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POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 401k Plan overview

Plan NamePOSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN
Plan identification number 501

POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

POSO CREEK FAMILY DAIRY, LLC has sponsored the creation of one or more 401k plans.

Company Name:POSO CREEK FAMILY DAIRY, LLC
Employer identification number (EIN):770586577
NAIC Classification:112120
NAIC Description:Dairy Cattle and Milk Production

Additional information about POSO CREEK FAMILY DAIRY, LLC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: 200134810018

More information about POSO CREEK FAMILY DAIRY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-02-01
5012022-02-01PETER H. BOUMA2023-06-26
5012021-02-01PETER H. BOUMA2022-04-26 PETER H. BOUMA2022-04-26
5012020-02-01PETER H. BOUMA2021-08-09
5012019-02-01PETER H. BOUMA2020-08-20

Plan Statistics for POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN

401k plan membership statisitcs for POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN

Measure Date Value
2023: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2023 401k membership
Total participants, beginning-of-year2023-02-01113
Total number of active participants reported on line 7a of the Form 55002023-02-01137
Number of retired or separated participants receiving benefits2023-02-010
Number of other retired or separated participants entitled to future benefits2023-02-010
Total of all active and inactive participants2023-02-01137
2022: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-02-01104
Total number of active participants reported on line 7a of the Form 55002022-02-01113
Number of retired or separated participants receiving benefits2022-02-010
Number of other retired or separated participants entitled to future benefits2022-02-010
Total of all active and inactive participants2022-02-01113
2021: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-02-01123
Total number of active participants reported on line 7a of the Form 55002021-02-01104
Number of retired or separated participants receiving benefits2021-02-010
Number of other retired or separated participants entitled to future benefits2021-02-010
Total of all active and inactive participants2021-02-01104
2020: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-02-01126
Total number of active participants reported on line 7a of the Form 55002020-02-01123
Number of retired or separated participants receiving benefits2020-02-010
Number of other retired or separated participants entitled to future benefits2020-02-010
Total of all active and inactive participants2020-02-01123
2019: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-02-01126
Total number of active participants reported on line 7a of the Form 55002019-02-01126
Number of retired or separated participants receiving benefits2019-02-010
Number of other retired or separated participants entitled to future benefits2019-02-010
Total of all active and inactive participants2019-02-01126

Form 5500 Responses for POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN

2023: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2023 form 5500 responses
2023-02-01Type of plan entitySingle employer plan
2023-02-01Submission has been amendedNo
2023-02-01This submission is the final filingNo
2023-02-01This return/report is a short plan year return/report (less than 12 months)No
2023-02-01Plan is a collectively bargained planNo
2023-02-01Plan funding arrangement – General assets of the sponsorYes
2023-02-01Plan benefit arrangement – General assets of the sponsorYes
2022: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planNo
2022-02-01Plan funding arrangement – General assets of the sponsorYes
2022-02-01Plan benefit arrangement – General assets of the sponsorYes
2021: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-02-01Type of plan entitySingle employer plan
2021-02-01Submission has been amendedNo
2021-02-01This submission is the final filingNo
2021-02-01This return/report is a short plan year return/report (less than 12 months)No
2021-02-01Plan is a collectively bargained planNo
2021-02-01Plan funding arrangement – InsuranceYes
2021-02-01Plan funding arrangement – General assets of the sponsorYes
2021-02-01Plan benefit arrangement – InsuranceYes
2021-02-01Plan benefit arrangement – General assets of the sponsorYes
2020: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Submission has been amendedNo
2020-02-01This submission is the final filingNo
2020-02-01This return/report is a short plan year return/report (less than 12 months)No
2020-02-01Plan is a collectively bargained planNo
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – General assets of the sponsorYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement – General assets of the sponsorYes
2019: POSO CREEK FAMILY DAIRY, LLC HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01First time form 5500 has been submittedYes
2019-02-01Submission has been amendedNo
2019-02-01This submission is the final filingNo
2019-02-01This return/report is a short plan year return/report (less than 12 months)No
2019-02-01Plan is a collectively bargained planNo
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – General assets of the sponsorYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

E.D.I.S. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number788 62B
Policy instance 1
Insurance contract or identification number788 62B
Number of Individuals Covered0
Insurance policy start date2021-02-01
Insurance policy end date2022-01-31
Total amount of commissions paid to insurance brokerUSD $12,139
Total amount of fees paid to insurance companyUSD $44,279
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Amount paid for insurance broker fees44279
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $12,139
E.D.I.S. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number788 62B
Policy instance 1
Insurance contract or identification number788 62B
Number of Individuals Covered0
Insurance policy start date2020-02-01
Insurance policy end date2021-01-31
Total amount of commissions paid to insurance brokerUSD $11,336
Total amount of fees paid to insurance companyUSD $44,643
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 BenefitYes
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
Amount paid for insurance broker fees44643
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $11,336
E.D.I.S. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number788 62B
Policy instance 1
Insurance contract or identification number788 62B
Number of Individuals Covered0
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $11,452
Total amount of fees paid to insurance companyUSD $46,873
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 BenefitYes
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
Amount paid for insurance broker fees46873
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $11,452

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