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TOM FORD RETAIL (DENTAL PLAN) 401k Plan overview

Plan NameTOM FORD RETAIL (DENTAL PLAN)
Plan identification number 501

TOM FORD RETAIL (DENTAL PLAN) Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

TOM FORD RETAIL LLC has sponsored the creation of one or more 401k plans.

Company Name:TOM FORD RETAIL LLC
Employer identification number (EIN):204138164
NAIC Classification:448140
NAIC Description:Family Clothing Stores

Additional information about TOM FORD RETAIL LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2005-12-20
Company Identification Number: 3295322
Legal Registered Office Address: 80 STATE STREET
New York
ALBANY
United States of America (USA)
12207

More information about TOM FORD RETAIL LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TOM FORD RETAIL (DENTAL PLAN)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012019-02-01
5012018-02-01
5012017-02-01SHARON CASSINIS
5012016-02-01SHARON CASSINIS
5012015-02-01SHARON CASSINIS

Plan Statistics for TOM FORD RETAIL (DENTAL PLAN)

401k plan membership statisitcs for TOM FORD RETAIL (DENTAL PLAN)

Measure Date Value
2019: TOM FORD RETAIL (DENTAL PLAN) 2019 401k membership
Total participants, beginning-of-year2019-02-01253
Total number of active participants reported on line 7a of the Form 55002019-02-01275
Total of all active and inactive participants2019-02-01275
2018: TOM FORD RETAIL (DENTAL PLAN) 2018 401k membership
Total participants, beginning-of-year2018-02-01154
Total number of active participants reported on line 7a of the Form 55002018-02-01253
Total of all active and inactive participants2018-02-01253
2017: TOM FORD RETAIL (DENTAL PLAN) 2017 401k membership
Total participants, beginning-of-year2017-02-01167
Total number of active participants reported on line 7a of the Form 55002017-02-01154
Total of all active and inactive participants2017-02-01154
2016: TOM FORD RETAIL (DENTAL PLAN) 2016 401k membership
Total participants, beginning-of-year2016-02-01161
Total number of active participants reported on line 7a of the Form 55002016-02-01167
Total of all active and inactive participants2016-02-01167
2015: TOM FORD RETAIL (DENTAL PLAN) 2015 401k membership
Total participants, beginning-of-year2015-02-010
Total number of active participants reported on line 7a of the Form 55002015-02-01161
Total of all active and inactive participants2015-02-01161

Financial Data on TOM FORD RETAIL (DENTAL PLAN)

