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NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 401k Plan overview

Plan NameNORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND
Plan identification number 501

NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND Benefits

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

401k Sponsoring company profile

BOARD OF TRUSTEES, NORTHERN CALIF TILE INDUSTRY HEALTH & WELFARE TRUST has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES, NORTHERN CALIF TILE INDUSTRY HEALTH & WELFARE TRUST
Employer identification number (EIN):946173454
NAIC Classification:238300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012021-01-01
5012020-01-01W.W. WARD2021-10-13 TROY GARLAND2021-10-13
5012020-01-01RICHARD ROMANSKI2022-10-11 RICHARD HILL2022-10-11
5012019-01-01DAVE JACKSON2020-10-05 WILLIAM W WARD2020-10-03
5012019-01-01RICHARD ROMANSKI2022-02-24 RICHARD HILL2022-02-24
5012018-01-01DAVE JACKSON2019-10-08 WILLIAM WARD2019-10-08
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01DAVE JACKSON
5012011-01-01DAVE JACKSON
5012009-01-01WILLIAM WARD TOM SPEAR2010-10-13

Plan Statistics for NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND

401k plan membership statisitcs for NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND

Measure Date Value
2022: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2022 401k membership
Total participants, beginning-of-year2022-01-01793
Total number of active participants reported on line 7a of the Form 55002022-01-01573
Number of retired or separated participants receiving benefits2022-01-0151
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01624
Total participants2022-01-01624
Number of employers contributing to the scheme2022-01-0170
2021: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2021 401k membership
Total participants, beginning-of-year2021-01-01727
Total number of active participants reported on line 7a of the Form 55002021-01-01743
Number of retired or separated participants receiving benefits2021-01-0150
Total of all active and inactive participants2021-01-01793
Total participants2021-01-01793
Number of employers contributing to the scheme2021-01-0150
2020: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2020 401k membership
Total participants, beginning-of-year2020-01-01802
Total number of active participants reported on line 7a of the Form 55002020-01-01678
Number of retired or separated participants receiving benefits2020-01-0149
Total of all active and inactive participants2020-01-01727
Number of employers contributing to the scheme2020-01-0149
2019: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2019 401k membership
Total participants, beginning-of-year2019-01-01770
Total number of active participants reported on line 7a of the Form 55002019-01-01756
Number of retired or separated participants receiving benefits2019-01-0146
Total of all active and inactive participants2019-01-01802
Number of employers contributing to the scheme2019-01-0145
2018: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2018 401k membership
Total participants, beginning-of-year2018-01-01724
Total number of active participants reported on line 7a of the Form 55002018-01-01718
Number of retired or separated participants receiving benefits2018-01-0152
Total of all active and inactive participants2018-01-01770
Number of employers contributing to the scheme2018-01-0146
2017: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2017 401k membership
Total participants, beginning-of-year2017-01-01701
Total number of active participants reported on line 7a of the Form 55002017-01-01677
Number of retired or separated participants receiving benefits2017-01-0147
Total of all active and inactive participants2017-01-01724
Number of employers contributing to the scheme2017-01-0145
2016: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2016 401k membership
Total participants, beginning-of-year2016-01-01589
Total number of active participants reported on line 7a of the Form 55002016-01-01681
Number of retired or separated participants receiving benefits2016-01-0120
Total of all active and inactive participants2016-01-01701
Number of employers contributing to the scheme2016-01-0155
2015: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2015 401k membership
Total participants, beginning-of-year2015-01-01506
Total number of active participants reported on line 7a of the Form 55002015-01-01589
Number of retired or separated participants receiving benefits2015-01-0135
Total of all active and inactive participants2015-01-01624
Number of employers contributing to the scheme2015-01-0158
2014: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2014 401k membership
Total participants, beginning-of-year2014-01-01583
Total number of active participants reported on line 7a of the Form 55002014-01-01454
Number of retired or separated participants receiving benefits2014-01-0152
Total of all active and inactive participants2014-01-01506
Number of employers contributing to the scheme2014-01-0159
2013: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2013 401k membership
Total participants, beginning-of-year2013-01-01482
Total number of active participants reported on line 7a of the Form 55002013-01-01511
Number of retired or separated participants receiving benefits2013-01-0172
Total of all active and inactive participants2013-01-01583
Number of employers contributing to the scheme2013-01-0165
2012: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2012 401k membership
Total participants, beginning-of-year2012-01-01428
Total number of active participants reported on line 7a of the Form 55002012-01-01407
Number of retired or separated participants receiving benefits2012-01-0175
Total of all active and inactive participants2012-01-01482
Number of employers contributing to the scheme2012-01-0165
2011: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2011 401k membership
Total participants, beginning-of-year2011-01-01443
Total number of active participants reported on line 7a of the Form 55002011-01-01354
Number of retired or separated participants receiving benefits2011-01-0174
Total of all active and inactive participants2011-01-01428
Number of employers contributing to the scheme2011-01-0169
2009: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2009 401k membership
Total participants, beginning-of-year2009-01-01940
Total number of active participants reported on line 7a of the Form 55002009-01-01467
Number of retired or separated participants receiving benefits2009-01-0161
Total of all active and inactive participants2009-01-01528
Total participants2009-01-01528
Number of employers contributing to the scheme2009-01-0183

Financial Data on NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND

Measure Date Value
2022 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-842,146
Total unrealized appreciation/depreciation of assets2022-12-31$-842,146
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$3,868,642
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,284,607
Total income from all sources (including contributions)2022-12-31$8,926,296
Total loss/gain on sale of assets2022-12-31$-135,315
Total of all expenses incurred2022-12-31$10,936,423
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$10,265,769
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$9,911,725
Value of total assets at end of year2022-12-31$23,266,289
Value of total assets at beginning of year2022-12-31$25,692,381
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$670,654
Total interest from all sources2022-12-31$288,046
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$181,947
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$353,956
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$177,607
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$500,935
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$3,826,541
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$4,194,200
Administrative expenses (other) incurred2022-12-31$255,759
Liabilities. Value of operating payables at end of year2022-12-31$42,101
