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LOCAL 803 HEALTH & WELFARE FUND 401k Plan overview

Plan NameLOCAL 803 HEALTH & WELFARE FUND
Plan identification number 501

LOCAL 803 HEALTH & WELFARE 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

BOARD OF TRUSTEES OF LOCAL 803 HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF LOCAL 803 HEALTH & WELFARE FUND
Employer identification number (EIN):136604595
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 803 HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-11-01DEMOS P. DEMOPOULOS2023-07-31 SHARIKA GORDON2023-07-31
5012020-11-01DEMOS DEMOPOULOS2022-08-04 WIMAL ARIYAWANSA2022-08-04
5012019-11-01DEMOS DEMOPOULOS2021-08-13 SHARIKA GORDON2021-08-05
5012018-11-01DEMOS DEMOPOULOS2020-07-23 SHARIKA GORDON2020-07-23
5012017-11-01CARLOS RAMIREZ2019-08-05 SHARIKA GORDON2019-08-05
5012016-11-01CARLOS RAMIREZ SHARIKA GORDON2018-08-16
5012016-11-01CARLOS MARTINEZ2018-08-15
5012015-11-01BILLIE LEE WHELAN SHARIKA GORDON2017-08-15
5012014-11-01BILLIE LEE WHELAN SHARIKA GORDON2016-08-11
5012013-11-01BILLIE LEE WHELAN SHARIKA GORDON2015-06-18
5012012-11-01BILLIE LEE WHELAN SHARIKA GORDON2014-08-13
5012011-11-01BILLIE LEE WHELAN SHARIKA GORDON2013-08-14
5012009-11-01BILLIE LEE WHELAN SHARIKA GORDON2011-08-15
5012008-11-01

Plan Statistics for LOCAL 803 HEALTH & WELFARE FUND

401k plan membership statisitcs for LOCAL 803 HEALTH & WELFARE FUND

Measure Date Value
2021: LOCAL 803 HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-11-016
Total number of active participants reported on line 7a of the Form 55002021-11-010
Number of retired or separated participants receiving benefits2021-11-010
Number of other retired or separated participants entitled to future benefits2021-11-010
Total of all active and inactive participants2021-11-010
Number of employers contributing to the scheme2021-11-012
2020: LOCAL 803 HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-11-016
Total number of active participants reported on line 7a of the Form 55002020-11-016
Total of all active and inactive participants2020-11-016
Number of employers contributing to the scheme2020-11-012
2019: LOCAL 803 HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-11-0158
Total number of active participants reported on line 7a of the Form 55002019-11-016
Total of all active and inactive participants2019-11-016
Number of employers contributing to the scheme2019-11-013
2018: LOCAL 803 HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-11-0157
Total number of active participants reported on line 7a of the Form 55002018-11-0158
Total of all active and inactive participants2018-11-0158
Number of employers contributing to the scheme2018-11-013
2017: LOCAL 803 HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-11-0151
Total number of active participants reported on line 7a of the Form 55002017-11-0157
Total of all active and inactive participants2017-11-0157
Number of employers contributing to the scheme2017-11-013
2016: LOCAL 803 HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-11-0157
Total number of active participants reported on line 7a of the Form 55002016-11-0151
Total of all active and inactive participants2016-11-0151
2015: LOCAL 803 HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-11-0159
Total number of active participants reported on line 7a of the Form 55002015-11-0157
Total of all active and inactive participants2015-11-0157
2014: LOCAL 803 HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-11-0162
Total number of active participants reported on line 7a of the Form 55002014-11-0159
Total of all active and inactive participants2014-11-0159
2013: LOCAL 803 HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-11-0170
Total number of active participants reported on line 7a of the Form 55002013-11-0162
Total of all active and inactive participants2013-11-0162
2012: LOCAL 803 HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-11-0163
Total number of active participants reported on line 7a of the Form 55002012-11-0169
Number of retired or separated participants receiving benefits2012-11-011
Total of all active and inactive participants2012-11-0170
2011: LOCAL 803 HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-11-0168
Total number of active participants reported on line 7a of the Form 55002011-11-0163
Total of all active and inactive participants2011-11-0163
2009: LOCAL 803 HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-11-01140
Total number of active participants reported on line 7a of the Form 55002009-11-0162
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-0162

Financial Data on LOCAL 803 HEALTH & WELFARE FUND

Measure Date Value
2022 : LOCAL 803 HEALTH & WELFARE FUND 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$17,523
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-10-31$18,133
Total income from all sources (including contributions)2022-10-31$-125,804
Total of all expenses incurred2022-10-31$228,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-10-31$9,108
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-10-31$5,850
Value of total assets at end of year2022-10-31$1,534,753
Value of total assets at beginning of year2022-10-31$1,889,791
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-10-31$219,516
Total interest from all sources2022-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-10-31$29,919
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-10-31$29,919
Administrative expenses professional fees incurred2022-10-31$77,819
Was this plan covered by a fidelity bond2022-10-31Yes
Value of fidelity bond cover2022-10-31$500,000
If this is an individual account plan, was there a blackout period2022-10-31No
Were there any nonexempt tranactions with any party-in-interest2022-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-10-31$844
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-10-31$59,533
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-10-31$52,244
Other income not declared elsewhere2022-10-31$114,530
Administrative expenses (other) incurred2022-10-31$132,288
Liabilities. Value of operating payables at end of year2022-10-31$17,523
Liabilities. Value of operating payables at beginning of year2022-10-31$18,033
Total non interest bearing cash at end of year2022-10-31$212,756
Total non interest bearing cash at beginning of year2022-10-31$323,038
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Value of net income/loss2022-10-31$-354,428
Value of net assets at end of year (total assets less liabilities)2022-10-31$1,517,230
Value of net assets at beginning of year (total assets less liabilities)2022-10-31$1,871,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-10-31No
Were any leases to which the plan was party in default or uncollectible2022-10-31No
Investment advisory and management fees2022-10-31$9,409
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-10-31$1,257,822
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-10-31$1,504,041
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-10-31$4,642
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-10-31$4,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-10-31$4,618
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2022-10-31$8,264
