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RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 401k Plan overview

Plan NameRAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN
Plan identification number 501

RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

RAVEN INDUSTRIES INC & SUBSIDIARIES has sponsored the creation of one or more 401k plans.

Company Name:RAVEN INDUSTRIES INC & SUBSIDIARIES
Employer identification number (EIN):460246171
NAIC Classification:335900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01JOSHUA NEUGEBAUER
5012015-01-01TAMMY WIERENGA
5012014-01-01TAMMY WIERENGA
5012013-01-01THOMAS IACARELLA
5012012-01-01JANET MATTHIESEN JANET MATTHIESEN2013-07-31
5012011-01-01THOMAS IACARELLA
5012009-01-01 THOMAS IACARELLA2010-07-22
5012009-01-01THOMAS IACARELLA

Plan Statistics for RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN

401k plan membership statisitcs for RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN

Measure Date Value
2016: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01766
Total number of active participants reported on line 7a of the Form 55002016-01-01744
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-01748
Total participants2016-01-01748
2015: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,036
Total number of active participants reported on line 7a of the Form 55002015-01-01777
Total of all active and inactive participants2015-01-01777
Total participants2015-01-01777
2014: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,115
Total number of active participants reported on line 7a of the Form 55002014-01-011,036
Total of all active and inactive participants2014-01-011,036
Total participants2014-01-011,036
2013: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,200
Total number of active participants reported on line 7a of the Form 55002013-01-011,115
Total of all active and inactive participants2013-01-011,115
Total participants2013-01-011,115
2012: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,142
Total number of active participants reported on line 7a of the Form 55002012-01-011,200
Total of all active and inactive participants2012-01-011,200
Total participants2012-01-011,200
2011: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01979
Total number of active participants reported on line 7a of the Form 55002011-01-011,142
Total of all active and inactive participants2011-01-011,142
Total participants2011-01-011,142
2009: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,008
Total number of active participants reported on line 7a of the Form 55002009-01-01889
Total of all active and inactive participants2009-01-01889
Total participants2009-01-01889

Form 5500 Responses for RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN

2016: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: RAVEN INDUSTRIES INC & SUBSIDIARIES LIFE AD&D PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965599
Policy instance 1
Insurance contract or identification numberFLX965599
Number of Individuals Covered777
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,374
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $100,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,374
Insurance broker organization code?3
Insurance broker nameHOWALT MCDOWELL INSURANCE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX965599
Policy instance 1
Insurance contract or identification numberFLX965599
Number of Individuals Covered136
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,228
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $102,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,228
Insurance broker organization code?3
Insurance broker nameHOWALT & MCDOWELL INSURANCE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010120741
Policy instance 1
Insurance contract or identification number000010120741
Number of Individuals Covered1115
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,047
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 CarrierUSD $121,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,047
Insurance broker organization code?3
Insurance broker nameHOWALT MCDOWELL INSURANCE
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010120741
Policy instance 1
Insurance contract or identification number000010120741
Number of Individuals Covered1200
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $12,562
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $125,619
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,562
Insurance broker nameHOWALT MCDOWELL INSURANCE CO
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010120741
Policy instance 1
Insurance contract or identification number000010120741
Number of Individuals Covered1142
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $10,769
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $107,686
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number000010120741
Policy instance 1
Insurance contract or identification number000010120741
Number of Individuals Covered979
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8,889
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $88,896
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,889
Amount paid for insurance broker fees0
Insurance broker nameHOWALT MCDOWELL INSURANCE INC

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