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EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 401k Plan overview

Plan NameEMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC.
Plan identification number 501

EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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

DONNELLY CONSTRUCTION, INC. has sponsored the creation of one or more 401k plans.

Company Name:DONNELLY CONSTRUCTION, INC.
Employer identification number (EIN):141771716
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Additional information about DONNELLY CONSTRUCTION, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1994-04-08
Company Identification Number: 1810554
Legal Registered Office Address: PO Box 150
155 NY RTE 67
Mechanicville
United States of America (USA)
12118

More information about DONNELLY CONSTRUCTION, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01CARRIE SPESHOCK CARRIE SPESHOCK2019-07-18
5012018-01-01CARRIE SPESHOCK2019-07-17 CARRIE SPESHOCK2019-07-17
5012017-01-01CARRIE SPESHOCK CARRIE SPESHOCK2018-07-02
5012016-01-01CARRIE SPESHOCK CARRIE SPESHOCK2017-06-21
5012015-01-01CARRIE SPESHOCK CARRIE SPESHOCK2016-05-27
5012014-01-01CARRIE SPESHOCK CARRIE SPESHOCK2015-04-15
5012013-01-01CARRIE SPESHOCK CARRIE SPESHOCK2014-05-22
5012012-01-01CARRIE SPESHOCK CARRIE SPESHOCK2013-09-27
5012011-01-01CARRIE SPESHOCK CARRIE SPESHOCK2012-07-10
5012009-01-01CARRIE D. SPESHOCK CARRIE D. SPESHOCK2010-08-23

Plan Statistics for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC.

401k plan membership statisitcs for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC.

Measure Date Value
2022: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-0154
Total number of active participants reported on line 7a of the Form 55002022-01-0154
Total of all active and inactive participants2022-01-0154
2021: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-0153
Total number of active participants reported on line 7a of the Form 55002021-01-0150
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0150
2020: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2020 401k membership
Total participants, beginning-of-year2020-01-0151
Total number of active participants reported on line 7a of the Form 55002020-01-0153
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0153
2019: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-0148
Total number of active participants reported on line 7a of the Form 55002019-01-0151
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0151
2018: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2018 401k membership
Total participants, beginning-of-year2018-01-0148
Total number of active participants reported on line 7a of the Form 55002018-01-0148
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0148
2017: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2017 401k membership
Total participants, beginning-of-year2017-01-0140
Total number of active participants reported on line 7a of the Form 55002017-01-0142
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 participants2017-01-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-0137
Total number of active participants reported on line 7a of the Form 55002016-01-0140
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 participants2016-01-0140
2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-0132
Total number of active participants reported on line 7a of the Form 55002015-01-0137
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 participants2015-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-0125
Total number of active participants reported on line 7a of the Form 55002014-01-0132
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 participants2014-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-0125
Total number of active participants reported on line 7a of the Form 55002013-01-0132
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 participants2013-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0132
2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-0127
Total number of active participants reported on line 7a of the Form 55002012-01-0126
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 participants2012-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0126
2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-0124
Total number of active participants reported on line 7a of the Form 55002011-01-0127
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 participants2011-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0127
2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-0121
Total number of active participants reported on line 7a of the Form 55002009-01-0122
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 participants2009-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010

Financial Data on EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC.

