401k Plan data: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN plan

CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 401k Plan overview

Plan Name	CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN
Plan identification number	511

CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN Benefits

401k Plan Type

Welfare Benefit

Plan Features/Benefits

Life insurance
Long-term disability cover
Death benefits (include travel accident but not life insurance)
Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

CUSTOM PRODUCTS OF LITCHFIELD, INC. has sponsored the creation of one or more 401k plans.

Company Name: CUSTOM PRODUCTS OF LITCHFIELD, INC.

Employer identification number (EIN): 410905704

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2022-07-01 DAN AMUNDSON 2023-12-05
511 2018-07-01
511 2017-07-01 DAN AMUNDSON DAN AMUNDSON 2018-12-19
511 2016-07-01 SCOTT MAKI
511 2015-07-01 SCOTT MAKI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
511	2022-07-01	DAN AMUNDSON	2023-12-05
511	2018-07-01
511	2017-07-01	DAN AMUNDSON		DAN AMUNDSON	2018-12-19
511	2016-07-01	SCOTT MAKI
511	2015-07-01	SCOTT MAKI

Plan Statistics for CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN

401k plan membership statisitcs for CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN

Measure Date Value
2022: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-07-01 116
Total number of active participants reported on line 7a of the Form 5500 2022-07-01 114
Number of retired or separated participants receiving benefits 2022-07-01 0
Number of other retired or separated participants entitled to future benefits 2022-07-01 0
Total of all active and inactive participants 2022-07-01 114
Number of employers contributing to the scheme 2022-07-01 0
2018: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-07-01 105
Total number of active participants reported on line 7a of the Form 5500 2018-07-01 98
Total of all active and inactive participants 2018-07-01 98
Total participants 2018-07-01 98
2017: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-07-01 93
Total number of active participants reported on line 7a of the Form 5500 2017-07-01 105
Total of all active and inactive participants 2017-07-01 105
Total participants 2017-07-01 105
2016: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-07-01 101
Total number of active participants reported on line 7a of the Form 5500 2016-07-01 93
Total of all active and inactive participants 2016-07-01 93
Total participants 2016-07-01 93
2015: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 101
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 4
Total of all active and inactive participants 2015-07-01 105

Measure	Date	Value
2022: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-07-01	116
Total number of active participants reported on line 7a of the Form 5500	2022-07-01	114
Number of retired or separated participants receiving benefits	2022-07-01	0
Number of other retired or separated participants entitled to future benefits	2022-07-01	0
Total of all active and inactive participants	2022-07-01	114
Number of employers contributing to the scheme	2022-07-01	0
2018: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-07-01	105
Total number of active participants reported on line 7a of the Form 5500	2018-07-01	98
Total of all active and inactive participants	2018-07-01	98
Total participants	2018-07-01	98
2017: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-07-01	93
Total number of active participants reported on line 7a of the Form 5500	2017-07-01	105
Total of all active and inactive participants	2017-07-01	105
Total participants	2017-07-01	105
2016: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-07-01	101
Total number of active participants reported on line 7a of the Form 5500	2016-07-01	93
Total of all active and inactive participants	2016-07-01	93
Total participants	2016-07-01	93
2015: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	101
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	4
Total of all active and inactive participants	2015-07-01	105

Form 5500 Responses for CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN

2022: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2022 form 5500 responses
2022-07-01	Type of plan entity	Single employer plan
2022-07-01	Plan funding arrangement – Insurance	Yes
2022-07-01	Plan benefit arrangement – Insurance	Yes
2018: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2018 form 5500 responses
2018-07-01	Type of plan entity	Single employer plan
2018-07-01	Submission has been amended	No
2018-07-01	This submission is the final filing	No
2018-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-07-01	Plan is a collectively bargained plan	No
2018-07-01	Plan funding arrangement – Insurance	Yes
2018-07-01	Plan benefit arrangement – Insurance	Yes
2017: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2017 form 5500 responses
2017-07-01	Type of plan entity	Single employer plan
2017-07-01	Submission has been amended	No
2017-07-01	This submission is the final filing	No
2017-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-07-01	Plan is a collectively bargained plan	No
2017-07-01	Plan funding arrangement – Insurance	Yes
2017-07-01	Plan benefit arrangement – Insurance	Yes
2016: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2016 form 5500 responses
2016-07-01	Type of plan entity	Single employer plan
2016-07-01	Submission has been amended	No
2016-07-01	This submission is the final filing	No
2016-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-07-01	Plan is a collectively bargained plan	No
2016-07-01	Plan funding arrangement – Insurance	Yes
2016-07-01	Plan benefit arrangement – Insurance	Yes
2015: CUSTOM PRODUCTS OF LITCHFIELD, INC. GROUP LIFE PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	First time form 5500 has been submitted	Yes
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

698271G

Policy instance

Insurance contract or identification number	698271G
Number of Individuals Covered	114
Insurance policy start date	2022-07-01
Insurance policy end date	2023-06-30
Total amount of commissions paid to insurance broker	USD $2,801
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $18,675
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,801
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

698271G

Policy instance

Insurance contract or identification number	698271G
Number of Individuals Covered	98
Insurance policy start date	2018-07-01
Insurance policy end date	2019-06-30
Total amount of commissions paid to insurance broker	USD $2,474
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT (INCLUDING VOLUNTARY LIFE AND AD&D)
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 Carrier	USD $16,495
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,474
Amount paid for insurance broker fees	190
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

698271G

Policy instance

Insurance contract or identification number	698271G
Number of Individuals Covered	105
Insurance policy start date	2017-07-01
Insurance policy end date	2018-06-30
Total amount of commissions paid to insurance broker	USD $3,092
Total amount of fees paid to insurance company	USD $294
Are there contracts with allocated funds for individual policies?	0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT (INCLUDING VOLUNTARY LIFE AND AD&D)
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 Carrier	USD $20,608
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,092
Amount paid for insurance broker fees	294
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	ASSOCIATED FINANCIAL GROUP LLC

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Company Name:	CUSTOM PRODUCTS OF LITCHFIELD, INC.
Employer identification number (EIN):	410905704
NAIC Classification:	332900