401k Plan data: HH VENTURES RETIREMENT PLAN plan

HH VENTURES RETIREMENT PLAN 401k Plan overview

Plan Name	HH VENTURES RETIREMENT PLAN
Plan identification number	001

HH VENTURES RETIREMENT PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

HH VENTURES, LLC has sponsored the creation of one or more 401k plans.

Company Name: HH VENTURES, LLC

Employer identification number (EIN): 261852077

NAIC Classification: 517000

Additional information about HH VENTURES, LLC

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 2008-01-29

Company Identification Number: 358111

Legal Registered Office Address: 505 5TH AVE STE 729

DES MOINES
United States of America (USA)
50309

More information about HH VENTURES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HH VENTURES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2020-01-01
001 2019-01-01 STEVE FINNEGAN 2020-12-15 TODD SHORES 2020-12-15
001 2018-01-01 TODD SHORES TODD SHORES 2019-07-15
001 2017-01-01 SCOTT KOKOTAN SCOTT KOKOTAN 2018-07-11
001 2016-01-01 JAMES BALVANZ 2017-05-23 JAMES BALVANZ 2017-05-23
001 2015-01-01 JAMES BALVANZ 2016-07-08 JAMES BALVANZ 2016-07-08
001 2014-01-01 JAMES BALVANZ 2015-07-21 JAMES BALVANZ 2015-07-21
001 2013-01-01 JAMES BALVANZ 2014-09-18 JAMES BALVANZ 2014-09-18
001 2012-01-01 JAMES BALVANZ 2013-05-10 JAMES BALVANZ 2013-05-10
001 2011-01-01 LORI DEUTMEYER 2012-04-25 LORI DEUTMEYER 2012-04-25
001 2010-01-01 LORI DEUTMEYER 2012-03-30 LORI DEUTMEYER 2012-03-30

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2022-01-01
001	2021-01-01
001	2020-01-01
001	2019-01-01	STEVE FINNEGAN	2020-12-15	TODD SHORES	2020-12-15
001	2018-01-01	TODD SHORES		TODD SHORES	2019-07-15
001	2017-01-01	SCOTT KOKOTAN		SCOTT KOKOTAN	2018-07-11
001	2016-01-01	JAMES BALVANZ	2017-05-23	JAMES BALVANZ	2017-05-23
001	2015-01-01	JAMES BALVANZ	2016-07-08	JAMES BALVANZ	2016-07-08
001	2014-01-01	JAMES BALVANZ	2015-07-21	JAMES BALVANZ	2015-07-21
001	2013-01-01	JAMES BALVANZ	2014-09-18	JAMES BALVANZ	2014-09-18
001	2012-01-01	JAMES BALVANZ	2013-05-10	JAMES BALVANZ	2013-05-10
001	2011-01-01	LORI DEUTMEYER	2012-04-25	LORI DEUTMEYER	2012-04-25
001	2010-01-01	LORI DEUTMEYER	2012-03-30	LORI DEUTMEYER	2012-03-30

Plan Statistics for HH VENTURES RETIREMENT PLAN

401k plan membership statisitcs for HH VENTURES RETIREMENT PLAN

Measure Date Value
2019: HH VENTURES RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 61
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 25
Total of all active and inactive participants 2019-01-01 88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 88
Number of participants with account balances 2019-01-01 85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 21
2018: HH VENTURES RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 161
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 85
Number of retired or separated participants receiving benefits 2018-01-01 2
Number of other retired or separated participants entitled to future benefits 2018-01-01 45
Total of all active and inactive participants 2018-01-01 132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 132
Number of participants with account balances 2018-01-01 129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 10
2017: HH VENTURES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 134
Number of retired or separated participants receiving benefits 2017-01-01 6
Number of other retired or separated participants entitled to future benefits 2017-01-01 22
Total of all active and inactive participants 2017-01-01 162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 162
Number of participants with account balances 2017-01-01 162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 45

Measure	Date	Value
2019: HH VENTURES RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	61
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	25
Total of all active and inactive participants	2019-01-01	88
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	88
Number of participants with account balances	2019-01-01	85
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	21
2018: HH VENTURES RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	161
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	85
Number of retired or separated participants receiving benefits	2018-01-01	2
Number of other retired or separated participants entitled to future benefits	2018-01-01	45
Total of all active and inactive participants	2018-01-01	132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	132
Number of participants with account balances	2018-01-01	129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	10
2017: HH VENTURES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	134
Number of retired or separated participants receiving benefits	2017-01-01	6
Number of other retired or separated participants entitled to future benefits	2017-01-01	22
Total of all active and inactive participants	2017-01-01	162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	162
Number of participants with account balances	2017-01-01	162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	45

