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THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan NameTHE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST
Plan identification number 501

THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST Benefits

401k Plan TypeWelfare 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

THE FARNSWORTH COMPANIES has sponsored the creation of one or more 401k plans.

Company Name:THE FARNSWORTH COMPANIES
Employer identification number (EIN):860638031
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-09-01
5012018-09-01
5012017-09-01DAVID A. PALMER2019-06-11
5012016-09-01
5012015-09-01
5012014-09-01
5012013-09-01
5012012-09-01DAVID A. PALMER
5012009-09-01DAVID A PALMER

Plan Statistics for THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST

Measure Date Value
2017: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-09-01236
Total number of active participants reported on line 7a of the Form 55002017-09-0177
Total of all active and inactive participants2017-09-0177
2016: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-09-01242
Total number of active participants reported on line 7a of the Form 55002016-09-01236
Total of all active and inactive participants2016-09-01236
2015: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-09-01169
Total number of active participants reported on line 7a of the Form 55002015-09-01242
Total of all active and inactive participants2015-09-01242
2014: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-09-01299
Total number of active participants reported on line 7a of the Form 55002014-09-01169
Total of all active and inactive participants2014-09-01169
2013: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-09-01289
Total number of active participants reported on line 7a of the Form 55002013-09-01299
Total of all active and inactive participants2013-09-01299
2012: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-09-01285
Total number of active participants reported on line 7a of the Form 55002012-09-01289
Total of all active and inactive participants2012-09-01289
2009: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-09-01258
Total number of active participants reported on line 7a of the Form 55002009-09-01247
Total of all active and inactive participants2009-09-01247
Total participants2009-09-01247