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-10-31$-276,103
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-10-31Yes
Was there a failure to transmit to the plan any participant contributions2022-10-31No
Has the plan failed to provide any benefit when due under the plan2022-10-31No
Contributions received in cash from employer2022-10-31$5,850
Employer contributions (assets) at end of year2022-10-31$0
Employer contributions (assets) at beginning of year2022-10-31$5,850
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-10-31No
Liabilities. Value of benefit claims payable at end of year2022-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-10-31$100
Did the plan have assets held for investment2022-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-10-31No
Opinion of an independent qualified public accountant for this plan2022-10-31Unqualified
Accountancy firm name2022-10-31CALIBRE CPA GROUP PLLC
Accountancy firm EIN2022-10-31470900880
2021 : LOCAL 803 HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-10-31$67,378
Total unrealized appreciation/depreciation of assets2021-10-31$67,378
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$18,133
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-10-31$18,000
Total income from all sources (including contributions)2021-10-31$249,728
Total of all expenses incurred2021-10-31$259,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-10-31$50,826
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-10-31$35,756
Value of total assets at end of year2021-10-31$1,889,791
Value of total assets at beginning of year2021-10-31$1,899,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-10-31$208,938
Total interest from all sources2021-10-31$8
Total dividends received (eg from common stock, registered investment company shares)2021-10-31$36,615
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-10-31$36,615
Administrative expenses professional fees incurred2021-10-31$75,628
Was this plan covered by a fidelity bond2021-10-31Yes
Value of fidelity bond cover2021-10-31$500,000
If this is an individual account plan, was there a blackout period2021-10-31No
Were there any nonexempt tranactions with any party-in-interest2021-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-10-31$100
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-10-31$52,244
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-10-31$48,002
Other income not declared elsewhere2021-10-31$109,971
Administrative expenses (other) incurred2021-10-31$119,675
Liabilities. Value of operating payables at end of year2021-10-31$18,033
Liabilities. Value of operating payables at beginning of year2021-10-31$17,500
Total non interest bearing cash at end of year2021-10-31$323,038
Total non interest bearing cash at beginning of year2021-10-31$485,143
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Value of net income/loss2021-10-31$-10,036
Value of net assets at end of year (total assets less liabilities)2021-10-31$1,871,658
Value of net assets at beginning of year (total assets less liabilities)2021-10-31$1,881,694
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
Investment advisory and management fees2021-10-31$13,635
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-10-31$1,504,041
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-10-31$1,300,047
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-10-31$4,618
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-10-31$4,422
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-10-31$4,422
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-10-31$8
Expenses. Payments to insurance carriers foe the provision of benefits2021-10-31$50,726
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-10-31Yes
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$35,756
Employer contributions (assets) at end of year2021-10-31$5,850
Employer contributions (assets) at beginning of year2021-10-31$62,080
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-10-31No
Liabilities. Value of benefit claims payable at end of year2021-10-31$100
Liabilities. Value of benefit claims payable at beginning of year2021-10-31$500
Did the plan have assets held for investment2021-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-10-31No
Opinion of an independent qualified public accountant for this plan2021-10-31Unqualified
Accountancy firm name2021-10-31CALIBRE CPA GROUP PLLC
Accountancy firm EIN2021-10-31470900880
2020 : LOCAL 803 HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-10-31$-17,575
Total unrealized appreciation/depreciation of assets2020-10-31$-17,575
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$18,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-10-31$17,670
Total income from all sources (including contributions)2020-10-31$788,877
Total loss/gain on sale of assets2020-10-31$56,589
Total of all expenses incurred2020-10-31$621,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-10-31$440,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-10-31$643,138
Value of total assets at end of year2020-10-31$1,899,694
Value of total assets at beginning of year2020-10-31$1,732,244
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-10-31$181,695
Total interest from all sources2020-10-31$15,690
Total dividends received (eg from common stock, registered investment company shares)2020-10-31$9,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-10-31$9,599
Administrative expenses professional fees incurred2020-10-31$60,933
Was this plan covered by a fidelity bond2020-10-31Yes
Value of fidelity bond cover2020-10-31$500,000
If this is an individual account plan, was there a blackout period2020-10-31No
Were there any nonexempt tranactions with any party-in-interest2020-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-10-31$926
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-10-31$48,002
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-10-31$36,703
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-10-31$1,979
Other income not declared elsewhere2020-10-31$76,550
Administrative expenses (other) incurred2020-10-31$117,448
Liabilities. Value of operating payables at end of year2020-10-31$17,500
Liabilities. Value of operating payables at beginning of year2020-10-31$13,691
Total non interest bearing cash at end of year2020-10-31$485,143
Total non interest bearing cash at beginning of year2020-10-31$675,928
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$167,120
Value of net assets at end of year (total assets less liabilities)2020-10-31$1,881,694
Value of net assets at beginning of year (total assets less liabilities)2020-10-31$1,714,574
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
Investment advisory and management fees2020-10-31$3,314
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-10-31$1,300,047
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-10-31$271,812
Income. Interest from US Government securities2020-10-31$5,160
Income. Interest from corporate debt instruments2020-10-31$8,942
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-10-31$4,422
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-10-31$117,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-10-31$117,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-10-31$1,588
