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ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 401k Plan overview

Plan NameACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC.
Plan identification number 507

ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

POWER FLAME, INC. has sponsored the creation of one or more 401k plans.

Company Name:POWER FLAME, INC.
Employer identification number (EIN):480891735
NAIC Classification:333410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072016-06-01HELEN THOMSEN
5072015-06-01HELEN THOMSEN
5072014-06-01HELEN THOMSEN HELEN THOMSEN2015-09-24
5072013-06-01WESLEY SPRIGGS WESLEY SPRIGGS2014-09-25

Plan Statistics for ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC.

401k plan membership statisitcs for ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC.

Measure Date Value
2016: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2016 401k membership
Total participants, beginning-of-year2016-06-01188
Total number of active participants reported on line 7a of the Form 55002016-06-010
Total of all active and inactive participants2016-06-010
Total participants2016-06-010
2015: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2015 401k membership
Total participants, beginning-of-year2015-06-01193
Total number of active participants reported on line 7a of the Form 55002015-06-01188
Total of all active and inactive participants2015-06-01188
Total participants2015-06-01188
2014: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2014 401k membership
Total participants, beginning-of-year2014-06-01196
Total number of active participants reported on line 7a of the Form 55002014-06-01193
Total of all active and inactive participants2014-06-01193
Total participants2014-06-01193
2013: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2013 401k membership
Total participants, beginning-of-year2013-06-01191
Total number of active participants reported on line 7a of the Form 55002013-06-01196
Total of all active and inactive participants2013-06-01196
Total participants2013-06-01196

Form 5500 Responses for ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC.

2016: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingYes
2016-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – InsuranceYes
2015: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – InsuranceYes
2014: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – InsuranceYes
2013: ACCIDENTAL DEATH - TRAVEL PLAN FOR EMPLOYEES OF POWER FLAME INC. 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01First time form 5500 has been submittedYes
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan 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 numberABL962575
Policy instance 1
Insurance contract or identification numberABL962575
Number of Individuals Covered188
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $25
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH RELATING TO COMPANY TRAVEL
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 $1,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameIMA INC.
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL962575
Policy instance 1
Insurance contract or identification numberABL962575
Number of Individuals Covered193
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of fees paid to insurance companyUSD $25
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH RELATING TO COMPANY TRAVEL
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 $1,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees25
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
Insurance broker nameIMA INC.
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberABL962575
Policy instance 1
Insurance contract or identification numberABL962575
Number of Individuals Covered196
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH RELATING TO COMPANY TRAVEL
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 $1,450
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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