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BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 401k Plan overview

Plan NameBAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND
Plan identification number 501

BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND Benefits

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

401k Sponsoring company profile

BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND has sponsored the creation of one or more 401k plans.

Company Name:BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND
Employer identification number (EIN):135623780
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01MICHAEL SPINELLI2022-10-14 DENNIS MCGUIRE2022-10-14
5012020-11-01MICHAEL SPINELLI2022-05-28 DENNIS MCGUIRE2022-05-25
5012019-11-01MICHAEL SPINELLI2021-07-27 DENNIS MCGUIRE2021-07-27
5012018-11-01MICHAEL SPINELLI2020-07-27 DENNIS MCGUIRE2020-07-27
5012017-11-01MICHAEL SPINELLI2019-08-07 DENNIS MCGUIRE2019-08-07
5012016-11-01
5012015-11-01
5012014-11-01
5012013-11-01
5012012-11-01RICHARD VOLPE
5012011-11-01RICHARD VOLPE
5012010-11-01RICHARD VOLPE
5012009-11-01DENNIS MCGUIRE
5012008-11-01

Plan Statistics for BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND

401k plan membership statisitcs for BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND

Measure Date Value
2021: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2021 401k membership
Total participants, beginning-of-year2021-11-010
Total number of active participants reported on line 7a of the Form 55002021-11-010
Total of all active and inactive participants2021-11-010
2020: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2020 401k membership
Total participants, beginning-of-year2020-11-01115
Total number of active participants reported on line 7a of the Form 55002020-11-010
Number of retired or separated participants receiving benefits2020-11-010
Total of all active and inactive participants2020-11-010
Number of employers contributing to the scheme2020-11-010
2019: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2019 401k membership
Total participants, beginning-of-year2019-11-01118
Total number of active participants reported on line 7a of the Form 55002019-11-01110
Number of retired or separated participants receiving benefits2019-11-015
Total of all active and inactive participants2019-11-01115
Number of employers contributing to the scheme2019-11-011
2018: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2018 401k membership
Total participants, beginning-of-year2018-11-01108
Total number of active participants reported on line 7a of the Form 55002018-11-01111
Number of retired or separated participants receiving benefits2018-11-017
Total of all active and inactive participants2018-11-01118
Number of employers contributing to the scheme2018-11-011
2017: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2017 401k membership
Total participants, beginning-of-year2017-11-01128
Total number of active participants reported on line 7a of the Form 55002017-11-01102
Number of retired or separated participants receiving benefits2017-11-016
Total of all active and inactive participants2017-11-01108
Number of employers contributing to the scheme2017-11-011
2016: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2016 401k membership
Total participants, beginning-of-year2016-11-01128
Total number of active participants reported on line 7a of the Form 55002016-11-01120
Number of retired or separated participants receiving benefits2016-11-018
Total of all active and inactive participants2016-11-01128
Number of employers contributing to the scheme2016-11-011
2015: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2015 401k membership
Total participants, beginning-of-year2015-11-01154
Total number of active participants reported on line 7a of the Form 55002015-11-01120
Number of retired or separated participants receiving benefits2015-11-018
Total of all active and inactive participants2015-11-01128
Number of employers contributing to the scheme2015-11-011
2014: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2014 401k membership
Total participants, beginning-of-year2014-11-01183
Total number of active participants reported on line 7a of the Form 55002014-11-01140
Number of retired or separated participants receiving benefits2014-11-0114
Total of all active and inactive participants2014-11-01154
Number of employers contributing to the scheme2014-11-014
2013: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2013 401k membership
Total participants, beginning-of-year2013-11-01206
Total number of active participants reported on line 7a of the Form 55002013-11-01150
Number of retired or separated participants receiving benefits2013-11-0133
Total of all active and inactive participants2013-11-01183
Number of employers contributing to the scheme2013-11-014
2012: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2012 401k membership
Total participants, beginning-of-year2012-11-01514
Total number of active participants reported on line 7a of the Form 55002012-11-01179
Number of retired or separated participants receiving benefits2012-11-0127
Total of all active and inactive participants2012-11-01206
Number of employers contributing to the scheme2012-11-015
2011: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2011 401k membership
Total participants, beginning-of-year2011-11-01565
Total number of active participants reported on line 7a of the Form 55002011-11-01490
Number of retired or separated participants receiving benefits2011-11-0124
Total of all active and inactive participants2011-11-01514
Number of employers contributing to the scheme2011-11-016
2010: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2010 401k membership
Total participants, beginning-of-year2010-11-01614
Total number of active participants reported on line 7a of the Form 55002010-11-01527
Number of retired or separated participants receiving benefits2010-11-0138
Total of all active and inactive participants2010-11-01565
Number of employers contributing to the scheme2010-11-016
2009: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2009 401k membership
Total participants, beginning-of-year2009-11-01594
Total number of active participants reported on line 7a of the Form 55002009-11-01583
Number of retired or separated participants receiving benefits2009-11-0131
Total of all active and inactive participants2009-11-01614
Number of employers contributing to the scheme2009-11-016