Liabilities. Value of operating payables at beginning of year2022-12-31$90,407
Total non interest bearing cash at end of year2022-12-31$4,347,740
Total non interest bearing cash at beginning of year2022-12-31$3,968,841
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,010,127
Value of net assets at end of year (total assets less liabilities)2022-12-31$19,397,647
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$21,407,774
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$10,882,555
Assets. partnership/joint venture interests at beginning of year2022-12-31$10,932,114
Investment advisory and management fees2022-12-31$64,482
Interest earned on other investments2022-12-31$106,634
Income. Interest from US Government securities2022-12-31$67,412
Income. Interest from corporate debt instruments2022-12-31$111,176
Value of interest in common/collective trusts at end of year2022-12-31$1,318,496
Value of interest in common/collective trusts at beginning of year2022-12-31$2,293,357
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$23,759
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$246,940
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$246,940
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$2,824
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$6,409,424
Asset value of US Government securities at end of year2022-12-31$2,562,503
Asset value of US Government securities at beginning of year2022-12-31$2,843,385
Net investment gain or loss from common/collective trusts2022-12-31$-296,014
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$9,557,769
Employer contributions (assets) at end of year2022-12-31$922,568
Employer contributions (assets) at beginning of year2022-12-31$947,819
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,856,345
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$1,890,086
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$1,140,975
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$3,958,990
Contract administrator fees2022-12-31$168,466
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$2,324,297
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,459,612
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MILLER KAPLAN ARASE LLP
Accountancy firm EIN2022-12-31952036255
2021 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$985,311
Total unrealized appreciation/depreciation of assets2021-12-31$985,311
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,935,686
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,935,686
Total income from all sources (including contributions)2021-12-31$13,091,210
Total loss/gain on sale of assets2021-12-31$102,411
Total of all expenses incurred2021-12-31$12,240,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$11,580,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$11,938,242
Value of total assets at end of year2021-12-31$24,635,683
Value of total assets at beginning of year2021-12-31$23,785,332
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$660,276
Total interest from all sources2021-12-31$205,074
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$261,437
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$430,219
Assets. Other investments not covered elsewhere at end of year2021-12-31$19,289,328
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$18,438,977
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$224,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$224,098
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$5,791,291
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$5,791,291
Other income not declared elsewhere2021-12-31$167,657
Administrative expenses (other) incurred2021-12-31$96,065
Liabilities. Value of operating payables at end of year2021-12-31$67,941
Liabilities. Value of operating payables at beginning of year2021-12-31$67,941
Total non interest bearing cash at end of year2021-12-31$3,931,161
Total non interest bearing cash at beginning of year2021-12-31$3,931,161
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$850,351
Value of net assets at end of year (total assets less liabilities)2021-12-31$18,699,997
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$17,849,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$10,932,114
Assets. partnership/joint venture interests at beginning of year2021-12-31$8,353,042
Investment advisory and management fees2021-12-31$48,394
Value of interest in pooled separate accounts at end of year2021-12-31$0
Income. Interest from US Government securities2021-12-31$54,663
Income. Interest from corporate debt instruments2021-12-31$150,179
Value of interest in common/collective trusts at end of year2021-12-31$2,293,357
Value of interest in common/collective trusts at beginning of year2021-12-31$2,244,446
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$246,940
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$413,992
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$413,992
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$232
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$6,883,339
Asset value of US Government securities at end of year2021-12-31$2,347,855
Asset value of US Government securities at beginning of year2021-12-31$3,181,120
Net investment gain or loss from common/collective trusts2021-12-31$613,012
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$11,508,023
Employer contributions (assets) at end of year2021-12-31$1,191,096
Employer contributions (assets) at beginning of year2021-12-31$1,191,096
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$4,697,244
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$4,454,520
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$4,185,402
Contract administrator fees2021-12-31$254,380
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$76,454
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$76,454
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$20,458,578
Aggregate carrying amount (costs) on sale of assets2021-12-31$20,356,167
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MCMENOMY & ASSOCIATES CPAS LLP
Accountancy firm EIN2021-12-31461559312
2020 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$985,311
Total unrealized appreciation/depreciation of assets2020-12-31$985,311
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,935,686
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,827,647
Total income from all sources (including contributions)2020-12-31$13,091,210
Total loss/gain on sale of assets2020-12-31$25,699
Total of all expenses incurred2020-12-31$12,240,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$11,580,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$11,938,242
Value of total assets at end of year2020-12-31$23,785,332
Value of total assets at beginning of year2020-12-31$21,826,942
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$660,276
Total interest from all sources2020-12-31$203,055
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$261,437
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$430,219
Assets. Other investments not covered elsewhere at end of year2020-12-31$18,438,977
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$14,313,960
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$224,098
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$313,728
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$5,791,291
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$4,683,252
Other income not declared elsewhere2020-12-31$167,657
Administrative expenses (other) incurred2020-12-31$96,065
Liabilities. Value of operating payables at end of year2020-12-31$67,941
Liabilities. Value of operating payables at beginning of year2020-12-31$67,941
Total non interest bearing cash at end of year2020-12-31$3,931,161
Total non interest bearing cash at beginning of year2020-12-31$5,920,642
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$850,351
Value of net assets at end of year (total assets less liabilities)2020-12-31$17,849,646
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$16,999,295
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$8,353,042
Assets. partnership/joint venture interests at beginning of year2020-12-31$7,719,534