Measure Date Value
2019 : TOM FORD RETAIL (DENTAL PLAN) 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$116,170
Total of all expenses incurred2019-12-31$116,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$116,170
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$116,170
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$116,170
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$116,170
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Qualified
Accountancy firm name2019-12-31RSM US LLP
Accountancy firm EIN2019-12-31420714325
2018 : TOM FORD RETAIL (DENTAL PLAN) 2018 401k financial data
Total income from all sources (including contributions)2018-01-31$90,747
Total of all expenses incurred2018-01-31$90,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-01-31$90,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-01-31$90,747
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-01-31No
Was this plan covered by a fidelity bond2018-01-31No
If this is an individual account plan, was there a blackout period2018-01-31No
Were there any nonexempt tranactions with any party-in-interest2018-01-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Value of net income/loss2018-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-01-31No
Were any leases to which the plan was party in default or uncollectible2018-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-01-31$90,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-01-31No
Was there a failure to transmit to the plan any participant contributions2018-01-31No
Has the plan failed to provide any benefit when due under the plan2018-01-31No
Contributions received in cash from employer2018-01-31$90,747
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-01-31No
Did the plan have assets held for investment2018-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-01-31No
Opinion of an independent qualified public accountant for this plan2018-01-31Qualified
Accountancy firm name2018-01-31RSM US LLP
Accountancy firm EIN2018-01-31420714325
2017 : TOM FORD RETAIL (DENTAL PLAN) 2017 401k financial data
Total income from all sources (including contributions)2017-01-31$125,399
Total of all expenses incurred2017-01-31$125,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-01-31$125,399
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-01-31$125,399
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-01-31No
Was this plan covered by a fidelity bond2017-01-31No
If this is an individual account plan, was there a blackout period2017-01-31No
Were there any nonexempt tranactions with any party-in-interest2017-01-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Value of net income/loss2017-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-01-31No
Were any leases to which the plan was party in default or uncollectible2017-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-01-31$125,399
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-01-31No
Was there a failure to transmit to the plan any participant contributions2017-01-31No
Has the plan failed to provide any benefit when due under the plan2017-01-31No
Contributions received in cash from employer2017-01-31$125,399
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-01-31No
Did the plan have assets held for investment2017-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-01-31No
Opinion of an independent qualified public accountant for this plan2017-01-31Qualified
Accountancy firm name2017-01-31RSM US LLP
Accountancy firm EIN2017-01-31420714325
2016 : TOM FORD RETAIL (DENTAL PLAN) 2016 401k financial data
Total income from all sources (including contributions)2016-01-31$90,065
Total of all expenses incurred2016-01-31$90,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-01-31$90,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-01-31$90,065
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-01-31No
Was this plan covered by a fidelity bond2016-01-31No
If this is an individual account plan, was there a blackout period2016-01-31No
Were there any nonexempt tranactions with any party-in-interest2016-01-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Value of net income/loss2016-01-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-01-31No
Were any leases to which the plan was party in default or uncollectible2016-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2016-01-31$90,065
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-01-31No
Was there a failure to transmit to the plan any participant contributions2016-01-31No
Has the plan failed to provide any benefit when due under the plan2016-01-31No
Contributions received in cash from employer2016-01-31$90,065
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-01-31No
Did the plan have assets held for investment2016-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-01-31No
Opinion of an independent qualified public accountant for this plan2016-01-31Qualified
Accountancy firm name2016-01-31RSM US LLP
Accountancy firm EIN2016-01-31420714325

Form 5500 Responses for TOM FORD RETAIL (DENTAL PLAN)

2019: TOM FORD RETAIL (DENTAL PLAN) 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan benefit arrangement – InsuranceYes
2018: TOM FORD RETAIL (DENTAL PLAN) 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan benefit arrangement – InsuranceYes
2017: TOM FORD RETAIL (DENTAL PLAN) 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan benefit arrangement – InsuranceYes
2016: TOM FORD RETAIL (DENTAL PLAN) 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan benefit arrangement – InsuranceYes
2015: TOM FORD RETAIL (DENTAL PLAN) 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01First time form 5500 has been submittedYes
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0910744
Policy instance 1
Insurance contract or identification number0910744
Number of Individuals Covered275
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $18,581
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $116,170
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,370
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0910744
Policy instance 1
Insurance contract or identification number0910744
Number of Individuals Covered253
Insurance policy start date2018-02-01
Insurance policy end date2019-01-31
Total amount of commissions paid to insurance brokerUSD $17,653
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,732
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number0910744
Policy instance 1
Insurance contract or identification number0910744
Number of Individuals Covered154
Insurance policy start date2017-02-01
Insurance policy end date2018-01-31
Total amount of commissions paid to insurance brokerUSD $4,617
Total amount of fees paid to insurance companyUSD $6,462
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,747
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6462
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $4,617
Insurance broker nameCENTERSTONE INS & FINANCIAL SVC/WIB
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number00613116
Policy instance 1
Insurance contract or identification number00613116
Number of Individuals Covered161
Insurance policy start date2015-01-01
Insurance policy end date2016-01-31
Total amount of commissions paid to insurance brokerUSD $6,304
Total amount of fees paid to insurance companyUSD $3,602
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,065
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,728
Insurance broker organization code?3
Amount paid for insurance broker fees3602
Additional information about fees paid to insurance brokerADMINISTRATIVE SERVICES
Insurance broker nameLOUIS J BERNARDI

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