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THA RETIREMENT PLAN FOR ETMC ATHENS 401k Plan overview

Plan NameTHA RETIREMENT PLAN FOR ETMC ATHENS
Plan identification number 001

THA RETIREMENT PLAN FOR ETMC ATHENS Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

EAST TEXAS MEDICAL CENTER ATHENS has sponsored the creation of one or more 401k plans.

Company Name:EAST TEXAS MEDICAL CENTER ATHENS
Employer identification number (EIN):751854562
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THA RETIREMENT PLAN FOR ETMC ATHENS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-11-01
0012017-11-01
0012016-11-01LEA ANNE PORTER BYRON HALE2018-08-15
0012015-11-01LEA ANNE PORTER
0012014-11-01FRED HAMILTON DAVID A TRAVIS2016-08-15
0012013-11-01HEIDI SKELTON DAVID A TRAVIS2015-08-17
0012012-11-01FRED HAMILTON DAVID A TRAVIS2014-08-15
0012011-11-01FRED HAMILTON DAVID A. TRAVIS2013-08-14
0012010-11-01FRED HAMILTON DAVID A. TRAVIS2012-08-10
0012009-11-01FRED HAMILTON DAVID A. TRAVIS2011-08-15
0012008-11-01

Plan Statistics for THA RETIREMENT PLAN FOR ETMC ATHENS

401k plan membership statisitcs for THA RETIREMENT PLAN FOR ETMC ATHENS

Measure Date Value
2018: THA RETIREMENT PLAN FOR ETMC ATHENS 2018 401k membership
Total participants, beginning-of-year2018-11-01354
Total number of active participants reported on line 7a of the Form 55002018-11-010
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-010
Total of all active and inactive participants2018-11-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-11-010
Total participants2018-11-010
Number of participants with account balances2018-11-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-11-010
Market value of plan assets2018-10-3116,491,915
Acturial value of plan assets2018-10-3115,745,391
Funding target for retired participants and beneficiaries receiving payment2018-10-314,654,547
Number of terminated vested participants2018-10-31300
Fundng target for terminated vested participants2018-10-314,367,972
Active participant vested funding target2018-10-313,426,635
Number of active participants2018-10-31121
Total funding liabilities for active participants2018-10-313,434,877
Total participant count2018-10-31512
Total funding target for all participants2018-10-3112,457,396
Balance at beginning of prior year after applicable adjustments2018-10-310
Prefunding balance at beginning of prior year after applicable adjustments2018-10-31123,590
Carryover balanced portion elected for use to offset prior years funding requirement2018-10-310
Prefunding balanced used to offset prior years funding requirement2018-10-310
Amount remaining of carryover balance2018-10-310
Amount remaining of prefunding balance2018-10-31123,590
Present value of excess contributions2018-10-313,164,140
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-10-313,352,406
Balance of carryovers at beginning of current year2018-10-310
Balance of prefunding at beginning of current year2018-10-31145,268
Total employer contributions2018-10-310
Total employee contributions2018-10-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-10-310
Unpaid minimum required contributions for all prior years2018-10-310
Remaining amount of unpaid minimum required contributions2018-10-310
Minimum required contributions for current year target normal cost2018-10-31140,000
Total funding amount beforereflecting carryover/prefunding balances2018-10-310
Additional cash requirement2018-10-310
Contributions allocatedtoward minimum required contributions for current year2018-10-310
Unpaid minimum required contributions for current year2018-10-310
Unpaid minimum required contributions for all years2018-10-310
2017: THA RETIREMENT PLAN FOR ETMC ATHENS 2017 401k membership
Total participants, beginning-of-year2017-11-01512
Total number of active participants reported on line 7a of the Form 55002017-11-010
Number of retired or separated participants receiving benefits2017-11-0171
Number of other retired or separated participants entitled to future benefits2017-11-01258
Total of all active and inactive participants2017-11-01329
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-11-0125
Total participants2017-11-01354
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-11-010
Market value of plan assets2017-10-3113,021,116
Acturial value of plan assets2017-10-3113,507,021
Funding target for retired participants and beneficiaries receiving payment2017-10-314,103,067
Number of terminated vested participants2017-10-31310
Fundng target for terminated vested participants2017-10-314,420,268
Active participant vested funding target2017-10-314,376,835
Number of active participants2017-10-31128
Total funding liabilities for active participants2017-10-314,383,236
Total participant count2017-10-31530
Total funding target for all participants2017-10-3112,906,571
Balance at beginning of prior year after applicable adjustments2017-10-310
Prefunding balance at beginning of prior year after applicable adjustments2017-10-31119,169
Carryover balanced portion elected for use to offset prior years funding requirement2017-10-310
Prefunding balanced used to offset prior years funding requirement2017-10-310
Amount remaining of carryover balance2017-10-310
Amount remaining of prefunding balance2017-10-31119,169
Present value of excess contributions2017-10-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-10-310