Expenses. Payments to insurance carriers foe the provision of benefits2020-10-31$439,136
Asset value of US Government securities at beginning of year2020-10-31$285,738
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-10-31$4,886
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-10-31Yes
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$643,138
Employer contributions (assets) at end of year2020-10-31$62,080
Employer contributions (assets) at beginning of year2020-10-31$52,500
Asset. Corporate debt instrument debt (other) at beginning of year2020-10-31$291,301
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-10-31No
Liabilities. Value of benefit claims payable at end of year2020-10-31$500
Liabilities. Value of benefit claims payable at beginning of year2020-10-31$2,000
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-10-31$586
Did the plan have assets held for investment2020-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2020-10-31$4,383,865
Aggregate carrying amount (costs) on sale of assets2020-10-31$4,327,276
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 name2020-10-31CALIBRE CPA GROUP PLLC
Accountancy firm EIN2020-10-31470900880
2019 : LOCAL 803 HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-10-31$34,374
Total unrealized appreciation/depreciation of assets2019-10-31$34,374
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$17,670
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-10-31$26,746
Total income from all sources (including contributions)2019-10-31$771,397
Total loss/gain on sale of assets2019-10-31$29,656
Total of all expenses incurred2019-10-31$700,483
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-10-31$491,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-10-31$572,792
Value of total assets at end of year2019-10-31$1,732,244
Value of total assets at beginning of year2019-10-31$1,670,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-10-31$208,850
Total interest from all sources2019-10-31$24,152
Total dividends received (eg from common stock, registered investment company shares)2019-10-31$6,404
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-10-31$6,404
Administrative expenses professional fees incurred2019-10-31$62,975
Was this plan covered by a fidelity bond2019-10-31Yes
Value of fidelity bond cover2019-10-31$500,000
If this is an individual account plan, was there a blackout period2019-10-31No
Were there any nonexempt tranactions with any party-in-interest2019-10-31No
Contributions received from participants2019-10-31$6,337
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-10-31$9,623
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-10-31$24,301
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-10-31$37,231
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-10-31$1,979
Other income not declared elsewhere2019-10-31$74,803
Administrative expenses (other) incurred2019-10-31$136,016
Liabilities. Value of operating payables at end of year2019-10-31$13,691
Liabilities. Value of operating payables at beginning of year2019-10-31$26,746
Total non interest bearing cash at end of year2019-10-31$575,760
Total non interest bearing cash at beginning of year2019-10-31$348,835
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$70,914
Value of net assets at end of year (total assets less liabilities)2019-10-31$1,714,574
Value of net assets at beginning of year (total assets less liabilities)2019-10-31$1,643,660
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
Investment advisory and management fees2019-10-31$9,859
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-10-31$271,812
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-10-31$394,309
Income. Interest from US Government securities2019-10-31$9,749
Income. Interest from corporate debt instruments2019-10-31$10,836
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-10-31$217,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-10-31$155,832
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-10-31$155,832
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-10-31$3,567
Expenses. Payments to insurance carriers foe the provision of benefits2019-10-31$482,010
Asset value of US Government securities at end of year2019-10-31$285,738
Asset value of US Government securities at beginning of year2019-10-31$394,878
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-10-31$29,216
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-10-31Yes
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$566,455
Employer contributions (assets) at end of year2019-10-31$52,500
Employer contributions (assets) at beginning of year2019-10-31$3,180
Asset. Corporate debt instrument debt (other) at end of year2019-10-31$291,301
Asset. Corporate debt instrument debt (other) at beginning of year2019-10-31$323,581
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-10-31No
Liabilities. Value of benefit claims payable at end of year2019-10-31$2,000
Assets. Value of buildings and other operty used in plan operation at end of year2019-10-31$12,988
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-10-31$12,560
Did the plan have assets held for investment2019-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2019-10-31$1,544,651
Aggregate carrying amount (costs) on sale of assets2019-10-31$1,514,995
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-10-31No
Opinion of an independent qualified public accountant for this plan2019-10-31Unqualified
Accountancy firm name2019-10-31CALIBRE CPA GROUP PLLC
Accountancy firm EIN2019-10-31470900880
2018 : LOCAL 803 HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-10-31$-66,758
Total unrealized appreciation/depreciation of assets2018-10-31$-66,758
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$26,746
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$21,246
Total income from all sources (including contributions)2018-10-31$705,853
Total loss/gain on sale of assets2018-10-31$-2,511
Total of all expenses incurred2018-10-31$837,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$547,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$525,523
Value of total assets at end of year2018-10-31$1,670,406
Value of total assets at beginning of year2018-10-31$1,796,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$290,164
Total interest from all sources2018-10-31$25,681
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$8,510
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-10-31$8,510
Administrative expenses professional fees incurred2018-10-31$53,770
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$500,000
If this is an individual account plan, was there a blackout period2018-10-31No
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-10-31$7,890
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$37,231
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-10-31$59,883
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-10-31$2,000
Other income not declared elsewhere2018-10-31$137,027
Administrative expenses (other) incurred2018-10-31$226,933
Liabilities. Value of operating payables at end of year2018-10-31$26,746
