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LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameLAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN
Plan identification number 512

LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN Benefits

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

401k Sponsoring company profile

LAWRENCE PAPER COMPANY has sponsored the creation of one or more 401k plans.

Company Name:LAWRENCE PAPER COMPANY
Employer identification number (EIN):480305740
NAIC Classification:322200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122022-01-01
5122021-01-01
5122020-01-01
5122019-01-01
5122018-01-01
5122017-01-01YVONNE G. BROWNELL
5122016-01-01YVONNE G. BROWNELL
5122015-01-01YVONNE G. BROWNELL
5122014-01-01YVONNE G. BROWNELL
5122014-01-01YVONNE G. BROWNELL
5122013-01-01YVONNE G. BROWNELL
5122012-01-01ALAN W. GROESBECK

Plan Statistics for LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN

401k plan membership statisitcs for LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN

Measure Date Value
2022: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01253
Total number of active participants reported on line 7a of the Form 55002022-01-01252
Total of all active and inactive participants2022-01-01252
Total participants2022-01-01252
2021: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01235
Total number of active participants reported on line 7a of the Form 55002021-01-01253
Total of all active and inactive participants2021-01-01253
Total participants2021-01-01253
2020: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01235
Total number of active participants reported on line 7a of the Form 55002020-01-01232
Total of all active and inactive participants2020-01-01232
Total participants2020-01-01232
2019: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01233
Total number of active participants reported on line 7a of the Form 55002019-01-01235
Total of all active and inactive participants2019-01-01235
Total participants2019-01-01235
2018: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01221
Total number of active participants reported on line 7a of the Form 55002018-01-01232
Number of retired or separated participants receiving benefits2018-01-011
Total of all active and inactive participants2018-01-01233
Total participants2018-01-01233
2017: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01199
Total number of active participants reported on line 7a of the Form 55002017-01-01221
Total of all active and inactive participants2017-01-01221
Total participants2017-01-01221
2016: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01199
Total number of active participants reported on line 7a of the Form 55002016-01-01199
Total of all active and inactive participants2016-01-01199
Total participants2016-01-010
2015: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01182
Total number of active participants reported on line 7a of the Form 55002015-01-01199
Total of all active and inactive participants2015-01-01199
Total participants2015-01-010
2014: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01172
Total number of active participants reported on line 7a of the Form 55002014-01-01182
Total of all active and inactive participants2014-01-01182
Total participants2014-01-010
2013: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01141
Total number of active participants reported on line 7a of the Form 55002013-01-01172
Total of all active and inactive participants2013-01-01172
Total participants2013-01-010
2012: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01139
Total number of active participants reported on line 7a of the Form 55002012-01-01141
Total of all active and inactive participants2012-01-01141
Total participants2012-01-010

