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MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan NameMODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN
Plan identification number 005

MODERN COMPANIES, INC. PROFIT SHARING 401(K) 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MODERN COMPANIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:MODERN COMPANIES, INC.
Employer identification number (EIN):461410855
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Additional information about MODERN COMPANIES, INC.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 2012-11-09
Company Identification Number: 445871
Legal Registered Office Address: 500 WALFORD RD SW

CEDAR RAPIDS
United States of America (USA)
52404

More information about MODERN COMPANIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052022-01-01
0052021-01-01
0052020-01-01
0052020-01-01
0052019-01-01
0052019-01-01
0052018-01-01NICK STREIT2019-10-02
0052017-01-01MATT HUBER2018-10-09
0052016-01-01MATT HUBER2017-10-13

Plan Statistics for MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN

Measure Date Value
2022: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01179
Total number of active participants reported on line 7a of the Form 55002022-01-0195
Number of retired or separated participants receiving benefits2022-01-017
Number of other retired or separated participants entitled to future benefits2022-01-0198
Total of all active and inactive participants2022-01-01200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01200
Number of participants with account balances2022-01-01175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0113
2021: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01164
Total number of active participants reported on line 7a of the Form 55002021-01-0178
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0171
Total of all active and inactive participants2021-01-01149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01149
Number of participants with account balances2021-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0114
2020: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01161
Total number of active participants reported on line 7a of the Form 55002020-01-01103
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0160
Total of all active and inactive participants2020-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01163
Number of participants with account balances2020-01-01152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0111
2019: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01144
Total number of active participants reported on line 7a of the Form 55002019-01-01100
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0154
Total of all active and inactive participants2019-01-01154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01154
Number of participants with account balances2019-01-01154

Financial Data on MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN

Measure Date Value
2022 : MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-2,118,929
Total of all expenses incurred2022-12-31$571,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$416,409
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,272,156
Value of total assets at end of year2022-12-31$12,477,630
Value of total assets at beginning of year2022-12-31$15,168,151
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$155,183
Total interest from all sources2022-12-31$2,497
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$623,314
Participant contributions at end of year2022-12-31$50,410
Participant contributions at beginning of year2022-12-31$50,475
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$316,834
Other income not declared elsewhere2022-12-31$57,351
Total non interest bearing cash at end of year2022-12-31$13,658
Total non interest bearing cash at beginning of year2022-12-31$17,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,690,521
Value of net assets at end of year (total assets less liabilities)2022-12-31$12,477,630
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$15,168,151
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$12,354,301
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$15,059,945
Interest on participant loans2022-12-31$2,497
Value of interest in common/collective trusts at end of year2022-12-31$56,264
Value of interest in common/collective trusts at beginning of year2022-12-31$40,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,451,982
Net investment gain or loss from common/collective trusts2022-12-31$1,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$332,008
Employer contributions (assets) at end of year2022-12-31$2,997
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$416,409
Contract administrator fees2022-12-31$155,183
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31OLSEN THIELEN & CO., LTD.
Accountancy firm EIN2022-12-31411360831
2021 : MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,060,241
Total of all expenses incurred2021-12-31$452,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$260,796
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$856,241
Value of total assets at end of year2021-12-31$15,168,151
Value of total assets at beginning of year2021-12-31$12,560,393
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$191,687
Total interest from all sources2021-12-31$2,517
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$283,387
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$283,387
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$531,367
Participant contributions at end of year2021-12-31$50,475
Participant contributions at beginning of year2021-12-31$45,722
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$66,177
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Other income not declared elsewhere2021-12-31$82,437
Total non interest bearing cash at end of year2021-12-31$17,363
Total non interest bearing cash at beginning of year2021-12-31$15,918
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$2,607,758
Value of net assets at end of year (total assets less liabilities)2021-12-31$15,168,151
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$12,560,393
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$15,059,945
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$12,460,137
Interest on participant loans2021-12-31$2,517
Value of interest in common/collective trusts at end of year2021-12-31$40,368
Value of interest in common/collective trusts at beginning of year2021-12-31$38,616
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,834,883
Net investment gain or loss from common/collective trusts2021-12-31$776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$258,697
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$260,796
Contract administrator fees2021-12-31$191,687
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31OLSEN THIELEN & CO, LTD
Accountancy firm EIN2021-12-31411360831
2020 : MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets from this plan2020-12-31$335,178
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,358,296
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,156,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,018,496
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$882,435
Value of total assets at end of year2020-12-31$12,560,393
Value of total assets at beginning of year2020-12-31$10,693,754
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$137,983
Total interest from all sources2020-12-31$3,030
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$227,682
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$227,682
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$540,927
Participant contributions at end of year2020-12-31$45,722
Participant contributions at beginning of year2020-12-31$54,375
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$1,896
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$32,115
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$53,024
Total non interest bearing cash at end of year2020-12-31$15,918
Total non interest bearing cash at beginning of year2020-12-31$13,387
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,201,817
Value of net assets at end of year (total assets less liabilities)2020-12-31$12,560,393
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,693,754
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$12,460,137
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$10,589,659
Interest on participant loans2020-12-31$3,030
Value of interest in common/collective trusts at end of year2020-12-31$38,616
Value of interest in common/collective trusts at beginning of year2020-12-31$33,409
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,191,556
Net investment gain or loss from common/collective trusts2020-12-31$569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$309,393
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$1,028
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,018,496
Contract administrator fees2020-12-31$137,983
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31RSM US LLP
Accountancy firm EIN2020-12-31420714325
2019 : MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,281
Total income from all sources (including contributions)2019-12-31$3,297,672
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$757,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$630,678
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$969,473
Value of total assets at end of year2019-12-31$10,693,754
Value of total assets at beginning of year2019-12-31$8,155,809
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$126,768
Total interest from all sources2019-12-31$2,836
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$159,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$159,300
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$542,515
Participant contributions at end of year2019-12-31$54,375
Participant contributions at beginning of year2019-12-31$28,806
Participant contributions at end of year2019-12-31$1,896
Participant contributions at beginning of year2019-12-31$159
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$140,037
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$2,281
Other income not declared elsewhere2019-12-31$48,315
Total non interest bearing cash at end of year2019-12-31$13,387
Total non interest bearing cash at beginning of year2019-12-31$10,883
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,540,226
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,693,754
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,153,528
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$10,589,659
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$7,941,630
Interest on participant loans2019-12-31$2,836
Value of interest in common/collective trusts at end of year2019-12-31$33,409
Value of interest in common/collective trusts at beginning of year2019-12-31$174,331
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,113,548
Net investment gain or loss from common/collective trusts2019-12-31$4,200
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$286,921
Employer contributions (assets) at end of year2019-12-31$1,028
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$630,678
Contract administrator fees2019-12-31$126,768
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31RSM US LLP
Accountancy firm EIN2019-12-31420714325

Form 5500 Responses for MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN

2022: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulitple employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MODERN COMPANIES, INC. PROFIT SHARING 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512191-000
Policy instance 1
Insurance contract or identification number512191-000
Number of Individuals Covered149
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $6,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6372
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512191-000
Policy instance 1
Insurance contract or identification number512191-000
Number of Individuals Covered149
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,051
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees7051
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512191-000
Policy instance 1
Insurance contract or identification number512191-000
Number of Individuals Covered163
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,302
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 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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees5302
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512191-000
Policy instance 1
Insurance contract or identification number512191-000
Number of Individuals Covered154
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,841
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 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
Amount paid for insurance broker fees4841
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?5

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