401k Plan data: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN plan

STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN
Plan identification number	501

STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

STORM WATER SOLUTIONS, LP has sponsored the creation of one or more 401k plans.

Company Name: STORM WATER SOLUTIONS, LP

Employer identification number (EIN): 200017669

NAIC Classification: 238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2016-02-01 PENNY KEY
501 2015-02-01 PENNY KEY
501 2014-02-01 PENNY KEY
501 2013-02-01 PENNY KEY

Plan id#	Filing Submission Date	Name of Administrator
501	2016-02-01	PENNY KEY
501	2015-02-01	PENNY KEY
501	2014-02-01	PENNY KEY
501	2013-02-01	PENNY KEY

Plan Statistics for STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN

401k plan membership statisitcs for STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN

Measure Date Value
2016: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-02-01 159
Total number of active participants reported on line 7a of the Form 5500 2016-02-01 156
Number of retired or separated participants receiving benefits 2016-02-01 0
Number of other retired or separated participants entitled to future benefits 2016-02-01 0
Total of all active and inactive participants 2016-02-01 156
2015: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-02-01 127
Total number of active participants reported on line 7a of the Form 5500 2015-02-01 159
Number of retired or separated participants receiving benefits 2015-02-01 0
Number of other retired or separated participants entitled to future benefits 2015-02-01 0
Total of all active and inactive participants 2015-02-01 159
2014: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-02-01 117
Total number of active participants reported on line 7a of the Form 5500 2014-02-01 127
Number of retired or separated participants receiving benefits 2014-02-01 0
Number of other retired or separated participants entitled to future benefits 2014-02-01 0
Total of all active and inactive participants 2014-02-01 127
2013: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-02-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-02-01 117
Number of retired or separated participants receiving benefits 2013-02-01 0
Number of other retired or separated participants entitled to future benefits 2013-02-01 0
Total of all active and inactive participants 2013-02-01 117

Measure	Date	Value
2016: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-02-01	159
Total number of active participants reported on line 7a of the Form 5500	2016-02-01	156
Number of retired or separated participants receiving benefits	2016-02-01	0
Number of other retired or separated participants entitled to future benefits	2016-02-01	0
Total of all active and inactive participants	2016-02-01	156
2015: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-02-01	127
Total number of active participants reported on line 7a of the Form 5500	2015-02-01	159
Number of retired or separated participants receiving benefits	2015-02-01	0
Number of other retired or separated participants entitled to future benefits	2015-02-01	0
Total of all active and inactive participants	2015-02-01	159
2014: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-02-01	117
Total number of active participants reported on line 7a of the Form 5500	2014-02-01	127
Number of retired or separated participants receiving benefits	2014-02-01	0
Number of other retired or separated participants entitled to future benefits	2014-02-01	0
Total of all active and inactive participants	2014-02-01	127
2013: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-02-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-02-01	117
Number of retired or separated participants receiving benefits	2013-02-01	0
Number of other retired or separated participants entitled to future benefits	2013-02-01	0
Total of all active and inactive participants	2013-02-01	117

Form 5500 Responses for STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN

2016: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2016 form 5500 responses
2016-02-01	Type of plan entity	Single employer plan
2016-02-01	Submission has been amended	No
2016-02-01	This submission is the final filing	No
2016-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-02-01	Plan is a collectively bargained plan	No
2016-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-02-01	Plan benefit arrangement – Insurance	Yes
2015: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2015 form 5500 responses
2015-02-01	Type of plan entity	Single employer plan
2015-02-01	Submission has been amended	No
2015-02-01	This submission is the final filing	No
2015-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-02-01	Plan is a collectively bargained plan	No
2015-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-02-01	Plan benefit arrangement – Insurance	Yes
2014: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2014 form 5500 responses
2014-02-01	Type of plan entity	Single employer plan
2014-02-01	Submission has been amended	No
2014-02-01	This submission is the final filing	No
2014-02-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-02-01	Plan is a collectively bargained plan	No
2014-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-02-01	Plan benefit arrangement – Insurance	Yes
2013: STORM WATER SOLUTIONS, LP WELFARE BENEFITS PLAN 2013 form 5500 responses
2013-02-01	Type of plan entity	Single employer plan
2013-02-01	First time form 5500 has been submitted	Yes
2013-02-01	Plan funding arrangement – Insurance	Yes
2013-02-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00413242

Policy instance

Insurance contract or identification number	00413242
Number of Individuals Covered	159
Insurance policy start date	2015-02-01
Insurance policy end date	2016-01-31
Total amount of commissions paid to insurance broker	USD $8,941
Total amount of fees paid to insurance company	USD $507
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $100,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,296
Insurance broker organization code?	3
Amount paid for insurance broker fees	507
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker name	ALLIANT INSURANCE SERVICES INC.

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00413242

Policy instance

Insurance contract or identification number	00413242
Number of Individuals Covered	127
Insurance policy start date	2014-02-01
Insurance policy end date	2015-01-31
Total amount of commissions paid to insurance broker	USD $6,604
Total amount of fees paid to insurance company	USD $3,734
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $73,842
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,604
Amount paid for insurance broker fees	3734
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	ALLIANT INSURANCE SERVICES INC.

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00413242

Policy instance

Insurance contract or identification number	00413242
Number of Individuals Covered	117
Insurance policy start date	2013-02-01
Insurance policy end date	2014-01-31
Total amount of commissions paid to insurance broker	USD $4,419
Total amount of fees paid to insurance company	USD $2,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,397
Amount paid for insurance broker fees	2761
Insurance broker organization code?	3
Insurance broker name	WEALTH DESIGN GROUP, LLC

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Company Name:	STORM WATER SOLUTIONS, LP
Employer identification number (EIN):	200017669
NAIC Classification:	238900