Liabilities. Value of operating payables at beginning of year2018-10-31$19,246
Total non interest bearing cash at end of year2018-10-31$348,835
Total non interest bearing cash at beginning of year2018-10-31$256,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$-132,058
Value of net assets at end of year (total assets less liabilities)2018-10-31$1,643,660
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$1,775,718
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
Assets. partnership/joint venture interests at beginning of year2018-10-31$8,879
Investment advisory and management fees2018-10-31$9,461
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-10-31$394,309
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-10-31$459,643
Income. Interest from US Government securities2018-10-31$11,631
Income. Interest from corporate debt instruments2018-10-31$12,441
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-10-31$155,832
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-10-31$231,240
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-10-31$231,240
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-10-31$1,609
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$539,857
Asset value of US Government securities at end of year2018-10-31$394,878
Asset value of US Government securities at beginning of year2018-10-31$348,316
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-10-31$78,381
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31Yes
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$525,523
Employer contributions (assets) at end of year2018-10-31$3,180
Employer contributions (assets) at beginning of year2018-10-31$3,970
Asset. Corporate debt instrument debt (other) at end of year2018-10-31$323,581
Asset. Corporate debt instrument debt (other) at beginning of year2018-10-31$414,852
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-10-31No
Assets. Value of buildings and other operty used in plan operation at end of year2018-10-31$12,560
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-10-31$14,122
Did the plan have assets held for investment2018-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2018-10-31$1,833,537
Aggregate carrying amount (costs) on sale of assets2018-10-31$1,836,048
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 name2018-10-31CALIBRE CPA GROUP PLLC
Accountancy firm EIN2018-10-31470900880
2017 : LOCAL 803 HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-10-31$19,485
Total unrealized appreciation/depreciation of assets2017-10-31$19,485
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$23,246
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$23,387
Total income from all sources (including contributions)2017-10-31$710,771
Total loss/gain on sale of assets2017-10-31$7,497
Total of all expenses incurred2017-10-31$1,278,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$498,779
Value of total corrective distributions2017-10-31$652,035
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$491,572
Value of total assets at end of year2017-10-31$1,796,964
Value of total assets at beginning of year2017-10-31$2,364,549
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$127,401
Total interest from all sources2017-10-31$26,672
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$14,827
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-10-31$14,827
Administrative expenses professional fees incurred2017-10-31$67,162
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$500,000
If this is an individual account plan, was there a blackout period2017-10-31No
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-10-31$8,236
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-10-31$59,883
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-10-31$14,103
Administrative expenses (other) incurred2017-10-31$51,186
Liabilities. Value of operating payables at end of year2017-10-31$21,246
Liabilities. Value of operating payables at beginning of year2017-10-31$21,387
Total non interest bearing cash at end of year2017-10-31$256,059
Total non interest bearing cash at beginning of year2017-10-31$89,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$-567,444
Value of net assets at end of year (total assets less liabilities)2017-10-31$1,773,718
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$2,341,162
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
Assets. partnership/joint venture interests at end of year2017-10-31$8,879
Assets. partnership/joint venture interests at beginning of year2017-10-31$254,381
Investment advisory and management fees2017-10-31$9,053
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-10-31$459,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-10-31$837,381
Interest earned on other investments2017-10-31$8
Income. Interest from US Government securities2017-10-31$9,563
Income. Interest from corporate debt instruments2017-10-31$15,117
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-10-31$231,240
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-10-31$256,113
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-10-31$256,113
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-10-31$1,984
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$490,543
Asset value of US Government securities at end of year2017-10-31$348,316
Asset value of US Government securities at beginning of year2017-10-31$399,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-10-31$150,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31Yes
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$491,572
Employer contributions (assets) at end of year2017-10-31$3,970
Employer contributions (assets) at beginning of year2017-10-31$9,450
Asset. Corporate debt instrument debt (other) at end of year2017-10-31$414,852
Asset. Corporate debt instrument debt (other) at beginning of year2017-10-31$482,651
Liabilities. Value of benefit claims payable at end of year2017-10-31$2,000
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$2,000
Assets. Value of buildings and other operty used in plan operation at end of year2017-10-31$14,122
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-10-31$20,743
Did the plan have assets held for investment2017-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Aggregate proceeds on sale of assets2017-10-31$1,753,383
Aggregate carrying amount (costs) on sale of assets2017-10-31$1,745,886
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31CALIBRE CPA GROUP, PLLC
Accountancy firm EIN2017-10-31470900880
2016 : LOCAL 803 HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-10-31$-60,342
Total unrealized appreciation/depreciation of assets2016-10-31$-60,342
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$23,387
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$120,514
Total income from all sources (including contributions)2016-10-31$506,559
Total loss/gain on sale of assets2016-10-31$316
Total of all expenses incurred2016-10-31$884,090
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$658,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$478,021
Value of total assets at end of year2016-10-31$2,364,549
Value of total assets at beginning of year2016-10-31$2,839,207