Investment advisory and management fees2020-12-31$48,394
Income. Interest from US Government securities2020-12-31$92,926
Income. Interest from corporate debt instruments2020-12-31$106,784
Value of interest in common/collective trusts at end of year2020-12-31$2,244,446
Value of interest in common/collective trusts at beginning of year2020-12-31$1,286,464
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$413,992
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$284,996
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$284,996
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$3,345
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$6,883,339
Asset value of US Government securities at end of year2020-12-31$3,181,120
Asset value of US Government securities at beginning of year2020-12-31$3,673,803
Net investment gain or loss from common/collective trusts2020-12-31$352,795
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$11,508,023
Employer contributions (assets) at end of year2020-12-31$1,191,096
Employer contributions (assets) at beginning of year2020-12-31$1,278,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,697,244
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$4,185,402
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$1,349,162
Contract administrator fees2020-12-31$254,380
Liabilities. Value of benefit claims payable at end of year2020-12-31$76,454
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$76,454
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$21,789,197
Aggregate carrying amount (costs) on sale of assets2020-12-31$21,763,498
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31EIDE BAILLY LLP
Accountancy firm EIN2020-12-31450250958
2019 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,089,312
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$1,089,312
Total unrealized appreciation/depreciation of assets2019-12-31$1,089,312
Total unrealized appreciation/depreciation of assets2019-12-31$1,089,312
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,827,647
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,827,647
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,761,388
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$6,761,388
Total income from all sources (including contributions)2019-12-31$17,660,302
Total income from all sources (including contributions)2019-12-31$17,660,302
Total loss/gain on sale of assets2019-12-31$-97,776
Total of all expenses incurred2019-12-31$11,906,924
Total of all expenses incurred2019-12-31$11,906,924
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$11,263,541
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$11,263,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,588,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$13,588,422
Value of total assets at end of year2019-12-31$21,826,942
Value of total assets at end of year2019-12-31$21,826,942
Value of total assets at beginning of year2019-12-31$18,007,305
Value of total assets at beginning of year2019-12-31$18,007,305
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$643,383
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$643,383
Total interest from all sources2019-12-31$634,859
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$216,840
Administrative expenses professional fees incurred2019-12-31$216,840
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Value of fidelity bond cover2019-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$427,480
Contributions received from participants2019-12-31$427,480
Assets. Other investments not covered elsewhere at end of year2019-12-31$13,027,496
Assets. Other investments not covered elsewhere at end of year2019-12-31$13,027,496
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$313,728
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$313,728
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,514,024
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,514,024
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$4,683,252
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$4,683,252
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$5,818,292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$5,818,292
Other income not declared elsewhere2019-12-31$2,982,568
Other income not declared elsewhere2019-12-31$2,982,568
Administrative expenses (other) incurred2019-12-31$87,750
Administrative expenses (other) incurred2019-12-31$87,750
Liabilities. Value of operating payables at end of year2019-12-31$67,941
Liabilities. Value of operating payables at end of year2019-12-31$67,941
Liabilities. Value of operating payables at beginning of year2019-12-31$57,191
Liabilities. Value of operating payables at beginning of year2019-12-31$57,191
Total non interest bearing cash at end of year2019-12-31$5,920,642
Total non interest bearing cash at end of year2019-12-31$5,920,642
Total non interest bearing cash at beginning of year2019-12-31$1,919,080
Total non interest bearing cash at beginning of year2019-12-31$1,919,080
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,753,378
Value of net income/loss2019-12-31$5,753,378
Value of net assets at end of year (total assets less liabilities)2019-12-31$16,999,295
Value of net assets at end of year (total assets less liabilities)2019-12-31$16,999,295
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,245,917
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,245,917
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Assets. partnership/joint venture interests at end of year2019-12-31$7,719,534
Assets. partnership/joint venture interests at beginning of year2019-12-31$7,346,217
Assets. partnership/joint venture interests at beginning of year2019-12-31$7,346,217
Investment advisory and management fees2019-12-31$35,794
Investment advisory and management fees2019-12-31$35,794
Interest earned on other investments2019-12-31$441,395
Income. Interest from US Government securities2019-12-31$146,995
Income. Interest from corporate debt instruments2019-12-31$39,072
Value of interest in common/collective trusts at end of year2019-12-31$1,286,464
Value of interest in common/collective trusts at end of year2019-12-31$1,286,464
Value of interest in common/collective trusts at beginning of year2019-12-31$760,863
Value of interest in common/collective trusts at beginning of year2019-12-31$760,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$284,996
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$57,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$57,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$57,134
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$57,134
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$7,397
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$7,389,411
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$7,389,411
Asset value of US Government securities at end of year2019-12-31$3,673,803
Asset value of US Government securities at beginning of year2019-12-31$3,493,421
Asset value of US Government securities at beginning of year2019-12-31$3,493,421
Net investment gain or loss from common/collective trusts2019-12-31$312,788
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$13,160,942
Contributions received in cash from employer2019-12-31$13,160,942
Employer contributions (assets) at end of year2019-12-31$1,278,612
Employer contributions (assets) at end of year2019-12-31$1,278,612
Employer contributions (assets) at beginning of year2019-12-31$888,881
Employer contributions (assets) at beginning of year2019-12-31$888,881
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,874,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,874,130
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$1,349,162
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,027,685
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$1,027,685
Contract administrator fees2019-12-31$302,999
Contract administrator fees2019-12-31$302,999
Liabilities. Value of benefit claims payable at end of year2019-12-31$76,454
Liabilities. Value of benefit claims payable at end of year2019-12-31$76,454
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$885,905
