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THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 401k Plan overview

Plan NameTHE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN
Plan identification number 001

THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN Benefits

401k Plan TypeDefined 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.

401k Sponsoring company profile

THE ROCK BROOK CONSULTING GROUP, PA has sponsored the creation of one or more 401k plans.

Company Name:THE ROCK BROOK CONSULTING GROUP, PA
Employer identification number (EIN):462876020
NAIC Classification:541330
NAIC Description:Engineering Services

Additional information about THE ROCK BROOK CONSULTING GROUP, PA

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2017-07-19
Company Identification Number: 0802774341
Legal Registered Office Address: 20 S MIDDLESEX AVE APT B

MONROE TWP
United States of America (USA)
08831

More information about THE ROCK BROOK CONSULTING GROUP, PA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01ANNE DEMARCO
0012017-01-01ANNE DEMARCO
0012016-01-01ANNE DEMARCO ANNE DEMARCO2017-07-21
0012015-01-01ANNE DEMARCO
0012014-01-01ANNE DEMARCO2015-03-16 ANNE DEMARCO2015-03-16
0012013-01-01ANNE DEMARCO2014-04-04

Plan Statistics for THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN

401k plan membership statisitcs for THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN

Measure Date Value
2022: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0154
Total number of active participants reported on line 7a of the Form 55002022-01-0147
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-019
Total of all active and inactive participants2022-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0156
Number of participants with account balances2022-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-013
2021: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0157
Total number of active participants reported on line 7a of the Form 55002021-01-0145
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-019
Total of all active and inactive participants2021-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0154
Number of participants with account balances2021-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-018
2020: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0152
Total number of active participants reported on line 7a of the Form 55002020-01-0151
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0157
Number of participants with account balances2020-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0149
Total number of active participants reported on line 7a of the Form 55002019-01-0148
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-014
Total of all active and inactive participants2019-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0152
Number of participants with account balances2019-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-014
2018: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0151
Total number of active participants reported on line 7a of the Form 55002018-01-0147
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0149
Number of participants with account balances2018-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0147
Total number of active participants reported on line 7a of the Form 55002017-01-0147
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0151
Number of participants with account balances2017-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0133
Total number of active participants reported on line 7a of the Form 55002016-01-0139
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-018
Total of all active and inactive participants2016-01-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0147
Number of participants with account balances2016-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0134
Total number of active participants reported on line 7a of the Form 55002015-01-0127
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0133
Number of participants with account balances2015-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011