Financial Data on LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN

Measure Date Value
2022 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$235,800
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$303,214
Total income from all sources (including contributions)2022-12-31$3,263,519
Total of all expenses incurred2022-12-31$2,901,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,847,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,263,519
Value of total assets at end of year2022-12-31$1,106,403
Value of total assets at beginning of year2022-12-31$812,120
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$54,597
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 bond2022-12-31No
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$908,405
Assets. Other investments not covered elsewhere at end of year2022-12-31$255,405
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$160,576
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$76,929
Administrative expenses (other) incurred2022-12-31$54,597
Total non interest bearing cash at end of year2022-12-31$101,000
Total non interest bearing cash at beginning of year2022-12-31$101,000
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$361,697
Value of net assets at end of year (total assets less liabilities)2022-12-31$870,603
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$508,906
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 pooled separate accounts at end of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$749,998
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$550,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$550,544
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$693,831
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$2,355,114
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,153,394
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$235,800
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$226,285
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 name2022-12-31MIZE CPAS INC.
Accountancy firm EIN2022-12-31480882363
2021 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$303,214
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$336,427
Total income from all sources (including contributions)2021-12-31$2,719,415
Total of all expenses incurred2021-12-31$2,891,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,752,683
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,719,415
Value of total assets at end of year2021-12-31$812,120
Value of total assets at beginning of year2021-12-31$1,017,433
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$138,832
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$897,237
Assets. Other investments not covered elsewhere at end of year2021-12-31$160,576
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$296,589
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,627
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$76,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$81,091
Administrative expenses (other) incurred2021-12-31$138,832
Liabilities. Value of operating payables at beginning of year2021-12-31$51,836
Total non interest bearing cash at end of year2021-12-31$101,000
Total non interest bearing cash at beginning of year2021-12-31$50,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-172,100
Value of net assets at end of year (total assets less liabilities)2021-12-31$508,906
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$681,006
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 pooled separate accounts at end of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$550,544
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$670,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$670,844
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$642,015
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 contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,820,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,110,668
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$226,285
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$203,500
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 name2021-12-31MIZE CPAS INC.
Accountancy firm EIN2021-12-31480882363
2020 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$336,427
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$264,960
Total income from all sources (including contributions)2020-12-31$3,627,289
Total of all expenses incurred2020-12-31$3,290,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$3,172,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,627,289
Value of total assets at end of year2020-12-31$1,017,433
Value of total assets at beginning of year2020-12-31$608,753
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$117,166
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$743,281
Assets. Other investments not covered elsewhere at end of year2020-12-31$296,589
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$363,360
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$81,091
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$68,159
Administrative expenses (other) incurred2020-12-31$117,166
Liabilities. Value of operating payables at end of year2020-12-31$51,836
Liabilities. Value of operating payables at beginning of year2020-12-31$10,301
Total non interest bearing cash at end of year2020-12-31$50,000
Total non interest bearing cash at beginning of year2020-12-31$-152,288
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$337,213
Value of net assets at end of year (total assets less liabilities)2020-12-31$681,006
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$343,793
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 pooled separate accounts at end of year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$670,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$397,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$397,681
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$633,816
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$2,884,008
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,539,094
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
Liabilities. Value of benefit claims payable at end of year2020-12-31$203,500
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$186,500
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31MIZE CPAS INC.
Accountancy firm EIN2020-12-31480882363
2019 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$264,960
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$264,960
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$340,040
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$340,040
Total income from all sources (including contributions)2019-12-31$2,941,349
Total income from all sources (including contributions)2019-12-31$2,941,349
Total of all expenses incurred2019-12-31$3,097,002
Total of all expenses incurred2019-12-31$3,097,002
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,968,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,968,217
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,941,349
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,941,349
Value of total assets at end of year2019-12-31$608,753
Value of total assets at end of year2019-12-31$608,753
Value of total assets at beginning of year2019-12-31$839,486
Value of total assets at beginning of year2019-12-31$839,486
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$128,785
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$128,785
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$674,294
Contributions received from participants2019-12-31$674,294
Assets. Other investments not covered elsewhere at end of year2019-12-31$363,360
Assets. Other investments not covered elsewhere at end of year2019-12-31$363,360
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$312,963
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$312,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$68,159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$68,159
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$58,632