Measure Date Value
2022 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2022 401k financial data
Transfers to/from the plan2022-12-31$-599,775
Total income from all sources2022-12-31$917,788
Expenses. Total of all expenses incurred2022-12-31$606,465
Benefits paid (including direct rollovers)2022-12-31$540,766
Total plan assets at end of year2022-12-31$1,311,195
Total plan assets at beginning of year2022-12-31$1,599,647
Value of fidelity bond covering the plan2022-12-31$180,000
Total contributions received or receivable from participants2022-12-31$5,478
Expenses. Other expenses not covered elsewhere2022-12-31$65,699
Other income received2022-12-31$13,496
Net income (gross income less expenses)2022-12-31$311,323
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,311,195
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,599,647
Total contributions received or receivable from employer(s)2022-12-31$898,814
2021 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2021 401k financial data
Transfers to/from the plan2021-12-31$-873,097
Total income from all sources2021-12-31$1,023,397
Expenses. Total of all expenses incurred2021-12-31$538,303
Benefits paid (including direct rollovers)2021-12-31$486,142
Total plan assets at end of year2021-12-31$1,599,647
Total plan assets at beginning of year2021-12-31$1,987,650
Value of fidelity bond covering the plan2021-12-31$180,000
Total contributions received or receivable from participants2021-12-31$7,666
Expenses. Other expenses not covered elsewhere2021-12-31$52,161
Other income received2021-12-31$3,681
Net income (gross income less expenses)2021-12-31$485,094
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,599,647
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,987,650
Total contributions received or receivable from employer(s)2021-12-31$1,012,050
2020 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2020 401k financial data
Transfers to/from the plan2020-12-31$-1,335,960
Total income from all sources2020-12-31$2,161,429
Expenses. Total of all expenses incurred2020-12-31$619,526
Benefits paid (including direct rollovers)2020-12-31$560,939
Total plan assets at end of year2020-12-31$1,987,650
Total plan assets at beginning of year2020-12-31$1,781,707
Value of fidelity bond covering the plan2020-12-31$180,000
Total contributions received or receivable from participants2020-12-31$7,055
Expenses. Other expenses not covered elsewhere2020-12-31$58,587
Other income received2020-12-31$12,038
Net income (gross income less expenses)2020-12-31$1,541,903
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,987,650
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,781,707
Total contributions received or receivable from employer(s)2020-12-31$2,142,336
2019 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2019 401k financial data
Transfers to/from the plan2019-12-31$-715,485
Total income from all sources2019-12-31$1,948,047
Expenses. Total of all expenses incurred2019-12-31$599,859
Benefits paid (including direct rollovers)2019-12-31$544,462
Total plan assets at end of year2019-12-31$1,781,707
Total plan assets at beginning of year2019-12-31$1,149,004
Value of fidelity bond covering the plan2019-12-31$155,000
Total contributions received or receivable from participants2019-12-31$9,404
Expenses. Other expenses not covered elsewhere2019-12-31$55,397
Other income received2019-12-31$14,929
Net income (gross income less expenses)2019-12-31$1,348,188
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,781,707
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,149,004
Total contributions received or receivable from employer(s)2019-12-31$1,923,714
2018 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2018 401k financial data
Transfers to/from the plan2018-12-31$-515,803
Total income from all sources2018-12-31$809,249
Expenses. Total of all expenses incurred2018-12-31$577,710
Benefits paid (including direct rollovers)2018-12-31$525,916
Total plan assets at end of year2018-12-31$1,149,004
Total plan assets at beginning of year2018-12-31$1,433,268
Value of fidelity bond covering the plan2018-12-31$160,000
Total contributions received or receivable from participants2018-12-31$6,838
Expenses. Other expenses not covered elsewhere2018-12-31$51,794
Other income received2018-12-31$14,471
Net income (gross income less expenses)2018-12-31$231,539
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,149,004
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,433,268
Total contributions received or receivable from employer(s)2018-12-31$787,940
2017 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2017 401k financial data
Transfers to/from the plan2017-12-31$-583,900
Total income from all sources2017-12-31$873,879
Expenses. Total of all expenses incurred2017-12-31$393,852
Benefits paid (including direct rollovers)2017-12-31$352,198
Total plan assets at end of year2017-12-31$1,433,268
Total plan assets at beginning of year2017-12-31$1,537,141
Value of fidelity bond covering the plan2017-12-31$155,000
Total contributions received or receivable from participants2017-12-31$581
Expenses. Other expenses not covered elsewhere2017-12-31$41,654
Other income received2017-12-31$12,966
Net income (gross income less expenses)2017-12-31$480,027
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,433,268
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,537,141
Total contributions received or receivable from employer(s)2017-12-31$860,332
2016 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2016 401k financial data
Transfers to/from the plan2016-12-31$-548,732
Total income from all sources2016-12-31$871,225
Expenses. Total of all expenses incurred2016-12-31$335,046
Benefits paid (including direct rollovers)2016-12-31$300,168
Total plan assets at end of year2016-12-31$1,537,141
Total plan assets at beginning of year2016-12-31$1,549,694
Value of fidelity bond covering the plan2016-12-31$95,000
Total contributions received or receivable from participants2016-12-31$675
Expenses. Other expenses not covered elsewhere2016-12-31$34,878
Other income received2016-12-31$4,874
Net income (gross income less expenses)2016-12-31$536,179
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,537,141
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,549,694
Total contributions received or receivable from employer(s)2016-12-31$865,676
2015 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2015 401k financial data
Transfers to/from the plan2015-12-31$-485,294
Total income from all sources2015-12-31$815,727
Expenses. Total of all expenses incurred2015-12-31$284,999
Benefits paid (including direct rollovers)2015-12-31$260,301
Total plan assets at end of year2015-12-31$1,549,694
Total plan assets at beginning of year2015-12-31$1,504,260
Value of fidelity bond covering the plan2015-12-31$95,000
Total contributions received or receivable from participants2015-12-31$6,740
Expenses. Other expenses not covered elsewhere2015-12-31$24,698
Other income received2015-12-31$196
Net income (gross income less expenses)2015-12-31$530,728
