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EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 401k Plan overview

Plan NameEMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC.
Plan identification number 501

EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Apprenticeship and training
  • Other welfare benefit cover

401k Sponsoring company profile

CARTERS TRUCKING&BLACKTOPPING, INC. has sponsored the creation of one or more 401k plans.

Company Name:CARTERS TRUCKING&BLACKTOPPING, INC.
Employer identification number (EIN):141674408
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012018-01-01DONNA CARTER DONNA CARTER2019-07-10
5012017-01-01DONNA CARTER DONNA CARTER2018-07-02
5012016-01-01DONNA CARTER DONNA CARTER2017-06-20
5012015-01-01DONNA CARTER DONNA CARTER2016-03-16
5012014-01-01DONNA CARTER DONNA CARTER2015-04-10
5012013-01-01DONNA CARTER DONNA CARTER2014-06-04
5012012-01-01DONNA CARTER DONNA CARTER2013-08-12
5012011-01-01DONNA W. CARTER DONNA W. CARTER2012-05-02
5012010-01-01DONNA W. CARTER DONNA W. CARTER2011-08-01
5012009-01-01DONNA W. CARTER DONNA W. CARTER2010-08-18

Plan Statistics for EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC.

401k plan membership statisitcs for EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC.

Measure Date Value
2018: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-016
Total of all active and inactive participants2018-01-010
2017: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-017
Total number of active participants reported on line 7a of the Form 55002017-01-016
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-017
Total number of active participants reported on line 7a of the Form 55002016-01-017
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
2015: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-017
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-0110
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
2013: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-0110
Total number of active participants reported on line 7a of the Form 55002013-01-0110
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0110
2012: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-0111
Total number of active participants reported on line 7a of the Form 55002012-01-0110
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0110
2011: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-0111
Total number of active participants reported on line 7a of the Form 55002011-01-0111
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0111
2010: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2010 401k membership
Total participants, beginning-of-year2010-01-0113
Total number of active participants reported on line 7a of the Form 55002010-01-0111
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
2009: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-0113
Total number of active participants reported on line 7a of the Form 55002009-01-0115
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010

Financial Data on EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC.