Balance of carryovers at beginning of current year2017-10-310
Balance of prefunding at beginning of current year2017-10-31123,590
Total employer contributions2017-10-313,474,000
Total employee contributions2017-10-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-10-313,164,140
Unpaid minimum required contributions for all prior years2017-10-310
Remaining amount of unpaid minimum required contributions2017-10-310
Minimum required contributions for current year target normal cost2017-10-31260,000
Total funding amount beforereflecting carryover/prefunding balances2017-10-310
Additional cash requirement2017-10-310
Contributions allocatedtoward minimum required contributions for current year2017-10-313,164,140
Unpaid minimum required contributions for current year2017-10-310
Unpaid minimum required contributions for all years2017-10-310
2016: THA RETIREMENT PLAN FOR ETMC ATHENS 2016 401k membership
Total participants, beginning-of-year2016-11-01530
Total number of active participants reported on line 7a of the Form 55002016-11-01121
Number of retired or separated participants receiving benefits2016-11-0178
Number of other retired or separated participants entitled to future benefits2016-11-01295
Total of all active and inactive participants2016-11-01494
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-11-0118
Total participants2016-11-01512
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-11-010
2015: THA RETIREMENT PLAN FOR ETMC ATHENS 2015 401k membership
Total participants, beginning-of-year2015-11-01552
Total number of active participants reported on line 7a of the Form 55002015-11-01128
Number of retired or separated participants receiving benefits2015-11-0181
Number of other retired or separated participants entitled to future benefits2015-11-01305
Total of all active and inactive participants2015-11-01514
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-0116
Total participants2015-11-01530
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-010
2014: THA RETIREMENT PLAN FOR ETMC ATHENS 2014 401k membership
Total participants, beginning-of-year2014-11-01577
Total number of active participants reported on line 7a of the Form 55002014-11-01139
Number of retired or separated participants receiving benefits2014-11-0184
Number of other retired or separated participants entitled to future benefits2014-11-01314
Total of all active and inactive participants2014-11-01537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-0115
Total participants2014-11-01552
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-010
2013: THA RETIREMENT PLAN FOR ETMC ATHENS 2013 401k membership
Total participants, beginning-of-year2013-11-01611
Total number of active participants reported on line 7a of the Form 55002013-11-01153
Number of retired or separated participants receiving benefits2013-11-0187
Number of other retired or separated participants entitled to future benefits2013-11-01322
Total of all active and inactive participants2013-11-01562
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-0115
Total participants2013-11-01577
2012: THA RETIREMENT PLAN FOR ETMC ATHENS 2012 401k membership
Total participants, beginning-of-year2012-11-01628
Total number of active participants reported on line 7a of the Form 55002012-11-01180
Number of retired or separated participants receiving benefits2012-11-0191
Number of other retired or separated participants entitled to future benefits2012-11-01325
Total of all active and inactive participants2012-11-01596
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-0115
Total participants2012-11-01611
2011: THA RETIREMENT PLAN FOR ETMC ATHENS 2011 401k membership
Total participants, beginning-of-year2011-11-01680
Total number of active participants reported on line 7a of the Form 55002011-11-01199
Number of retired or separated participants receiving benefits2011-11-0188
Number of other retired or separated participants entitled to future benefits2011-11-01326
Total of all active and inactive participants2011-11-01613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-0115
Total participants2011-11-01628
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2010: THA RETIREMENT PLAN FOR ETMC ATHENS 2010 401k membership
Total participants, beginning-of-year2010-11-01721
Total number of active participants reported on line 7a of the Form 55002010-11-01218
Number of retired or separated participants receiving benefits2010-11-0185
Number of other retired or separated participants entitled to future benefits2010-11-01363
Total of all active and inactive participants2010-11-01666
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-11-0114
Total participants2010-11-01680
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-11-012
2009: THA RETIREMENT PLAN FOR ETMC ATHENS 2009 401k membership
Total participants, beginning-of-year2009-11-01753
Total number of active participants reported on line 7a of the Form 55002009-11-01248
Number of retired or separated participants receiving benefits2009-11-0196
Number of other retired or separated participants entitled to future benefits2009-11-01361
Total of all active and inactive participants2009-11-01705
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-0116
Total participants2009-11-01721
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-011