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$885,905
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$8,166,001
Aggregate carrying amount (costs) on sale of assets2019-12-31$8,263,777
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm name2019-12-31EIDE BAILLY LLP
Accountancy firm EIN2019-12-31450250958
Accountancy firm EIN2019-12-31450250958
2018 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-233,392
Total unrealized appreciation/depreciation of assets2018-12-31$-233,392
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,761,388
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$5,332,559
Total income from all sources (including contributions)2018-12-31$14,775,517
Total loss/gain on sale of assets2018-12-31$-42,816
Total of all expenses incurred2018-12-31$20,412,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$19,774,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$11,843,427
Value of total assets at end of year2018-12-31$16,436,533
Value of total assets at beginning of year2018-12-31$20,644,945
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$638,402
Total interest from all sources2018-12-31$904,307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$334,577
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$431,894
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$943,252
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$139,861
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$5,818,292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$4,384,403
Other income not declared elsewhere2018-12-31$2,480,964
Administrative expenses (other) incurred2018-12-31$109,774
Liabilities. Value of operating payables at end of year2018-12-31$57,191
Liabilities. Value of operating payables at beginning of year2018-12-31$41,018
Total non interest bearing cash at end of year2018-12-31$1,919,080
Total non interest bearing cash at beginning of year2018-12-31$1,516,898
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-5,637,241
Value of net assets at end of year (total assets less liabilities)2018-12-31$9,675,145
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,312,386
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Assets. partnership/joint venture interests at end of year2018-12-31$7,346,217
Assets. partnership/joint venture interests at beginning of year2018-12-31$8,227,868
Investment advisory and management fees2018-12-31$44,735
Interest earned on other investments2018-12-31$666,508
Income. Interest from US Government securities2018-12-31$183,959
Income. Interest from corporate debt instruments2018-12-31$52,138
Value of interest in common/collective trusts at end of year2018-12-31$760,863
Value of interest in common/collective trusts at beginning of year2018-12-31$2,245,393
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$57,134
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$70,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$70,096
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$1,702
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$10,764,730
Asset value of US Government securities at end of year2018-12-31$3,493,421
Asset value of US Government securities at beginning of year2018-12-31$4,668,488
Net investment gain or loss from common/collective trusts2018-12-31$-176,973
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$11,411,533
Employer contributions (assets) at end of year2018-12-31$888,881
Employer contributions (assets) at beginning of year2018-12-31$1,087,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,009,626
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$1,027,685
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$2,688,361
Contract administrator fees2018-12-31$149,316
Liabilities. Value of benefit claims payable at end of year2018-12-31$885,905
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$907,138
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$12,067,416
Aggregate carrying amount (costs) on sale of assets2018-12-31$12,110,232
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31EIDE BAILLY LLP
Accountancy firm EIN2018-12-31450250958
2017 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-71,781
Total unrealized appreciation/depreciation of assets2017-12-31$-71,781
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$5,332,559
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$7,700,056
Total income from all sources (including contributions)2017-12-31$12,080,983
Total loss/gain on sale of assets2017-12-31$20,118
Total of all expenses incurred2017-12-31$11,648,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$11,014,266
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$10,727,280
Value of total assets at end of year2017-12-31$20,644,945
Value of total assets at beginning of year2017-12-31$22,579,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$634,133
Total interest from all sources2017-12-31$814,096
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$311,254
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$439,307
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$139,861
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$951,590
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$4,384,403
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$6,854,233
Other income not declared elsewhere2017-12-31$218,136
Administrative expenses (other) incurred2017-12-31$87,303
Liabilities. Value of operating payables at end of year2017-12-31$41,018
Liabilities. Value of operating payables at beginning of year2017-12-31$98,172
Total non interest bearing cash at end of year2017-12-31$1,516,898
Total non interest bearing cash at beginning of year2017-12-31$3,861,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$432,584
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,312,386
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$14,879,802
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$8,227,868
Assets. partnership/joint venture interests at beginning of year2017-12-31$7,803,727
Investment advisory and management fees2017-12-31$90,313
Interest earned on other investments2017-12-31$594,317
Income. Interest from US Government securities2017-12-31$89,784
Income. Interest from corporate debt instruments2017-12-31$128,908
Value of interest in common/collective trusts at end of year2017-12-31$2,245,393
Value of interest in common/collective trusts at beginning of year2017-12-31$2,218,985
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$70,096
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$70,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$70,778
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$1,087
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$3,372,521
Asset value of US Government securities at end of year2017-12-31$4,668,488
Asset value of US Government securities at beginning of year2017-12-31$2,733,708
Net investment gain or loss from common/collective trusts2017-12-31$373,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$10,287,973
Employer contributions (assets) at end of year2017-12-31$1,087,980
Employer contributions (assets) at beginning of year2017-12-31$968,755
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,641,745
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$2,688,361
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$3,970,415
Contract administrator fees2017-12-31$145,263
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$907,138
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$747,651
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$5,419,963
Aggregate carrying amount (costs) on sale of assets2017-12-31$5,399,845
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31VAVRINEK, TRINE, DAY & CO., LLP
Accountancy firm EIN2017-12-31952648289
2016 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-57,990
Total unrealized appreciation/depreciation of assets2016-12-31$-57,990
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$7,700,056
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$5,456,653
Total income from all sources (including contributions)2016-12-31$12,397,330