Financial Data on THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST

Measure Date Value
2018 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$122,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$314,760
Total income from all sources (including contributions)2018-08-31$2,575,085
Total of all expenses incurred2018-08-31$2,740,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$2,562,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$2,571,455
Value of total assets at end of year2018-08-31$122,397
Value of total assets at beginning of year2018-08-31$479,738
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$177,302
Total interest from all sources2018-08-31$1,154
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Administrative expenses professional fees incurred2018-08-31$3,000
Was this plan covered by a fidelity bond2018-08-31No
If this is an individual account plan, was there a blackout period2018-08-31No
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-08-31$65,209
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$89,167
Other income not declared elsewhere2018-08-31$2,476
Administrative expenses (other) incurred2018-08-31$80,094
Liabilities. Value of operating payables at end of year2018-08-31$18,397
Liabilities. Value of operating payables at beginning of year2018-08-31$44,760
Total non interest bearing cash at end of year2018-08-31$56,617
Total non interest bearing cash at beginning of year2018-08-31$59,302
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$-164,978
Value of net assets at end of year (total assets less liabilities)2018-08-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$164,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-08-31$571
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-08-31$331,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-08-31$331,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-08-31$1,154
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$166,555
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31No
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$2,571,455
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$2,396,206
Contract administrator fees2018-08-31$94,208
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-08-31No
Liabilities. Value of benefit claims payable at end of year2018-08-31$104,000
Liabilities. Value of benefit claims payable at beginning of year2018-08-31$270,000
Did the plan have assets held for investment2018-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2018-08-31860751928
2017 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$314,760
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$315,983
Total income from all sources (including contributions)2017-08-31$2,479,428
Total of all expenses incurred2017-08-31$3,112,156
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$2,902,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$2,384,445
Value of total assets at end of year2017-08-31$479,738
Value of total assets at beginning of year2017-08-31$1,113,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$209,878
Total interest from all sources2017-08-31$2,938
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Administrative expenses professional fees incurred2017-08-31$8,750
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$1,000,000
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$89,167
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$312,361
Other income not declared elsewhere2017-08-31$92,045
Administrative expenses (other) incurred2017-08-31$88,024
Liabilities. Value of operating payables at end of year2017-08-31$44,760
Liabilities. Value of operating payables at beginning of year2017-08-31$45,983
Total non interest bearing cash at end of year2017-08-31$59,302
Total non interest bearing cash at beginning of year2017-08-31$192,992
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$-632,728
Value of net assets at end of year (total assets less liabilities)2017-08-31$164,978
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$797,706
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-08-31$331,269
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-08-31$608,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-08-31$608,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-08-31$2,938
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$158,253
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31No
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$2,384,445
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$2,744,025
Contract administrator fees2017-08-31$113,104
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-08-31No
Liabilities. Value of benefit claims payable at end of year2017-08-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$270,000
Did the plan have assets held for investment2017-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Qualified
Accountancy firm name2017-08-31MASPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2017-08-31860751928
2016 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$315,983
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$289,113
Total income from all sources (including contributions)2016-08-31$2,517,221
Total of all expenses incurred2016-08-31$3,033,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$2,828,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$2,190,223
Value of total assets at end of year2016-08-31$1,113,689
Value of total assets at beginning of year2016-08-31$1,603,226
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$205,472
Total interest from all sources2016-08-31$4,767
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Administrative expenses professional fees incurred2016-08-31$8,000
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$1,000,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$312,361
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-08-31$19,962
Other income not declared elsewhere2016-08-31$322,231
Administrative expenses (other) incurred2016-08-31$85,131
Liabilities. Value of operating payables at end of year2016-08-31$45,983
Liabilities. Value of operating payables at beginning of year2016-08-31$19,113
Total non interest bearing cash at end of year2016-08-31$192,992
Total non interest bearing cash at beginning of year2016-08-31$359,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$-516,407
Value of net assets at end of year (total assets less liabilities)2016-08-31$797,706
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$1,314,113
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-08-31$608,336
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-08-31$1,223,570
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-08-31$1,223,570
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$4,767
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$147,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31No
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$2,190,223
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$2,681,092
Contract administrator fees2016-08-31$112,341
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-08-31No
Liabilities. Value of benefit claims payable at end of year2016-08-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$270,000
Did the plan have assets held for investment2016-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2016-08-31860751928
2015 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$289,113
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$286,063
Total income from all sources (including contributions)2015-08-31$1,747,583
Total of all expenses incurred2015-08-31$1,908,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$1,741,152
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$1,695,171
Value of total assets at end of year2015-08-31$1,603,226
Value of total assets at beginning of year2015-08-31$1,761,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$167,432
Total interest from all sources2015-08-31$4,579
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Administrative expenses professional fees incurred2015-08-31$8,000
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$1,000,000
If this is an individual account plan, was there a blackout period2015-08-31No
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-08-31$19,962
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-08-31$1,783
Other income not declared elsewhere2015-08-31$47,833
Administrative expenses (other) incurred2015-08-31$69,970
Liabilities. Value of operating payables at end of year2015-08-31$19,113
Liabilities. Value of operating payables at beginning of year2015-08-31$16,063
Total non interest bearing cash at end of year2015-08-31$359,694
Total non interest bearing cash at beginning of year2015-08-31$575,399
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$-161,001
Value of net assets at end of year (total assets less liabilities)2015-08-31$1,314,113
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$1,475,114
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-08-31$1,223,570
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-08-31$1,183,995
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-08-31$1,183,995
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$4,579
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$142,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31No
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$1,695,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$1,598,586
Contract administrator fees2015-08-31$89,462
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-08-31No
Liabilities. Value of benefit claims payable at end of year2015-08-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$270,000
Did the plan have assets held for investment2015-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2015-08-31860751928
2014 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$286,063
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$288,998
Total income from all sources (including contributions)2014-08-31$1,908,701
Total of all expenses incurred2014-08-31$1,575,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$1,444,349
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$1,864,350
Value of total assets at end of year2014-08-31$1,761,177
Value of total assets at beginning of year2014-08-31$1,430,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$131,106
Total interest from all sources2014-08-31$5,251
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Administrative expenses professional fees incurred2014-08-31$8,180
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$1,000,000
If this is an individual account plan, was there a blackout period2014-08-31No
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-08-31$1,783
Other income not declared elsewhere2014-08-31$39,100
Administrative expenses (other) incurred2014-08-31$64,773
Liabilities. Value of operating payables at end of year2014-08-31$16,063
Liabilities. Value of operating payables at beginning of year2014-08-31$18,998
Total non interest bearing cash at end of year2014-08-31$575,399
Total non interest bearing cash at beginning of year2014-08-31$222,045
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$333,246
Value of net assets at end of year (total assets less liabilities)2014-08-31$1,475,114
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$1,141,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-08-31$1,183,995
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$1,208,821
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$1,208,821
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-08-31$5,251
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$130,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31No
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$1,864,350
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$1,313,962
Contract administrator fees2014-08-31$58,153
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-08-31No
Liabilities. Value of benefit claims payable at end of year2014-08-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$270,000
Did the plan have assets held for investment2014-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2014-08-31860751928
2013 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$288,998
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$288,687
Total income from all sources (including contributions)2013-08-31$2,581,165
Total of all expenses incurred2013-08-31$2,249,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$2,055,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$2,546,002
Value of total assets at end of year2013-08-31$1,430,866
Value of total assets at beginning of year2013-08-31$1,099,063
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$194,473
Total interest from all sources2013-08-31$2,378
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Administrative expenses professional fees incurred2013-08-31$9,550
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$1,000,000
If this is an individual account plan, was there a blackout period2013-08-31No
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-08-31$20,483
Other income not declared elsewhere2013-08-31$32,785
Administrative expenses (other) incurred2013-08-31$106,776
Liabilities. Value of operating payables at end of year2013-08-31$18,998
Liabilities. Value of operating payables at beginning of year2013-08-31$38,687
Total non interest bearing cash at end of year2013-08-31$222,045
Total non interest bearing cash at beginning of year2013-08-31$422,132
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$331,492
Value of net assets at end of year (total assets less liabilities)2013-08-31$1,141,868
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$810,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$1,208,821
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-08-31$656,448
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-08-31$656,448
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-08-31$2,378
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$164,421
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31No
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$2,546,002
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$1,890,779
Contract administrator fees2013-08-31$78,147
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-08-31No
Liabilities. Value of benefit claims payable at end of year2013-08-31$270,000
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$250,000
Did the plan have assets held for investment2013-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31MANSPERGER PATTERSON & MCMULLIN PLC
Accountancy firm EIN2013-08-31860751928
2011 : THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$220,548
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$257,581
Total income from all sources (including contributions)2011-08-31$1,981,082
Total of all expenses incurred2011-08-31$1,838,057
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$1,711,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$1,898,350
Value of total assets at end of year2011-08-31$901,629
Value of total assets at beginning of year2011-08-31$795,637
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$126,714
Total interest from all sources2011-08-31$3,465
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Administrative expenses professional fees incurred2011-08-31$8,150
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$5,115
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$176,324
Other income not declared elsewhere2011-08-31$79,267
Administrative expenses (other) incurred2011-08-31$37,016
Liabilities. Value of operating payables at end of year2011-08-31$548
Liabilities. Value of operating payables at beginning of year2011-08-31$581
Total non interest bearing cash at end of year2011-08-31$242,847
Total non interest bearing cash at beginning of year2011-08-31$97,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$143,025
Value of net assets at end of year (total assets less liabilities)2011-08-31$681,081
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$538,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-08-31$653,667
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-08-31$485,201
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-08-31$485,201
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$3,465
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$124,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31No
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$1,898,350
Employer contributions (assets) at beginning of year2011-08-31$37,002
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$1,586,560
Contract administrator fees2011-08-31$81,548
Liabilities. Value of benefit claims payable at end of year2011-08-31$220,000
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$257,000
Did the plan have assets held for investment2011-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31GEVAN C. RUDD, CPA PC
Accountancy firm EIN2011-08-31860829256

