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COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 401k Plan overview

Plan NameCOASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN
Plan identification number 505

COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN Benefits

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

401k Sponsoring company profile

COASTAL ENTERPRISES OF JACKSONVILLE INC has sponsored the creation of one or more 401k plans.

Company Name:COASTAL ENTERPRISES OF JACKSONVILLE INC
Employer identification number (EIN):566093446
NAIC Classification:238900

Additional information about COASTAL ENTERPRISES OF JACKSONVILLE INC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0030441

More information about COASTAL ENTERPRISES OF JACKSONVILLE INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052023-01-01
5052022-01-01CAROL SHEPARD2024-02-15
5052021-01-01CAROL SHEPARD2022-10-12
5052020-01-01CAROL SHEPARD2021-10-06
5052019-01-01CAROL SHEPARD2020-09-30
5052018-01-01CAROL SHEPARD2019-10-15
5052017-07-01
5052016-07-01
5052015-07-01
5052014-07-01
5052013-07-01A SCOTT MICHAEL JR
5052012-07-01CAROL SHEPHERD
5052011-07-01SCOTT MICHAEL
5052010-07-01
5052009-07-01
5052009-07-01WILLIAM C. SPURLIN
5052008-07-01
5052008-07-01WILLIAM C. SPURLIN

Plan Statistics for COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN

401k plan membership statisitcs for COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN

Measure Date Value
2023: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01506
Total number of active participants reported on line 7a of the Form 55002023-01-01564
Total of all active and inactive participants2023-01-01564
Total participants2023-01-01564
2022: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01799
Total number of active participants reported on line 7a of the Form 55002022-01-01506
Number of retired or separated participants receiving benefits2022-01-01311
Total of all active and inactive participants2022-01-01817
2021: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01764
Total number of active participants reported on line 7a of the Form 55002021-01-01455
Number of retired or separated participants receiving benefits2021-01-01344
Total of all active and inactive participants2021-01-01799
2020: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01871
Total number of active participants reported on line 7a of the Form 55002020-01-01538
Number of retired or separated participants receiving benefits2020-01-01226
Total of all active and inactive participants2020-01-01764
2019: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01725
Total number of active participants reported on line 7a of the Form 55002019-01-01506
Number of retired or separated participants receiving benefits2019-01-01365
Total of all active and inactive participants2019-01-01871
2018: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01729
Total number of active participants reported on line 7a of the Form 55002018-01-01396
Number of retired or separated participants receiving benefits2018-01-01329
Total of all active and inactive participants2018-01-01725
2017: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01776
Total number of active participants reported on line 7a of the Form 55002017-07-01365
Number of retired or separated participants receiving benefits2017-07-01364
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01729
2016: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01755
Total number of active participants reported on line 7a of the Form 55002016-07-01385
Number of retired or separated participants receiving benefits2016-07-01391
Total of all active and inactive participants2016-07-01776
2015: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01735
Total number of active participants reported on line 7a of the Form 55002015-07-01432
Number of retired or separated participants receiving benefits2015-07-01323
Total of all active and inactive participants2015-07-01755
2014: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01761
Total number of active participants reported on line 7a of the Form 55002014-07-01429
Number of retired or separated participants receiving benefits2014-07-01306
Total of all active and inactive participants2014-07-01735
2013: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01782
Total number of active participants reported on line 7a of the Form 55002013-07-01366
Number of retired or separated participants receiving benefits2013-07-01395
Total of all active and inactive participants2013-07-01761
2012: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01733
Total number of active participants reported on line 7a of the Form 55002012-07-01395
Number of retired or separated participants receiving benefits2012-07-01387
Total of all active and inactive participants2012-07-01782
2011: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01687
Total number of active participants reported on line 7a of the Form 55002011-07-01392
Number of retired or separated participants receiving benefits2011-07-01341
Total of all active and inactive participants2011-07-01733
2010: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01647
Total number of active participants reported on line 7a of the Form 55002010-07-01406
Number of retired or separated participants receiving benefits2010-07-01281
Total of all active and inactive participants2010-07-01687
2009: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01523
Total number of active participants reported on line 7a of the Form 55002009-07-01354
Number of retired or separated participants receiving benefits2009-07-01293
Total of all active and inactive participants2009-07-01647
Number of other retired or separated participants entitled to future benefits2009-07-010
2008: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2008 401k membership
Total participants, beginning-of-year2008-07-01379
Total number of active participants reported on line 7a of the Form 55002008-07-01327
Number of retired or separated participants receiving benefits2008-07-01196
Total of all active and inactive participants2008-07-01523
Number of other retired or separated participants entitled to future benefits2008-07-010

