401k Plan data: I.B.E.W. LOCAL 1579 HEALTH PLAN plan

I.B.E.W. LOCAL 1579 HEALTH PLAN 401k Plan overview

Plan Name	I.B.E.W. LOCAL 1579 HEALTH PLAN
Plan identification number	501

I.B.E.W. LOCAL 1579 HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

I.B.E.W. LOCAL 1579 HEALTH PLAN BOARD OF TRUSTEES has sponsored the creation of one or more 401k plans.

Company Name: I.B.E.W. LOCAL 1579 HEALTH PLAN BOARD OF TRUSTEES

Employer identification number (EIN): 237000786

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I.B.E.W. LOCAL 1579 HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2013-10-01 SALVATORE J. CHILIA
501 2012-10-01 SALVATORE J. CHILIA
501 2011-10-01 RUDY DIXON
501 2009-10-01 RUDY DIXON KENNETH T. WARD 2011-07-13
501 2008-10-01

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
501	2013-10-01	SALVATORE J. CHILIA
501	2012-10-01	SALVATORE J. CHILIA
501	2011-10-01	RUDY DIXON
501	2009-10-01	RUDY DIXON	KENNETH T. WARD	2011-07-13
501	2008-10-01

Plan Statistics for I.B.E.W. LOCAL 1579 HEALTH PLAN

401k plan membership statisitcs for I.B.E.W. LOCAL 1579 HEALTH PLAN

Measure Date Value
2013: I.B.E.W. LOCAL 1579 HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year 2013-10-01 0
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 0
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 0
Number of employers contributing to the scheme 2013-10-01 0
2012: I.B.E.W. LOCAL 1579 HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year 2012-10-01 615
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 0
Number of retired or separated participants receiving benefits 2012-10-01 0
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 0
Number of employers contributing to the scheme 2012-10-01 0
2011: I.B.E.W. LOCAL 1579 HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-10-01 575
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 521
Number of retired or separated participants receiving benefits 2011-10-01 94
Number of other retired or separated participants entitled to future benefits 2011-10-01 0
Total of all active and inactive participants 2011-10-01 615
2009: I.B.E.W. LOCAL 1579 HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-10-01 523
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 366
Number of retired or separated participants receiving benefits 2009-10-01 135
Total of all active and inactive participants 2009-10-01 501

Measure	Date	Value
2013: I.B.E.W. LOCAL 1579 HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year	2013-10-01	0
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	0
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	0
Number of employers contributing to the scheme	2013-10-01	0
2012: I.B.E.W. LOCAL 1579 HEALTH PLAN 2012 401k membership
Total participants, beginning-of-year	2012-10-01	615
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	0
Number of retired or separated participants receiving benefits	2012-10-01	0
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	0
Number of employers contributing to the scheme	2012-10-01	0
2011: I.B.E.W. LOCAL 1579 HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-10-01	575
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	521
Number of retired or separated participants receiving benefits	2011-10-01	94
Number of other retired or separated participants entitled to future benefits	2011-10-01	0
Total of all active and inactive participants	2011-10-01	615
2009: I.B.E.W. LOCAL 1579 HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-10-01	523
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	366
Number of retired or separated participants receiving benefits	2009-10-01	135
Total of all active and inactive participants	2009-10-01	501

