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DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 401k Plan overview

Plan NameDUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN
Plan identification number 505

DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN Benefits

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

401k Sponsoring company profile

DUBUQUE STAMPING & MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name:DUBUQUE STAMPING & MANUFACTURING, INC.
Employer identification number (EIN):421221663
NAIC Classification:332110

Additional information about DUBUQUE STAMPING & MANUFACTURING, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1984-01-05
Company Identification Number: 092013
Legal Registered Office Address: 32ND & JACKSON STS.

DUBUQUE
United States of America (USA)
52001

More information about DUBUQUE STAMPING & MANUFACTURING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052015-08-01
5052014-08-01
5052013-08-01
5052012-08-01DAROLD VICKERMAN
5052011-08-01DAROLD VICKERMAN
5052009-08-01DAROLD VICKERMAN

Plan Statistics for DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN

401k plan membership statisitcs for DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN

Measure Date Value
2015: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-0199
Total number of active participants reported on line 7a of the Form 55002015-08-0172
Number of retired or separated participants receiving benefits2015-08-015
Total of all active and inactive participants2015-08-0177
2014: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-01120
Total number of active participants reported on line 7a of the Form 55002014-08-0195
Number of retired or separated participants receiving benefits2014-08-014
Total of all active and inactive participants2014-08-0199
2013: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-01113
Total number of active participants reported on line 7a of the Form 55002013-08-01118
Number of retired or separated participants receiving benefits2013-08-012
Total of all active and inactive participants2013-08-01120
2012: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-01124
Total number of active participants reported on line 7a of the Form 55002012-08-01108
Number of retired or separated participants receiving benefits2012-08-015
Total of all active and inactive participants2012-08-01113
2011: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-08-01129
Total number of active participants reported on line 7a of the Form 55002011-08-01123
Number of retired or separated participants receiving benefits2011-08-011
Total of all active and inactive participants2011-08-01124
2009: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-01102
Total number of active participants reported on line 7a of the Form 55002009-08-01108
Number of retired or separated participants receiving benefits2009-08-014
Total of all active and inactive participants2009-08-01112

Financial Data on DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN

Measure Date Value
2014 : DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2014 401k financial data
Total plan liabilities at end of year2014-07-31$18,100
Total plan liabilities at beginning of year2014-07-31$16,786
Total income from all sources2014-07-31$1,296,757
Expenses. Total of all expenses incurred2014-07-31$1,302,327
Benefits paid (including direct rollovers)2014-07-31$1,252,794
Total plan assets at end of year2014-07-31$1,569
Total plan assets at beginning of year2014-07-31$5,825
Value of fidelity bond covering the plan2014-07-31$500,000
Total contributions received or receivable from participants2014-07-31$246,656
Expenses. Other expenses not covered elsewhere2014-07-31$595
Other income received2014-07-31$2
Net income (gross income less expenses)2014-07-31$-5,570
Net plan assets at end of year (total assets less liabilities)2014-07-31$-16,531
Net plan assets at beginning of year (total assets less liabilities)2014-07-31$-10,961
Total contributions received or receivable from employer(s)2014-07-31$1,050,099
Expenses. Administrative service providers (salaries,fees and commissions)2014-07-31$48,938
2013 : DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-07-31$16,786
Total plan liabilities at beginning of year2013-07-31$15,845
Total income from all sources2013-07-31$948,259
Expenses. Total of all expenses incurred2013-07-31$982,873
Benefits paid (including direct rollovers)2013-07-31$982,873
Total plan assets at end of year2013-07-31$5,825
Total plan assets at beginning of year2013-07-31$39,498
Value of fidelity bond covering the plan2013-07-31$400,000
Other income received2013-07-31$3
Net income (gross income less expenses)2013-07-31$-34,614
Net plan assets at end of year (total assets less liabilities)2013-07-31$-10,961
Net plan assets at beginning of year (total assets less liabilities)2013-07-31$23,653
Total contributions received or receivable from employer(s)2013-07-31$948,256
2012 : DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-07-31$15,845
Total plan liabilities at beginning of year2012-07-31$14,582
Total income from all sources2012-07-31$1,062,339
Expenses. Total of all expenses incurred2012-07-31$1,024,104
Benefits paid (including direct rollovers)2012-07-31$1,024,104
Total plan assets at end of year2012-07-31$39,498
Value of fidelity bond covering the plan2012-07-31$400,000
Total contributions received or receivable from participants2012-07-31$204,104
Other income received2012-07-31$5
Net income (gross income less expenses)2012-07-31$38,235
Net plan assets at end of year (total assets less liabilities)2012-07-31$23,653
Net plan assets at beginning of year (total assets less liabilities)2012-07-31$-14,582
Total contributions received or receivable from employer(s)2012-07-31$858,230
2011 : DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2011 401k financial data
Total plan liabilities at end of year2011-07-31$14,582
Total plan liabilities at beginning of year2011-07-31$13,845
Total income from all sources2011-07-31$869,177
Expenses. Total of all expenses incurred2011-07-31$869,914
Benefits paid (including direct rollovers)2011-07-31$869,914
Value of fidelity bond covering the plan2011-07-31$400,000
Total contributions received or receivable from participants2011-07-31$219,269
Other income received2011-07-31$5
Net income (gross income less expenses)2011-07-31$-737
Net plan assets at end of year (total assets less liabilities)2011-07-31$-14,582
Net plan assets at beginning of year (total assets less liabilities)2011-07-31$-13,845
Total contributions received or receivable from employer(s)2011-07-31$649,903