Financial Data on COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN

Measure Date Value
2023 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$329,594
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$368,596
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$1,022,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$329,594
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$368,596
Value of total assets at end of year2023-12-31$368,596
Value of total assets at beginning of year2023-12-31$692,410
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$692,410
Total interest from all sources2023-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$100,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Administrative expenses (other) incurred2023-12-31$692,410
Total non interest bearing cash at beginning of year2023-12-31$692,410
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-653,408
Value of net assets at end of year (total assets less liabilities)2023-12-31$39,002
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$692,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$368,596
Employer contributions (assets) at end of year2023-12-31$368,596
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$329,594
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-12-31No
Liabilities. Value of benefit claims payable at end of year2023-12-31$329,594
Did the plan have assets held for investment2023-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
2022 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$13,937
Total income from all sources (including contributions)2022-12-31$314,446
Total of all expenses incurred2022-12-31$297,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$206,754
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$314,446
Value of total assets at end of year2022-12-31$692,410
Value of total assets at beginning of year2022-12-31$689,882
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$91,227
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$100,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Administrative expenses (other) incurred2022-12-31$91,227
Liabilities. Value of operating payables at end of year2022-12-31$0
Liabilities. Value of operating payables at beginning of year2022-12-31$13,937
Total non interest bearing cash at end of year2022-12-31$692,410
Total non interest bearing cash at beginning of year2022-12-31$689,882
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$16,465
Value of net assets at end of year (total assets less liabilities)2022-12-31$692,410
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$675,945
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
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$314,446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$206,754
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
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2022-12-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2022-12-31222027092
2021 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$13,937
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,236
Total income from all sources (including contributions)2021-12-31$322,956
Total of all expenses incurred2021-12-31$305,094
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$219,460
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$322,956
Value of total assets at end of year2021-12-31$689,882
Value of total assets at beginning of year2021-12-31$664,319
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$85,634
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 bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$100,000
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
Administrative expenses (other) incurred2021-12-31$85,634
Liabilities. Value of operating payables at end of year2021-12-31$13,937
Liabilities. Value of operating payables at beginning of year2021-12-31$6,236
Total non interest bearing cash at end of year2021-12-31$689,882
Total non interest bearing cash at beginning of year2021-12-31$664,319
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$17,862
Value of net assets at end of year (total assets less liabilities)2021-12-31$675,945
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$658,083
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
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$322,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$219,460
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
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2021-12-31WITHUMSMITH + BROWN PC
Accountancy firm EIN2021-12-31222027092
2020 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2020 401k financial data
Total transfer of assets from this plan2020-12-31$280,423
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$6,236
Total income from all sources (including contributions)2020-12-31$302,648
Total of all expenses incurred2020-12-31$361,037
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$273,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$302,648
Value of total assets at end of year2020-12-31$664,319
Value of total assets at beginning of year2020-12-31$996,895
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$87,970
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 bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$100,000
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
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$256,603
Administrative expenses (other) incurred2020-12-31$87,970
Liabilities. Value of operating payables at end of year2020-12-31$6,236
Total non interest bearing cash at end of year2020-12-31$664,319
Total non interest bearing cash at beginning of year2020-12-31$740,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-58,389
Value of net assets at end of year (total assets less liabilities)2020-12-31$658,083
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$996,895