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$225,097
Total interest from all sources2016-10-31$28,728
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$24,330
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-10-31$7,250
Administrative expenses professional fees incurred2016-10-31$50,844
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$500,000
If this is an individual account plan, was there a blackout period2016-10-31No
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-10-31$105,534
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-10-31$14,103
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-10-31$4,569
Administrative expenses (other) incurred2016-10-31$149,511
Liabilities. Value of operating payables at end of year2016-10-31$21,387
Liabilities. Value of operating payables at beginning of year2016-10-31$23,514
Total non interest bearing cash at end of year2016-10-31$89,800
Total non interest bearing cash at beginning of year2016-10-31$49,928
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$-377,531
Value of net assets at end of year (total assets less liabilities)2016-10-31$2,341,162
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$2,718,693
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
Assets. partnership/joint venture interests at end of year2016-10-31$254,381
Investment advisory and management fees2016-10-31$16,664
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-10-31$837,381
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-10-31$454,090
Interest earned on other investments2016-10-31$6,206
Income. Interest from US Government securities2016-10-31$11,720
Income. Interest from corporate debt instruments2016-10-31$8,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-10-31$256,113
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-10-31$106,649
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-10-31$106,649
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-10-31$2,524
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$553,459
Asset value of US Government securities at end of year2016-10-31$399,927
Asset value of US Government securities at beginning of year2016-10-31$639,523
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-10-31$35,506
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$478,021
Employer contributions (assets) at end of year2016-10-31$9,450
Employer contributions (assets) at beginning of year2016-10-31$5,705
Income. Dividends from common stock2016-10-31$17,080
Asset. Corporate debt instrument debt (other) at end of year2016-10-31$482,651
Asset. Corporate debt instrument debt (other) at beginning of year2016-10-31$192,684
Contract administrator fees2016-10-31$8,078
Assets. Corporate common stocks other than exployer securities at beginning of year2016-10-31$1,303,573
Liabilities. Value of benefit claims payable at end of year2016-10-31$2,000
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$97,000
Assets. Value of buildings and other operty used in plan operation at end of year2016-10-31$20,743
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-10-31$82,486
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
Aggregate proceeds on sale of assets2016-10-31$294,683
Aggregate carrying amount (costs) on sale of assets2016-10-31$294,367
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 name2016-10-31STEINBERG, STECKLER & PICCIURRO, PC
Accountancy firm EIN2016-10-31132665700
2015 : LOCAL 803 HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-10-31$60,166
Total unrealized appreciation/depreciation of assets2015-10-31$60,166
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$120,514
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$114,725
Total income from all sources (including contributions)2015-10-31$399,622
Total loss/gain on sale of assets2015-10-31$-115,453
Total of all expenses incurred2015-10-31$776,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$538,895
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$405,852
Value of total assets at end of year2015-10-31$2,839,207
Value of total assets at beginning of year2015-10-31$3,210,177
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$237,486
Total interest from all sources2015-10-31$18,303
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$40,673
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-10-31$10,224
Administrative expenses professional fees incurred2015-10-31$48,978
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$500,000
If this is an individual account plan, was there a blackout period2015-10-31No
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-10-31$439,861
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-10-31$4,569
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-10-31$32,038
Administrative expenses (other) incurred2015-10-31$143,994
Liabilities. Value of operating payables at end of year2015-10-31$23,514
Liabilities. Value of operating payables at beginning of year2015-10-31$28,725
Total non interest bearing cash at end of year2015-10-31$49,928
Total non interest bearing cash at beginning of year2015-10-31$59,398
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$-376,759
Value of net assets at end of year (total assets less liabilities)2015-10-31$2,718,693
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$3,095,452
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$27,847
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-10-31$454,090
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-10-31$694,126
Interest earned on other investments2015-10-31$6,172
Income. Interest from US Government securities2015-10-31$7,760
Income. Interest from corporate debt instruments2015-10-31$4,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-10-31$106,649
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-10-31$416,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-10-31$416,525
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-10-31$121
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$99,034
Asset value of US Government securities at end of year2015-10-31$639,523
Asset value of US Government securities at beginning of year2015-10-31$411,507
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-10-31$-9,919
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$405,852
Employer contributions (assets) at end of year2015-10-31$5,705
Employer contributions (assets) at beginning of year2015-10-31$11,813
Income. Dividends from common stock2015-10-31$30,449
Asset. Corporate debt instrument debt (other) at end of year2015-10-31$192,684
Asset. Corporate debt instrument debt (other) at beginning of year2015-10-31$188,713
Contract administrator fees2015-10-31$16,667
Assets. Corporate common stocks other than exployer securities at end of year2015-10-31$1,303,573
Assets. Corporate common stocks other than exployer securities at beginning of year2015-10-31$1,366,643
Liabilities. Value of benefit claims payable at end of year2015-10-31$97,000
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$86,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-10-31$82,486
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-10-31$29,414
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$2,963,196
