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LOCAL 805 WELFARE FUND 401k Plan overview

Plan NameLOCAL 805 WELFARE FUND
Plan identification number 501

LOCAL 805 WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES LOCAL 805 has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES LOCAL 805
Employer identification number (EIN):131620897
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 805 WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-02-01NEIL J. SAVASTA
5012014-02-01NEIL J. SAVASTA ALEXANDRA E. POPE2015-11-16
5012013-02-01NEIL J. SAVASTA ALEXANDRA E. POPE2014-11-14
5012012-02-01NEIL J. SAVASTA ALEXANDRA E. POPE2013-11-12
5012011-02-01MICHAEL VAN SERTIMA
5012010-02-01NEIL J SAVASTA ALEXANDRA E POPE2011-11-11
5012009-02-01NEIL SAVASTA SANDY POPE2010-11-12

Plan Statistics for LOCAL 805 WELFARE FUND

401k plan membership statisitcs for LOCAL 805 WELFARE FUND

Measure Date Value
2015: LOCAL 805 WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-02-011,122
Total of all active and inactive participants2015-02-010
Total participants2015-02-010
Number of employers contributing to the scheme2015-02-0120
2014: LOCAL 805 WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-02-011,082
Total number of active participants reported on line 7a of the Form 55002014-02-011,117
Number of retired or separated participants receiving benefits2014-02-015
Total of all active and inactive participants2014-02-011,122
Total participants2014-02-010
Number of employers contributing to the scheme2014-02-0120
2013: LOCAL 805 WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-02-011,067
Total number of active participants reported on line 7a of the Form 55002013-02-011,067
Number of retired or separated participants receiving benefits2013-02-0115
Total of all active and inactive participants2013-02-011,082
Total participants2013-02-010
Number of employers contributing to the scheme2013-02-0121
2012: LOCAL 805 WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-02-011,097
Total number of active participants reported on line 7a of the Form 55002012-02-011,057
Number of retired or separated participants receiving benefits2012-02-0110
Total of all active and inactive participants2012-02-011,067
Total participants2012-02-010
Number of employers contributing to the scheme2012-02-0120
2011: LOCAL 805 WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-02-011,126
Total number of active participants reported on line 7a of the Form 55002011-02-011,077
Number of retired or separated participants receiving benefits2011-02-0120
Total of all active and inactive participants2011-02-011,097
Total participants2011-02-011,097
Number of employers contributing to the scheme2011-02-0124
2010: LOCAL 805 WELFARE FUND 2010 401k membership
Total participants, beginning-of-year2010-02-011,125
Total number of active participants reported on line 7a of the Form 55002010-02-011,126
Total of all active and inactive participants2010-02-011,126
Total participants2010-02-011,126
Number of employers contributing to the scheme2010-02-0125
2009: LOCAL 805 WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-02-011,150
Total number of active participants reported on line 7a of the Form 55002009-02-011,125
Total of all active and inactive participants2009-02-011,125
Total participants2009-02-011,125

Financial Data on LOCAL 805 WELFARE FUND

Measure Date Value
2016 : LOCAL 805 WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-01-31$-30,488
Total unrealized appreciation/depreciation of assets2016-01-31$-30,488
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-01-31$2,389,092
Total income from all sources (including contributions)2016-01-31$873,786
Total loss/gain on sale of assets2016-01-31$13,598
Total of all expenses incurred2016-01-31$-728,860
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$-1,081,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$870,821
Value of total assets at end of year2016-01-31$0
Value of total assets at beginning of year2016-01-31$786,446
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-01-31$352,528
Total interest from all sources2016-01-31$5,022
Total dividends received (eg from common stock, registered investment company shares)2016-01-31$1,968
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-01-31$0
Administrative expenses professional fees incurred2016-01-31$98,461
Was this plan covered by a fidelity bond2016-01-31Yes
Value of fidelity bond cover2016-01-31$500,000
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Contributions received from participants2016-01-31$3,143
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-01-31$-1,086,662
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-01-31$19,110
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-01-31$1,040
Other income not declared elsewhere2016-01-31$12,865
Administrative expenses (other) incurred2016-01-31$16,951
Liabilities. Value of operating payables at beginning of year2016-01-31$105,713