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
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$302,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$273,067
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2020-12-31WITHUMSMITH + BROWN PC
Accountancy firm EIN2020-12-31222027092
2019 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2019 401k financial data
Total transfer of assets to this plan2019-12-31$233,500
Total income from all sources (including contributions)2019-12-31$272,826
Total of all expenses incurred2019-12-31$365,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$276,226
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$272,826
Value of total assets at end of year2019-12-31$996,895
Value of total assets at beginning of year2019-12-31$855,849
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$89,054
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
Value of fidelity bond cover2019-12-31$100,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$256,603
Administrative expenses (other) incurred2019-12-31$89,054
Total non interest bearing cash at end of year2019-12-31$740,292
Total non interest bearing cash at beginning of year2019-12-31$855,849
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-92,454
Value of net assets at end of year (total assets less liabilities)2019-12-31$996,895
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$855,849
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$272,826
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$276,226
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
Did the plan have assets held for investment2019-12-31No
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
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 name2019-12-31WITHUMSMITH + BROWN PC
Accountancy firm EIN2019-12-31222027092
2018 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2018 401k financial data
Total transfer of assets to this plan2018-12-31$154,000
Total income from all sources (including contributions)2018-12-31$233,411
Total of all expenses incurred2018-12-31$285,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$200,549
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$233,411
Value of total assets at end of year2018-12-31$855,849
Value of total assets at beginning of year2018-12-31$754,198
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$85,211
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$100,000
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
Administrative expenses (other) incurred2018-12-31$85,211
Total non interest bearing cash at end of year2018-12-31$855,849
Total non interest bearing cash at beginning of year2018-12-31$754,198
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-52,349
Value of net assets at end of year (total assets less liabilities)2018-12-31$855,849
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$754,198
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
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$233,411
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$200,549
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
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2018-12-31WITHUMSMITHBROWN PC
Accountancy firm EIN2018-12-31222027092
2017 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$212,774
Total of all expenses incurred2017-12-31$182,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$140,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$212,774
Value of total assets at end of year2017-12-31$754,198
Value of total assets at beginning of year2017-12-31$724,066
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$42,128
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$100,000
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
Administrative expenses (other) incurred2017-12-31$42,128
Total non interest bearing cash at end of year2017-12-31$754,198
Total non interest bearing cash at beginning of year2017-12-31$724,066
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$30,132
Value of net assets at end of year (total assets less liabilities)2017-12-31$754,198
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$724,066
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
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
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$212,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$140,514
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
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2017-12-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2017-12-31222027092
Total income from all sources (including contributions)2017-06-30$783,233
Total of all expenses incurred2017-06-30$813,642
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$733,551
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$783,233
Value of total assets at end of year2017-06-30$724,066
Value of total assets at beginning of year2017-06-30$754,475
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$80,091
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$100,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Administrative expenses (other) incurred2017-06-30$80,091
Total non interest bearing cash at end of year2017-06-30$724,066
Total non interest bearing cash at beginning of year2017-06-30$754,475
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-30,409
Value of net assets at end of year (total assets less liabilities)2017-06-30$724,066
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$754,475
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$500,955
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$783,233
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$232,596
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
2016 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-06-30$1,240,600
Total of all expenses incurred2016-06-30$1,249,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$1,169,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$1,240,600