Financial Data on THA RETIREMENT PLAN FOR ETMC ATHENS

Measure Date Value
2019 : THA RETIREMENT PLAN FOR ETMC ATHENS 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-10-02$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-02$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-02$200,161
Total income from all sources (including contributions)2019-10-02$379,147
Total loss/gain on sale of assets2019-10-02$0
Total of all expenses incurred2019-10-02$10,943,338
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-02$10,943,338
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-02$424,950
Value of total assets at end of year2019-10-02$0
Value of total assets at beginning of year2019-10-02$10,764,352
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-02$0
Total interest from all sources2019-10-02$0
Total dividends received (eg from common stock, registered investment company shares)2019-10-02$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-02Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-10-02$0
Was this plan covered by a fidelity bond2019-10-02Yes
Value of fidelity bond cover2019-10-02$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-10-02$0
Were there any nonexempt tranactions with any party-in-interest2019-10-02No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-10-02$243,647
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-10-02$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-10-02$152,909
Liabilities. Value of operating payables at end of year2019-10-02$0
Liabilities. Value of operating payables at beginning of year2019-10-02$198,553
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-02No
Value of net income/loss2019-10-02$-10,564,191
Value of net assets at end of year (total assets less liabilities)2019-10-02$0
Value of net assets at beginning of year (total assets less liabilities)2019-10-02$10,564,191
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-02No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-02No
Were any leases to which the plan was party in default or uncollectible2019-10-02No
Value of interest in master investment trust accounts at end of year2019-10-02$0
Value of interest in master investment trust accounts at beginning of year2019-10-02$10,611,443
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-02$7,432,950
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-02No
Was there a failure to transmit to the plan any participant contributions2019-10-02No
Has the plan failed to provide any benefit when due under the plan2019-10-02No
Contributions received in cash from employer2019-10-02$424,950
Employer contributions (assets) at end of year2019-10-02$0
Employer contributions (assets) at beginning of year2019-10-02$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-02$3,266,741
Liabilities. Value of benefit claims payable at end of year2019-10-02$0
Liabilities. Value of benefit claims payable at beginning of year2019-10-02$1,608
Did the plan have assets held for investment2019-10-02No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-02No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-02Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-02No
Opinion of an independent qualified public accountant for this plan2019-10-02Unqualified
Accountancy firm name2019-10-02HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2019-10-02743121060
2018 : THA RETIREMENT PLAN FOR ETMC ATHENS 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$200,161
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$674
Total income from all sources (including contributions)2018-10-31$220,329
Total loss/gain on sale of assets2018-10-31$0
Total of all expenses incurred2018-10-31$6,269,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$6,269,647
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$0
Value of total assets at end of year2018-10-31$10,764,352
Value of total assets at beginning of year2018-10-31$16,614,183
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$0
Total interest from all sources2018-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-10-31$0
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-10-31$0
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$152,909
Liabilities. Value of operating payables at end of year2018-10-31$198,553
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$-6,049,318
Value of net assets at end of year (total assets less liabilities)2018-10-31$10,564,191
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$16,613,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Value of interest in master investment trust accounts at end of year2018-10-31$10,611,443
Value of interest in master investment trust accounts at beginning of year2018-10-31$13,140,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Employer contributions (assets) at end of year2018-10-31$0
Employer contributions (assets) at beginning of year2018-10-31$3,474,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$6,269,647
Liabilities. Value of benefit claims payable at end of year2018-10-31$1,608
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$674
Did the plan have assets held for investment2018-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2018-10-31743121060
2017 : THA RETIREMENT PLAN FOR ETMC ATHENS 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$674
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$0
Total income from all sources (including contributions)2017-10-31$5,339,595
Total loss/gain on sale of assets2017-10-31$0
Total of all expenses incurred2017-10-31$1,747,202
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$1,747,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$3,474,000
Value of total assets at end of year2017-10-31$16,614,183
Value of total assets at beginning of year2017-10-31$13,021,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$0
Total interest from all sources2017-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$3,592,393
Value of net assets at end of year (total assets less liabilities)2017-10-31$16,613,509
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$13,021,116
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Value of interest in master investment trust accounts at end of year2017-10-31$13,140,183
Value of interest in master investment trust accounts at beginning of year2017-10-31$13,021,116
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$3,474,000
Employer contributions (assets) at end of year2017-10-31$3,474,000
Employer contributions (assets) at beginning of year2017-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$1,747,202
Liabilities. Value of benefit claims payable at end of year2017-10-31$674
Did the plan have assets held for investment2017-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2017-10-31743121060
2016 : THA RETIREMENT PLAN FOR ETMC ATHENS 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$0
Total income from all sources (including contributions)2016-10-31$307,514
Total loss/gain on sale of assets2016-10-31$0
Total of all expenses incurred2016-10-31$1,371,783
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$1,371,783
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$0
Value of total assets at end of year2016-10-31$13,021,116
Value of total assets at beginning of year2016-10-31$14,085,385
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$0
Total interest from all sources2016-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-31$0
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$-1,064,269
Value of net assets at end of year (total assets less liabilities)2016-10-31$13,021,116
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$14,085,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Value of interest in master investment trust accounts at end of year2016-10-31$13,021,116
Value of interest in master investment trust accounts at beginning of year2016-10-31$14,085,385
