401k Plan data: ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN plan

ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN 401k Plan overview

Plan Name	ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN
Plan identification number	501

ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

ROLL-OFFS OF AMERICA, INC. has sponsored the creation of one or more 401k plans.

Company Name: ROLL-OFFS OF AMERICA, INC.

Employer identification number (EIN): 731458453

NAIC Classification: 339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2018-02-01 RAY JEAN HANKEY 2019-11-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2018-02-01	RAY JEAN HANKEY	2019-11-15

Plan Statistics for ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN

401k plan membership statisitcs for ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN

Measure Date Value
2018: ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-02-01 141
Total number of active participants reported on line 7a of the Form 5500 2018-02-01 141
Total of all active and inactive participants 2018-02-01 141

Measure	Date	Value
2018: ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-02-01	141
Total number of active participants reported on line 7a of the Form 5500	2018-02-01	141
Total of all active and inactive participants	2018-02-01	141

Form 5500 Responses for ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN

2018: ROLL-OFFS OF AMERICA, INC. BENEFIT PLAN 2018 form 5500 responses
2018-02-01	Type of plan entity	Single employer plan
2018-02-01	First time form 5500 has been submitted	Yes
2018-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-02-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

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

Policy contract number

G000AZCD

Policy instance

Insurance contract or identification number	G000AZCD
Number of Individuals Covered	141
Insurance policy start date	2018-02-01
Insurance policy end date	2019-01-31
Total amount of commissions paid to insurance broker	USD $3,296
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $21,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,296
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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

Policy contract number

G000AZCD

Policy instance

Insurance contract or identification number	G000AZCD
Number of Individuals Covered	57
Insurance policy start date	2018-02-01
Insurance policy end date	2019-01-31
Total amount of commissions paid to insurance broker	USD $4,015
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $26,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,015
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )

Policy contract number

30065437

Policy instance

Insurance contract or identification number	30065437
Number of Individuals Covered	53
Insurance policy start date	2018-02-01
Insurance policy end date	2019-01-31
Total amount of commissions paid to insurance broker	USD $649
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $7,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $649
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	ROLL-OFFS OF AMERICA, INC.
Employer identification number (EIN):	731458453
NAIC Classification:	339900