Value of total assets at end of year2016-06-30$754,475
Value of total assets at beginning of year2016-06-30$763,685
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$80,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$100,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Administrative expenses (other) incurred2016-06-30$80,482
Total non interest bearing cash at end of year2016-06-30$754,475
Total non interest bearing cash at beginning of year2016-06-30$763,685
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-9,210
Value of net assets at end of year (total assets less liabilities)2016-06-30$754,475
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$763,685
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$888,866
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$1,240,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$280,462
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30WITHUMSMITH & BROWN PC
Accountancy firm EIN2016-06-30222027092
2015 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-06-30$1,396,688
Total of all expenses incurred2015-06-30$1,498,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$1,384,812
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$1,396,688
Value of total assets at end of year2015-06-30$763,685
Value of total assets at beginning of year2015-06-30$865,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$113,305
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$100,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$1,056
Administrative expenses (other) incurred2015-06-30$113,305
Total non interest bearing cash at end of year2015-06-30$763,685
Total non interest bearing cash at beginning of year2015-06-30$865,114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-101,429
Value of net assets at end of year (total assets less liabilities)2015-06-30$763,685
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$865,114
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$1,109,109
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$1,395,632
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$275,703
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30WITHUMSMITH & BROWN PC
Accountancy firm EIN2015-06-30222027092
2014 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2014 401k financial data
Total transfer of assets from this plan2014-06-30$166,974
Total income from all sources (including contributions)2014-06-30$1,963,875
Total of all expenses incurred2014-06-30$1,799,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$1,168,807
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$1,963,875
Value of total assets at end of year2014-06-30$865,114
Value of total assets at beginning of year2014-06-30$868,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$631,010
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$100,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Administrative expenses (other) incurred2014-06-30$631,010
Total non interest bearing cash at end of year2014-06-30$865,114
Total non interest bearing cash at beginning of year2014-06-30$868,030
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$164,058
Value of net assets at end of year (total assets less liabilities)2014-06-30$865,114
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$868,030
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$850,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$1,963,875
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$317,987
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30AVERETT WARMUS DURKEE
Accountancy firm EIN2014-06-30593214308
2013 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-06-30$2,018,297
Total of all expenses incurred2013-06-30$1,951,561
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$1,358,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$2,018,297
Value of total assets at end of year2013-06-30$868,030
Value of total assets at beginning of year2013-06-30$801,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$593,158
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$100,000
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Administrative expenses (other) incurred2013-06-30$593,158
Total non interest bearing cash at end of year2013-06-30$868,030
Total non interest bearing cash at beginning of year2013-06-30$801,294
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$66,736
Value of net assets at end of year (total assets less liabilities)2013-06-30$868,030
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$801,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in common/collective trusts at end of year2013-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$1,015,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$2,018,297
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$342,871
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30AVERETT WARMUS DURKEE
Accountancy firm EIN2013-06-30593214308
2012 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-06-30$2,004,929
Total of all expenses incurred2012-06-30$1,934,199
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$1,334,846
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$2,004,929
Value of total assets at end of year2012-06-30$801,294
Value of total assets at beginning of year2012-06-30$730,564
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$599,353
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$100,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$957
Administrative expenses (other) incurred2012-06-30$599,353
Total non interest bearing cash at end of year2012-06-30$801,294
Total non interest bearing cash at beginning of year2012-06-30$730,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$70,730
Value of net assets at end of year (total assets less liabilities)2012-06-30$801,294