Total loss/gain on sale of assets2016-12-31$34,809
Total of all expenses incurred2016-12-31$11,866,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$11,132,897
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$11,199,082
Value of total assets at end of year2016-12-31$22,579,858
Value of total assets at beginning of year2016-12-31$19,805,354
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$733,332
Total interest from all sources2016-12-31$554,457
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$397,426
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$466,660
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$951,590
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,010,056
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$6,854,233
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$4,466,601
Other income not declared elsewhere2016-12-31$331,098
Administrative expenses (other) incurred2016-12-31$84,537
Liabilities. Value of operating payables at end of year2016-12-31$98,172
Liabilities. Value of operating payables at beginning of year2016-12-31$54,476
Total non interest bearing cash at end of year2016-12-31$3,861,900
Total non interest bearing cash at beginning of year2016-12-31$1,977,665
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$531,101
Value of net assets at end of year (total assets less liabilities)2016-12-31$14,879,802
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$14,348,701
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$7,803,727
Assets. partnership/joint venture interests at beginning of year2016-12-31$6,314,959
Investment advisory and management fees2016-12-31$84,114
Interest earned on other investments2016-12-31$311,684
Income. Interest from US Government securities2016-12-31$91,221
Income. Interest from corporate debt instruments2016-12-31$150,879
Value of interest in common/collective trusts at end of year2016-12-31$2,218,985
Value of interest in common/collective trusts at beginning of year2016-12-31$2,018,951
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$70,778
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$84,095
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$84,095
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$673
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$3,106,705
Asset value of US Government securities at end of year2016-12-31$2,733,708
Asset value of US Government securities at beginning of year2016-12-31$4,239,733
Net investment gain or loss from common/collective trusts2016-12-31$335,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$10,732,422
Employer contributions (assets) at end of year2016-12-31$968,755
Employer contributions (assets) at beginning of year2016-12-31$801,411
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$8,026,192
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$3,970,415
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$3,358,484
Contract administrator fees2016-12-31$167,255
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$747,651
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$935,576
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$13,371,901
Aggregate carrying amount (costs) on sale of assets2016-12-31$13,337,092
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2016-12-31300702322
2015 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-346,491
Total unrealized appreciation/depreciation of assets2015-12-31$-346,491
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$5,456,653
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,449,324
Total income from all sources (including contributions)2015-12-31$10,960,407
Total loss/gain on sale of assets2015-12-31$215,610
Total of all expenses incurred2015-12-31$10,263,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$9,581,156
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,611,048
Value of total assets at end of year2015-12-31$19,805,354
Value of total assets at beginning of year2015-12-31$18,101,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$682,299
Total interest from all sources2015-12-31$617,809
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$354,325
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$477,353
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,010,056
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$332,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$4,466,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$3,490,787
Other income not declared elsewhere2015-12-31$834,260
Administrative expenses (other) incurred2015-12-31$81,138
Liabilities. Value of operating payables at end of year2015-12-31$54,476
Liabilities. Value of operating payables at beginning of year2015-12-31$23,425
Total non interest bearing cash at end of year2015-12-31$1,977,665
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$696,952
Value of net assets at end of year (total assets less liabilities)2015-12-31$14,348,701
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$13,651,749
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$6,314,959
Assets. partnership/joint venture interests at beginning of year2015-12-31$4,007,648
Investment advisory and management fees2015-12-31$70,797
Interest earned on other investments2015-12-31$357,862
Income. Interest from US Government securities2015-12-31$112,498
Income. Interest from corporate debt instruments2015-12-31$147,415
Value of interest in common/collective trusts at end of year2015-12-31$2,018,951
Value of interest in common/collective trusts at beginning of year2015-12-31$1,971,373
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$84,095
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,072,033
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,072,033
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$34
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,253,435
Asset value of US Government securities at end of year2015-12-31$4,239,733
Asset value of US Government securities at beginning of year2015-12-31$5,629,223
Net investment gain or loss from common/collective trusts2015-12-31$28,171
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$9,133,695
Employer contributions (assets) at end of year2015-12-31$801,411
Employer contributions (assets) at beginning of year2015-12-31$582,324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$6,327,721
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$3,358,484
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$4,506,436
Contract administrator fees2015-12-31$176,039
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$935,576
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$935,112
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$17,139,027
Aggregate carrying amount (costs) on sale of assets2015-12-31$16,923,417
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2015-12-31300702322
2014 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-236,837
Total unrealized appreciation/depreciation of assets2014-12-31$-236,837
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$4,449,324
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,660,638
Total income from all sources (including contributions)2014-12-31$8,825,808
Total loss/gain on sale of assets2014-12-31$189,211
Total of all expenses incurred2014-12-31$9,480,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$8,759,204
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$7,500,310
Value of total assets at end of year2014-12-31$18,101,073
Value of total assets at beginning of year2014-12-31$17,966,659
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$720,876
Total interest from all sources2014-12-31$482,347
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$387,162
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31Yes
Amount of non-exempt transactions with any party-in-interest2014-12-31$1,537
Contributions received from participants2014-12-31$506,552
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$332,036
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$505,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$3,490,787
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$2,983,125
