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HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 401k Plan overview

Plan NameHOLLAND COLOURS AMERICAS INC. 401(K) PLAN
Plan identification number 001

HOLLAND COLOURS AMERICAS INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

HOLLAND COLOURS AMERICAS INC. has sponsored the creation of one or more 401k plans.

Company Name:HOLLAND COLOURS AMERICAS INC.
Employer identification number (EIN):621241836
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOLLAND COLOURS AMERICAS INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01
0012021-04-01
0012020-04-01
0012019-04-01
0012019-04-01
0012018-04-01
0012017-04-01MICHELE SMITH
0012016-04-01MICHELE SMITH
0012015-04-01MICHELE SMITH
0012014-04-01MICHELE SMITH2015-08-10 MICHELE SMITH2015-08-10
0012013-04-01MICHELE SMITH2014-07-29 MICHELE SMITH2014-07-29
0012012-04-01MICHELE SMITH2013-10-23 MICHELE SMITH2013-10-23
0012011-04-01MICHELE SMITH2012-07-30 MICHELE SMITH2012-07-30
0012010-04-01MICHELE SMITH2011-10-20 MICHELE SMITH2011-10-20

Plan Statistics for HOLLAND COLOURS AMERICAS INC. 401(K) PLAN

401k plan membership statisitcs for HOLLAND COLOURS AMERICAS INC. 401(K) PLAN

Measure Date Value
2022: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-01100
Total number of active participants reported on line 7a of the Form 55002022-04-0190
Number of retired or separated participants receiving benefits2022-04-012
Number of other retired or separated participants entitled to future benefits2022-04-0113
Total of all active and inactive participants2022-04-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-04-010
Total participants2022-04-01105
Number of participants with account balances2022-04-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-04-010
2021: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-0197
Total number of active participants reported on line 7a of the Form 55002021-04-0186
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-0113
Total of all active and inactive participants2021-04-0199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-04-011
Total participants2021-04-01100
Number of participants with account balances2021-04-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-04-010
2020: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-0197
Total number of active participants reported on line 7a of the Form 55002020-04-0185
Number of retired or separated participants receiving benefits2020-04-011
Number of other retired or separated participants entitled to future benefits2020-04-0111
Total of all active and inactive participants2020-04-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-04-010
Total participants2020-04-0197
Number of participants with account balances2020-04-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-04-010
2019: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-0191
Total number of active participants reported on line 7a of the Form 55002019-04-0185
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-0112
Total of all active and inactive participants2019-04-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-010
Total participants2019-04-0197
Number of participants with account balances2019-04-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-010
2018: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01103
Total number of active participants reported on line 7a of the Form 55002018-04-0177
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-0114
Total of all active and inactive participants2018-04-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-04-010
Total participants2018-04-0191
Number of participants with account balances2018-04-0190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-04-010
2017: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-0185
Total number of active participants reported on line 7a of the Form 55002017-04-0187
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-0116
Total of all active and inactive participants2017-04-01103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-01103
Number of participants with account balances2017-04-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0177
Total number of active participants reported on line 7a of the Form 55002016-04-0169
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-0116
Total of all active and inactive participants2016-04-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-0185
Number of participants with account balances2016-04-0181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0177
Total number of active participants reported on line 7a of the Form 55002015-04-0170
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-019
Total of all active and inactive participants2015-04-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0179
Number of participants with account balances2015-04-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010