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$730,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$1,012,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$2,003,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$322,092
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30AVERETT WARMUS DURKEE
Accountancy firm EIN2012-06-30593214308
2011 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-06-30$1,857,038
Total of all expenses incurred2011-06-30$1,706,552
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$1,170,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$1,857,038
Value of total assets at end of year2011-06-30$730,564
Value of total assets at beginning of year2011-06-30$580,078
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$535,628
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$50,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Administrative expenses (other) incurred2011-06-30$535,628
Total non interest bearing cash at end of year2011-06-30$730,564
Total non interest bearing cash at beginning of year2011-06-30$580,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$150,486
Value of net assets at end of year (total assets less liabilities)2011-06-30$730,564
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$580,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$885,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$1,857,038
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$285,163
Did the plan have assets held for investment2011-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30AVERETT WARMUS DURKEE OSBURN HENNIN
Accountancy firm EIN2011-06-30593214308
2010 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-06-30$1,694,929
Total of all expenses incurred2010-06-30$1,651,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-06-30$1,175,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-06-30$1,694,929
Value of total assets at end of year2010-06-30$580,078
Value of total assets at beginning of year2010-06-30$536,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-06-30$475,931
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-06-30No
Was this plan covered by a fidelity bond2010-06-30No
If this is an individual account plan, was there a blackout period2010-06-30No
Were there any nonexempt tranactions with any party-in-interest2010-06-30No
Administrative expenses (other) incurred2010-06-30$475,931
Total non interest bearing cash at end of year2010-06-30$580,078
Total non interest bearing cash at beginning of year2010-06-30$536,455
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-06-30No
Value of net income/loss2010-06-30$43,623
Value of net assets at end of year (total assets less liabilities)2010-06-30$580,078
Value of net assets at beginning of year (total assets less liabilities)2010-06-30$536,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2010-06-30No
Were any leases to which the plan was party in default or uncollectible2010-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2010-06-30$808,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-06-30No
Was there a failure to transmit to the plan any participant contributions2010-06-30No
Has the plan failed to provide any benefit when due under the plan2010-06-30No
Contributions received in cash from employer2010-06-30$1,694,929
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-06-30$367,207
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-06-30No
Did the plan have assets held for investment2010-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-06-30No
Opinion of an independent qualified public accountant for this plan2010-06-30Unqualified
Accountancy firm name2010-06-30AVERETT WARMUS DURKEE OSBURN HENNIN
Accountancy firm EIN2010-06-30593214308
2009 : COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2009 401k financial data
Total transfer of assets to this plan2009-06-30$565,000
Total income from all sources (including contributions)2009-06-30$1,511,739
Total of all expenses incurred2009-06-30$1,540,284
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2009-06-30$1,208,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2009-06-30$1,511,739
Value of total assets at end of year2009-06-30$536,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2009-06-30$332,089
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2009-06-30No
Was this plan covered by a fidelity bond2009-06-30No
If this is an individual account plan, was there a blackout period2009-06-30No
Were there any nonexempt tranactions with any party-in-interest2009-06-30No
Administrative expenses (other) incurred2009-06-30$332,089
Total non interest bearing cash at end of year2009-06-30$536,455
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2009-06-30No
Value of net income/loss2009-06-30$-28,545
Value of net assets at end of year (total assets less liabilities)2009-06-30$536,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2009-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2009-06-30No
Were any leases to which the plan was party in default or uncollectible2009-06-30No
Expenses. Payments to insurance carriers foe the provision of benefits2009-06-30$1,011,289
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2009-06-30No
Was there a failure to transmit to the plan any participant contributions2009-06-30No
Has the plan failed to provide any benefit when due under the plan2009-06-30No
Contributions received in cash from employer2009-06-30$1,511,739
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2009-06-30$196,906
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32009-06-30No
Did the plan have assets held for investment2009-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2009-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2009-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2009-06-30No
Opinion of an independent qualified public accountant for this plan2009-06-30Unqualified
Accountancy firm name2009-06-30AVERETT WARMUS DURKEE OSBURN HENNIN
Accountancy firm EIN2009-06-30593214308