Financial Data on BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND

Measure Date Value
2021 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2021 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$40,157
Total of all expenses incurred2021-12-31$598,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$150
Value of total corrective distributions2021-12-31$554,930
Value of total assets at beginning of year2021-12-31$638,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$43,626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$23,967
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$150
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$58,353
Administrative expenses (other) incurred2021-12-31$19,659
Liabilities. Value of operating payables at beginning of year2021-12-31$40,157
Total non interest bearing cash at beginning of year2021-12-31$580,510
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-598,706
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$598,706
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
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
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 PBGC2021-12-31Yes
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2021-12-31131578842
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$40,157
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$54,325
Total income from all sources (including contributions)2021-10-31$114,634
Total of all expenses incurred2021-10-31$713,746
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$70,886
Value of total corrective distributions2021-10-31$513,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$110,342
Value of total assets at end of year2021-10-31$638,863
Value of total assets at beginning of year2021-10-31$1,252,143
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-10-31$129,149
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-10-31$0
Administrative expenses professional fees incurred2021-10-31$73,850
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Contributions received from participants2021-10-31$1,000
Participant contributions at end of year2021-10-31$0
Participant contributions at beginning of year2021-10-31$240
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-10-31$6,850
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-10-31$58,353
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-10-31$86,044
Other income not declared elsewhere2021-10-31$4,292
Administrative expenses (other) incurred2021-10-31$55,299
Liabilities. Value of operating payables at end of year2021-10-31$40,157
Liabilities. Value of operating payables at beginning of year2021-10-31$53,875
Total non interest bearing cash at end of year2021-10-31$580,510
Total non interest bearing cash at beginning of year2021-10-31$1,096,093
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$-599,112
Value of net assets at end of year (total assets less liabilities)2021-10-31$598,706
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$1,197,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-10-31No
Were any leases to which the plan was party in default or uncollectible2021-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-10-31$43,722
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31No
Was there a failure to transmit to the plan any participant contributions2021-10-31No
Has the plan failed to provide any benefit when due under the plan2021-10-31No
Contributions received in cash from employer2021-10-31$109,342
Employer contributions (assets) at end of year2021-10-31$0
Employer contributions (assets) at beginning of year2021-10-31$68,410
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-10-31$20,314
Liabilities. Value of benefit claims payable at end of year2021-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-10-31$450
Assets. Value of buildings and other operty used in plan operation at end of year2021-10-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-10-31$1,356
Did the plan have assets held for investment2021-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
Opinion of an independent qualified public accountant for this plan2021-10-31Unqualified
Accountancy firm name2021-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2021-10-31131578842
2020 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$54,325
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$55,307
Total income from all sources (including contributions)2020-10-31$757,461
Total of all expenses incurred2020-10-31$507,498
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$334,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$742,570
Value of total assets at end of year2020-10-31$1,252,143
Value of total assets at beginning of year2020-10-31$1,003,162
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-10-31$172,967
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Administrative expenses professional fees incurred2020-10-31$62,800
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Contributions received from participants2020-10-31$8,240
Participant contributions at end of year2020-10-31$240
Participant contributions at beginning of year2020-10-31$360
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-10-31$10,700
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-10-31$86,044
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-10-31$77,287
Other income not declared elsewhere2020-10-31$14,891
Administrative expenses (other) incurred2020-10-31$110,167
Liabilities. Value of operating payables at end of year2020-10-31$53,875
Liabilities. Value of operating payables at beginning of year2020-10-31$53,807
Total non interest bearing cash at end of year2020-10-31$1,096,093
Total non interest bearing cash at beginning of year2020-10-31$867,229
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Value of net income/loss2020-10-31$249,963
Value of net assets at end of year (total assets less liabilities)2020-10-31$1,197,818
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$947,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-10-31No
Were any leases to which the plan was party in default or uncollectible2020-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-10-31$252,203
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31No
Was there a failure to transmit to the plan any participant contributions2020-10-31No
Has the plan failed to provide any benefit when due under the plan2020-10-31No
Contributions received in cash from employer2020-10-31$734,330