Measure Date Value
2018 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2018 401k financial data
Transfers to/from the plan2018-12-31$-92,267
Total income from all sources2018-12-31$36,923
Expenses. Total of all expenses incurred2018-12-31$25,569
Benefits paid (including direct rollovers)2018-12-31$20,192
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$80,913
Value of fidelity bond covering the plan2018-12-31$15,000
Expenses. Other expenses not covered elsewhere2018-12-31$5,377
Other income received2018-12-31$590
Net income (gross income less expenses)2018-12-31$11,354
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$80,913
Total contributions received or receivable from employer(s)2018-12-31$36,333
2017 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2017 401k financial data
Transfers to/from the plan2017-12-31$-42,670
Total income from all sources2017-12-31$77,498
Expenses. Total of all expenses incurred2017-12-31$58,421
Benefits paid (including direct rollovers)2017-12-31$52,936
Total plan assets at end of year2017-12-31$80,913
Total plan assets at beginning of year2017-12-31$104,506
Value of fidelity bond covering the plan2017-12-31$15,000
Expenses. Other expenses not covered elsewhere2017-12-31$5,485
Other income received2017-12-31$1,054
Net income (gross income less expenses)2017-12-31$19,077
Net plan assets at end of year (total assets less liabilities)2017-12-31$80,913
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$104,506
Total contributions received or receivable from employer(s)2017-12-31$76,444
2016 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2016 401k financial data
Transfers to/from the plan2016-12-31$-52,100
Total income from all sources2016-12-31$157,695
Expenses. Total of all expenses incurred2016-12-31$74,686
Benefits paid (including direct rollovers)2016-12-31$70,206
Total plan assets at end of year2016-12-31$104,506
Total plan assets at beginning of year2016-12-31$73,597
Value of fidelity bond covering the plan2016-12-31$15,000
Expenses. Other expenses not covered elsewhere2016-12-31$4,480
Other income received2016-12-31$323
Net income (gross income less expenses)2016-12-31$83,009
Net plan assets at end of year (total assets less liabilities)2016-12-31$104,506
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$73,597
Total contributions received or receivable from employer(s)2016-12-31$157,372
2015 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2015 401k financial data
Transfers to/from the plan2015-12-31$-76,986
Total income from all sources2015-12-31$83,728
Expenses. Total of all expenses incurred2015-12-31$54,410
Benefits paid (including direct rollovers)2015-12-31$53,373
Total plan assets at end of year2015-12-31$73,597
Total plan assets at beginning of year2015-12-31$121,265
Value of fidelity bond covering the plan2015-12-31$15,000
Expenses. Other expenses not covered elsewhere2015-12-31$1,037
Other income received2015-12-31$14
Net income (gross income less expenses)2015-12-31$29,318
Net plan assets at end of year (total assets less liabilities)2015-12-31$73,597
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$121,265
Total contributions received or receivable from employer(s)2015-12-31$83,714
2014 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2014 401k financial data
Transfers to/from the plan2014-12-31$-47,569
Total income from all sources2014-12-31$146,507
Expenses. Total of all expenses incurred2014-12-31$72,481
Benefits paid (including direct rollovers)2014-12-31$64,569
Total plan assets at end of year2014-12-31$121,265
Total plan assets at beginning of year2014-12-31$94,808
Value of fidelity bond covering the plan2014-12-31$15,000
Expenses. Other expenses not covered elsewhere2014-12-31$7,912
Other income received2014-12-31$8
Net income (gross income less expenses)2014-12-31$74,026
Net plan assets at end of year (total assets less liabilities)2014-12-31$121,265
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$94,808
Total contributions received or receivable from employer(s)2014-12-31$146,499
2013 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2013 401k financial data
Transfers to/from the plan2013-12-31$-50,727
Total income from all sources2013-12-31$146,307
Expenses. Total of all expenses incurred2013-12-31$70,573
Benefits paid (including direct rollovers)2013-12-31$65,063
Total plan assets at end of year2013-12-31$94,808
Total plan assets at beginning of year2013-12-31$69,801
Value of fidelity bond covering the plan2013-12-31$15,000
Expenses. Other expenses not covered elsewhere2013-12-31$5,510
Other income received2013-12-31$843
Net income (gross income less expenses)2013-12-31$75,734
Net plan assets at end of year (total assets less liabilities)2013-12-31$94,808
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$69,801
Total contributions received or receivable from employer(s)2013-12-31$145,464
2012 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2012 401k financial data
Transfers to/from the plan2012-12-31$-195,111
Total income from all sources2012-12-31$149,926
Expenses. Total of all expenses incurred2012-12-31$92,130
Benefits paid (including direct rollovers)2012-12-31$86,310
Total plan assets at end of year2012-12-31$69,801
Total plan assets at beginning of year2012-12-31$207,116
Value of fidelity bond covering the plan2012-12-31$15,000
Expenses. Other expenses not covered elsewhere2012-12-31$5,820
Other income received2012-12-31$448
Net income (gross income less expenses)2012-12-31$57,796
Net plan assets at end of year (total assets less liabilities)2012-12-31$69,801
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$207,116
Total contributions received or receivable from employer(s)2012-12-31$149,478
2011 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2011 401k financial data
Transfers to/from the plan2011-12-31$-92,380
Total income from all sources2011-12-31$336,712
Expenses. Total of all expenses incurred2011-12-31$115,121
Benefits paid (including direct rollovers)2011-12-31$110,609
Total plan assets at end of year2011-12-31$207,116
Total plan assets at beginning of year2011-12-31$77,905
Value of fidelity bond covering the plan2011-12-31$15,000
Expenses. Other expenses not covered elsewhere2011-12-31$4,512
Other income received2011-12-31$743
Net income (gross income less expenses)2011-12-31$221,591
Net plan assets at end of year (total assets less liabilities)2011-12-31$207,116
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$77,905
Total contributions received or receivable from employer(s)2011-12-31$335,969
2010 : EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2010 401k financial data
Transfers to/from the plan2010-12-31$-96,860
Total income from all sources2010-12-31$182,218
Expenses. Total of all expenses incurred2010-12-31$86,653
Benefits paid (including direct rollovers)2010-12-31$76,416
Total plan assets at end of year2010-12-31$77,905
Total plan assets at beginning of year2010-12-31$79,200
Value of fidelity bond covering the plan2010-12-31$15,000
Total contributions received or receivable from participants2010-12-31$1,125
Expenses. Other expenses not covered elsewhere2010-12-31$10,237
Other income received2010-12-31$461
Net income (gross income less expenses)2010-12-31$95,565
Net plan assets at end of year (total assets less liabilities)2010-12-31$77,905
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$79,200
Total contributions received or receivable from employer(s)2010-12-31$180,632

Form 5500 Responses for EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC.

2018: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: EMPIRE STATE HWY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF CARTERS TRUCKING & BLACKTOPPING, INC. 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered2
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered6
Insurance policy start date2016-10-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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 $1,050
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered7
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 $1,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered7
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 $1,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered10
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 $1,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered10
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 $1,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered11
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 $2,150
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00372939
Policy instance 1
Insurance contract or identification number00372939
Number of Individuals Covered11
Insurance policy start date2009-10-01
Insurance policy end date2010-09-30
Total amount of commissions paid to insurance brokerUSD $0
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 $1,769

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