Other income not declared elsewhere2014-12-31$650,808
Administrative expenses (other) incurred2014-12-31$94,190
Liabilities. Value of operating payables at end of year2014-12-31$23,425
Liabilities. Value of operating payables at beginning of year2014-12-31$46,311
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-654,272
Value of net assets at end of year (total assets less liabilities)2014-12-31$13,651,749
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,306,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$4,007,648
Assets. partnership/joint venture interests at beginning of year2014-12-31$3,969,050
Investment advisory and management fees2014-12-31$54,223
Interest earned on other investments2014-12-31$129,077
Income. Interest from US Government securities2014-12-31$119,204
Income. Interest from corporate debt instruments2014-12-31$234,038
Value of interest in common/collective trusts at end of year2014-12-31$1,971,373
Value of interest in common/collective trusts at beginning of year2014-12-31$1,737,271
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,072,033
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,348,060
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,348,060
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$28
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,290,148
Asset value of US Government securities at end of year2014-12-31$5,629,223
Asset value of US Government securities at beginning of year2014-12-31$4,640,367
Net investment gain or loss from common/collective trusts2014-12-31$239,969
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$6,993,758
Employer contributions (assets) at end of year2014-12-31$582,324
Employer contributions (assets) at beginning of year2014-12-31$594,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,469,056
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$4,506,436
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$5,172,388
Contract administrator fees2014-12-31$185,301
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$935,112
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$631,202
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$8,217,137
Aggregate carrying amount (costs) on sale of assets2014-12-31$8,027,926
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2014-12-31300702322
2013 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-395,990
Total unrealized appreciation/depreciation of assets2013-12-31$-395,990
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,660,638
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,551,927
Total income from all sources (including contributions)2013-12-31$8,907,857
Total loss/gain on sale of assets2013-12-31$17,620
Total of all expenses incurred2013-12-31$9,491,840
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$8,799,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,883,993
Value of total assets at end of year2013-12-31$17,966,659
Value of total assets at beginning of year2013-12-31$17,441,931
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$692,164
Total interest from all sources2013-12-31$539,526
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$385,884
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$525,036
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$505,124
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$255,833
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$2,983,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$1,826,889
Other income not declared elsewhere2013-12-31$382,010
Administrative expenses (other) incurred2013-12-31$56,886
Liabilities. Value of operating payables at end of year2013-12-31$46,311
Liabilities. Value of operating payables at beginning of year2013-12-31$59,455
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-583,983
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,306,021
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$14,890,004
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$3,969,050
Assets. partnership/joint venture interests at beginning of year2013-12-31$3,039,952
Investment advisory and management fees2013-12-31$63,809
Interest earned on other investments2013-12-31$181,686
Income. Interest from US Government securities2013-12-31$113,751
Income. Interest from corporate debt instruments2013-12-31$244,069
Value of interest in common/collective trusts at end of year2013-12-31$1,737,271
Value of interest in common/collective trusts at beginning of year2013-12-31$1,886,436
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,348,060
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,205,375
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,205,375
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$20
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$2,836,039
Asset value of US Government securities at end of year2013-12-31$4,640,367
Asset value of US Government securities at beginning of year2013-12-31$4,641,292
Net investment gain or loss from common/collective trusts2013-12-31$480,698
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$7,358,957
Employer contributions (assets) at end of year2013-12-31$594,399
Employer contributions (assets) at beginning of year2013-12-31$470,492
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$5,963,637
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$5,172,388
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$5,942,551
Contract administrator fees2013-12-31$185,585
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$631,202
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$665,583
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$7,225,069
Aggregate carrying amount (costs) on sale of assets2013-12-31$7,207,449
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2013-12-31300702322
2012 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-93,142
Total unrealized appreciation/depreciation of assets2012-12-31$-93,142
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,551,927
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,193,674
Total income from all sources (including contributions)2012-12-31$7,331,169
Total loss/gain on sale of assets2012-12-31$333,273
Total of all expenses incurred2012-12-31$7,029,341
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,219,010
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,198,497
Value of total assets at end of year2012-12-31$17,441,931
Value of total assets at beginning of year2012-12-31$16,781,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$810,331
Total interest from all sources2012-12-31$510,397
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$495,111
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$493,455
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$255,833
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$255,398
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$1,826,889
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$1,057,000
Other income not declared elsewhere2012-12-31$111,845
Administrative expenses (other) incurred2012-12-31$57,286
Liabilities. Value of operating payables at end of year2012-12-31$59,455
Liabilities. Value of operating payables at beginning of year2012-12-31$48,380
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$301,828
Value of net assets at end of year (total assets less liabilities)2012-12-31$14,890,004
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$14,588,176
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$3,039,952
Investment advisory and management fees2012-12-31$58,194
Interest earned on other investments2012-12-31$44,820
Income. Interest from US Government securities2012-12-31$133,888
Income. Interest from corporate debt instruments2012-12-31$331,668
Value of interest in common/collective trusts at end of year2012-12-31$1,886,436
Value of interest in common/collective trusts at beginning of year2012-12-31$1,686,620
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,205,375
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$1,250,577
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$1,250,577
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$21