Employer contributions (assets) at end of year2020-10-31$68,410
Employer contributions (assets) at beginning of year2020-10-31$55,406
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-10-31$71,628
Liabilities. Value of benefit claims payable at end of year2020-10-31$450
Liabilities. Value of benefit claims payable at beginning of year2020-10-31$1,500
Assets. Value of buildings and other operty used in plan operation at end of year2020-10-31$1,356
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-10-31$2,880
Did the plan have assets held for investment2020-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-10-31No
Opinion of an independent qualified public accountant for this plan2020-10-31Unqualified
Accountancy firm name2020-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2020-10-31131578842
2019 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$55,307
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$56,878
Total income from all sources (including contributions)2019-10-31$736,013
Total of all expenses incurred2019-10-31$489,352
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$312,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$727,129
Value of total assets at end of year2019-10-31$1,003,162
Value of total assets at beginning of year2019-10-31$758,072
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-31$176,768
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Administrative expenses professional fees incurred2019-10-31$64,657
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$8,280
Participant contributions at end of year2019-10-31$360
Participant contributions at beginning of year2019-10-31$120
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-10-31$16,425
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-10-31$77,287
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-10-31$20,229
Other income not declared elsewhere2019-10-31$8,884
Administrative expenses (other) incurred2019-10-31$112,111
Liabilities. Value of operating payables at end of year2019-10-31$53,807
Liabilities. Value of operating payables at beginning of year2019-10-31$56,428
Total non interest bearing cash at end of year2019-10-31$867,229
Total non interest bearing cash at beginning of year2019-10-31$680,683
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Value of net income/loss2019-10-31$246,661
Value of net assets at end of year (total assets less liabilities)2019-10-31$947,855
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$701,194
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-10-31No
Were any leases to which the plan was party in default or uncollectible2019-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-31$236,809
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31No
Was there a failure to transmit to the plan any participant contributions2019-10-31No
Has the plan failed to provide any benefit when due under the plan2019-10-31No
Contributions received in cash from employer2019-10-31$718,849
Employer contributions (assets) at end of year2019-10-31$55,406
Employer contributions (assets) at beginning of year2019-10-31$51,936
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-10-31$59,350
Liabilities. Value of benefit claims payable at end of year2019-10-31$1,500
Liabilities. Value of benefit claims payable at beginning of year2019-10-31$450
Assets. Value of buildings and other operty used in plan operation at end of year2019-10-31$2,880
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-10-31$5,104
Did the plan have assets held for investment2019-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-31No
Opinion of an independent qualified public accountant for this plan2019-10-31Unqualified
Accountancy firm name2019-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2019-10-31131578842
2018 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$56,878
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$39,524
Total income from all sources (including contributions)2018-10-31$691,778
Total of all expenses incurred2018-10-31$533,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$297,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$686,438
Value of total assets at end of year2018-10-31$758,072
Value of total assets at beginning of year2018-10-31$582,793
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$236,486
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Administrative expenses professional fees incurred2018-10-31$62,800
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$6,720
Participant contributions at end of year2018-10-31$120
Participant contributions at beginning of year2018-10-31$840
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-10-31$19,150
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$20,229
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-10-31$124,916
Other income not declared elsewhere2018-10-31$5,340
Administrative expenses (other) incurred2018-10-31$173,686
Liabilities. Value of operating payables at end of year2018-10-31$56,428
Liabilities. Value of operating payables at beginning of year2018-10-31$35,256
Total non interest bearing cash at end of year2018-10-31$680,683
Total non interest bearing cash at beginning of year2018-10-31$401,320
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$157,925
Value of net assets at end of year (total assets less liabilities)2018-10-31$701,194
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$543,269
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$233,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$679,718
Employer contributions (assets) at end of year2018-10-31$51,936
Employer contributions (assets) at beginning of year2018-10-31$50,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$44,572
Liabilities. Value of benefit claims payable at end of year2018-10-31$450
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$4,268
Assets. Value of buildings and other operty used in plan operation at end of year2018-10-31$5,104
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-10-31$5,177
Did the plan have assets held for investment2018-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2018-10-31131578842
2017 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$39,524
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$469,329
Total income from all sources (including contributions)2017-10-31$690,874
Total of all expenses incurred2017-10-31$474,189
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$243,662