Financial Data on I.B.E.W. LOCAL 1579 HEALTH PLAN

Measure	Date	Value
2014 : I.B.E.W. LOCAL 1579 HEALTH PLAN 2014 401k financial data
Transfers to/from the plan	2014-09-30	$-201,635
Total income from all sources	2014-09-30	$95,676
Expenses. Total of all expenses incurred	2014-09-30	$2,931
Total plan assets at end of year	2014-09-30	$0
Total plan assets at beginning of year	2014-09-30	$108,890
Value of fidelity bond covering the plan	2014-09-30	$500,000
Total contributions received or receivable from participants	2014-09-30	$402
Expenses. Other expenses not covered elsewhere	2014-09-30	$2,931
Other income received	2014-09-30	$72,005
Net income (gross income less expenses)	2014-09-30	$92,745
Net plan assets at end of year (total assets less liabilities)	2014-09-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-09-30	$108,890
Total contributions received or receivable from employer(s)	2014-09-30	$23,269
2013 : I.B.E.W. LOCAL 1579 HEALTH PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-09-30	$-27,361
Total unrealized appreciation/depreciation of assets	2013-09-30	$-27,361
Total transfer of assets from this plan	2013-09-30	$6,110,501
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-09-30	$7,075
Total income from all sources (including contributions)	2013-09-30	$4,836,170
Total loss/gain on sale of assets	2013-09-30	$12,775
Total of all expenses incurred	2013-09-30	$4,821,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-09-30	$4,597,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-09-30	$4,827,731
Value of total assets at end of year	2013-09-30	$108,890
Value of total assets at beginning of year	2013-09-30	$6,212,096
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-09-30	$224,039
Total interest from all sources	2013-09-30	$23,025
Total dividends received (eg from common stock, registered investment company shares)	2013-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-09-30	No
Administrative expenses professional fees incurred	2013-09-30	$77,134
Was this plan covered by a fidelity bond	2013-09-30	Yes
Value of fidelity bond cover	2013-09-30	$500,000
If this is an individual account plan, was there a blackout period	2013-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2013-09-30	No
Contributions received from participants	2013-09-30	$419,402
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-09-30	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-09-30	$11,680
Administrative expenses (other) incurred	2013-09-30	$18,629
Liabilities. Value of operating payables at end of year	2013-09-30	$0
Liabilities. Value of operating payables at beginning of year	2013-09-30	$7,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Value of net income/loss	2013-09-30	$14,370
Value of net assets at end of year (total assets less liabilities)	2013-09-30	$108,890
Value of net assets at beginning of year (total assets less liabilities)	2013-09-30	$6,205,021
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-09-30	No
Were any leases to which the plan was party in default or uncollectible	2013-09-30	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-09-30	$108,890
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-09-30	$5,507,370
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-09-30	$5,507,370
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-09-30	$23,025
Expenses. Payments to insurance carriers foe the provision of benefits	2013-09-30	$4,597,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-09-30	No
Was there a failure to transmit to the plan any participant contributions	2013-09-30	No
Has the plan failed to provide any benefit when due under the plan	2013-09-30	No
Contributions received in cash from employer	2013-09-30	$4,408,329
Employer contributions (assets) at end of year	2013-09-30	$0
Employer contributions (assets) at beginning of year	2013-09-30	$693,046
Contract administrator fees	2013-09-30	$128,276
Did the plan have assets held for investment	2013-09-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-09-30	No
Aggregate proceeds on sale of assets	2013-09-30	$2,642,775
Aggregate carrying amount (costs) on sale of assets	2013-09-30	$2,630,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-09-30	No
Opinion of an independent qualified public accountant for this plan	2013-09-30	Unqualified
Accountancy firm name	2013-09-30	AGH, LLC
Accountancy firm EIN	2013-09-30	582588678
2012 : I.B.E.W. LOCAL 1579 HEALTH PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-09-30	$23,097
Total unrealized appreciation/depreciation of assets	2012-09-30	$23,097
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$7,075
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-09-30	$4,585
Total income from all sources (including contributions)	2012-09-30	$6,670,745
Total loss/gain on sale of assets	2012-09-30	$0
Total of all expenses incurred	2012-09-30	$5,196,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-09-30	$5,006,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-09-30	$6,601,836
Value of total assets at end of year	2012-09-30	$6,212,096
Value of total assets at beginning of year	2012-09-30	$4,735,457
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-09-30	$189,866
Total interest from all sources	2012-09-30	$45,812
Total dividends received (eg from common stock, registered investment company shares)	2012-09-30	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-09-30	No
Administrative expenses professional fees incurred	2012-09-30	$51,694
Was this plan covered by a fidelity bond	2012-09-30	Yes
Value of fidelity bond cover	2012-09-30	$500,000
If this is an individual account plan, was there a blackout period	2012-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2012-09-30	No
Contributions received from participants	2012-09-30	$139,180
Income. Received or receivable in cash from other sources (including rollovers)	2012-09-30	$437,486
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-09-30	$11,680
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-09-30	$12,748
Administrative expenses (other) incurred	2012-09-30	$23,514
Liabilities. Value of operating payables at end of year	2012-09-30	$7,075
Liabilities. Value of operating payables at beginning of year	2012-09-30	$4,585
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Value of net income/loss	2012-09-30	$1,474,149
Value of net assets at end of year (total assets less liabilities)	2012-09-30	$6,205,021
Value of net assets at beginning of year (total assets less liabilities)	2012-09-30	$4,730,872
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-09-30	No
Were any leases to which the plan was party in default or uncollectible	2012-09-30	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-09-30	$5,507,370
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-09-30	$4,152,973
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-09-30	$4,152,973
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-09-30	$45,812
Expenses. Payments to insurance carriers foe the provision of benefits	2012-09-30	$5,006,730
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-09-30	No
Was there a failure to transmit to the plan any participant contributions	2012-09-30	No
Has the plan failed to provide any benefit when due under the plan	2012-09-30	No
Contributions received in cash from employer	2012-09-30	$6,025,170
Employer contributions (assets) at end of year	2012-09-30	$693,046
Employer contributions (assets) at beginning of year	2012-09-30	$569,736
Contract administrator fees	2012-09-30	$114,658
Did the plan have assets held for investment	2012-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-09-30	No
Opinion of an independent qualified public accountant for this plan	2012-09-30	Unqualified
Accountancy firm name	2012-09-30	AARONS, GRANT & HABIF, LLC
Accountancy firm EIN	2012-09-30	582588678
2011 : I.B.E.W. LOCAL 1579 HEALTH PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-09-30	$-15,461
Total unrealized appreciation/depreciation of assets	2011-09-30	$-15,461
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$4,585
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-09-30	$1,715
Total income from all sources (including contributions)	2011-09-30	$6,105,547
Total of all expenses incurred	2011-09-30	$4,568,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-09-30	$4,399,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-09-30	$6,075,959
Value of total assets at end of year	2011-09-30	$4,735,457
Value of total assets at beginning of year	2011-09-30	$3,195,747
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-09-30	$169,306
Total interest from all sources	2011-09-30	$45,049
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-09-30	No
Administrative expenses professional fees incurred	2011-09-30	$26,612
Was this plan covered by a fidelity bond	2011-09-30	Yes
Value of fidelity bond cover	2011-09-30	$500,000
If this is an individual account plan, was there a blackout period	2011-09-30	No
Were there any nonexempt tranactions with any party-in-interest	2011-09-30	No
Contributions received from participants	2011-09-30	$154,196
Income. Received or receivable in cash from other sources (including rollovers)	2011-09-30	$469,180
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-09-30	$12,748
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2011-09-30	$10,050
Administrative expenses (other) incurred	2011-09-30	$19,807
Liabilities. Value of operating payables at end of year	2011-09-30	$4,585
Liabilities. Value of operating payables at beginning of year	2011-09-30	$1,715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Value of net income/loss	2011-09-30	$1,536,840
Value of net assets at end of year (total assets less liabilities)	2011-09-30	$4,730,872
Value of net assets at beginning of year (total assets less liabilities)	2011-09-30	$3,194,032
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-09-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-09-30	No
Were any leases to which the plan was party in default or uncollectible	2011-09-30	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-09-30	$4,152,973
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-09-30	$2,885,886
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-09-30	$2,885,886
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-09-30	$45,049
Expenses. Payments to insurance carriers foe the provision of benefits	2011-09-30	$4,399,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-09-30	No
Was there a failure to transmit to the plan any participant contributions	2011-09-30	No
Has the plan failed to provide any benefit when due under the plan	2011-09-30	No
Contributions received in cash from employer	2011-09-30	$5,452,583
Employer contributions (assets) at end of year	2011-09-30	$569,736
Employer contributions (assets) at beginning of year	2011-09-30	$299,811
Contract administrator fees	2011-09-30	$122,887
Did the plan have assets held for investment	2011-09-30	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-09-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-09-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-09-30	No
Opinion of an independent qualified public accountant for this plan	2011-09-30	Unqualified
Accountancy firm name	2011-09-30	CLACK & ASSOCIATES, PC
Accountancy firm EIN	2011-09-30	263667119