Financial Data on THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN

Measure Date Value
2022 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-795,910
Expenses. Total of all expenses incurred2022-12-31$284,475
Benefits paid (including direct rollovers)2022-12-31$250,433
Total plan assets at end of year2022-12-31$8,218,612
Total plan assets at beginning of year2022-12-31$9,298,997
Value of fidelity bond covering the plan2022-12-31$500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$477,794
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$323,256
Other income received2022-12-31$-1,645,750
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,080,385
Net plan assets at end of year (total assets less liabilities)2022-12-31$8,218,612
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$9,298,997
Assets. Value of participant loans2022-12-31$30,679
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$48,790
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$34,042
2021 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,857,427
Expenses. Total of all expenses incurred2021-12-31$218,617
Benefits paid (including direct rollovers)2021-12-31$194,031
Total plan assets at end of year2021-12-31$9,298,997
Total plan assets at beginning of year2021-12-31$7,660,187
Value of fidelity bond covering the plan2021-12-31$500,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$501,463
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$89,129
Other income received2021-12-31$1,193,609
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$1,638,810
Net plan assets at end of year (total assets less liabilities)2021-12-31$9,298,997
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$7,660,187
Assets. Value of participant loans2021-12-31$13,299
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$73,226
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$24,586
2020 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$1,520,568
Expenses. Total of all expenses incurred2020-12-31$46,212
Benefits paid (including direct rollovers)2020-12-31$46,093
Total plan assets at end of year2020-12-31$7,660,187
Total plan assets at beginning of year2020-12-31$6,185,831
Value of fidelity bond covering the plan2020-12-31$500,000
Assets. Value of tangible personal property2020-12-31$0
Total contributions received or receivable from participants2020-12-31$469,099
Assets. Value of loans (other than to participants)2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$981,104
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,474,356
Net plan assets at end of year (total assets less liabilities)2020-12-31$7,660,187
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$6,185,831
Assets. Value of participant loans2020-12-31$12,843
Assets. Value of assets in partnership/joint-venture interests2020-12-31$0
Assets. Value of real-estate (other than employer real property)2020-12-31$0
Assets. Value of employer securities2020-12-31$0
Assets. Value of employer real property2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$70,365
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$119
2019 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,625,733
Expenses. Total of all expenses incurred2019-12-31$5,411
Benefits paid (including direct rollovers)2019-12-31$2,417
Total plan assets at end of year2019-12-31$6,185,831
Total plan assets at beginning of year2019-12-31$4,565,509
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$390,216
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$89,279
Other income received2019-12-31$1,119,334
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$1,620,322
Net plan assets at end of year (total assets less liabilities)2019-12-31$6,185,831
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,565,509
Assets. Value of participant loans2019-12-31$33,814
Total contributions received or receivable from employer(s)2019-12-31$26,904
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$2,869
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$125
2018 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$89,772
Expenses. Total of all expenses incurred2018-12-31$61,972
Benefits paid (including direct rollovers)2018-12-31$46,922
Total plan assets at end of year2018-12-31$4,565,509
Total plan assets at beginning of year2018-12-31$4,537,709
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$383,532
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$9,906
Other income received2018-12-31$-354,175
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$27,800
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,565,509
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,537,709
Assets. Value of participant loans2018-12-31$55,995
Total contributions received or receivable from employer(s)2018-12-31$50,509
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$14,869
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$181
2017 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$1,161,445
Expenses. Total of all expenses incurred2017-12-31$624,210
Benefits paid (including direct rollovers)2017-12-31$620,393
Total plan assets at end of year2017-12-31$4,537,709
Total plan assets at beginning of year2017-12-31$4,000,474
Value of fidelity bond covering the plan2017-12-31$500,000
Assets. Value of tangible personal property2017-12-31$0
Total contributions received or receivable from participants2017-12-31$347,184
Assets. Value of loans (other than to participants)2017-12-31$0
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$92,957
Other income received2017-12-31$669,226
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$537,235
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,537,709
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,000,474
Assets. Value of participant loans2017-12-31$72,761
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Assets. Value of real-estate (other than employer real property)2017-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$0
Assets. Value of employer securities2017-12-31$0
Assets. Value of employer real property2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$52,078
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$3,548
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$269
2016 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$619,515
Expenses. Total of all expenses incurred2016-12-31$36,909
Benefits paid (including direct rollovers)2016-12-31$15,638
Total plan assets at end of year2016-12-31$4,000,474
Total plan assets at beginning of year2016-12-31$3,417,868
Value of fidelity bond covering the plan2016-12-31$350,000
Total contributions received or receivable from participants2016-12-31$258,969
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$321,700
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$582,606
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,000,474
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,417,868
Assets. Value of participant loans2016-12-31$50,128
Total contributions received or receivable from employer(s)2016-12-31$38,846
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$21,152
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$119
2015 : THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$225,602
Expenses. Total of all expenses incurred2015-12-31$10,684
Benefits paid (including direct rollovers)2015-12-31$10,174
Total plan assets at end of year2015-12-31$3,417,868
Total plan assets at beginning of year2015-12-31$3,202,950
Value of fidelity bond covering the plan2015-12-31$350,000
Total contributions received or receivable from participants2015-12-31$224,789
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$4,894
Other income received2015-12-31$-37,798
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$214,918
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,417,868
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,202,950
Assets. Value of participant loans2015-12-31$41,735
Total contributions received or receivable from employer(s)2015-12-31$33,717
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$510

Form 5500 Responses for THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN

2022: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: THE ROCK BROOK CONSULTING GROUP, PA 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: THE ROCK BROOK CONSULTING GROUP, PA 401(K) 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE ROCK BROOK CONSULTING GROUP, PA 401(K) 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 funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331982-01
Policy instance 1
Insurance contract or identification number331982-01
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $41
Total amount of fees paid to insurance companyUSD $0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameDAVID GROSSMAN AXA ADVISORS LLC

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