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$684,321
Value of total assets at end of year2017-10-31$582,793
Value of total assets at beginning of year2017-10-31$795,913
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$230,527
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Administrative expenses professional fees incurred2017-10-31$65,824
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$14,370
Participant contributions at end of year2017-10-31$840
Participant contributions at beginning of year2017-10-31$19,460
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-10-31$18,175
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-10-31$124,916
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-10-31$258,444
Other income not declared elsewhere2017-10-31$6,553
Administrative expenses (other) incurred2017-10-31$164,703
Liabilities. Value of operating payables at end of year2017-10-31$35,256
Liabilities. Value of operating payables at beginning of year2017-10-31$47,655
Total non interest bearing cash at end of year2017-10-31$401,320
Total non interest bearing cash at beginning of year2017-10-31$440,356
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$216,685
Value of net assets at end of year (total assets less liabilities)2017-10-31$543,269
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$326,584
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$1,194
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$1,194
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$198,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$669,951
Employer contributions (assets) at end of year2017-10-31$50,540
Employer contributions (assets) at beginning of year2017-10-31$68,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$27,101
Liabilities. Value of benefit claims payable at end of year2017-10-31$4,268
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$421,674
Assets. Value of buildings and other operty used in plan operation at end of year2017-10-31$5,177
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-10-31$8,203
Did the plan have assets held for investment2017-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2017-10-31131578842
2016 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$469,329
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$1,279,954
Total income from all sources (including contributions)2016-10-31$1,557,358
Total of all expenses incurred2016-10-31$834,666
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$576,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$1,551,785
Value of total assets at end of year2016-10-31$795,913
Value of total assets at beginning of year2016-10-31$883,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$257,688
Total interest from all sources2016-10-31$5,573
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Administrative expenses professional fees incurred2016-10-31$95,627
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$58,282
Participant contributions at end of year2016-10-31$19,460
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-10-31$82,663
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-10-31$258,444
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-10-31$212,405
Administrative expenses (other) incurred2016-10-31$161,611
Liabilities. Value of operating payables at end of year2016-10-31$47,655
Liabilities. Value of operating payables at beginning of year2016-10-31$50,410
Total non interest bearing cash at end of year2016-10-31$440,356
Total non interest bearing cash at beginning of year2016-10-31$407,671
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$722,692
Value of net assets at end of year (total assets less liabilities)2016-10-31$326,584
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$-396,108
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Investment advisory and management fees2016-10-31$450
Interest earned on other investments2016-10-31$5,573
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$1,194
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$1,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$1,410
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$494,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$1,493,503
Employer contributions (assets) at end of year2016-10-31$68,256
Employer contributions (assets) at beginning of year2016-10-31$256,650
Liabilities. Value of benefit claims payable at end of year2016-10-31$421,674
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$1,229,544
Assets. Value of buildings and other operty used in plan operation at end of year2016-10-31$8,203
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-10-31$5,710
Did the plan have assets held for investment2016-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31BUCHBINDER TUNICK & COMPANY,LLP
Accountancy firm EIN2016-10-31131578842
2015 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-10-31$1,968
Total unrealized appreciation/depreciation of assets2015-10-31$1,968
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$1,279,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$1,654,309
Total income from all sources (including contributions)2015-10-31$3,230,944
Total loss/gain on sale of assets2015-10-31$21,119
Total of all expenses incurred2015-10-31$3,387,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$3,088,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$3,190,991
Value of total assets at end of year2015-10-31$883,846
Value of total assets at beginning of year2015-10-31$1,414,734
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$298,932
Total interest from all sources2015-10-31$10,910
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$5,956
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Administrative expenses professional fees incurred2015-10-31$122,481
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$311,291
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-10-31$399,690
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-10-31$212,405
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-10-31$122,488
Administrative expenses (other) incurred2015-10-31$165,855
Liabilities. Value of operating payables at end of year2015-10-31$50,410
Liabilities. Value of operating payables at beginning of year2015-10-31$61,996
Total non interest bearing cash at end of year2015-10-31$407,671
Total non interest bearing cash at beginning of year2015-10-31$-85,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$-156,533
