| Plan Name | CANTON REGIONAL CHAMBER HEALTH FUND |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | VERN DALE'S WATER CENTER, INC. |
| Employer identification number (EIN): | 340841815 |
| NAIC Classification: | 423400 |
Additional information about VERN DALE'S WATER CENTER, INC.
| Jurisdiction of Incorporation: | Ohio Secretary of State Business Services Division |
| Incorporation Date: | 1959-04-17 |
| Company Identification Number: | 280033 |
| Legal Registered Office Address: |
3827 KIRBY AVE NE - CANTON United States of America (USA) 44705 |
More information about VERN DALE'S WATER CENTER, INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-01-01 | SARAH KOMAZEC | 2021-09-10 | ||
| 501 | 2019-01-01 | SARAH KOMAZEC | 2021-09-10 | ||
| 501 | 2018-09-01 |
| Measure | Date | Value |
|---|---|---|
| 2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data | ||
| Transfers to/from the plan | 2020-12-31 | $6 |
| Total plan liabilities at end of year | 2020-12-31 | $4,588 |
| Total plan liabilities at beginning of year | 2020-12-31 | $5,924 |
| Total income from all sources | 2020-12-31 | $44,288 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $41,530 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $1,142 |
| Total plan assets at end of year | 2020-12-31 | $1,428 |
| Total plan assets at beginning of year | 2020-12-31 | $0 |
| Value of fidelity bond covering the plan | 2020-12-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $32 |
| Net income (gross income less expenses) | 2020-12-31 | $2,758 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $-3,160 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $-5,924 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $44,288 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $40,356 |
| 2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data | ||
| Transfers to/from the plan | 2019-12-31 | $-55 |
| Total plan liabilities at end of year | 2019-12-31 | $5,924 |
| Total plan liabilities at beginning of year | 2019-12-31 | $827 |
| Total income from all sources | 2019-12-31 | $49,940 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $59,368 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $23,512 |
| Total plan assets at end of year | 2019-12-31 | $0 |
| Total plan assets at beginning of year | 2019-12-31 | $4,386 |
| Value of fidelity bond covering the plan | 2019-12-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $1 |
| Net income (gross income less expenses) | 2019-12-31 | $-9,428 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $-5,924 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $3,559 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $49,940 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $35,855 |
| 2018 : CANTON REGIONAL CHAMBER HEALTH FUND 2018 401k financial data | ||
| Transfers to/from the plan | 2018-12-31 | $5,081 |
| Total plan liabilities at end of year | 2018-12-31 | $827 |
| Total plan liabilities at beginning of year | 2018-12-31 | $0 |
| Total income from all sources | 2018-12-31 | $15,038 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $16,560 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $5,830 |
| Total plan assets at end of year | 2018-12-31 | $4,386 |
| Total plan assets at beginning of year | 2018-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $3 |
| Net income (gross income less expenses) | 2018-12-31 | $-1,522 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $3,559 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $15,038 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $10,727 |
| 2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 form 5500 responses | ||
|---|---|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 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: CANTON REGIONAL CHAMBER HEALTH FUND 2018 form 5500 responses | ||
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | First time form 5500 has been submitted | Yes |
| 2018-09-01 | Submission has been amended | No |
| 2018-09-01 | This submission is the final filing | No |
| 2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2018-09-01 | Plan is a collectively bargained plan | No |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan funding arrangement – Trust | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement - Trust | Yes |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |
| Policy contract number | HF620 |
| Policy instance | 1 |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |
| Policy contract number | HF620 |
| Policy instance | 1 |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |
| Policy contract number | HF620 |
| Policy instance | 1 |