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,549,694
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,504,260
Total contributions received or receivable from employer(s)2015-12-31$808,791
2014 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2014 401k financial data
Transfers to/from the plan2014-12-31$-316,100
Total income from all sources2014-12-31$801,893
Expenses. Total of all expenses incurred2014-12-31$330,644
Benefits paid (including direct rollovers)2014-12-31$300,095
Total plan assets at end of year2014-12-31$1,504,260
Total plan assets at beginning of year2014-12-31$1,349,111
Value of fidelity bond covering the plan2014-12-31$95,000
Total contributions received or receivable from participants2014-12-31$4,800
Expenses. Other expenses not covered elsewhere2014-12-31$30,549
Other income received2014-12-31$143
Net income (gross income less expenses)2014-12-31$471,249
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,504,260
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,349,111
Total contributions received or receivable from employer(s)2014-12-31$796,950
2013 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2013 401k financial data
Transfers to/from the plan2013-12-31$-302,459
Total income from all sources2013-12-31$777,098
Expenses. Total of all expenses incurred2013-12-31$296,376
Benefits paid (including direct rollovers)2013-12-31$274,296
Total plan assets at end of year2013-12-31$1,349,111
Total plan assets at beginning of year2013-12-31$1,170,848
Value of fidelity bond covering the plan2013-12-31$95,000
Total contributions received or receivable from participants2013-12-31$3,900
Expenses. Other expenses not covered elsewhere2013-12-31$22,080
Other income received2013-12-31$2,329
Net income (gross income less expenses)2013-12-31$480,722
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,349,111
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,170,848
Total contributions received or receivable from employer(s)2013-12-31$770,869
2012 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2012 401k financial data
Transfers to/from the plan2012-12-31$-237,374
Total income from all sources2012-12-31$743,178
Expenses. Total of all expenses incurred2012-12-31$236,905
Benefits paid (including direct rollovers)2012-12-31$218,635
Total plan assets at end of year2012-12-31$1,170,848
Total plan assets at beginning of year2012-12-31$901,949
Value of fidelity bond covering the plan2012-12-31$95,000
Total contributions received or receivable from participants2012-12-31$3,982
Expenses. Other expenses not covered elsewhere2012-12-31$18,270
Other income received2012-12-31$1,285
Net income (gross income less expenses)2012-12-31$506,273
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,170,848
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$901,949
Total contributions received or receivable from employer(s)2012-12-31$737,911
2011 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2011 401k financial data
Transfers to/from the plan2011-12-31$-282,582
Total income from all sources2011-12-31$531,299
Expenses. Total of all expenses incurred2011-12-31$250,945
Benefits paid (including direct rollovers)2011-12-31$241,741
Total plan assets at end of year2011-12-31$901,949
Total plan assets at beginning of year2011-12-31$904,177
Value of fidelity bond covering the plan2011-12-31$95,000
Total contributions received or receivable from participants2011-12-31$3,621
Expenses. Other expenses not covered elsewhere2011-12-31$9,204
Other income received2011-12-31$3,538
Net income (gross income less expenses)2011-12-31$280,354
Net plan assets at end of year (total assets less liabilities)2011-12-31$901,949
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$904,177
Total contributions received or receivable from employer(s)2011-12-31$524,140
2010 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2010 401k financial data
Transfers to/from the plan2010-12-31$-166,937
Total income from all sources2010-12-31$552,357
Expenses. Total of all expenses incurred2010-12-31$174,903
Benefits paid (including direct rollovers)2010-12-31$158,750
Total plan assets at end of year2010-12-31$904,177
Total plan assets at beginning of year2010-12-31$693,660
Value of fidelity bond covering the plan2010-12-31$15,000
Total contributions received or receivable from participants2010-12-31$3,254
Expenses. Other expenses not covered elsewhere2010-12-31$16,153
Other income received2010-12-31$1,796
Net income (gross income less expenses)2010-12-31$377,454
Net plan assets at end of year (total assets less liabilities)2010-12-31$904,177
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$693,660
Total contributions received or receivable from employer(s)2010-12-31$547,307

Form 5500 Responses for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC.

2022: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, INC. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingNo
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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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
2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF DONNELLY CONSTRUCTION, 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 – InsuranceYes
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered50
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
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 $9,019
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered53
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
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 $3,013
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered51
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
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 $8,316
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered51
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
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 $7,588
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered48
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 $6,438
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered42
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 $5,663
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered37
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 $5,219
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered34
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 $5,902
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered32
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 $4,621
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered26
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 $3,935
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered27
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 $5,168
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 number00972939
Policy instance 1
Insurance contract or identification number00972939
Number of Individuals Covered24
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 $3,813

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