401k Plan data: LOTT OIL COMPANY AND AFFILIATED COMPANIES plan

LOTT OIL COMPANY AND AFFILIATED COMPANIES 401k Plan overview

Plan Name	LOTT OIL COMPANY AND AFFILIATED COMPANIES
Plan identification number	503

LOTT OIL COMPANY AND AFFILIATED COMPANIES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

LOTT OIL COMPANY AND AFFILIATED COMPANIES has sponsored the creation of one or more 401k plans.

Company Name: LOTT OIL COMPANY AND AFFILIATED COMPANIES

Employer identification number (EIN): 720877791

NAIC Classification: 424700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOTT OIL COMPANY AND AFFILIATED COMPANIES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2022-10-01
503 2021-10-01
503 2019-10-01
503 2018-10-01
503 2017-10-01
503 2016-10-01
503 2015-10-01
503 2014-10-01
503 2013-10-01

Plan Statistics for LOTT OIL COMPANY AND AFFILIATED COMPANIES

401k plan membership statisitcs for LOTT OIL COMPANY AND AFFILIATED COMPANIES

Measure Date Value
2022: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2022 401k membership
Total participants, beginning-of-year 2022-10-01 255
Total number of active participants reported on line 7a of the Form 5500 2022-10-01 278
Total of all active and inactive participants 2022-10-01 278
Total participants 2022-10-01 278
2021: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2021 401k membership
Total participants, beginning-of-year 2021-10-01 262
Total number of active participants reported on line 7a of the Form 5500 2021-10-01 249
Total of all active and inactive participants 2021-10-01 249
Total participants 2021-10-01 249
2019: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2019 401k membership
Total participants, beginning-of-year 2019-10-01 276
Total number of active participants reported on line 7a of the Form 5500 2019-10-01 270
Number of retired or separated participants receiving benefits 2019-10-01 0
Number of other retired or separated participants entitled to future benefits 2019-10-01 0
Total of all active and inactive participants 2019-10-01 270
2018: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2018 401k membership
Total participants, beginning-of-year 2018-10-01 262
Total number of active participants reported on line 7a of the Form 5500 2018-10-01 270
Number of retired or separated participants receiving benefits 2018-10-01 0
Number of other retired or separated participants entitled to future benefits 2018-10-01 0
Total of all active and inactive participants 2018-10-01 270
2017: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2017 401k membership
Total participants, beginning-of-year 2017-10-01 280
Total number of active participants reported on line 7a of the Form 5500 2017-10-01 262
Number of retired or separated participants receiving benefits 2017-10-01 0
Number of other retired or separated participants entitled to future benefits 2017-10-01 0
Total of all active and inactive participants 2017-10-01 262
2016: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2016 401k membership
Total participants, beginning-of-year 2016-10-01 270
Total number of active participants reported on line 7a of the Form 5500 2016-10-01 280
Number of retired or separated participants receiving benefits 2016-10-01 0
Number of other retired or separated participants entitled to future benefits 2016-10-01 0
Total of all active and inactive participants 2016-10-01 280
2015: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2015 401k membership
Total participants, beginning-of-year 2015-10-01 265
Total number of active participants reported on line 7a of the Form 5500 2015-10-01 270
Number of retired or separated participants receiving benefits 2015-10-01 0
Number of other retired or separated participants entitled to future benefits 2015-10-01 0
Total of all active and inactive participants 2015-10-01 270
2014: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2014 401k membership
Total participants, beginning-of-year 2014-10-01 247
Total number of active participants reported on line 7a of the Form 5500 2014-10-01 265
Number of retired or separated participants receiving benefits 2014-10-01 0
Number of other retired or separated participants entitled to future benefits 2014-10-01 0
Total of all active and inactive participants 2014-10-01 265
2013: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2013 401k membership
Total participants, beginning-of-year 2013-10-01 234
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 247
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 247

Measure	Date	Value
2022: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2022 401k membership
Total participants, beginning-of-year	2022-10-01	255
Total number of active participants reported on line 7a of the Form 5500	2022-10-01	278
Total of all active and inactive participants	2022-10-01	278
Total participants	2022-10-01	278
2021: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2021 401k membership
Total participants, beginning-of-year	2021-10-01	262
Total number of active participants reported on line 7a of the Form 5500	2021-10-01	249
Total of all active and inactive participants	2021-10-01	249
Total participants	2021-10-01	249
2019: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2019 401k membership
Total participants, beginning-of-year	2019-10-01	276
Total number of active participants reported on line 7a of the Form 5500	2019-10-01	270
Number of retired or separated participants receiving benefits	2019-10-01	0
Number of other retired or separated participants entitled to future benefits	2019-10-01	0
Total of all active and inactive participants	2019-10-01	270
2018: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2018 401k membership
Total participants, beginning-of-year	2018-10-01	262
Total number of active participants reported on line 7a of the Form 5500	2018-10-01	270
Number of retired or separated participants receiving benefits	2018-10-01	0
Number of other retired or separated participants entitled to future benefits	2018-10-01	0
Total of all active and inactive participants	2018-10-01	270
2017: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2017 401k membership
Total participants, beginning-of-year	2017-10-01	280
Total number of active participants reported on line 7a of the Form 5500	2017-10-01	262
Number of retired or separated participants receiving benefits	2017-10-01	0
Number of other retired or separated participants entitled to future benefits	2017-10-01	0
Total of all active and inactive participants	2017-10-01	262
2016: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2016 401k membership
Total participants, beginning-of-year	2016-10-01	270
Total number of active participants reported on line 7a of the Form 5500	2016-10-01	280
Number of retired or separated participants receiving benefits	2016-10-01	0
Number of other retired or separated participants entitled to future benefits	2016-10-01	0
Total of all active and inactive participants	2016-10-01	280
2015: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2015 401k membership
Total participants, beginning-of-year	2015-10-01	265
Total number of active participants reported on line 7a of the Form 5500	2015-10-01	270
Number of retired or separated participants receiving benefits	2015-10-01	0
Number of other retired or separated participants entitled to future benefits	2015-10-01	0
Total of all active and inactive participants	2015-10-01	270
2014: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2014 401k membership
Total participants, beginning-of-year	2014-10-01	247
Total number of active participants reported on line 7a of the Form 5500	2014-10-01	265
Number of retired or separated participants receiving benefits	2014-10-01	0
Number of other retired or separated participants entitled to future benefits	2014-10-01	0
Total of all active and inactive participants	2014-10-01	265
2013: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2013 401k membership
Total participants, beginning-of-year	2013-10-01	234
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	247
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	247