Financial Data on HH VENTURES RETIREMENT PLAN

Measure	Date	Value
2019 : HH VENTURES RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$1,489,718
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$423,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$398,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$378,132
Value of total assets at end of year	2019-12-31	$5,869,934
Value of total assets at beginning of year	2019-12-31	$4,803,819
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$25,231
Total interest from all sources	2019-12-31	$7,498
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$1,076,652
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$1,076,652
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$269,583
Participant contributions at end of year	2019-12-31	$149,615
Participant contributions at beginning of year	2019-12-31	$126,800
Participant contributions at end of year	2019-12-31	$0
Participant contributions at beginning of year	2019-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$79
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-12-31	$78,345
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$1,066,115
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$5,869,934
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$4,803,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$91,665
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$4,442,633
Value of interest in pooled separate accounts at end of year	2019-12-31	$5,579,085
Value of interest in pooled separate accounts at beginning of year	2019-12-31	$0
Interest on participant loans	2019-12-31	$7,338
Interest earned on other investments	2019-12-31	$160
Value of interest in common/collective trusts at end of year	2019-12-31	$49,490
Value of interest in common/collective trusts at beginning of year	2019-12-31	$156,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-12-31	$27,436
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$108,549
Employer contributions (assets) at end of year	2019-12-31	$0
Employer contributions (assets) at beginning of year	2019-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$398,372
Contract administrator fees	2019-12-31	$25,231
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	BGHN ASSOCIATES, P.C.
Accountancy firm EIN	2019-12-31	421508032
2018 : HH VENTURES RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$420,360
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$941,365
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$885,359
Expenses. Certain deemed distributions of participant loans	2018-12-31	$25,014
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$761,064
Value of total assets at end of year	2018-12-31	$4,803,819
Value of total assets at beginning of year	2018-12-31	$5,324,824
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$30,992
Total interest from all sources	2018-12-31	$6,272
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$145,924
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2018-12-31	$145,924
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$450,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$462,952
Participant contributions at end of year	2018-12-31	$126,800
Participant contributions at beginning of year	2018-12-31	$80,708
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$72,283
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-12-31	$78,345
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-12-31	$65,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$-521,005
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$4,803,819
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$5,324,824
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$4,442,633
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$4,688,515
Interest on participant loans	2018-12-31	$6,272
Value of interest in common/collective trusts at end of year	2018-12-31	$156,041
Value of interest in common/collective trusts at beginning of year	2018-12-31	$146,162
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-495,475
Net investment gain or loss from common/collective trusts	2018-12-31	$2,575
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$225,829
Employer contributions (assets) at beginning of year	2018-12-31	$344,198
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$885,359
Contract administrator fees	2018-12-31	$30,992
Did the plan have assets held for investment	2018-12-31	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	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BOHR, DAHM, GRIEF & ASSOCIATES, P.C
Accountancy firm EIN	2018-12-31	421508032
2017 : HH VENTURES RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$1,687,239
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$200,650
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$182,622
Expenses. Certain deemed distributions of participant loans	2017-12-31	$4,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$990,849
Value of total assets at end of year	2017-12-31	$5,324,824
Value of total assets at beginning of year	2017-12-31	$3,838,235
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$13,711
Total interest from all sources	2017-12-31	$3,391
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$100,397
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$100,397
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$450,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$420,133
Participant contributions at end of year	2017-12-31	$80,708
Participant contributions at beginning of year	2017-12-31	$51,210
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$6,824
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$65,241
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$2,032
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$1,486,589
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$5,324,824
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$3,838,235
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$4,688,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$3,410,259
Interest on participant loans	2017-12-31	$3,391
Value of interest in common/collective trusts at end of year	2017-12-31	$146,162
Value of interest in common/collective trusts at beginning of year	2017-12-31	$116,413
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$590,726
Net investment gain or loss from common/collective trusts	2017-12-31	$1,876
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$563,892
Employer contributions (assets) at end of year	2017-12-31	$344,198
Employer contributions (assets) at beginning of year	2017-12-31	$258,321
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$182,622
Contract administrator fees	2017-12-31	$13,711
Did the plan have assets held for investment	2017-12-31	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	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BOHR, DAHM, GREIF & ASSOCIATES, P.C
Accountancy firm EIN	2017-12-31	421508032

Form 5500 Responses for HH VENTURES RETIREMENT PLAN

2019: HH VENTURES RETIREMENT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: HH VENTURES RETIREMENT PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: HH VENTURES RETIREMENT PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )

Policy contract number

810410-000

Policy instance

Insurance contract or identification number	810410-000
Number of Individuals Covered	85
Insurance policy start date	2019-08-06
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $6,055
Total amount of fees paid to insurance company	USD $10,655
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 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?	Yes
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	10655
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATOR
Insurance broker organization code?	5

Potentially related plans

HH VENTURES LLC EMPLOYEE BENEFITS PLAN [EIN = 261852007]

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Company Name:	HH VENTURES, LLC
Employer identification number (EIN):	261852077
NAIC Classification:	517000

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	2008-01-29
Company Identification Number:	358111
Legal Registered Office Address:	505 5TH AVE STE 729 DES MOINES United States of America (USA) 50309