Form 5500 Responses for THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST

2017: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedYes
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2009: THE FARNSWORTH COMPANIES EMPLOYEE BENEFIT TRUST 2009 form 5500 responses
2009-09-01Type of plan entityMulti-employer plan
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-034442
Policy instance 3
Insurance contract or identification number010-034442
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066904 00000
Policy instance 2
Insurance contract or identification number10066904 00000
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066903 00000
Policy instance 1
Insurance contract or identification number10066903 00000
Number of Individuals Covered107
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $1,329
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-034442
Policy instance 4
Insurance contract or identification number010-034442
Number of Individuals Covered259
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $281
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees281
Insurance broker nameUSI SOUTHWESTH INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066904 00000
Policy instance 3
Insurance contract or identification number10066904 00000
Number of Individuals Covered126
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $3,166
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,166
Insurance broker organization code?3
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066903 00000
Policy instance 2
Insurance contract or identification number10066903 00000
Number of Individuals Covered258
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,086
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1086
Insurance broker organization code?1
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000400001000 03
Policy instance 5
Insurance contract or identification number000400001000 03
Number of Individuals Covered45
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $3,249
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,249
Insurance broker organization code?3
Insurance broker nameWEBB AND GREER INS AGCY INC
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-034442
Policy instance 4
Insurance contract or identification number010-034442
Number of Individuals Covered202
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $112
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $14,791
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees75
Insurance broker nameUSI OF S CALIFORNIA INS SVS INC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066904 00000
Policy instance 3
Insurance contract or identification number10066904 00000
Number of Individuals Covered119
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $2,861
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,809
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,861
Insurance broker organization code?3
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066903 00000
Policy instance 2
Insurance contract or identification number10066903 00000
Number of Individuals Covered246
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $913
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,233
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $913
Insurance broker organization code?1
Insurance broker nameWEBB & GREER
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number010-034442
Policy instance 4
Insurance contract or identification number010-034442
Number of Individuals Covered140
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,852
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066904 00000
Policy instance 3
Insurance contract or identification number10066904 00000
Number of Individuals Covered109
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,284
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,284
Insurance broker organization code?3
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066903 00000
Policy instance 2
Insurance contract or identification number10066903 00000
Number of Individuals Covered213
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,012
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,012
Insurance broker organization code?1
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066904 00000
Policy instance 3
Insurance contract or identification number10066904 00000
Number of Individuals Covered109
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,284
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,683
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,284
Insurance broker organization code?3
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066903 00000
Policy instance 2
Insurance contract or identification number10066903 00000
Number of Individuals Covered289
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,012
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,012
Insurance broker organization code?1
Insurance broker nameWEBB & GREER
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066904
Policy instance 1
Insurance contract or identification number10066904
Number of Individuals Covered145
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,328
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $26,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10066903 00000
Policy instance 2
Insurance contract or identification number10066903 00000
Number of Individuals Covered259
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $976
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,875
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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