Aggregate carrying amount (costs) on sale of assets2015-10-31$3,078,649
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 name2015-10-31STEINBERG, STECKLER & PICCIURRO, PC
Accountancy firm EIN2015-10-31132665700
2014 : LOCAL 803 HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-10-31$105,017
Total unrealized appreciation/depreciation of assets2014-10-31$105,017
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$109,465
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$120,956
Total income from all sources (including contributions)2014-10-31$701,693
Total loss/gain on sale of assets2014-10-31$78,269
Total of all expenses incurred2014-10-31$561,761
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$354,814
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$450,807
Value of total assets at end of year2014-10-31$3,204,917
Value of total assets at beginning of year2014-10-31$3,076,476
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$206,947
Total interest from all sources2014-10-31$13,479
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$45,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-10-31$16,488
Administrative expenses professional fees incurred2014-10-31$52,458
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$500,000
If this is an individual account plan, was there a blackout period2014-10-31No
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-10-31$350,039
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-10-31$32,038
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-10-31$4,247
Administrative expenses (other) incurred2014-10-31$105,581
Liabilities. Value of operating payables at end of year2014-10-31$23,465
Liabilities. Value of operating payables at beginning of year2014-10-31$35,956
Total non interest bearing cash at end of year2014-10-31$59,398
Total non interest bearing cash at beginning of year2014-10-31$56,293
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$139,932
Value of net assets at end of year (total assets less liabilities)2014-10-31$3,095,452
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$2,955,520
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$29,558
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-10-31$694,126
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-10-31$670,029
Income. Interest from US Government securities2014-10-31$9,065
Income. Interest from corporate debt instruments2014-10-31$4,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-10-31$416,525
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-10-31$164,623
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-10-31$164,623
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-10-31$164
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$4,775
Asset value of US Government securities at end of year2014-10-31$411,507
Asset value of US Government securities at beginning of year2014-10-31$448,898
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-10-31$8,771
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$450,807
Employer contributions (assets) at end of year2014-10-31$6,553
Employer contributions (assets) at beginning of year2014-10-31$4,593
Income. Dividends from common stock2014-10-31$28,862
Asset. Corporate debt instrument debt (other) at end of year2014-10-31$188,713
Asset. Corporate debt instrument debt (other) at beginning of year2014-10-31$183,560
Contract administrator fees2014-10-31$19,350
Assets. Corporate common stocks other than exployer securities at end of year2014-10-31$1,366,643
Assets. Corporate common stocks other than exployer securities at beginning of year2014-10-31$1,504,536
Liabilities. Value of benefit claims payable at end of year2014-10-31$86,000
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$85,000
Assets. Value of buildings and other operty used in plan operation at end of year2014-10-31$29,414
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-10-31$39,697
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$2,378,335
Aggregate carrying amount (costs) on sale of assets2014-10-31$2,300,066
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 name2014-10-31STEINBERG, STECKLER & PICCIURRO, PC
Accountancy firm EIN2014-10-31132665700
2013 : LOCAL 803 HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-10-31$266,156
Total unrealized appreciation/depreciation of assets2013-10-31$266,156
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$120,956
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$196,027
Total income from all sources (including contributions)2013-10-31$786,872
Total loss/gain on sale of assets2013-10-31$56,469
Total of all expenses incurred2013-10-31$583,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$336,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$418,765
Value of total assets at end of year2013-10-31$3,076,476
Value of total assets at beginning of year2013-10-31$2,948,184
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$246,756
Total interest from all sources2013-10-31$12,292
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$53,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-10-31$16,215
Administrative expenses professional fees incurred2013-10-31$50,804
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$500,000
If this is an individual account plan, was there a blackout period2013-10-31No
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-10-31$331,906
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-10-31$4,247
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-10-31$31,398
Administrative expenses (other) incurred2013-10-31$150,644
Liabilities. Value of operating payables at end of year2013-10-31$35,956
Liabilities. Value of operating payables at beginning of year2013-10-31$122,027
Total non interest bearing cash at end of year2013-10-31$56,293
Total non interest bearing cash at beginning of year2013-10-31$27,696
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$203,363
Value of net assets at end of year (total assets less liabilities)2013-10-31$2,955,520
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$2,752,157
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$29,102
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-10-31$670,029
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-10-31$759,639
Income. Interest from US Government securities2013-10-31$7,705
Income. Interest from corporate debt instruments2013-10-31$4,250
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-10-31$164,623
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-10-31$256,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-10-31$256,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-10-31$337
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$4,847
Asset value of US Government securities at end of year2013-10-31$448,898
Asset value of US Government securities at beginning of year2013-10-31$327,758
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-10-31$-20,122
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$418,765
Employer contributions (assets) at end of year2013-10-31$4,593
Employer contributions (assets) at beginning of year2013-10-31$6,832
Income. Dividends from common stock2013-10-31$37,097