Total non interest bearing cash at beginning of year2016-01-31$118,698
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$1,602,646
Value of net assets at beginning of year (total assets less liabilities)2016-01-31$-1,602,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Investment advisory and management fees2016-01-31$1,745
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-01-31$25,645
Income. Interest from US Government securities2016-01-31$5,022
Value of interest in common/collective trusts at end of year2016-01-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-01-31$30,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-01-31$30,196
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-31$5,274
Asset value of US Government securities at beginning of year2016-01-31$211,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Contributions received in cash from employer2016-01-31$867,678
Employer contributions (assets) at beginning of year2016-01-31$294,641
Income. Dividends from common stock2016-01-31$1,968
Contract administrator fees2016-01-31$235,371
Assets. Corporate common stocks other than exployer securities at beginning of year2016-01-31$60,721
Liabilities. Value of benefit claims payable at beginning of year2016-01-31$2,282,339
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-01-31$25,942
Did the plan have assets held for investment2016-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Aggregate proceeds on sale of assets2016-01-31$418,512
Aggregate carrying amount (costs) on sale of assets2016-01-31$404,914
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Unqualified
Accountancy firm name2016-01-31GOULD, KOBRICK & SCHLAPP, P.C
Accountancy firm EIN2016-01-31133082707
2015 : LOCAL 805 WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-01-31$-18,705
Total unrealized appreciation/depreciation of assets2015-01-31$-18,705
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$2,389,092
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-01-31$1,655,647
Total income from all sources (including contributions)2015-01-31$10,448,954
Total loss/gain on sale of assets2015-01-31$36,660
Total of all expenses incurred2015-01-31$11,070,223
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-01-31$10,142,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-01-31$10,419,192
Value of total assets at end of year2015-01-31$786,446
Value of total assets at beginning of year2015-01-31$674,270
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-01-31$928,182
Total interest from all sources2015-01-31$6,918
Total dividends received (eg from common stock, registered investment company shares)2015-01-31$1,567
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-01-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-01-31$223
Administrative expenses professional fees incurred2015-01-31$95,596
Was this plan covered by a fidelity bond2015-01-31Yes
Value of fidelity bond cover2015-01-31$500,000
If this is an individual account plan, was there a blackout period2015-01-31No
Were there any nonexempt tranactions with any party-in-interest2015-01-31No
Contributions received from participants2015-01-31$103,502
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-01-31$10,073,443
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-01-31$19,110
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-01-31$2,534
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-01-31$1,040
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-01-31$25,919
Other income not declared elsewhere2015-01-31$3,322
Administrative expenses (other) incurred2015-01-31$10,690
Liabilities. Value of operating payables at end of year2015-01-31$105,713
Liabilities. Value of operating payables at beginning of year2015-01-31$44,728
Total non interest bearing cash at end of year2015-01-31$118,698
Total non interest bearing cash at beginning of year2015-01-31$-10,731
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Value of net income/loss2015-01-31$-621,269
Value of net assets at end of year (total assets less liabilities)2015-01-31$-1,602,646
Value of net assets at beginning of year (total assets less liabilities)2015-01-31$-981,377
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-01-31No
Were any leases to which the plan was party in default or uncollectible2015-01-31No
Investment advisory and management fees2015-01-31$4,483
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-01-31$25,645
Income. Interest from US Government securities2015-01-31$6,908
Income. Interest from corporate debt instruments2015-01-31$10
Value of interest in common/collective trusts at end of year2015-01-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-01-31$30,196
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-01-31$19,154
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-01-31$19,154
Expenses. Payments to insurance carriers foe the provision of benefits2015-01-31$62,598
Asset value of US Government securities at end of year2015-01-31$211,493