Value of net assets at end of year (total assets less liabilities)2015-10-31$-396,108
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$-239,575
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Investment advisory and management fees2015-10-31$10,596
Interest earned on other investments2015-10-31$457
Income. Interest from US Government securities2015-10-31$3,963
Income. Interest from corporate debt instruments2015-10-31$5,298
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$1,410
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-10-31$15,453
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-10-31$15,453
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-10-31$1,192
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$2,688,855
Asset value of US Government securities at beginning of year2015-10-31$357,295
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31Yes
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$2,879,700
Employer contributions (assets) at end of year2015-10-31$256,650
Employer contributions (assets) at beginning of year2015-10-31$224,775
Income. Dividends from common stock2015-10-31$5,956
Asset. Corporate debt instrument preferred debt at beginning of year2015-10-31$45,711
Asset. Corporate debt instrument debt (other) at beginning of year2015-10-31$153,551
Assets. Corporate common stocks other than exployer securities at beginning of year2015-10-31$576,000
Liabilities. Value of benefit claims payable at end of year2015-10-31$1,229,544
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$1,592,313
Assets. Value of buildings and other operty used in plan operation at end of year2015-10-31$5,710
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-10-31$4,768
Did the plan have assets held for investment2015-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Aggregate proceeds on sale of assets2015-10-31$3,008,819
Aggregate carrying amount (costs) on sale of assets2015-10-31$2,987,700
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2015-10-31131578842
2014 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-10-31$66,590
Total unrealized appreciation/depreciation of assets2014-10-31$66,590
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$1,654,309
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$1,444,656
Total income from all sources (including contributions)2014-10-31$3,581,652
Total loss/gain on sale of assets2014-10-31$37,933
Total of all expenses incurred2014-10-31$4,243,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$3,959,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$3,451,286
Value of total assets at end of year2014-10-31$1,414,734
Value of total assets at beginning of year2014-10-31$1,867,186
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$284,578
Total interest from all sources2014-10-31$13,814
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$12,029
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Administrative expenses professional fees incurred2014-10-31$111,884
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$396,507
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-10-31$368,447
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-10-31$122,488
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-10-31$70,961
Administrative expenses (other) incurred2014-10-31$155,054
Liabilities. Value of operating payables at end of year2014-10-31$61,996
Liabilities. Value of operating payables at beginning of year2014-10-31$72,419
Total non interest bearing cash at end of year2014-10-31$-85,307
Total non interest bearing cash at beginning of year2014-10-31$14,772
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$-662,105
Value of net assets at end of year (total assets less liabilities)2014-10-31$-239,575
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$422,530
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Investment advisory and management fees2014-10-31$17,640
Income. Interest from US Government securities2014-10-31$3,981
Income. Interest from corporate debt instruments2014-10-31$9,564
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$15,453
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$-4,593
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$-4,593
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-10-31$269
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$3,590,732
Asset value of US Government securities at end of year2014-10-31$357,295
Asset value of US Government securities at beginning of year2014-10-31$496,045
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31Yes
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$3,054,779
Employer contributions (assets) at end of year2014-10-31$224,775
Employer contributions (assets) at beginning of year2014-10-31$260,300
Income. Dividends from common stock2014-10-31$12,029
Asset. Corporate debt instrument preferred debt at end of year2014-10-31$45,711
Asset. Corporate debt instrument preferred debt at beginning of year2014-10-31$80,206
Asset. Corporate debt instrument debt (other) at end of year2014-10-31$153,551
Asset. Corporate debt instrument debt (other) at beginning of year2014-10-31$179,477
Assets. Corporate common stocks other than exployer securities at end of year2014-10-31$576,000
Assets. Corporate common stocks other than exployer securities at beginning of year2014-10-31$767,628
Liabilities. Value of benefit claims payable at end of year2014-10-31$1,592,313
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$1,372,237
Assets. Value of buildings and other operty used in plan operation at end of year2014-10-31$4,768
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-10-31$2,390
Did the plan have assets held for investment2014-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Aggregate proceeds on sale of assets2014-10-31$2,350,148
Aggregate carrying amount (costs) on sale of assets2014-10-31$2,312,215
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2014-10-31131578842
2013 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-10-31$118,047
Total unrealized appreciation/depreciation of assets2013-10-31$118,047
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$1,444,656
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$1,695,302
Total income from all sources (including contributions)2013-10-31$4,367,366
Total loss/gain on sale of assets2013-10-31$57,079
Total of all expenses incurred2013-10-31$5,126,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$4,779,211
