401k Plan data: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN plan

TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN
Plan identification number	501

TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision

401k Sponsoring company profile

TONTO APACHE TRIBE has sponsored the creation of one or more 401k plans.

Company Name: TONTO APACHE TRIBE

Employer identification number (EIN): 860275424

NAIC Classification: 921000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-01-01 SHERYL MARTINEZ 2024-02-29
501 2022-01-01 SHERYL MARTINEZ 2023-04-24
501 2021-01-01 SHERYL MARTINEZ 2022-07-26
501 2020-01-01 SHERYL MARTINEZ 2021-07-21
501 2019-01-01 SHERYL A MARTINEZ 2020-07-13
501 2018-01-01
501 2018-01-01 SHERYL MARTINEZ 2020-07-15
501 2017-01-01 JERI DECOLA 2019-04-02
501 2016-01-01 JERI DECOLA 2019-04-02
501 2015-01-01 JERI DECOLA 2019-04-02
501 2014-01-01
501 2013-01-01
501 2012-01-01
501 2011-01-01
501 2010-07-01
501 2009-07-01
501 2008-07-01
501 2007-07-01
501 2006-07-01
501 2005-07-01
501 2004-07-01
501 2003-07-01
501 2002-07-01
501 2002-01-01
501 2001-01-01
501 2000-01-01
501 1999-01-01
501 1998-01-01
501 1997-01-01
501 1996-01-01
501 1995-01-01

Form 5500 Responses for TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN

2023: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	Yes
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2010-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2007 form 5500 responses
2007-07-01	Type of plan entity	Single employer plan
2007-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2006 form 5500 responses
2006-07-01	Type of plan entity	Single employer plan
2006-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2005: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2005 form 5500 responses
2005-07-01	Type of plan entity	Single employer plan
2005-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2005-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2004: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2004 form 5500 responses
2004-07-01	Type of plan entity	Single employer plan
2004-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2004-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2003: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2003 form 5500 responses
2003-07-01	Type of plan entity	Single employer plan
2003-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2003-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2002: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2002 form 5500 responses
2002-07-01	Type of plan entity	Single employer plan
2002-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2002-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2002-01-01	Type of plan entity	Single employer plan
2002-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2002-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2002-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2001: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2001 form 5500 responses
2001-01-01	Type of plan entity	Single employer plan
2001-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2001-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2000: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 2000 form 5500 responses
2000-01-01	Type of plan entity	Single employer plan
2000-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2000-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
1999: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 1999 form 5500 responses
1999-01-01	Type of plan entity	Single employer plan
1999-01-01	Plan funding arrangement – General assets of the sponsor	Yes
1999-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
1998: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 1998 form 5500 responses
1998-01-01	Type of plan entity	Single employer plan
1998-01-01	Plan funding arrangement – General assets of the sponsor	Yes
1998-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
1997: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 1997 form 5500 responses
1997-01-01	Type of plan entity	Single employer plan
1997-01-01	Plan funding arrangement – General assets of the sponsor	Yes
1997-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
1996: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 1996 form 5500 responses
1996-01-01	Type of plan entity	Single employer plan
1996-01-01	Plan funding arrangement – General assets of the sponsor	Yes
1996-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
1995: TONTO APACHE TRIBE EMPLOYEE BENEFIT PLAN 1995 form 5500 responses
1995-01-01	Type of plan entity	Single employer plan
1995-01-01	First time form 5500 has been submitted	Yes
1995-01-01	Plan funding arrangement – General assets of the sponsor	Yes
1995-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

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

Policy contract number

30101631

Policy instance

Insurance contract or identification number	30101631
Number of Individuals Covered	116
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $17,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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

Policy contract number

30101631

Policy instance

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010-052214

Policy instance

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )

Policy contract number

010-052214

Policy instance

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

Policy contract number

30080195

Policy instance

DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )

Policy contract number

5099

Policy instance

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

Policy contract number

30080195

Policy instance

DELTA DENTAL OF ARIZONA (National Association of Insurance Commissioners NAIC id number: 53597 )

Policy contract number

5099

Policy instance

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Company Name:	TONTO APACHE TRIBE
Employer identification number (EIN):	860275424
NAIC Classification:	921000

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2023-01-01	SHERYL MARTINEZ	2024-02-29
501	2022-01-01	SHERYL MARTINEZ	2023-04-24
501	2021-01-01	SHERYL MARTINEZ	2022-07-26
501	2020-01-01	SHERYL MARTINEZ	2021-07-21
501	2019-01-01	SHERYL A MARTINEZ	2020-07-13
501	2018-01-01
501	2018-01-01	SHERYL MARTINEZ	2020-07-15
501	2017-01-01	JERI DECOLA	2019-04-02
501	2016-01-01	JERI DECOLA	2019-04-02
501	2015-01-01	JERI DECOLA	2019-04-02
501	2014-01-01
501	2013-01-01
501	2012-01-01
501	2011-01-01
501	2010-07-01
501	2009-07-01
501	2008-07-01
501	2007-07-01
501	2006-07-01
501	2005-07-01
501	2004-07-01
501	2003-07-01
501	2002-07-01
501	2002-01-01
501	2001-01-01
501	2000-01-01
501	1999-01-01
501	1998-01-01
501	1997-01-01
501	1996-01-01
501	1995-01-01