Form 5500 Responses for LOTT OIL COMPANY AND AFFILIATED COMPANIES

2022: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2022 form 5500 responses
2022-10-01	Type of plan entity	Single employer plan
2022-10-01	Submission has been amended	No
2022-10-01	This submission is the final filing	No
2022-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-10-01	Plan is a collectively bargained plan	No
2022-10-01	Plan funding arrangement – Insurance	Yes
2022-10-01	Plan benefit arrangement – Insurance	Yes
2021: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2021 form 5500 responses
2021-10-01	Type of plan entity	Single employer plan
2021-10-01	Submission has been amended	No
2021-10-01	This submission is the final filing	No
2021-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-10-01	Plan is a collectively bargained plan	No
2021-10-01	Plan funding arrangement – Insurance	Yes
2021-10-01	Plan benefit arrangement – Insurance	Yes
2019: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2019 form 5500 responses
2019-10-01	Type of plan entity	Single employer plan
2019-10-01	Submission has been amended	No
2019-10-01	This submission is the final filing	No
2019-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-10-01	Plan is a collectively bargained plan	No
2019-10-01	Plan funding arrangement – Insurance	Yes
2019-10-01	Plan benefit arrangement – Insurance	Yes
2018: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2018 form 5500 responses
2018-10-01	Type of plan entity	Single employer plan
2018-10-01	Submission has been amended	No
2018-10-01	This submission is the final filing	No
2018-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-10-01	Plan is a collectively bargained plan	No
2018-10-01	Plan funding arrangement – Insurance	Yes
2018-10-01	Plan benefit arrangement – Insurance	Yes
2017: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2017 form 5500 responses
2017-10-01	Type of plan entity	Single employer plan
2017-10-01	Submission has been amended	No
2017-10-01	This submission is the final filing	No
2017-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-10-01	Plan is a collectively bargained plan	No
2017-10-01	Plan funding arrangement – Insurance	Yes
2017-10-01	Plan benefit arrangement – Insurance	Yes
2016: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2016 form 5500 responses
2016-10-01	Type of plan entity	Single employer plan
2016-10-01	Submission has been amended	No
2016-10-01	This submission is the final filing	No
2016-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-10-01	Plan is a collectively bargained plan	No
2016-10-01	Plan funding arrangement – Insurance	Yes
2016-10-01	Plan benefit arrangement – Insurance	Yes
2015: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2015 form 5500 responses
2015-10-01	Type of plan entity	Single employer plan
2015-10-01	Submission has been amended	No
2015-10-01	This submission is the final filing	No
2015-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-10-01	Plan is a collectively bargained plan	No
2015-10-01	Plan funding arrangement – Insurance	Yes
2015-10-01	Plan benefit arrangement – Insurance	Yes
2014: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2014 form 5500 responses
2014-10-01	Type of plan entity	Single employer plan
2014-10-01	Submission has been amended	No
2014-10-01	This submission is the final filing	No
2014-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-10-01	Plan is a collectively bargained plan	No
2014-10-01	Plan funding arrangement – Insurance	Yes
2014-10-01	Plan benefit arrangement – Insurance	Yes
2013: LOTT OIL COMPANY AND AFFILIATED COMPANIES 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AH6B

Policy instance

Insurance contract or identification number	GLUG0AH6B
Number of Individuals Covered	278
Insurance policy start date	2022-10-01
Insurance policy end date	2023-09-30
Total amount of commissions paid to insurance broker	USD $1,865
Total amount of fees paid to insurance company	USD $727
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $12,434
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,865
Amount paid for insurance broker fees	727
Additional information about fees paid to insurance broker	AGENT OR BROKER OF RECORD (COMMISSION) AND OTHER COMPENSATION (FEES)
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0AH6B

Policy instance

Insurance contract or identification number	GLUG0AH6B
Number of Individuals Covered	249
Insurance policy start date	2021-10-01
Insurance policy end date	2022-09-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $12,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	Yes
Additional information about fees paid to insurance broker	AGENT OF BROKER OF RECORD
Insurance broker organization code?	3

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Company Name:	LOTT OIL COMPANY AND AFFILIATED COMPANIES
Employer identification number (EIN):	720877791
NAIC Classification:	424700