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$58,632
Administrative expenses (other) incurred2019-12-31$128,785
Administrative expenses (other) incurred2019-12-31$128,785
Liabilities. Value of operating payables at end of year2019-12-31$10,301
Liabilities. Value of operating payables at end of year2019-12-31$10,301
Liabilities. Value of operating payables at beginning of year2019-12-31$11,408
Liabilities. Value of operating payables at beginning of year2019-12-31$11,408
Total non interest bearing cash at end of year2019-12-31$-152,288
Total non interest bearing cash at end of year2019-12-31$-152,288
Total non interest bearing cash at beginning of year2019-12-31$50,000
Total non interest bearing cash at beginning of year2019-12-31$50,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-155,653
Value of net income/loss2019-12-31$-155,653
Value of net assets at end of year (total assets less liabilities)2019-12-31$343,793
Value of net assets at end of year (total assets less liabilities)2019-12-31$343,793
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$499,446
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$499,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$397,681
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$397,681
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$476,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$476,523
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$476,523
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$476,523
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$405,076
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$405,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,267,055
Contributions received in cash from employer2019-12-31$2,267,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,563,141
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,563,141
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$186,500
Liabilities. Value of benefit claims payable at end of year2019-12-31$186,500
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$270,000
Did the plan have assets held for investment2019-12-31Yes
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
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
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)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MIZE CPAS INC.
Accountancy firm name2019-12-31MIZE CPAS INC.
Accountancy firm EIN2019-12-31480882363
Accountancy firm EIN2019-12-31480882363
2018 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$340,040
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$305,637
Total income from all sources (including contributions)2018-12-31$2,295,197
Total of all expenses incurred2018-12-31$1,920,539
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,812,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,295,044
Value of total assets at end of year2018-12-31$839,486
Value of total assets at beginning of year2018-12-31$430,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$107,995
Total interest from all sources2018-12-31$153
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$558,664
Assets. Other investments not covered elsewhere at end of year2018-12-31$312,963
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$58,632
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$49,664
Administrative expenses (other) incurred2018-12-31$107,995
Liabilities. Value of operating payables at end of year2018-12-31$11,408
Liabilities. Value of operating payables at beginning of year2018-12-31$9,973
Total non interest bearing cash at end of year2018-12-31$50,000
Total non interest bearing cash at beginning of year2018-12-31$50,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$374,658
Value of net assets at end of year (total assets less liabilities)2018-12-31$499,446
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$124,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$476,523
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$380,425
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$380,425
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$153
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$398,058
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,736,380
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,414,486
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$246,000
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2018-12-31480882363
2017 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$305,637
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$275,368
Total income from all sources (including contributions)2017-12-31$1,896,486
Total of all expenses incurred2017-12-31$1,948,121
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,825,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,896,340
Value of total assets at end of year2017-12-31$430,425
Value of total assets at beginning of year2017-12-31$451,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$122,293
Total interest from all sources2017-12-31$146
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$492,815
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$49,664
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$38,522
Administrative expenses (other) incurred2017-12-31$122,293
Liabilities. Value of operating payables at end of year2017-12-31$9,973
Liabilities. Value of operating payables at beginning of year2017-12-31$6,846
Total non interest bearing cash at end of year2017-12-31$50,000
Total non interest bearing cash at beginning of year2017-12-31$56,361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-51,635
Value of net assets at end of year (total assets less liabilities)2017-12-31$124,788
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$176,423
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
Value of interest in common/collective trusts at end of year2017-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$380,425
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$395,430
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$395,430
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$146
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$345,194
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$1,403,525
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,480,634
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$246,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$230,000
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2017-12-31480882363
2016 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$275,368
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$290,488
Total income from all sources (including contributions)2016-12-31$1,838,407
Total of all expenses incurred2016-12-31$1,800,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,695,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,838,297
Value of total assets at end of year2016-12-31$451,791
Value of total assets at beginning of year2016-12-31$429,011
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$104,722
Total interest from all sources2016-12-31$110
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$501,687
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$38,522
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$46,868
Administrative expenses (other) incurred2016-12-31$104,722
Liabilities. Value of operating payables at end of year2016-12-31$6,846
Liabilities. Value of operating payables at beginning of year2016-12-31$47,620
Total non interest bearing cash at end of year2016-12-31$56,361
Total non interest bearing cash at beginning of year2016-12-31$50,000
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$37,900
Value of net assets at end of year (total assets less liabilities)2016-12-31$176,423
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$138,523
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
Value of interest in common/collective trusts at end of year2016-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$395,430
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$379,011
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$379,011