Asset value of US Government securities at beginning of year2015-01-31$433,555
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-01-31Yes
Was there a failure to transmit to the plan any participant contributions2015-01-31No
Has the plan failed to provide any benefit when due under the plan2015-01-31No
Contributions received in cash from employer2015-01-31$10,315,690
Employer contributions (assets) at end of year2015-01-31$294,641
Employer contributions (assets) at beginning of year2015-01-31$20,943
Income. Dividends from common stock2015-01-31$1,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-01-31$6,000
Asset. Corporate debt instrument debt (other) at beginning of year2015-01-31$20,277
Contract administrator fees2015-01-31$817,413
Assets. Corporate common stocks other than exployer securities at end of year2015-01-31$60,721
Assets. Corporate common stocks other than exployer securities at beginning of year2015-01-31$163,358
Liabilities. Value of benefit claims payable at end of year2015-01-31$2,282,339
Liabilities. Value of benefit claims payable at beginning of year2015-01-31$1,585,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-01-31$25,942
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-01-31$25,180
Did the plan have assets held for investment2015-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-01-31No
Aggregate proceeds on sale of assets2015-01-31$733,414
Aggregate carrying amount (costs) on sale of assets2015-01-31$696,754
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-01-31No
Opinion of an independent qualified public accountant for this plan2015-01-31Unqualified
Accountancy firm name2015-01-31GOULD, KOBRICK & SCHLAPP, P.C
Accountancy firm EIN2015-01-31133082707
2014 : LOCAL 805 WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-01-31$9,674
Total unrealized appreciation/depreciation of assets2014-01-31$9,674
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$1,655,647
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-01-31$957,452
Total income from all sources (including contributions)2014-01-31$9,571,460
Total loss/gain on sale of assets2014-01-31$1,157
Total of all expenses incurred2014-01-31$10,793,179
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-01-31$9,925,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-01-31$9,550,708
Value of total assets at end of year2014-01-31$674,270
Value of total assets at beginning of year2014-01-31$1,197,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-01-31$867,285
Total interest from all sources2014-01-31$7,272
Total dividends received (eg from common stock, registered investment company shares)2014-01-31$2,649
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-01-31No
Administrative expenses professional fees incurred2014-01-31$72,490
Was this plan covered by a fidelity bond2014-01-31Yes
Value of fidelity bond cover2014-01-31$500,000
If this is an individual account plan, was there a blackout period2014-01-31No
Were there any nonexempt tranactions with any party-in-interest2014-01-31No
Contributions received from participants2014-01-31$103,368
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-01-31$9,856,105
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-01-31$2,534
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-01-31$81,364
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-01-31$25,919
Administrative expenses (other) incurred2014-01-31$14,127
Liabilities. Value of operating payables at end of year2014-01-31$44,728
Liabilities. Value of operating payables at beginning of year2014-01-31$67,079
Total non interest bearing cash at end of year2014-01-31$-10,731
Total non interest bearing cash at beginning of year2014-01-31$641,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Value of net income/loss2014-01-31$-1,221,719
Value of net assets at end of year (total assets less liabilities)2014-01-31$-981,377
Value of net assets at beginning of year (total assets less liabilities)2014-01-31$240,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-01-31No
Were any leases to which the plan was party in default or uncollectible2014-01-31No
Investment advisory and management fees2014-01-31$5,842
Income. Interest from US Government securities2014-01-31$7,030
Income. Interest from corporate debt instruments2014-01-31$242
Value of interest in common/collective trusts at end of year2014-01-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-01-31$19,154
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-01-31$89,180
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-01-31$89,180
Expenses. Payments to insurance carriers foe the provision of benefits2014-01-31$69,789
Asset value of US Government securities at end of year2014-01-31$433,555
Asset value of US Government securities at beginning of year2014-01-31$209,297
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-01-31Yes
Was there a failure to transmit to the plan any participant contributions2014-01-31No