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$4,149,378
Value of total assets at end of year2013-10-31$1,867,186
Value of total assets at beginning of year2013-10-31$2,876,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$347,034
Total interest from all sources2013-10-31$25,778
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$17,084
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Administrative expenses professional fees incurred2013-10-31$118,736
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$551,360
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$512,493
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-10-31$70,961
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-10-31$168,625
Administrative expenses (other) incurred2013-10-31$208,245
Liabilities. Value of operating payables at end of year2013-10-31$72,419
Liabilities. Value of operating payables at beginning of year2013-10-31$52,863
Total non interest bearing cash at end of year2013-10-31$14,772
Total non interest bearing cash at beginning of year2013-10-31$15,053
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$-758,879
Value of net assets at end of year (total assets less liabilities)2013-10-31$422,530
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$1,181,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Investment advisory and management fees2013-10-31$20,053
Income. Interest from US Government securities2013-10-31$7,987
Income. Interest from corporate debt instruments2013-10-31$17,788
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$-4,593
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$28,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$28,532
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-10-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$4,266,718
Asset value of US Government securities at end of year2013-10-31$496,045
Asset value of US Government securities at beginning of year2013-10-31$464,105
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31Yes
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$3,598,018
Employer contributions (assets) at end of year2013-10-31$260,300
Employer contributions (assets) at beginning of year2013-10-31$664,805
Income. Dividends from common stock2013-10-31$17,084
Asset. Corporate debt instrument preferred debt at end of year2013-10-31$80,206
Asset. Corporate debt instrument preferred debt at beginning of year2013-10-31$111,632
Asset. Corporate debt instrument debt (other) at end of year2013-10-31$179,477
Asset. Corporate debt instrument debt (other) at beginning of year2013-10-31$416,170
Assets. Corporate common stocks other than exployer securities at end of year2013-10-31$767,628
Assets. Corporate common stocks other than exployer securities at beginning of year2013-10-31$1,003,335
Liabilities. Value of benefit claims payable at end of year2013-10-31$1,372,237
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$1,642,439
Assets. Value of buildings and other operty used in plan operation at end of year2013-10-31$2,390
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-10-31$4,454
Did the plan have assets held for investment2013-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Aggregate proceeds on sale of assets2013-10-31$3,379,379
Aggregate carrying amount (costs) on sale of assets2013-10-31$3,322,300
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2013-10-31131578842
2012 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-10-31$112,632
Total unrealized appreciation/depreciation of assets2012-10-31$112,632
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$1,695,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$2,142,106
Total income from all sources (including contributions)2012-10-31$8,734,295
Total loss/gain on sale of assets2012-10-31$34,415
Total of all expenses incurred2012-10-31$8,700,967
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$8,360,299
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$8,520,324
Value of total assets at end of year2012-10-31$2,876,711
Value of total assets at beginning of year2012-10-31$3,290,187
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$340,668
Total interest from all sources2012-10-31$40,422
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$26,502
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Administrative expenses professional fees incurred2012-10-31$120,988
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$258,206
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-10-31$1,007,119
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-10-31$168,625
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-10-31$405,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-10-31$9,969
Administrative expenses (other) incurred2012-10-31$195,223
Liabilities. Value of operating payables at end of year2012-10-31$52,863
Liabilities. Value of operating payables at beginning of year2012-10-31$72,242
Total non interest bearing cash at end of year2012-10-31$15,053
Total non interest bearing cash at beginning of year2012-10-31$-534,951
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$33,328
Value of net assets at end of year (total assets less liabilities)2012-10-31$1,181,409
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$1,148,081
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Investment advisory and management fees2012-10-31$24,457
Income. Interest from US Government securities2012-10-31$15,785
Income. Interest from corporate debt instruments2012-10-31$24,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$28,532
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$46,981
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$46,981
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-10-31$39
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$7,353,180
Asset value of US Government securities at end of year2012-10-31$464,105
Asset value of US Government securities at beginning of year2012-10-31$710,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31Yes
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$8,262,118
Employer contributions (assets) at end of year2012-10-31$664,805
Employer contributions (assets) at beginning of year2012-10-31$795,084
Income. Dividends from common stock2012-10-31$26,502
Asset. Corporate debt instrument preferred debt at end of year2012-10-31$111,632
Asset. Corporate debt instrument preferred debt at beginning of year2012-10-31$228,808
Asset. Corporate debt instrument debt (other) at end of year2012-10-31$416,170