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$110
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$360,948
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$1,336,610
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,334,837
Liabilities. Value of benefit claims payable at end of year2016-12-31$230,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$196,000
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)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2016-12-31480882363
2015 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$290,488
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$329,208
Total income from all sources (including contributions)2015-12-31$1,754,822
Total of all expenses incurred2015-12-31$1,698,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,600,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,754,717
Value of total assets at end of year2015-12-31$429,011
Value of total assets at beginning of year2015-12-31$411,847
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$98,122
Total interest from all sources2015-12-31$105
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$537,215
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$46,868
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$47,516
Administrative expenses (other) incurred2015-12-31$98,122
Liabilities. Value of operating payables at end of year2015-12-31$47,620
Liabilities. Value of operating payables at beginning of year2015-12-31$13,692
Total non interest bearing cash at end of year2015-12-31$50,000
Total non interest bearing cash at beginning of year2015-12-31$62,049
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$55,884
Value of net assets at end of year (total assets less liabilities)2015-12-31$138,523
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$82,639
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
Value of interest in common/collective trusts at end of year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$379,011
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$349,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$349,798
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$105
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$415,366
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$1,217,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,185,450
Liabilities. Value of benefit claims payable at end of year2015-12-31$196,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$268,000
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)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2015-12-31480882363
2014 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$329,208
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$422,430
Total income from all sources (including contributions)2014-12-31$1,554,005
Total of all expenses incurred2014-12-31$1,642,639
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,548,130
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,553,871
Value of total assets at end of year2014-12-31$411,847
Value of total assets at beginning of year2014-12-31$593,703
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$94,509
Total interest from all sources2014-12-31$134
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$550,196
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$192,029
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$47,516
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$46,499
Administrative expenses (other) incurred2014-12-31$94,509
Liabilities. Value of operating payables at end of year2014-12-31$13,692
Liabilities. Value of operating payables at beginning of year2014-12-31$24,931
Total non interest bearing cash at end of year2014-12-31$62,049
Total non interest bearing cash at beginning of year2014-12-31$50,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-88,634
Value of net assets at end of year (total assets less liabilities)2014-12-31$82,639
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$171,273
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$349,798
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$351,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$351,674
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$134
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$325,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,003,675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,222,568
Liabilities. Value of benefit claims payable at end of year2014-12-31$268,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$351,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2014-12-31480882363
2013 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$422,430
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$335,323
Total income from all sources (including contributions)2013-12-31$1,690,037
Total of all expenses incurred2013-12-31$1,531,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,436,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,689,939
Value of total assets at end of year2013-12-31$593,703
Value of total assets at beginning of year2013-12-31$348,476
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$95,733
Total interest from all sources2013-12-31$98
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$554,224
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$192,029
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$46,499
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$35,937
Administrative expenses (other) incurred2013-12-31$95,733
Liabilities. Value of operating payables at end of year2013-12-31$24,931
Liabilities. Value of operating payables at beginning of year2013-12-31$37,386
Total non interest bearing cash at end of year2013-12-31$50,000
Total non interest bearing cash at beginning of year2013-12-31$1,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$158,120
Value of net assets at end of year (total assets less liabilities)2013-12-31$171,273
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$351,674
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$347,476
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$347,476
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$98
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$299,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,135,715
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,136,693
Liabilities. Value of benefit claims payable at end of year2013-12-31$351,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$262,000
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2013-12-31480882363
2012 : LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2012 401k financial data
Total transfer of assets to this plan2012-12-31$124,023
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$335,323
Total income from all sources (including contributions)2012-12-31$1,499,513
Total of all expenses incurred2012-12-31$1,610,383
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,587,056
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,499,386
Value of total assets at end of year2012-12-31$348,476
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$23,327
Total interest from all sources2012-12-31$127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$437,698
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$35,937
Administrative expenses (other) incurred2012-12-31$23,327
Liabilities. Value of operating payables at end of year2012-12-31$37,386
Total non interest bearing cash at end of year2012-12-31$1,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-110,870
Value of net assets at end of year (total assets less liabilities)2012-12-31$13,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$347,476
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$127
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$226,667
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,061,688
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,360,389
Liabilities. Value of benefit claims payable at end of year2012-12-31$262,000
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MIZE, HOUSER & COMPANY, PA
Accountancy firm EIN2012-12-31480882363