Form 5500 Responses for I.B.E.W. LOCAL 1579 HEALTH PLAN

2013: I.B.E.W. LOCAL 1579 HEALTH PLAN 2013 form 5500 responses
2013-10-01	Type of plan entity	Multi-employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	Yes
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-10-01	Plan is a collectively bargained plan	Yes
2013-10-01	Plan funding arrangement – Trust	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2012: I.B.E.W. LOCAL 1579 HEALTH PLAN 2012 form 5500 responses
2012-10-01	Type of plan entity	Multi-employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	Yes
2012-10-01	Plan funding arrangement – Trust	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2011: I.B.E.W. LOCAL 1579 HEALTH PLAN 2011 form 5500 responses
2011-10-01	Type of plan entity	Multi-employer plan
2011-10-01	Submission has been amended	No
2011-10-01	This submission is the final filing	No
2011-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-10-01	Plan is a collectively bargained plan	Yes
2011-10-01	Plan funding arrangement – Trust	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2009: I.B.E.W. LOCAL 1579 HEALTH PLAN 2009 form 5500 responses
2009-10-01	Type of plan entity	Multi-employer plan
2009-10-01	Plan is a collectively bargained plan	Yes
2009-10-01	Plan funding arrangement – Trust	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2008: I.B.E.W. LOCAL 1579 HEALTH PLAN 2008 form 5500 responses
2008-10-01	Type of plan entity	Multi-employer plan
2008-10-01	Submission has been amended	No
2008-10-01	This submission is the final filing	No
2008-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-10-01	Plan is a collectively bargained plan	No

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Company Name:	I.B.E.W. LOCAL 1579 HEALTH PLAN BOARD OF TRUSTEES
Employer identification number (EIN):	237000786