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$0
Employer contributions (assets) at end of year2016-10-31$0
Employer contributions (assets) at beginning of year2016-10-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$1,371,783
Did the plan have assets held for investment2016-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2016-10-31743121060
2015 : THA RETIREMENT PLAN FOR ETMC ATHENS 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$0
Total income from all sources (including contributions)2015-10-31$340,036
Total loss/gain on sale of assets2015-10-31$0
Total of all expenses incurred2015-10-31$1,513,438
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$1,513,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$113,828
Value of total assets at end of year2015-10-31$14,085,385
Value of total assets at beginning of year2015-10-31$15,258,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$0
Total interest from all sources2015-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-10-31$0
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$-1,173,402
Value of net assets at end of year (total assets less liabilities)2015-10-31$14,085,385
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$15,258,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Value of interest in master investment trust accounts at end of year2015-10-31$14,085,385
Value of interest in master investment trust accounts at beginning of year2015-10-31$15,062,927
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$113,828
Employer contributions (assets) at end of year2015-10-31$0
Employer contributions (assets) at beginning of year2015-10-31$195,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$1,513,438
Did the plan have assets held for investment2015-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2015-10-31743121060
2014 : THA RETIREMENT PLAN FOR ETMC ATHENS 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$0
Total income from all sources (including contributions)2014-10-31$1,978,716
Total loss/gain on sale of assets2014-10-31$0
Total of all expenses incurred2014-10-31$1,433,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$1,433,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$480,344
Value of total assets at end of year2014-10-31$15,258,787
Value of total assets at beginning of year2014-10-31$14,713,133
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$0
Total interest from all sources2014-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-10-31$0
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$545,654
Value of net assets at end of year (total assets less liabilities)2014-10-31$15,258,787
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$14,713,133
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Value of interest in master investment trust accounts at end of year2014-10-31$15,062,927
Value of interest in master investment trust accounts at beginning of year2014-10-31$14,670,155
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$480,344
Employer contributions (assets) at end of year2014-10-31$195,860
Employer contributions (assets) at beginning of year2014-10-31$42,978
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$1,433,062
Did the plan have assets held for investment2014-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2014-10-31743121060
2013 : THA RETIREMENT PLAN FOR ETMC ATHENS 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$0
Total income from all sources (including contributions)2013-10-31$2,943,679
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$1,267,662
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$1,267,662
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$407,131
Value of total assets at end of year2013-10-31$14,713,133
Value of total assets at beginning of year2013-10-31$13,037,116
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$0
Total interest from all sources2013-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-10-31$0
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$1,676,017
Value of net assets at end of year (total assets less liabilities)2013-10-31$14,713,133
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$13,037,116
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Value of interest in master investment trust accounts at end of year2013-10-31$14,670,155
Value of interest in master investment trust accounts at beginning of year2013-10-31$12,709,640
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$407,131
Employer contributions (assets) at end of year2013-10-31$42,978
Employer contributions (assets) at beginning of year2013-10-31$327,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$1,267,662
Did the plan have assets held for investment2013-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2013-10-31743121060
2012 : THA RETIREMENT PLAN FOR ETMC ATHENS 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$0
Total income from all sources (including contributions)2012-10-31$2,133,827
Total loss/gain on sale of assets2012-10-31$0
Total of all expenses incurred2012-10-31$2,208,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$2,208,391
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$849,806
Value of total assets at end of year2012-10-31$13,037,116
Value of total assets at beginning of year2012-10-31$13,111,680
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$0
Total interest from all sources2012-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$500,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-10-31$0
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$-74,564
Value of net assets at end of year (total assets less liabilities)2012-10-31$13,037,116
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$13,111,680
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Value of interest in master investment trust accounts at end of year2012-10-31$12,709,640
Value of interest in master investment trust accounts at beginning of year2012-10-31$12,100,609
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$849,806
Employer contributions (assets) at end of year2012-10-31$327,476
Employer contributions (assets) at beginning of year2012-10-31$1,011,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$2,208,391
Did the plan have assets held for investment2012-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2012-10-31743121060
2011 : THA RETIREMENT PLAN FOR ETMC ATHENS 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$0
Total income from all sources (including contributions)2011-10-31$1,799,881
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$1,879,939
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$1,879,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$1,494,284
Value of total assets at end of year2011-10-31$13,111,680
Value of total assets at beginning of year2011-10-31$13,191,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$0
Total interest from all sources2011-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$-80,058
Value of net assets at end of year (total assets less liabilities)2011-10-31$13,111,680
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$13,191,738
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Value of interest in master investment trust accounts at end of year2011-10-31$12,100,609
Value of interest in master investment trust accounts at beginning of year2011-10-31$10,810,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$1,494,284
Employer contributions (assets) at end of year2011-10-31$1,011,071
Employer contributions (assets) at beginning of year2011-10-31$2,380,797
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$1,879,939
Did the plan have assets held for investment2011-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31HOLTZMAN PARTNERS, LLC
Accountancy firm EIN2011-10-31743121060
2010 : THA RETIREMENT PLAN FOR ETMC ATHENS 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-10-31$0