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$4,480,816
Asset value of US Government securities at end of year2012-12-31$4,641,292
Asset value of US Government securities at beginning of year2012-12-31$5,381,414
Net investment gain or loss from common/collective trusts2012-12-31$270,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$5,705,042
Employer contributions (assets) at end of year2012-12-31$470,492
Employer contributions (assets) at beginning of year2012-12-31$521,533
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,738,194
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$5,942,551
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$7,686,308
Contract administrator fees2012-12-31$199,740
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$665,583
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,088,294
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$16,512,065
Aggregate carrying amount (costs) on sale of assets2012-12-31$16,178,792
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2012-12-31300702322
2011 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$227,615
Total unrealized appreciation/depreciation of assets2011-12-31$227,615
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,193,674
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,802,704
Total income from all sources (including contributions)2011-12-31$6,924,590
Total loss/gain on sale of assets2011-12-31$35,579
Total of all expenses incurred2011-12-31$6,762,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,158,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$6,058,366
Value of total assets at end of year2011-12-31$16,781,850
Value of total assets at beginning of year2011-12-31$16,229,158
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$604,793
Total interest from all sources2011-12-31$565,917
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$354,588
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$633,986
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$335,208
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$255,398
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$515,251
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$1,057,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$919,000
Other income not declared elsewhere2011-12-31$1,326
Administrative expenses (other) incurred2011-12-31$37,150
Liabilities. Value of operating payables at end of year2011-12-31$48,380
Liabilities. Value of operating payables at beginning of year2011-12-31$39,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$161,722
Value of net assets at end of year (total assets less liabilities)2011-12-31$14,588,176
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$14,426,454
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$57,055
Income. Interest from US Government securities2011-12-31$140,251
Income. Interest from corporate debt instruments2011-12-31$425,633
Value of interest in common/collective trusts at end of year2011-12-31$1,686,620
Value of interest in common/collective trusts at beginning of year2011-12-31$1,649,017
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$1,250,577
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$1,546,627
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$1,546,627
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$33
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,483,081
Asset value of US Government securities at end of year2011-12-31$5,381,414
Asset value of US Government securities at beginning of year2011-12-31$3,486,142
Net investment gain or loss from common/collective trusts2011-12-31$35,787
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$5,089,172
Employer contributions (assets) at end of year2011-12-31$521,533
Employer contributions (assets) at beginning of year2011-12-31$444,721
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,674,994
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$7,686,308
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$8,587,400
Contract administrator fees2011-12-31$156,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,088,294
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$843,837
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$9,325,313
Aggregate carrying amount (costs) on sale of assets2011-12-31$9,289,734
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31HEMMING MORSE CPAS AND CONSULTANTS
Accountancy firm EIN2011-12-31300702322
2010 : NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$364,023
Total unrealized appreciation/depreciation of assets2010-12-31$364,023
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,802,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$50,970
Total income from all sources (including contributions)2010-12-31$8,125,524
Total loss/gain on sale of assets2010-12-31$-21,236
Total of all expenses incurred2010-12-31$6,910,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,347,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,996,894
Value of total assets at end of year2010-12-31$16,229,158
Value of total assets at beginning of year2010-12-31$15,353,997
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$562,879
Total interest from all sources2010-12-31$568,449
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$319,989
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$632,831
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$734,413
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$720,589
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$515,251
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$160,840
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$919,000
Other income not declared elsewhere2010-12-31$526
Administrative expenses (other) incurred2010-12-31$42,129
Liabilities. Value of operating payables at end of year2010-12-31$39,867
Liabilities. Value of operating payables at beginning of year2010-12-31$50,970
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,214,844
Value of net assets at end of year (total assets less liabilities)2010-12-31$14,426,454
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$15,303,027
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$50,761
Income. Interest from US Government securities2010-12-31$127,488
Income. Interest from corporate debt instruments2010-12-31$440,836
Value of interest in common/collective trusts at end of year2010-12-31$1,649,017
Value of interest in common/collective trusts at beginning of year2010-12-31$1,436,888
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$1,546,627
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$1,193,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$1,193,542
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$125
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$3,596,686
Asset value of US Government securities at end of year2010-12-31$3,486,142
Asset value of US Government securities at beginning of year2010-12-31$2,707,207
Net investment gain or loss from common/collective trusts2010-12-31$216,868
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$5,643,474
Employer contributions (assets) at end of year2010-12-31$444,721
Employer contributions (assets) at beginning of year2010-12-31$369,435
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,751,115
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$8,587,400
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$8,619,855
Contract administrator fees2010-12-31$150,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$843,837
Assets. Value of buildings and other operty used in plan operation at beginning of year2010-12-31$131,817
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$5,362,292
Aggregate carrying amount (costs) on sale of assets2010-12-31$5,383,528
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31HEMMING MORSE CPAS & CONSULTANTS
Accountancy firm EIN2010-12-31942723629

Form 5500 Responses for NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND

2022: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedYes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: NORTHERN CALIFORNIA TILE INDUSTRY HEALTH & WELFARE TRUST FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0411800