Financial Data on HOLLAND COLOURS AMERICAS INC. 401(K) PLAN

Measure Date Value
2023 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2023 401k financial data
Transfers to/from the plan2023-03-31$0
Total plan liabilities at end of year2023-03-31$0
Total plan liabilities at beginning of year2023-03-31$0
Total income from all sources2023-03-31$247,012
Expenses. Total of all expenses incurred2023-03-31$274,326
Benefits paid (including direct rollovers)2023-03-31$242,011
Total plan assets at end of year2023-03-31$7,362,206
Total plan assets at beginning of year2023-03-31$7,389,520
Value of fidelity bond covering the plan2023-03-31$500,000
Total contributions received or receivable from participants2023-03-31$465,910
Expenses. Other expenses not covered elsewhere2023-03-31$0
Contributions received from other sources (not participants or employers)2023-03-31$19,479
Other income received2023-03-31$-443,875
Noncash contributions received2023-03-31$0
Net income (gross income less expenses)2023-03-31$-27,314
Net plan assets at end of year (total assets less liabilities)2023-03-31$7,362,206
Net plan assets at beginning of year (total assets less liabilities)2023-03-31$7,389,520
Assets. Value of participant loans2023-03-31$132,304
Total contributions received or receivable from employer(s)2023-03-31$205,498
Value of certain deemed distributions of participant loans2023-03-31$0
Value of corrective distributions2023-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-03-31$32,315
2022 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-03-31$0
Total plan liabilities at end of year2022-03-31$0
Total plan liabilities at beginning of year2022-03-31$0
Total income from all sources2022-03-31$954,763
Expenses. Total of all expenses incurred2022-03-31$565,208
Benefits paid (including direct rollovers)2022-03-31$524,066
Total plan assets at end of year2022-03-31$7,389,520
Total plan assets at beginning of year2022-03-31$6,999,965
Value of fidelity bond covering the plan2022-03-31$500,000
Total contributions received or receivable from participants2022-03-31$413,251
Expenses. Other expenses not covered elsewhere2022-03-31$0
Contributions received from other sources (not participants or employers)2022-03-31$0
Other income received2022-03-31$355,316
Noncash contributions received2022-03-31$0
Net income (gross income less expenses)2022-03-31$389,555
Net plan assets at end of year (total assets less liabilities)2022-03-31$7,389,520
Net plan assets at beginning of year (total assets less liabilities)2022-03-31$6,999,965
Assets. Value of participant loans2022-03-31$81,557
Total contributions received or receivable from employer(s)2022-03-31$186,196
Value of certain deemed distributions of participant loans2022-03-31$6,897
Value of corrective distributions2022-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-03-31$34,245
2021 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-03-31$0
Total plan liabilities at end of year2021-03-31$0
Total plan liabilities at beginning of year2021-03-31$0
Total income from all sources2021-03-31$2,742,990
Expenses. Total of all expenses incurred2021-03-31$582,692
Benefits paid (including direct rollovers)2021-03-31$552,642
Total plan assets at end of year2021-03-31$6,999,965
Total plan assets at beginning of year2021-03-31$4,839,667
Value of fidelity bond covering the plan2021-03-31$500,000
Assets. Value of tangible personal property2021-03-31$0
Total contributions received or receivable from participants2021-03-31$397,835
Assets. Value of loans (other than to participants)2021-03-31$0
Expenses. Other expenses not covered elsewhere2021-03-31$0
Contributions received from other sources (not participants or employers)2021-03-31$152,175
Other income received2021-03-31$2,008,021
Noncash contributions received2021-03-31$0
Net income (gross income less expenses)2021-03-31$2,160,298
Net plan assets at end of year (total assets less liabilities)2021-03-31$6,999,965
Net plan assets at beginning of year (total assets less liabilities)2021-03-31$4,839,667
Assets. Value of participant loans2021-03-31$164,186
Assets. Value of assets in partnership/joint-venture interests2021-03-31$0
Assets. Value of real-estate (other than employer real property)2021-03-31$0
Assets. Value of employer securities2021-03-31$0
Assets. Value of employer real property2021-03-31$0
Total contributions received or receivable from employer(s)2021-03-31$184,959
Value of certain deemed distributions of participant loans2021-03-31$0
Value of corrective distributions2021-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-03-31$30,050
2020 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-03-31$0
Total plan liabilities at end of year2020-03-31$0
Total plan liabilities at beginning of year2020-03-31$0
Total income from all sources2020-03-31$342,935
Expenses. Total of all expenses incurred2020-03-31$286,261
Benefits paid (including direct rollovers)2020-03-31$257,694
Total plan assets at end of year2020-03-31$4,839,667
Total plan assets at beginning of year2020-03-31$4,782,993
Value of fidelity bond covering the plan2020-03-31$500,000
Assets. Value of tangible personal property2020-03-31$0
Total contributions received or receivable from participants2020-03-31$390,095
Assets. Value of loans (other than to participants)2020-03-31$0
Expenses. Other expenses not covered elsewhere2020-03-31$0
Contributions received from other sources (not participants or employers)2020-03-31$114,859
Other income received2020-03-31$-338,969
Noncash contributions received2020-03-31$0
Net income (gross income less expenses)2020-03-31$56,674
Net plan assets at end of year (total assets less liabilities)2020-03-31$4,839,667
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$4,782,993
Assets. Value of participant loans2020-03-31$141,050
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2020-03-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2020-03-31$0
Assets. Value of assets in partnership/joint-venture interests2020-03-31$0
