401k Plan data: CAROLINA TREE CARE DENTAL PLAN plan

CAROLINA TREE CARE DENTAL PLAN 401k Plan overview

Plan Name	CAROLINA TREE CARE DENTAL PLAN
Plan identification number	506

CAROLINA TREE CARE DENTAL PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

CAROLINA TREE EQUIPMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name: CAROLINA TREE EQUIPMENT, INC.

Employer identification number (EIN): 561945113

NAIC Classification: 113310
NAIC Description: Logging

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAROLINA TREE CARE DENTAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
506 2016-01-01 KAYLA MELTON KAYLA MELTON 2017-07-19
506 2015-01-01 CATHY GRAHAM CATHY GRAHAM 2016-07-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
506	2016-01-01	KAYLA MELTON		KAYLA MELTON	2017-07-19
506	2015-01-01	CATHY GRAHAM		CATHY GRAHAM	2016-07-15

Plan Statistics for CAROLINA TREE CARE DENTAL PLAN

401k plan membership statisitcs for CAROLINA TREE CARE DENTAL PLAN

Measure Date Value
2016: CAROLINA TREE CARE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 163
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 140
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 140
2015: CAROLINA TREE CARE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 83
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 150
Total of all active and inactive participants 2015-01-01 150
Total participants 2015-01-01 150

Measure	Date	Value
2016: CAROLINA TREE CARE DENTAL PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	163
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	140
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	140
2015: CAROLINA TREE CARE DENTAL PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	83
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	150
Total of all active and inactive participants	2015-01-01	150
Total participants	2015-01-01	150

Form 5500 Responses for CAROLINA TREE CARE DENTAL PLAN

2016: CAROLINA TREE CARE DENTAL PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: CAROLINA TREE CARE DENTAL PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SECURIAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93742 )

Policy contract number

SD86196901

Policy instance

Insurance contract or identification number	SD86196901
Number of Individuals Covered	150
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,461
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $71,366
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,637
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	THE CASON GROUP INC.

Potentially related plans

CAROLINA TREEHOUSE, INC. 401(K) PLAN [EIN = 273280709]

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Company Name:	CAROLINA TREE EQUIPMENT, INC.
Employer identification number (EIN):	561945113
NAIC Classification:	113310
NAIC Description:	Logging