401k Plan data: RETROTECH, INC plan

RETROTECH, INC 401k Plan overview

Plan Name	RETROTECH, INC
Plan identification number	501

RETROTECH, INC Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

RETROTECH, INC. has sponsored the creation of one or more 401k plans.

Company Name: RETROTECH, INC.

Employer identification number (EIN): 760850402

NAIC Classification: 333200

Additional information about RETROTECH, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2009-01-15

Company Identification Number: 0801074882

Legal Registered Office Address: 1275 JOHN ST STE 400

W HENRIETTA
United States of America (USA)
14586

More information about RETROTECH, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RETROTECH, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-01-01 TERI RHUMA TERI RHUMA 2017-07-13
501 2015-01-01 TERI RHUMA TERI RHUMA 2016-06-07

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2016-01-01	TERI RHUMA		TERI RHUMA	2017-07-13
501	2015-01-01	TERI RHUMA		TERI RHUMA	2016-06-07

Plan Statistics for RETROTECH, INC

401k plan membership statisitcs for RETROTECH, INC

Measure Date Value
2016: RETROTECH, INC 2016 401k membership
Total participants, beginning-of-year 2016-01-01 106
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 127
Total of all active and inactive participants 2016-01-01 127
Total participants 2016-01-01 127
2015: RETROTECH, INC 2015 401k membership
Total participants, beginning-of-year 2015-01-01 88
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 106
Total of all active and inactive participants 2015-01-01 106
Total participants 2015-01-01 106

Measure	Date	Value
2016: RETROTECH, INC 2016 401k membership
Total participants, beginning-of-year	2016-01-01	106
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	127
Total of all active and inactive participants	2016-01-01	127
Total participants	2016-01-01	127
2015: RETROTECH, INC 2015 401k membership
Total participants, beginning-of-year	2015-01-01	88
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	106
Total of all active and inactive participants	2015-01-01	106
Total participants	2015-01-01	106

Form 5500 Responses for RETROTECH, INC

2016: RETROTECH, INC 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	First time form 5500 has been submitted	Yes
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: RETROTECH, INC 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	First time form 5500 has been submitted	Yes
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )

Policy contract number

Policy instance

Number of Individuals Covered	106
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $6,576
Total amount of fees paid to insurance company	USD $9,646
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 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	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
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 $85,907
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,318
Insurance broker organization code?	3
Insurance broker name	BROWN AND BROWN EMPIRE STATE

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

0009L806

Policy instance

Insurance contract or identification number	0009L806
Number of Individuals Covered	128
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $8,030
Total amount of fees paid to insurance company	USD $3,086
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 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	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 $60,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,225
Insurance broker organization code?	3
Amount paid for insurance broker fees	3086
Insurance broker name	BROWN AND BROWN OF NEW YORK INC

Potentially related plans

RETROTECH, INC. 401(K) PLAN [EIN = 750850402]

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Company Name:	RETROTECH, INC.
Employer identification number (EIN):	760850402
NAIC Classification:	333200

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2009-01-15
Company Identification Number:	0801074882
Legal Registered Office Address:	1275 JOHN ST STE 400 W HENRIETTA United States of America (USA) 14586