5,029
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-13,450,805
Value of net assets at end of year (total assets less liabilities)2017-12-31$878,189
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$14,328,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$5,405
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$861,592
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$13,245,611
Interest on participant loans2017-12-31$5,134
Value of interest in common/collective trusts at end of year2017-12-31$16,597
Value of interest in common/collective trusts at beginning of year2017-12-31$832,034
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$7,806
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,142,769
Net investment gain or loss from common/collective trusts2017-12-31$9,056
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$134,295
Employer contributions (assets) at beginning of year2017-12-31$10,463
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$15,506,545
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2017-12-31410746749
2016 : AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$28,958
Total unrealized appreciation/depreciation of assets2016-12-31$28,958
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,885
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,327
Total income from all sources (including contributions)2016-12-31$2,227,631
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,854,332
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,831,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,027,192
Value of total assets at end of year2016-12-31$14,331,879
Value of total assets at beginning of year2016-12-31$13,959,022
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$22,656
Total interest from all sources2016-12-31$12,621
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$597,530
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$597,530
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$681,631
Participant contributions at end of year2016-12-31$208,584
Participant contributions at beginning of year2016-12-31$275,772
Participant contributions at end of year2016-12-31$7,732
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$103,492
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$14,620
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$2,885
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$3,327
Administrative expenses (other) incurred2016-12-31$6,618
Total non interest bearing cash at end of year2016-12-31$5,029
Total non interest bearing cash at beginning of year2016-12-31$33,174
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$373,299
Value of net assets at end of year (total assets less liabilities)2016-12-31$14,328,994
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$13,955,695
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$16,038
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$13,245,611
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$12,501,587
Interest on participant loans2016-12-31$12,621
Value of interest in common/collective trusts at end of year2016-12-31$832,034
Value of interest in common/collective trusts at beginning of year2016-12-31$1,081,186
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$7,806
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$60,418
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$550,796
Net investment gain or loss from common/collective trusts2016-12-31$10,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$242,069
Employer contributions (assets) at end of year2016-12-31$10,463
Employer contributions (assets) at beginning of year2016-12-31$6,885
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,831,676
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2016-12-31410746749
2015 : AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$7,623
Total unrealized appreciation/depreciation of assets2015-12-31$7,623
Total transfer of assets to this plan2015-12-31$3,238,435
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,327
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$978,618
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,343,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,320,143
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$926,490
Value of total assets at end of year2015-12-31$13,959,022
Value of total assets at beginning of year2015-12-31$11,082,301
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$23,516
Total interest from all sources2015-12-31$11,732
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$818,953
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$818,953
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$668,932
Participant contributions at end of year2015-12-31$275,772
Participant contributions at beginning of year2015-12-31$175,085
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$6,052
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$3,327
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$897
Total non interest bearing cash at end of year2015-12-31$33,174
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-365,041
Value of net assets at end of year (total assets less liabilities)2015-12-31$13,955,695
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$11,082,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$12,111
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$12,501,587
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$9,990,570
Interest on participant loans2015-12-31$11,732
Value of interest in common/collective trusts at end of year2015-12-31$1,081,186
Value of interest in common/collective trusts at beginning of year2015-12-31$863,851
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$60,418
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$52,795
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$1,666
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-798,986
Net investment gain or loss from common/collective trusts2015-12-31$11,909
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$251,506
Employer contributions (assets) at end of year2015-12-31$6,885
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,318,477
Contract administrator fees2015-12-31$11,405
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTONLARSONALLEN
Accountancy firm EIN2015-12-31410746749

Form 5500 Responses for AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN

2017: AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 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 – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 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 – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AG POWER ENTERPRISES, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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 – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 )
Policy contract number1OUL030452
Policy instance 1
Insurance contract or identification number1OUL030452
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 )
Policy contract number1OUL030452
Policy instance 1
Insurance contract or identification number1OUL030452
Number of Individuals Covered6
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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