Asset. Corporate debt instrument debt (other) at end of year2013-10-31$183,560
Asset. Corporate debt instrument debt (other) at beginning of year2013-10-31$199,504
Contract administrator fees2013-10-31$16,206
Assets. Corporate common stocks other than exployer securities at end of year2013-10-31$1,504,536
Assets. Corporate common stocks other than exployer securities at beginning of year2013-10-31$1,290,285
Liabilities. Value of benefit claims payable at end of year2013-10-31$85,000
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$74,000
Assets. Value of buildings and other operty used in plan operation at end of year2013-10-31$39,697
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-10-31$48,440
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$1,349,932
Aggregate carrying amount (costs) on sale of assets2013-10-31$1,293,463
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 name2013-10-31STEINBERG, STECKLER & PICCIURRO, PC
Accountancy firm EIN2013-10-31132665700
2012 : LOCAL 803 HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-10-31$175,392
Total unrealized appreciation/depreciation of assets2012-10-31$175,392
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$196,027
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$188,310
Total income from all sources (including contributions)2012-10-31$606,897
Total loss/gain on sale of assets2012-10-31$-19,185
Total of all expenses incurred2012-10-31$540,898
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$320,528
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$381,973
Value of total assets at end of year2012-10-31$2,948,184
Value of total assets at beginning of year2012-10-31$2,874,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$220,370
Total interest from all sources2012-10-31$20,247
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$29,296
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-10-31$11,540
Administrative expenses professional fees incurred2012-10-31$50,546
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$500,000
If this is an individual account plan, was there a blackout period2012-10-31No
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-10-31$316,330
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-10-31$31,398
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-10-31$12,864
Administrative expenses (other) incurred2012-10-31$131,273
Liabilities. Value of operating payables at end of year2012-10-31$122,027
Liabilities. Value of operating payables at beginning of year2012-10-31$131,310
Total non interest bearing cash at end of year2012-10-31$27,696
Total non interest bearing cash at beginning of year2012-10-31$118,397
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$65,999
Value of net assets at end of year (total assets less liabilities)2012-10-31$2,752,157
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$2,686,158
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$21,412
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-10-31$759,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-10-31$727,385
Income. Interest from US Government securities2012-10-31$6,382
Income. Interest from corporate debt instruments2012-10-31$13,197
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-10-31$256,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-10-31$435,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-10-31$435,456
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-10-31$668
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$4,198
Asset value of US Government securities at end of year2012-10-31$327,758
Asset value of US Government securities at beginning of year2012-10-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-10-31$19,174
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$381,973
Employer contributions (assets) at end of year2012-10-31$6,832
Employer contributions (assets) at beginning of year2012-10-31$6,797
Income. Dividends from common stock2012-10-31$17,756
Asset. Corporate debt instrument debt (other) at end of year2012-10-31$199,504
Asset. Corporate debt instrument debt (other) at beginning of year2012-10-31$560,566
Contract administrator fees2012-10-31$17,139
Assets. Corporate common stocks other than exployer securities at end of year2012-10-31$1,290,285
Assets. Corporate common stocks other than exployer securities at beginning of year2012-10-31$962,812
Liabilities. Value of benefit claims payable at end of year2012-10-31$74,000
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$57,000
Assets. Value of buildings and other operty used in plan operation at end of year2012-10-31$48,440
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-10-31$50,191
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$4,295,722
Aggregate carrying amount (costs) on sale of assets2012-10-31$4,314,907
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31STEINBERG, STECKLER & PICCIURRO, PC
Accountancy firm EIN2012-10-31132665700
2011 : LOCAL 803 HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-10-31$-43,948
Total unrealized appreciation/depreciation of assets2011-10-31$-43,948
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$188,310
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$78,656
Total income from all sources (including contributions)2011-10-31$371,040
Total loss/gain on sale of assets2011-10-31$21,401
Total of all expenses incurred2011-10-31$579,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$248,118
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$349,832
Value of total assets at end of year2011-10-31$2,874,468
Value of total assets at beginning of year2011-10-31$2,972,987
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$331,095
Total interest from all sources2011-10-31$27,323
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$18,639
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-10-31$3,274
Administrative expenses professional fees incurred2011-10-31$52,334
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$500,000
If this is an individual account plan, was there a blackout period2011-10-31No
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-10-31$243,126
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-10-31$12,864
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$29,454
Other income not declared elsewhere2011-10-31$107
Administrative expenses (other) incurred2011-10-31$249,627
Liabilities. Value of operating payables at end of year2011-10-31$131,310
Liabilities. Value of operating payables at beginning of year2011-10-31$22,656
Total non interest bearing cash at end of year2011-10-31$118,397
Total non interest bearing cash at beginning of year2011-10-31$208,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$-208,173
Value of net assets at end of year (total assets less liabilities)2011-10-31$2,686,158
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$2,894,331
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$9,541
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-10-31$727,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-10-31$372,179
Income. Interest from US Government securities2011-10-31$1,901
Income. Interest from corporate debt instruments2011-10-31$22,910