Asset. Corporate debt instrument debt (other) at beginning of year2012-10-31$361,308
Assets. Corporate common stocks other than exployer securities at end of year2012-10-31$1,003,335
Assets. Corporate common stocks other than exployer securities at beginning of year2012-10-31$1,269,652
Liabilities. Value of benefit claims payable at end of year2012-10-31$1,642,439
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$2,059,895
Assets. Value of buildings and other operty used in plan operation at end of year2012-10-31$4,454
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-10-31$7,028
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Aggregate proceeds on sale of assets2012-10-31$5,349,345
Aggregate carrying amount (costs) on sale of assets2012-10-31$5,314,930
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31BUCHBINDER TUNICK & COMPANY, LLP
Accountancy firm EIN2012-10-31131578842
2011 : BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-10-31$1,106
Total unrealized appreciation/depreciation of assets2011-10-31$1,106
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$2,142,106
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$1,914,402
Total income from all sources (including contributions)2011-10-31$8,512,027
Total loss/gain on sale of assets2011-10-31$-18,398
Total of all expenses incurred2011-10-31$9,127,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$8,768,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$8,442,294
Value of total assets at end of year2011-10-31$3,290,187
Value of total assets at beginning of year2011-10-31$3,677,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$358,446
Total interest from all sources2011-10-31$64,061
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$22,964
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Administrative expenses professional fees incurred2011-10-31$137,948
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$257,402
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-31$1,207,802
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-31$405,300
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$311,108
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-10-31$9,969
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-10-31$125,028
Administrative expenses (other) incurred2011-10-31$193,836
Liabilities. Value of operating payables at end of year2011-10-31$72,242
Liabilities. Value of operating payables at beginning of year2011-10-31$77,697
Total non interest bearing cash at end of year2011-10-31$-534,951
Total non interest bearing cash at beginning of year2011-10-31$-1,072,185
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$-615,072
Value of net assets at end of year (total assets less liabilities)2011-10-31$1,148,081
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$1,763,153
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Investment advisory and management fees2011-10-31$26,662
Income. Interest from US Government securities2011-10-31$28,758
Income. Interest from corporate debt instruments2011-10-31$35,227
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$46,981
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$18,006
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$18,006
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$76
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$7,560,851
Asset value of US Government securities at end of year2011-10-31$710,977
Asset value of US Government securities at beginning of year2011-10-31$1,782,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31Yes
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$8,184,892
Employer contributions (assets) at end of year2011-10-31$795,084
Employer contributions (assets) at beginning of year2011-10-31$822,589
Income. Dividends from common stock2011-10-31$22,964
Asset. Corporate debt instrument preferred debt at end of year2011-10-31$228,808
Asset. Corporate debt instrument preferred debt at beginning of year2011-10-31$446,217
Asset. Corporate debt instrument debt (other) at end of year2011-10-31$361,308
Asset. Corporate debt instrument debt (other) at beginning of year2011-10-31$334,977
Assets. Corporate common stocks other than exployer securities at end of year2011-10-31$1,269,652
Assets. Corporate common stocks other than exployer securities at beginning of year2011-10-31$1,026,436
Liabilities. Value of benefit claims payable at end of year2011-10-31$2,059,895
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$1,711,677
Assets. Value of buildings and other operty used in plan operation at end of year2011-10-31$7,028
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-10-31$7,642
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Aggregate proceeds on sale of assets2011-10-31$7,467,254
Aggregate carrying amount (costs) on sale of assets2011-10-31$7,485,652
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31BUCHBINDER TUNICK & COMPANY LLP
Accountancy firm EIN2011-10-31131578842

Form 5500 Responses for BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND

2021: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2021 form 5500 responses
2021-11-01Type of plan entityMulti-employer plan
2021-11-01This submission is the final filingYes
2021-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-11-01Plan is a collectively bargained planYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes
2020: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2020 form 5500 responses
2020-11-01Type of plan entityMulti-employer plan
2020-11-01Plan is a collectively bargained planYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2019: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2019 form 5500 responses
2019-11-01Type of plan entityMulti-employer plan
2019-11-01Plan is a collectively bargained planYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2018 form 5500 responses
2018-11-01Type of plan entityMulti-employer plan
2018-11-01Plan is a collectively bargained planYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2017 form 5500 responses
2017-11-01Type of plan entityMulti-employer plan
2017-11-01Plan is a collectively bargained planYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2016 form 5500 responses
2016-11-01Type of plan entityMulti-employer plan
2016-11-01Plan is a collectively bargained planYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2015 form 5500 responses
2015-11-01Type of plan entityMulti-employer plan