Policy instance 3
Insurance contract or identification number0411800
Number of Individuals Covered709
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract numberEXRK
Policy instance 2
Insurance contract or identification numberEXRK
Number of Individuals Covered268
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $37,150
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $742,951
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,150
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number376
Policy instance 1
Insurance contract or identification number376
Number of Individuals Covered1130
Insurance policy start date2021-03-01
Insurance policy end date2022-02-28
Welfare Benefit Premiums Paid to CarrierUSD $5,914,913
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: 00000 )
Policy contract number0411800
Policy instance 2
Insurance contract or identification number0411800
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered742
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $100,819
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3194, C4466
Policy instance 3
Insurance contract or identification numberG3194, C4466
Other welfare benefits providedACCIDENTAL DEATLH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered654
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $12,785
KAISER FOUNDATION HEALTH PLAN INC. (National Association of Insurance Commissioners NAIC id number: 95672 )
Policy contract number376
Policy instance 1
Insurance contract or identification number376
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered1175
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $5,846,616
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34085
Policy instance 4
Insurance contract or identification numberHCL34085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0744116
Policy instance 5
Insurance contract or identification number0744116
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $11,072
STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number
Policy instance 4
Number of Individuals Covered340
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Welfare Benefit Premiums Paid to CarrierUSD $813,127
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3194, C4466
Policy instance 3
Insurance contract or identification numberG3194, C4466
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered728
Welfare Benefit Premiums Paid to CarrierUSD $13,413
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number376
Policy instance 1
Insurance contract or identification number376
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Number of Individuals Covered1174
Welfare Benefit Premiums Paid to CarrierUSD $5,509,242
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0744116
Policy instance 5
Insurance contract or identification number0744116
Insurance policy start date2020-03-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number103291
Policy instance 5
Insurance contract or identification number103291
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,639
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: 00000 )
Policy contract number00411800
Policy instance 2
Insurance contract or identification number00411800
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
Number of Individuals Covered697
Welfare Benefit Premiums Paid to CarrierUSD $99,308
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34085
Policy instance 4
Insurance contract or identification numberHCL34085
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Additional information about fees paid to insurance brokerCOMMISSIONS PAID
Insurance broker organization code?3
Number of Individuals Covered302
Welfare Benefit Premiums Paid to CarrierUSD $656,889
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL34085
Policy instance 4
Insurance contract or identification numberHCL34085
Number of Individuals Covered369
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $31,541
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $599,270
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,541
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3194, C4466
Policy instance 3
Insurance contract or identification numberG3194, C4466
Number of Individuals Covered672
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,275
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: 00000 )
Policy contract number00411800
Policy instance 2
Insurance contract or identification number00411800
Number of Individuals Covered766
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
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $108,744
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number376
Policy instance 1
Insurance contract or identification number376
Number of Individuals Covered1114
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,549,211
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0744116
Policy instance 5
Insurance contract or identification number0744116
Number of Individuals Covered77
Insurance policy start date2019-03-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $966,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0744116
Policy instance 5
Insurance contract or identification number0744116
Number of Individuals Covered80
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,025,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-1681
Policy instance 4
Insurance contract or identification number947-1681
Number of Individuals Covered286
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $21,529
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $409,050
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,529
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3194, C4466
Policy instance 3
Insurance contract or identification numberG3194, C4466
Number of Individuals Covered671
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $12,114
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: 00000 )
Policy contract number00411800
Policy instance 2
Insurance contract or identification number00411800
Number of Individuals Covered738
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $110,248
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number376
Policy instance 1
Insurance contract or identification number376
Number of Individuals Covered1102
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,055,114
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITED HEALTHCARE OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number103291
Policy instance 2
Insurance contract or identification number103291
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $7,039
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number00411800
Policy instance 3
Insurance contract or identification number00411800
Number of Individuals Covered687
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $104,142
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberG3194, C4466
Policy instance 4
Insurance contract or identification numberG3194, C4466
Number of Individuals Covered693
Insurance policy start date2016-03-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $11,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number947-1681
Policy instance 5
Insurance contract or identification number947-1681
Number of Individuals Covered341
Insurance policy start date2016-03-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $20,440
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $388,351
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,440
Insurance broker organization code?3
Insurance broker nameSTOP LOSS INSURANCE GROUP
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0744116
Policy instance 6
Insurance contract or identification number0744116
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number376
Policy instance 1
Insurance contract or identification number376
Number of Individuals Covered1068
Insurance policy start date2016-03-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $5,695,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNONE

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