Form 5500 Responses for COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN

2023: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement - TrustYes
2016: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes
2008: COASTAL ENTERPRISES OF JACKSONVILLE, INC INSURANCE AND HEALTH PLAN 2008 form 5500 responses
2008-07-01Type of plan entitySingle employer plan
2008-07-01First time form 5500 has been submittedYes
2008-07-01Submission has been amendedYes
2008-07-01This submission is the final filingNo
2008-07-01Plan funding arrangement – TrustYes
2008-07-01Plan benefit arrangement – InsuranceYes
2008-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered418
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $152,862
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $888,866
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $89,919
Insurance broker organization code?3
Insurance broker nameBARTLEY INSURANCE SERVICES INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered429
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $184,296
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,109,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $85,831
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered366
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $333,559
Total amount of fees paid to insurance companyUSD $67,360
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $774,271
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $200,191
Insurance broker organization code?3
Amount paid for insurance broker fees35583
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameWEB TPA EMPLOYER SERVICES LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD321C0009
Policy instance 2
Insurance contract or identification numberPD321C0009
Number of Individuals Covered366
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $14,423
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $76,549
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,094
Insurance broker organization code?3
Insurance broker nameBENEFIT SPECIALTIES INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD321C0009
Policy instance 2
Insurance contract or identification numberPD321C0009
Number of Individuals Covered395
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $27,316
Welfare Benefit Premiums Paid to CarrierUSD $144,980
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Commission paid to Insurance BrokerUSD $21,012
Insurance broker organization code?3
Insurance broker nameBENEFIT SPECIALTIES, INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered395
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $265,207
Total amount of fees paid to insurance companyUSD $126,197
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $870,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Commission paid to Insurance BrokerUSD $265,207
Insurance broker organization code?3
Amount paid for insurance broker fees66712
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameWEB TPA EMPLOYER SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered392
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $263,548
Total amount of fees paid to insurance companyUSD $122,005
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $866,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD321C0009
Policy instance 2
Insurance contract or identification numberPD321C0009
Number of Individuals Covered392
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $27,511
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $146,020
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD321C0009
Policy instance 2
Insurance contract or identification numberPD321C0009
Number of Individuals Covered406
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $25,114
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $133,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,318
Insurance broker organization code?3
Insurance broker nameBENEFIT SPECIALTIES, INC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered406
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $231,638
Total amount of fees paid to insurance companyUSD $111,950
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $752,470
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $231,638
Insurance broker organization code?3
Amount paid for insurance broker fees60729
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameWEB TPA EMPLOYER SERVICES, LLC
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered354
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $218,989
Total amount of fees paid to insurance companyUSD $112,574
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $704,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $218,989
Insurance broker organization code?3
Amount paid for insurance broker fees60859
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameWEB TPA EMPLOYER SERVICES, LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD321C0009
Policy instance 2
Insurance contract or identification numberPD321C0009
Number of Individuals Covered354
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $21,010
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $103,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,016
Insurance broker organization code?3
Insurance broker nameELITE BROKERAGE SERVICES, INC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberBN2070
Policy instance 2
Insurance contract or identification numberBN2070
Number of Individuals Covered331
Insurance policy start date2008-07-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $8,981
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $51,900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,032
Insurance broker organization code?3
Insurance broker nameTURNKEY BENEFIT INSURANCE SERVICES
SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68721 )
Policy contract numberSL000011
Policy instance 4
Insurance contract or identification numberSL000011
Number of Individuals Covered277
Insurance policy start date2008-07-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $6,093
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,093
Insurance broker organization code?3
Insurance broker nameC1 BENEFITS
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberBN2070
Policy instance 5
Insurance contract or identification numberBN2070
Number of Individuals Covered396
Insurance policy start date2008-07-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $101,896
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $513,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $101,896
Insurance broker organization code?3
Insurance broker nameC1 BENEFITS
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberP01000018864
Policy instance 1
Insurance contract or identification numberP01000018864
Number of Individuals Covered327
Insurance policy start date2009-01-01
Insurance policy end date2009-06-30
Total amount of commissions paid to insurance brokerUSD $98,593
Total amount of fees paid to insurance companyUSD $59,255
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $361,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,593
Insurance broker organization code?3
Amount paid for insurance broker fees31305
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker nameWEB TPA EMPLOYER SERVICES, LLC
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberPD321C0009
Policy instance 3
Insurance contract or identification numberPD321C0009
Number of Individuals Covered327
Insurance policy start date2009-01-01
Insurance policy end date2009-06-30
Total amount of commissions paid to insurance brokerUSD $6,306
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $33,479
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,851
Insurance broker organization code?3
Insurance broker nameBENEFIT SPECIALTIES, INC

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