Has the plan failed to provide any benefit when due under the plan2014-01-31No
Contributions received in cash from employer2014-01-31$9,447,340
Employer contributions (assets) at end of year2014-01-31$20,943
Employer contributions (assets) at beginning of year2014-01-31$34,084
Income. Dividends from common stock2014-01-31$2,649
Asset. Corporate debt instrument preferred debt at beginning of year2014-01-31$9,974
Asset. Corporate debt instrument debt (other) at end of year2014-01-31$20,277
Contract administrator fees2014-01-31$774,826
Assets. Corporate common stocks other than exployer securities at end of year2014-01-31$163,358
Assets. Corporate common stocks other than exployer securities at beginning of year2014-01-31$106,950
Liabilities. Value of benefit claims payable at end of year2014-01-31$1,585,000
Liabilities. Value of benefit claims payable at beginning of year2014-01-31$890,373
Assets. Value of buildings and other operty used in plan operation at end of year2014-01-31$25,180
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-01-31$25,388
Did the plan have assets held for investment2014-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-01-31No
Aggregate proceeds on sale of assets2014-01-31$392,221
Aggregate carrying amount (costs) on sale of assets2014-01-31$391,064
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-01-31No
Opinion of an independent qualified public accountant for this plan2014-01-31Unqualified
Accountancy firm name2014-01-31GOULD, KOBRICK & SCHLAPP, P.C
Accountancy firm EIN2014-01-31133082707
2013 : LOCAL 805 WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-01-31$4,790
Total unrealized appreciation/depreciation of assets2013-01-31$4,790
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$957,452
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-01-31$1,272,413
Total income from all sources (including contributions)2013-01-31$9,227,540
Total loss/gain on sale of assets2013-01-31$-11,801
Total of all expenses incurred2013-01-31$8,900,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-01-31$8,072,304
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-01-31$9,217,377
Value of total assets at end of year2013-01-31$1,197,794
Value of total assets at beginning of year2013-01-31$1,185,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-01-31$828,175
Total interest from all sources2013-01-31$13,048
Total dividends received (eg from common stock, registered investment company shares)2013-01-31$2,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-01-31No
Administrative expenses professional fees incurred2013-01-31$120,149
Was this plan covered by a fidelity bond2013-01-31Yes
Value of fidelity bond cover2013-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2013-01-31No
Contributions received from participants2013-01-31$61,586
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-01-31$7,885,552
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-01-31$81,364
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-01-31$4,623
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-01-31$5,930
Other income not declared elsewhere2013-01-31$1,434
Administrative expenses (other) incurred2013-01-31$5,252
Liabilities. Value of operating payables at end of year2013-01-31$67,079
Liabilities. Value of operating payables at beginning of year2013-01-31$57,059
Total non interest bearing cash at end of year2013-01-31$641,557
Total non interest bearing cash at beginning of year2013-01-31$244,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Value of net income/loss2013-01-31$327,061
Value of net assets at end of year (total assets less liabilities)2013-01-31$240,342
Value of net assets at beginning of year (total assets less liabilities)2013-01-31$-86,719
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-01-31No
Were any leases to which the plan was party in default or uncollectible2013-01-31No
Investment advisory and management fees2013-01-31$4,481
Income. Interest from US Government securities2013-01-31$12,498
Income. Interest from corporate debt instruments2013-01-31$550
Value of interest in common/collective trusts at end of year2013-01-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-01-31$89,180
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-01-31$7,951
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-01-31$7,951
Expenses. Payments to insurance carriers foe the provision of benefits2013-01-31$75,752
Asset value of US Government securities at end of year2013-01-31$209,297
Asset value of US Government securities at beginning of year2013-01-31$579,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-01-31Yes
Was there a failure to transmit to the plan any participant contributions2013-01-31No
Has the plan failed to provide any benefit when due under the plan2013-01-31No
Contributions received in cash from employer2013-01-31$9,155,791
Employer contributions (assets) at end of year2013-01-31$34,084