Form 5500 Responses for DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN

2015: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Plan funding arrangement – General assets of the sponsorYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – General assets of the sponsorYes
2014: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Plan funding arrangement – General assets of the sponsorYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – General assets of the sponsorYes
2013: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Plan funding arrangement – General assets of the sponsorYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – General assets of the sponsorYes
2012: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Plan funding arrangement – General assets of the sponsorYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – General assets of the sponsorYes
2011: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Plan funding arrangement – General assets of the sponsorYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – General assets of the sponsorYes
2009: DUBUQUE STAMPING AND MANUFACTURING, INC HEALTH CARE PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01This submission is the final filingNo
2009-08-01Plan funding arrangement – General assets of the sponsorYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-398-3
Policy instance 1
Insurance contract or identification numberGER-398-3
Number of Individuals Covered72
Insurance policy start date2015-08-01
Insurance policy end date2016-08-01
Total amount of commissions paid to insurance brokerUSD $31,045
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $206,964
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,045
Insurance broker organization code?3
Insurance broker nameCOTTINGHAM & BUTLER
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-398-2
Policy instance 1
Insurance contract or identification numberGER-398-2
Number of Individuals Covered81
Insurance policy start date2014-08-01
Insurance policy end date2015-08-01
Total amount of commissions paid to insurance brokerUSD $39,308
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $262,055
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $39,308
Insurance broker organization code?3
Insurance broker nameCOTTINGHAM & BUTLER
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGER-398
Policy instance 1
Insurance contract or identification numberGER-398
Number of Individuals Covered116
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
Total amount of commissions paid to insurance brokerUSD $50,500
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $336,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,500
Insurance broker organization code?3
Insurance broker nameCOTTINGHAM & BUTLER
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4024240010SSL
Policy instance 1
Insurance contract or identification number4024240010SSL
Number of Individuals Covered116
Insurance policy start date2012-08-01
Insurance policy end date2013-07-31
Total amount of commissions paid to insurance brokerUSD $48,941
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $326,275
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48,941
Insurance broker organization code?3
Insurance broker nameCOTTINGHAM & BUTLER
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4024240010SSL
Policy instance 1
Insurance contract or identification number4024240010SSL
Number of Individuals Covered121
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $34,849
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $232,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number4024240010SSL
Policy instance 1
Insurance contract or identification number4024240010SSL
Number of Individuals Covered117
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $33,065
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $220,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,065
Insurance broker organization code?3
Insurance broker nameCOTTINGHAM & BUTLER

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