Form 5500 Responses for LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN

2022: LAWRENCE PAPER COMPANY HEALTH AND WELFARE 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: LAWRENCE PAPER COMPANY HEALTH AND WELFARE 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: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LAWRENCE PAPER COMPANY HEALTH AND WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number417009411262
Policy instance 4
Insurance contract or identification number417009411262
Number of Individuals Covered253
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Welfare Benefit Premiums Paid to CarrierUSD $692,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered206
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of fees paid to insurance companyUSD $2,296
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1794
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered183
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $-645
Total amount of fees paid to insurance companyUSD $4,891
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3782
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $-645
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered336
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $-433
Total amount of fees paid to insurance companyUSD $3,004
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20
Amount paid for insurance broker fees2345
Additional information about fees paid to insurance brokerADMIN
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered349
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,521
Total amount of fees paid to insurance companyUSD $170
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,521
Insurance broker organization code?3
Amount paid for insurance broker fees170
Additional information about fees paid to insurance brokerADMIN
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered176
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,193
Total amount of fees paid to insurance companyUSD $261
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,193
Insurance broker organization code?3
Amount paid for insurance broker fees261
Additional information about fees paid to insurance brokerADMIN
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered197
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,603
Total amount of fees paid to insurance companyUSD $136
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,603
Insurance broker organization code?3
Amount paid for insurance broker fees136
Additional information about fees paid to insurance brokerADMIN
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number417009411262
Policy instance 4
Insurance contract or identification number417009411262
Number of Individuals Covered253
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $641,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered424
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,630
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,625
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered179
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8,687
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,885
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered187
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,441
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,945
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202423
Policy instance 4
Insurance contract or identification numberUNI-202423
Number of Individuals Covered234
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $116,346
Welfare Benefit Premiums Paid to CarrierUSD $634,844
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $95,227
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number417008411262
Policy instance 4
Insurance contract or identification number417008411262
Number of Individuals Covered235
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $60,761
Welfare Benefit Premiums Paid to CarrierUSD $405,287
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $60,761
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered192
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,258
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,258
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered177
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,042
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,042
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered417
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,627
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,627
Insurance broker organization code?3
Total amount of fees paid to insurance companyUSD $122
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 BenefitYes
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedCRITICAL ILLNESS AND ACCIDENT
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 CarrierUSD $200,312
Amount paid for insurance broker fees122
Additional information about fees paid to insurance brokerBONUS
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number417008411262
Policy instance 4
Insurance contract or identification number417008411262
Number of Individuals Covered233
Insurance policy start date2018-01-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $59,442
Welfare Benefit Premiums Paid to CarrierUSD $396,108
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $59,442
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered201
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,929
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,929
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered177
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,269
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,269
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered428
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,244
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,244
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202423
Policy instance 4
Insurance contract or identification numberUNI-202423
Number of Individuals Covered221
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Welfare Benefit Premiums Paid to CarrierUSD $347,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameIMA OF KANSAS INC.
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered196
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,894
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,894
Insurance broker organization code?3
Insurance broker nameTFB GROUP BENEFITS LLC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered163
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,930
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,930
Insurance broker organization code?3
Insurance broker nameTFB GROUP BENEFITS LLC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered408
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,178
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,178
Insurance broker organization code?3
Insurance broker nameTFB GROUP BENEFITS LLC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered391
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,566
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,566
Insurance broker organization code?3
Insurance broker nameTFB GROUP BENEFITS LLC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered133
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,791
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,791
Insurance broker organization code?3
Insurance broker nameTFB GROUP BENEFITS LLC
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number#949-4794
Policy instance 3
Insurance contract or identification number#949-4794
Number of Individuals Covered198
Insurance policy start date2015-07-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $29,141
Welfare Benefit Premiums Paid to CarrierUSD $194,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,141
Insurance broker organization code?3
Insurance broker nameIMA, INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number236894
Policy instance 4
Insurance contract or identification number236894
Number of Individuals Covered196
Insurance policy start date2015-01-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $23,695
Welfare Benefit Premiums Paid to CarrierUSD $158,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,695
Insurance broker organization code?3
Insurance broker nameIMA, INC.
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered336
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,448
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,448
Insurance broker organization code?3
Insurance broker nameKIERNAN BENEFIT SOLUTIONS
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered120
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,760
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,760
Insurance broker organization code?3
Insurance broker nameKIERNAN BENEFIT SOLUTIONS
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL 3702825
Policy instance 3
Insurance contract or identification numberMSL 3702825
Number of Individuals Covered180
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $23,461
Total amount of fees paid to insurance companyUSD $4,692
Welfare Benefit Premiums Paid to CarrierUSD $156,404
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,461
Insurance broker organization code?3
Amount paid for insurance broker fees4692
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker nameUMR
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number236894
Policy instance 4
Insurance contract or identification number236894
Number of Individuals Covered182
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22,246
Total amount of fees paid to insurance companyUSD $7,442
Welfare Benefit Premiums Paid to CarrierUSD $148,305
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,246
Insurance broker organization code?3
Amount paid for insurance broker fees7442
Additional information about fees paid to insurance brokerBONUSES AND ADDITIONAL PAYMENTS
Insurance broker nameIMA, INC.
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 3
Insurance contract or identification number136454
Number of Individuals Covered126
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,865
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,865
Insurance broker organization code?3
Insurance broker nameKIERNAN BENEFIT SOLUTIONS
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberMSL 3702825
Policy instance 4
Insurance contract or identification numberMSL 3702825
Number of Individuals Covered173
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $22,687
Total amount of fees paid to insurance companyUSD $4,537
Welfare Benefit Premiums Paid to CarrierUSD $151,245
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,687
Insurance broker organization code?3
Amount paid for insurance broker fees4537
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker nameUMR
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered333
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,385
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,385
Insurance broker organization code?3
Insurance broker nameKIERNAN BENEFIT SOLUTIONS
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE4E50004
Policy instance 1
Insurance contract or identification numberSE4E50004
Number of Individuals Covered171
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $22,237
Welfare Benefit Premiums Paid to CarrierUSD $148,246
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,237
Insurance broker organization code?3
Insurance broker nameIMA, INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberSE4E50004
Policy instance 3
Insurance contract or identification numberSE4E50004
Number of Individuals Covered143
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $32,865
Welfare Benefit Premiums Paid to CarrierUSD $219,101
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,865
Insurance broker organization code?3
Insurance broker nameIMA, INC
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 2
Insurance contract or identification number136454
Number of Individuals Covered337
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,140
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,140
Insurance broker organization code?3
Insurance broker nameKIERNAN BENEFIT SOLUTIONS
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number136454
Policy instance 1
Insurance contract or identification number136454
Number of Individuals Covered129
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,495
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,495
Insurance broker organization code?3
Insurance broker nameKIERNAN BENEFIT SOLUTIONS

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