2015-11-01Plan is a collectively bargained planYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2014 form 5500 responses
2014-11-01Type of plan entityMulti-employer plan
2014-11-01Plan is a collectively bargained planYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2013 form 5500 responses
2013-11-01Type of plan entityMulti-employer plan
2013-11-01Plan is a collectively bargained planYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2012 form 5500 responses
2012-11-01Type of plan entityMulti-employer plan
2012-11-01Plan is a collectively bargained planYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2011 form 5500 responses
2011-11-01Type of plan entityMulti-employer plan
2011-11-01Plan is a collectively bargained planYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2010: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2010 form 5500 responses
2010-11-01Type of plan entityMulti-employer plan
2010-11-01Plan is a collectively bargained planYes
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan benefit arrangement – InsuranceYes
2010-11-01Plan benefit arrangement - TrustYes
2009: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2009 form 5500 responses
2009-11-01Type of plan entityMulti-employer plan
2009-11-01This submission is the final filingNo
2009-11-01Plan is a collectively bargained planYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: BAKERY DRIVERS LOCAL 550 AND INDUSTRY HEALTH BENEFITS FUND 2008 form 5500 responses
2008-11-01Type of plan entityMulti-employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

EMBLEMHEALTH (National Association of Insurance Commissioners NAIC id number: 55247 )
Policy contract number00001D810
Policy instance 2
Insurance contract or identification number00001D810
Number of Individuals Covered116
Insurance policy start date2020-11-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered110
Insurance policy start date2020-11-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,572
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered109
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $102,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number00001D810
Policy instance 2
Insurance contract or identification number00001D810
Number of Individuals Covered116
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $149,130
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number00001D810
Policy instance 2
Insurance contract or identification number00001D810
Number of Individuals Covered116
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered108
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $94,822
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered103
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $91,080
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract number00001D810
Policy instance 2
Insurance contract or identification number00001D810
Number of Individuals Covered109
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
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $141,172
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberHN 4793 HN 4798
Policy instance 2
Insurance contract or identification numberHN 4793 HN 4798
Number of Individuals Covered156
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberN 4793 N 4798
Policy instance 3
Insurance contract or identification numberN 4793 N 4798
Number of Individuals Covered156
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberDT4793
Policy instance 4
Insurance contract or identification numberDT4793
Number of Individuals Covered150
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid as a credit?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered131
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $106,820
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberDT4793
Policy instance 4
Insurance contract or identification numberDT4793
Number of Individuals Covered175
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberN 4793 N 4798
Policy instance 3
Insurance contract or identification numberN 4793 N 4798
Number of Individuals Covered188
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered150
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberHN 4793 HN 4798
Policy instance 2
Insurance contract or identification numberHN 4793 HN 4798
Number of Individuals Covered188
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered178
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberHN 4793 HN 4798
Policy instance 2
Insurance contract or identification numberHN 4793 HN 4798
Number of Individuals Covered232
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberN 4793 N 4798
Policy instance 3
Insurance contract or identification numberN 4793 N 4798
Number of Individuals Covered232
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberDT4793
Policy instance 4
Insurance contract or identification numberDT4793
Number of Individuals Covered211
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered507
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberHN 4793 HN 4798
Policy instance 2
Insurance contract or identification numberHN 4793 HN 4798
Number of Individuals Covered540
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberN 4793 N 4798
Policy instance 3
Insurance contract or identification numberN 4793 N 4798
Number of Individuals Covered540
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberDT4793
Policy instance 4
Insurance contract or identification numberDT4793
Number of Individuals Covered523
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number0016689-1
Policy instance 1
Insurance contract or identification number0016689-1
Number of Individuals Covered535
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberHN 4793 HN 4798
Policy instance 2
Insurance contract or identification numberHN 4793 HN 4798
Number of Individuals Covered573
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberDT4793
Policy instance 4
Insurance contract or identification numberDT4793
Number of Individuals Covered556
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMBLEM HEALTH (National Association of Insurance Commissioners NAIC id number: 55239 )
Policy contract numberN 4793 N 4798
Policy instance 3
Insurance contract or identification numberN 4793 N 4798
Number of Individuals Covered573
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Were dividends or retroactive rate refunds paid in cash?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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