401k Plan data: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES plan

LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 401k Plan overview

Plan Name	LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES
Plan identification number	501

LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

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

Company Name: THE BOARD OF TRUSTEES

Employer identification number (EIN): 132865775

NAIC Classification: 525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2012-01-01 STEVE SCHLAPP
501 2011-01-01 STEVE SCHLAPP
501 2010-01-01 STEVEN T SCHLAPP

Plan id#	Filing Submission Date	Name of Administrator
501	2012-01-01	STEVE SCHLAPP
501	2011-01-01	STEVE SCHLAPP
501	2010-01-01	STEVEN T SCHLAPP

Plan Statistics for LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES

401k plan membership statisitcs for LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES

Measure Date Value
2012: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 306
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 277
Total of all active and inactive participants 2012-01-01 277
Total participants 2012-01-01 0
Number of employers contributing to the scheme 2012-01-01 2
2011: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 316
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 306
Total of all active and inactive participants 2011-01-01 306
Total participants 2011-01-01 306
Number of employers contributing to the scheme 2011-01-01 3
2010: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2010 401k membership
Total participants, beginning-of-year 2010-01-01 302
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 316
Total of all active and inactive participants 2010-01-01 316
Total participants 2010-01-01 316

Measure	Date	Value
2012: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	306
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	277
Total of all active and inactive participants	2012-01-01	277
Total participants	2012-01-01	0
Number of employers contributing to the scheme	2012-01-01	2
2011: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	316
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	306
Total of all active and inactive participants	2011-01-01	306
Total participants	2011-01-01	306
Number of employers contributing to the scheme	2011-01-01	3
2010: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2010 401k membership
Total participants, beginning-of-year	2010-01-01	302
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	316
Total of all active and inactive participants	2010-01-01	316
Total participants	2010-01-01	316

Financial Data on LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES

Measure	Date	Value
2012 : LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$54,148
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$46,353
Total income from all sources (including contributions)	2012-12-31	$431,760
Total of all expenses incurred	2012-12-31	$446,358
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$378,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$431,493
Value of total assets at end of year	2012-12-31	$494,133
Value of total assets at beginning of year	2012-12-31	$500,936
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$67,418
Total interest from all sources	2012-12-31	$267
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Administrative expenses professional fees incurred	2012-12-31	$18,000
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-12-31	$36,553
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-12-31	$28,237
Administrative expenses (other) incurred	2012-12-31	$49,418
Liabilities. Value of operating payables at end of year	2012-12-31	$17,000
Liabilities. Value of operating payables at beginning of year	2012-12-31	$17,426
Total non interest bearing cash at end of year	2012-12-31	$1,361
Total non interest bearing cash at beginning of year	2012-12-31	$742
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$-14,598
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$439,985
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$454,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in common/collective trusts at end of year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$426,206
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$396,499
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$396,499
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$267
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$360,544
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$431,493
Employer contributions (assets) at end of year	2012-12-31	$64,503
Employer contributions (assets) at beginning of year	2012-12-31	$70,287
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$18,396
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$595
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$690
Assets. Value of buildings and other operty used in plan operation at end of year	2012-12-31	$2,063
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-12-31	$33,408
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	No
Opinion of an independent qualified public accountant for this plan	2012-12-31	Unqualified
Accountancy firm name	2012-12-31	GOULD, KOBRICK & SCHLAPP, P.C.
Accountancy firm EIN	2012-12-31	133082707
2011 : LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$46,353
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$18,302
Total income from all sources (including contributions)	2011-12-31	$462,145
Total of all expenses incurred	2011-12-31	$511,278
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$419,792
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$461,719
Value of total assets at end of year	2011-12-31	$500,936
Value of total assets at beginning of year	2011-12-31	$522,018
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$91,486
Total interest from all sources	2011-12-31	$426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Administrative expenses professional fees incurred	2011-12-31	$20,160
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-12-31	$28,237
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-12-31	$902
Administrative expenses (other) incurred	2011-12-31	$71,326
Liabilities. Value of operating payables at end of year	2011-12-31	$17,426
Liabilities. Value of operating payables at beginning of year	2011-12-31	$17,000
Total non interest bearing cash at end of year	2011-12-31	$742
Total non interest bearing cash at beginning of year	2011-12-31	$153
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-49,133
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$454,583
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$503,716
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$396,499
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$272,511
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$272,511
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$426
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$398,156
Asset value of US Government securities at beginning of year	2011-12-31	$174,895
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$461,719
Employer contributions (assets) at end of year	2011-12-31	$70,287
Employer contributions (assets) at beginning of year	2011-12-31	$72,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$21,636
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$690
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$400
Assets. Value of buildings and other operty used in plan operation at end of year	2011-12-31	$33,408
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-12-31	$2,111
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Aggregate proceeds on sale of assets	2011-12-31	$350,000
Aggregate carrying amount (costs) on sale of assets	2011-12-31	$350,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	No
Opinion of an independent qualified public accountant for this plan	2011-12-31	Unqualified
Accountancy firm name	2011-12-31	GOULD, KOBRICK & SCHLAPP, P.C.
Accountancy firm EIN	2011-12-31	133082707
2010 : LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$18,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$49,874
Total income from all sources (including contributions)	2010-12-31	$498,797
Total of all expenses incurred	2010-12-31	$538,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$433,068
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$498,260
Value of total assets at end of year	2010-12-31	$522,018
Value of total assets at beginning of year	2010-12-31	$593,230
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$105,369
Total interest from all sources	2010-12-31	$537
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$26,623
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2010-12-31	$902
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2010-12-31	$38,284
Administrative expenses (other) incurred	2010-12-31	$78,746
Liabilities. Value of operating payables at end of year	2010-12-31	$17,000
Liabilities. Value of operating payables at beginning of year	2010-12-31	$10,350
Total non interest bearing cash at end of year	2010-12-31	$153
Total non interest bearing cash at beginning of year	2010-12-31	$1,066
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$-39,640
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$503,716
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$543,356
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$272,511
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$379,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$379,391
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$537
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$414,020
Asset value of US Government securities at end of year	2010-12-31	$174,895
Asset value of US Government securities at beginning of year	2010-12-31	$174,990
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$497,139
Employer contributions (assets) at end of year	2010-12-31	$72,348
Employer contributions (assets) at beginning of year	2010-12-31	$35,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$19,048
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$400
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$1,240
Assets. Value of buildings and other operty used in plan operation at end of year	2010-12-31	$2,111
Assets. Value of buildings and other operty used in plan operation at beginning of year	2010-12-31	$2,207
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Aggregate proceeds on sale of assets	2010-12-31	$525,012
Aggregate carrying amount (costs) on sale of assets	2010-12-31	$525,012
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	No
Opinion of an independent qualified public accountant for this plan	2010-12-31	Unqualified
Accountancy firm name	2010-12-31	GOULD, KOBRICK & SCHLAPP, P.C.
Accountancy firm EIN	2010-12-31	133082707

Form 5500 Responses for LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES

2012: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	This submission is the final filing	Yes
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2011 form 5500 responses
2011-01-01	Type of plan entity	Multi-employer plan
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: LOCAL 333 INSURANCE FUND FOR NYC EMPLOYEES 2010 form 5500 responses
2010-01-01	Type of plan entity	Multi-employer plan
2010-01-01	Plan is a collectively bargained plan	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	THE BOARD OF TRUSTEES
Employer identification number (EIN):	132865775
NAIC Classification:	525100
NAIC Description:	Insurance and Employee Benefit Funds