Employer contributions (assets) at beginning of year2013-01-31$50,800
Income. Dividends from common stock2013-01-31$2,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-01-31$111,000
Asset. Corporate debt instrument preferred debt at end of year2013-01-31$9,974
Asset. Corporate debt instrument preferred debt at beginning of year2013-01-31$33,728
Contract administrator fees2013-01-31$698,293
Assets. Corporate common stocks other than exployer securities at end of year2013-01-31$106,950
Assets. Corporate common stocks other than exployer securities at beginning of year2013-01-31$238,560
Liabilities. Value of benefit claims payable at end of year2013-01-31$890,373
Liabilities. Value of benefit claims payable at beginning of year2013-01-31$1,209,424
Assets. Value of buildings and other operty used in plan operation at end of year2013-01-31$25,388
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-01-31$25,878
Did the plan have assets held for investment2013-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-01-31No
Aggregate proceeds on sale of assets2013-01-31$841,315
Aggregate carrying amount (costs) on sale of assets2013-01-31$853,116
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-01-31No
Opinion of an independent qualified public accountant for this plan2013-01-31Unqualified
Accountancy firm name2013-01-31GOULD, KOBRICK & SCHLAPP, P.C
Accountancy firm EIN2013-01-31133082707
2012 : LOCAL 805 WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-01-31$63,973
Total unrealized appreciation/depreciation of assets2012-01-31$63,973
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$1,272,413
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$1,640,722
Total income from all sources (including contributions)2012-01-31$9,408,725
Total loss/gain on sale of assets2012-01-31$24,927
Total of all expenses incurred2012-01-31$10,110,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$9,322,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$9,201,619
Value of total assets at end of year2012-01-31$1,185,694
Value of total assets at beginning of year2012-01-31$2,255,446
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$787,922
Total interest from all sources2012-01-31$35,180
Total dividends received (eg from common stock, registered investment company shares)2012-01-31$6,863
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31No
Administrative expenses professional fees incurred2012-01-31$78,423
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$111,757
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-01-31$9,198,654
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-31$4,623
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-31$7,348
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-01-31$5,930
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-01-31$17,286
Other income not declared elsewhere2012-01-31$76,163
Administrative expenses (other) incurred2012-01-31$24,823
Liabilities. Value of operating payables at end of year2012-01-31$57,059
Liabilities. Value of operating payables at beginning of year2012-01-31$43,519
Total non interest bearing cash at end of year2012-01-31$244,549
Total non interest bearing cash at beginning of year2012-01-31$536,759
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$-701,443
Value of net assets at end of year (total assets less liabilities)2012-01-31$-86,719
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$614,724
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Assets. partnership/joint venture interests at beginning of year2012-01-31$8,343
Investment advisory and management fees2012-01-31$10,761
Income. Interest from US Government securities2012-01-31$28,297
Income. Interest from corporate debt instruments2012-01-31$6,879
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-01-31$7,951
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-01-31$156,336
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-01-31$156,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-01-31$4
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-31$90,592
Asset value of US Government securities at end of year2012-01-31$579,605
Asset value of US Government securities at beginning of year2012-01-31$625,340
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31Yes
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Contributions received in cash from employer2012-01-31$9,089,862
Employer contributions (assets) at end of year2012-01-31$50,800
Employer contributions (assets) at beginning of year2012-01-31$246,230
Income. Dividends from common stock2012-01-31$6,863
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$33,000
Asset. Corporate debt instrument preferred debt at end of year2012-01-31$33,728
Asset. Corporate debt instrument preferred debt at beginning of year2012-01-31$110,814
Asset. Corporate debt instrument debt (other) at beginning of year2012-01-31$54,918
Contract administrator fees2012-01-31$673,915