Assets. Value of real-estate (other than employer real property)2020-03-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022020-03-31$0
Assets. Value of employer securities2020-03-31$0
Assets. Value of employer real property2020-03-31$0
Total contributions received or receivable from employer(s)2020-03-31$176,950
Value of certain deemed distributions of participant loans2020-03-31$0
Value of corrective distributions2020-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-03-31$28,567
2019 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-03-31$0
Total plan liabilities at end of year2019-03-31$0
Total plan liabilities at beginning of year2019-03-31$0
Total income from all sources2019-03-31$783,004
Expenses. Total of all expenses incurred2019-03-31$758,299
Benefits paid (including direct rollovers)2019-03-31$730,868
Total plan assets at end of year2019-03-31$4,782,993
Total plan assets at beginning of year2019-03-31$4,758,288
Value of fidelity bond covering the plan2019-03-31$500,000
Total contributions received or receivable from participants2019-03-31$352,983
Expenses. Other expenses not covered elsewhere2019-03-31$0
Contributions received from other sources (not participants or employers)2019-03-31$18,157
Other income received2019-03-31$239,108
Noncash contributions received2019-03-31$0
Net income (gross income less expenses)2019-03-31$24,705
Net plan assets at end of year (total assets less liabilities)2019-03-31$4,782,993
Net plan assets at beginning of year (total assets less liabilities)2019-03-31$4,758,288
Assets. Value of participant loans2019-03-31$83,965
Total contributions received or receivable from employer(s)2019-03-31$172,756
Value of certain deemed distributions of participant loans2019-03-31$0
Value of corrective distributions2019-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-03-31$27,431
2018 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-03-31$0
Total plan liabilities at end of year2018-03-31$0
Total plan liabilities at beginning of year2018-03-31$0
Total income from all sources2018-03-31$1,135,998
Expenses. Total of all expenses incurred2018-03-31$248,667
Benefits paid (including direct rollovers)2018-03-31$224,239
Total plan assets at end of year2018-03-31$4,758,288
Total plan assets at beginning of year2018-03-31$3,870,957
Value of fidelity bond covering the plan2018-03-31$500,000
Total contributions received or receivable from participants2018-03-31$260,834
Expenses. Other expenses not covered elsewhere2018-03-31$0
Contributions received from other sources (not participants or employers)2018-03-31$265,944
Other income received2018-03-31$472,274
Noncash contributions received2018-03-31$0
Net income (gross income less expenses)2018-03-31$887,331
Net plan assets at end of year (total assets less liabilities)2018-03-31$4,758,288
Net plan assets at beginning of year (total assets less liabilities)2018-03-31$3,870,957
Assets. Value of participant loans2018-03-31$109,190
Total contributions received or receivable from employer(s)2018-03-31$136,946
Value of certain deemed distributions of participant loans2018-03-31$0
Value of corrective distributions2018-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-03-31$24,428
2017 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-03-31$0
Total plan liabilities at end of year2017-03-31$0
Total plan liabilities at beginning of year2017-03-31$0
Total income from all sources2017-03-31$800,844
Expenses. Total of all expenses incurred2017-03-31$145,990
Benefits paid (including direct rollovers)2017-03-31$123,572
Total plan assets at end of year2017-03-31$3,870,957
Total plan assets at beginning of year2017-03-31$3,216,103
Value of fidelity bond covering the plan2017-03-31$500,000
Total contributions received or receivable from participants2017-03-31$271,759
Expenses. Other expenses not covered elsewhere2017-03-31$0
Contributions received from other sources (not participants or employers)2017-03-31$0
Other income received2017-03-31$391,299
Noncash contributions received2017-03-31$0
Net income (gross income less expenses)2017-03-31$654,854
Net plan assets at end of year (total assets less liabilities)2017-03-31$3,870,957
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$3,216,103
Assets. Value of participant loans2017-03-31$121,667
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-03-31$0
Total contributions received or receivable from employer(s)2017-03-31$137,786
Value of certain deemed distributions of participant loans2017-03-31$3,616
Value of corrective distributions2017-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$18,802
2016 : HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-03-31$0
Total plan liabilities at end of year2016-03-31$0
Total plan liabilities at beginning of year2016-03-31$0
Total income from all sources2016-03-31$319,151
Expenses. Total of all expenses incurred2016-03-31$103,892
Benefits paid (including direct rollovers)2016-03-31$92,735
Total plan assets at end of year2016-03-31$3,216,103
Total plan assets at beginning of year2016-03-31$3,000,844
Value of fidelity bond covering the plan2016-03-31$350,000
Total contributions received or receivable from participants2016-03-31$183,131
Expenses. Other expenses not covered elsewhere2016-03-31$0
Contributions received from other sources (not participants or employers)2016-03-31$188,532
Other income received2016-03-31$-120,709
Noncash contributions received2016-03-31$0
Net income (gross income less expenses)2016-03-31$215,259
Net plan assets at end of year (total assets less liabilities)2016-03-31$3,216,103
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$3,000,844
Assets. Value of participant loans2016-03-31$108,813
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-03-31$0
Total contributions received or receivable from employer(s)2016-03-31$68,197
Value of certain deemed distributions of participant loans2016-03-31$0
Value of corrective distributions2016-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-03-31$11,157