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-10-31$435,456
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-10-31$810,278
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-10-31$810,278
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$2,512
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$4,992
Asset value of US Government securities at end of year2011-10-31$0
Asset value of US Government securities at beginning of year2011-10-31$107,551
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-10-31$-2,314
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$349,832
Employer contributions (assets) at end of year2011-10-31$6,797
Employer contributions (assets) at beginning of year2011-10-31$3,156
Income. Dividends from common stock2011-10-31$15,365
Asset. Corporate debt instrument debt (other) at end of year2011-10-31$560,566
Asset. Corporate debt instrument debt (other) at beginning of year2011-10-31$477,602
Contract administrator fees2011-10-31$19,593
Assets. Corporate common stocks other than exployer securities at end of year2011-10-31$962,812
Assets. Corporate common stocks other than exployer securities at beginning of year2011-10-31$945,959
Liabilities. Value of benefit claims payable at end of year2011-10-31$57,000
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$56,000
Assets. Value of buildings and other operty used in plan operation at end of year2011-10-31$50,191
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-10-31$18,116
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$1,322,546
Aggregate carrying amount (costs) on sale of assets2011-10-31$1,301,145
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 name2011-10-31STEINBERG, STECKLER & PICCIURRO, PC
Accountancy firm EIN2011-10-31132665700

Form 5500 Responses for LOCAL 803 HEALTH & WELFARE FUND

2021: LOCAL 803 HEALTH & WELFARE FUND 2021 form 5500 responses
2021-11-01Type of plan entityMulti-employer plan
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: LOCAL 803 HEALTH & WELFARE 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: LOCAL 803 HEALTH & WELFARE 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: LOCAL 803 HEALTH & WELFARE 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: LOCAL 803 HEALTH & WELFARE 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: LOCAL 803 HEALTH & WELFARE FUND 2016 form 5500 responses
2016-11-01Type of plan entityMulti-employer plan
2016-11-01Submission has been amendedYes
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
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: LOCAL 803 HEALTH & WELFARE FUND 2015 form 5500 responses
2015-11-01Type of plan entityMulti-employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
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: LOCAL 803 HEALTH & WELFARE FUND 2014 form 5500 responses
2014-11-01Type of plan entityMulti-employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
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: LOCAL 803 HEALTH & WELFARE FUND 2013 form 5500 responses
2013-11-01Type of plan entityMulti-employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
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: LOCAL 803 HEALTH & WELFARE FUND 2012 form 5500 responses
2012-11-01Type of plan entityMulti-employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
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: LOCAL 803 HEALTH & WELFARE FUND 2011 form 5500 responses
2011-11-01Type of plan entityMulti-employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
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
2009: LOCAL 803 HEALTH & WELFARE FUND 2009 form 5500 responses
2009-11-01Type of plan entityMulti-employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
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: LOCAL 803 HEALTH & WELFARE 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

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892893G
Policy instance 1
Insurance contract or identification number892893G
Number of Individuals Covered0
Insurance policy start date2021-11-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number892893G
Policy instance 1
Insurance contract or identification number892893G
Number of Individuals Covered6
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $61
Total amount of fees paid to insurance companyUSD $8
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $61
Insurance broker organization code?3
Amount paid for insurance broker fees8
Additional information about fees paid to insurance brokerBONUS PAID
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered6
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $1,395
Total amount of fees paid to insurance companyUSD $467
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $6,974
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,395
Amount paid for insurance broker fees349
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered54
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $1,530
Total amount of fees paid to insurance companyUSD $542
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $7,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,530
Amount paid for insurance broker fees382
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered56
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $1,624
Total amount of fees paid to insurance companyUSD $378
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $7,565
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered65
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $1,148
Total amount of fees paid to insurance companyUSD $129
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,148
Amount paid for insurance broker fees129
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameUNION BENEFIT PLANNERS INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered65
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $1,148
Total amount of fees paid to insurance companyUSD $77
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,775
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,148
Amount paid for insurance broker fees77
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameUNION BENEFIT PLANNERS INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered65
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $1,154
Total amount of fees paid to insurance companyUSD $127
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,154
Amount paid for insurance broker fees127
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameUNION BENEFIT PLANNERS INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered65
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $1,274
Total amount of fees paid to insurance companyUSD $81
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,370
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number680811G
Policy instance 1
Insurance contract or identification number680811G
Number of Individuals Covered60
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $783
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD & D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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