Assets. Corporate common stocks other than exployer securities at end of year2012-01-31$238,560
Assets. Corporate common stocks other than exployer securities at beginning of year2012-01-31$483,590
Liabilities. Value of benefit claims payable at end of year2012-01-31$1,209,424
Liabilities. Value of benefit claims payable at beginning of year2012-01-31$1,579,917
Assets. Value of buildings and other operty used in plan operation at end of year2012-01-31$25,878
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-01-31$25,768
Did the plan have assets held for investment2012-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Aggregate proceeds on sale of assets2012-01-31$1,473,519
Aggregate carrying amount (costs) on sale of assets2012-01-31$1,448,592
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31GOULD, KOBRICK & SCHLAPP, P.C
Accountancy firm EIN2012-01-31133082707
2011 : LOCAL 805 WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-01-31$63,580
Total unrealized appreciation/depreciation of assets2011-01-31$63,580
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$1,640,722
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-01-31$2,349,017
Total income from all sources (including contributions)2011-01-31$8,610,821
Total loss/gain on sale of assets2011-01-31$35,585
Total of all expenses incurred2011-01-31$7,988,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-01-31$7,249,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-01-31$8,425,037
Value of total assets at end of year2011-01-31$2,255,446
Value of total assets at beginning of year2011-01-31$2,340,981
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-01-31$738,444
Total interest from all sources2011-01-31$38,658
Total dividends received (eg from common stock, registered investment company shares)2011-01-31$7,611
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-01-31No
Administrative expenses professional fees incurred2011-01-31$78,030
Was this plan covered by a fidelity bond2011-01-31Yes
Value of fidelity bond cover2011-01-31$500,000
Were there any nonexempt tranactions with any party-in-interest2011-01-31No
Contributions received from participants2011-01-31$110,028
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-01-31$7,062,085
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-01-31$7,348
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-01-31$244,464
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-01-31$17,286
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-01-31$49,659
Other income not declared elsewhere2011-01-31$40,350
Administrative expenses (other) incurred2011-01-31$31,727
Liabilities. Value of operating payables at end of year2011-01-31$43,519
Liabilities. Value of operating payables at beginning of year2011-01-31$118,463
Total non interest bearing cash at end of year2011-01-31$536,759
Total non interest bearing cash at beginning of year2011-01-31$41,356
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Value of net income/loss2011-01-31$622,760
Value of net assets at end of year (total assets less liabilities)2011-01-31$614,724
Value of net assets at beginning of year (total assets less liabilities)2011-01-31$-8,036
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-01-31No
Were any leases to which the plan was party in default or uncollectible2011-01-31No
Assets. partnership/joint venture interests at end of year2011-01-31$8,343
Investment advisory and management fees2011-01-31$10,368
Income. Interest from US Government securities2011-01-31$28,693
Income. Interest from corporate debt instruments2011-01-31$9,965
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-01-31$156,336
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-01-31$87,148
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-01-31$87,148
Expenses. Payments to insurance carriers foe the provision of benefits2011-01-31$124,532
Asset value of US Government securities at end of year2011-01-31$625,340
Asset value of US Government securities at beginning of year2011-01-31$748,764
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-01-31Yes
Was there a failure to transmit to the plan any participant contributions2011-01-31No
Has the plan failed to provide any benefit when due under the plan2011-01-31No
Contributions received in cash from employer2011-01-31$8,315,009
Employer contributions (assets) at end of year2011-01-31$246,230
Employer contributions (assets) at beginning of year2011-01-31$231,608
Income. Dividends from common stock2011-01-31$7,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-01-31$63,000
Asset. Corporate debt instrument preferred debt at end of year2011-01-31$110,814
Asset. Corporate debt instrument preferred debt at beginning of year2011-01-31$108,581
Asset. Corporate debt instrument debt (other) at end of year2011-01-31$54,918
Asset. Corporate debt instrument debt (other) at beginning of year2011-01-31$134,795
Contract administrator fees2011-01-31$618,319