Form 5500 Responses for HOLLAND COLOURS AMERICAS INC. 401(K) PLAN

2022: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01This submission is the final filingNo
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01This submission is the final filingNo
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2018: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement - TrustYes
2015: HOLLAND COLOURS AMERICAS INC. 401(K) PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810380
Policy instance 1
Insurance contract or identification number810380
Number of Individuals Covered13
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 number810380
Policy instance 1
Insurance contract or identification number810380
Number of Individuals Covered11
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 number810380
Policy instance 1
Insurance contract or identification number810380
Number of Individuals Covered12
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONTINENTAL CASUALTY COMPANY (National Association of Insurance Commissioners NAIC id number: 20443 )
Policy contract number425541534
Policy instance 1
Insurance contract or identification number425541534
Number of Individuals Covered89
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810380
Policy instance 1
Insurance contract or identification number810380
Number of Individuals Covered12
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number810380
Policy instance 1
Insurance contract or identification number810380
Number of Individuals Covered13
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number000000
Policy instance 1
Insurance contract or identification number000000
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker name
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number434796
Policy instance 1
Insurance contract or identification number434796
Number of Individuals Covered0
Insurance policy start date2015-04-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $3,826
Total amount of fees paid to insurance companyUSD $191
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 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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,071
Amount paid for insurance broker fees191
Additional information about fees paid to insurance brokerREFFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameINCOLN INVESTMENT PLANNING INC

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