Form 5500 Responses for THA RETIREMENT PLAN FOR ETMC ATHENS

2018: THA RETIREMENT PLAN FOR ETMC ATHENS 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingYes
2018-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: THA RETIREMENT PLAN FOR ETMC ATHENS 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement - TrustYes
2016: THA RETIREMENT PLAN FOR ETMC ATHENS 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement - TrustYes
2015: THA RETIREMENT PLAN FOR ETMC ATHENS 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement - TrustYes
2014: THA RETIREMENT PLAN FOR ETMC ATHENS 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement - TrustYes
2013: THA RETIREMENT PLAN FOR ETMC ATHENS 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement - TrustYes
2012: THA RETIREMENT PLAN FOR ETMC ATHENS 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement - TrustYes
2011: THA RETIREMENT PLAN FOR ETMC ATHENS 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement - TrustYes
2010: THA RETIREMENT PLAN FOR ETMC ATHENS 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement - TrustYes
2009: THA RETIREMENT PLAN FOR ETMC ATHENS 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement - TrustYes
2008: THA RETIREMENT PLAN FOR ETMC ATHENS 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSPG-25870
Policy instance 1
Insurance contract or identification numberSPG-25870
Number of Individuals Covered144
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?Yes
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 planYes
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 organization code?3

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