Assets. Corporate common stocks other than exployer securities at end of year2011-01-31$483,590
Assets. Corporate common stocks other than exployer securities at beginning of year2011-01-31$744,265
Liabilities. Value of benefit claims payable at end of year2011-01-31$1,579,917
Liabilities. Value of benefit claims payable at beginning of year2011-01-31$2,180,895
Assets. Value of buildings and other operty used in plan operation at end of year2011-01-31$25,768
Did the plan have assets held for investment2011-01-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-01-31No
Aggregate proceeds on sale of assets2011-01-31$1,342,645
Aggregate carrying amount (costs) on sale of assets2011-01-31$1,307,060
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-01-31No
Opinion of an independent qualified public accountant for this plan2011-01-31Unqualified
Accountancy firm name2011-01-31GOULD, KOBRICK & SCHLAPP, P.C
Accountancy firm EIN2011-01-31133082707

Form 5500 Responses for LOCAL 805 WELFARE FUND

2015: LOCAL 805 WELFARE FUND 2015 form 5500 responses
2015-02-01Type of plan entityMulti-employer plan
2015-02-01This submission is the final filingYes
2015-02-01Plan is a collectively bargained planYes
2015-02-01Plan funding arrangement – TrustYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement - TrustYes
2014: LOCAL 805 WELFARE FUND 2014 form 5500 responses
2014-02-01Type of plan entityMulti-employer plan
2014-02-01Plan is a collectively bargained planYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement - TrustYes
2013: LOCAL 805 WELFARE FUND 2013 form 5500 responses
2013-02-01Type of plan entityMulti-employer plan
2013-02-01Plan is a collectively bargained planYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: LOCAL 805 WELFARE FUND 2012 form 5500 responses
2012-02-01Type of plan entityMulti-employer plan
2012-02-01Plan is a collectively bargained planYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2011: LOCAL 805 WELFARE FUND 2011 form 5500 responses
2011-02-01Type of plan entityMulti-employer plan
2011-02-01Plan is a collectively bargained planYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2010: LOCAL 805 WELFARE FUND 2010 form 5500 responses
2010-02-01Type of plan entityMulti-employer plan
2010-02-01Plan is a collectively bargained planYes
2010-02-01Plan funding arrangement – TrustYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement - TrustYes
2009: LOCAL 805 WELFARE FUND 2009 form 5500 responses
2009-02-01Type of plan entityMulti-employer plan
2009-02-01Plan is a collectively bargained planYes
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398F
Policy instance 2
Insurance contract or identification numberGG-398F
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398
Policy instance 1
Insurance contract or identification numberGG-398
Insurance policy start date2015-02-01
Insurance policy end date2016-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,235
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398F
Policy instance 2
Insurance contract or identification numberGG-398F
Number of Individuals Covered1
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398
Policy instance 1
Insurance contract or identification numberGG-398
Number of Individuals Covered131
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $55,776
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398
Policy instance 1
Insurance contract or identification numberGG-398
Number of Individuals Covered146
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $74,665
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398F
Policy instance 2
Insurance contract or identification numberGG-398F
Number of Individuals Covered2
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398F
Policy instance 1
Insurance contract or identification numberGG-398F
Number of Individuals Covered4
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398
Policy instance 2
Insurance contract or identification numberGG-398
Number of Individuals Covered164
Insurance policy start date2012-02-01
Insurance policy end date2013-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $73,673
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398F
Policy instance 1
Insurance contract or identification numberGG-398F
Number of Individuals Covered5
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398
Policy instance 2
Insurance contract or identification numberGG-398
Number of Individuals Covered180
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $92,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DENTCARE DELIVERY SYSTEMS (National Association of Insurance Commissioners NAIC id number: 47112 )
Policy contract numberGG-398
Policy instance 1
Insurance contract or identification numberGG-398
Number of Individuals Covered249
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,478
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,374
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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