401k Plan data: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN plan

THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	501

THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Long-term disability cover

401k Sponsoring company profile

THE QUEENSBOROUGH COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: THE QUEENSBOROUGH COMPANY, INC.

Employer identification number (EIN): 581576765

NAIC Classification: 522190
NAIC Description: Other Depository Credit Intermediation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2023-12-01 D P POLHILL
501 2022-12-01
501 2022-12-01 D P POLHILL
501 2021-12-01
501 2021-12-01 D P POLHILL
501 2020-12-01
501 2019-12-01
501 2018-12-01
501 2017-12-01
501 2016-12-01 D. P. POLHILL
501 2015-12-01 D. P. POLHILL
501 2014-12-01 D. P. POLHILL
501 2013-12-01 D. P. POLHILL
501 2012-12-01 D. P. POLHILL
501 2011-12-01 D P POLHILL
501 2009-12-01 D P POLHILL

Form 5500 Responses for THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN

2022: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-12-01	Type of plan entity	Single employer plan
2022-12-01	Plan funding arrangement – Insurance	Yes
2022-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-12-01	Plan benefit arrangement – Insurance	Yes
2022-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-12-01	Type of plan entity	Single employer plan
2021-12-01	Plan funding arrangement – Insurance	Yes
2021-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-12-01	Plan benefit arrangement – Insurance	Yes
2021-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-12-01	Type of plan entity	Single employer plan
2020-12-01	Plan funding arrangement – Insurance	Yes
2020-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-12-01	Plan benefit arrangement – Insurance	Yes
2020-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-12-01	Type of plan entity	Single employer plan
2019-12-01	Plan funding arrangement – Insurance	Yes
2019-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-12-01	Plan benefit arrangement – Insurance	Yes
2019-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-12-01	Type of plan entity	Single employer plan
2018-12-01	Plan funding arrangement – Insurance	Yes
2018-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-12-01	Plan benefit arrangement – Insurance	Yes
2018-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-12-01	Type of plan entity	Single employer plan
2017-12-01	Plan funding arrangement – Insurance	Yes
2017-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-12-01	Plan benefit arrangement – Insurance	Yes
2017-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-12-01	Type of plan entity	Single employer plan
2016-12-01	Plan funding arrangement – Insurance	Yes
2016-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-12-01	Plan benefit arrangement – Insurance	Yes
2016-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-12-01	Type of plan entity	Single employer plan
2015-12-01	Plan funding arrangement – Insurance	Yes
2015-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-12-01	Plan benefit arrangement – Insurance	Yes
2015-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-12-01	Type of plan entity	Single employer plan
2014-12-01	Plan funding arrangement – Insurance	Yes
2014-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-12-01	Plan benefit arrangement – Insurance	Yes
2014-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-12-01	Type of plan entity	Single employer plan
2013-12-01	Plan funding arrangement – Insurance	Yes
2013-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-12-01	Plan benefit arrangement – Insurance	Yes
2013-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-12-01	Type of plan entity	Single employer plan
2012-12-01	Plan funding arrangement – Insurance	Yes
2012-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-12-01	Plan benefit arrangement – Insurance	Yes
2012-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-12-01	Type of plan entity	Single employer plan
2011-12-01	Plan funding arrangement – Insurance	Yes
2011-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-12-01	Plan benefit arrangement – Insurance	Yes
2011-12-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: THE QUEENSBOROUGH COMPANY, INC. EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-12-01	Type of plan entity	Single employer plan
2009-12-01	Plan funding arrangement – Insurance	Yes
2009-12-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-12-01	Plan benefit arrangement – Insurance	Yes
2009-12-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	858154G
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	858154G
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	858154G
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	858154G
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	858154G
Policy instance	2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCL32701
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	858154G
Policy instance	2
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	HCL32701
Policy instance	1

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Company Name:	THE QUEENSBOROUGH COMPANY, INC.
Employer identification number (EIN):	581576765
NAIC Classification:	522190
NAIC Description:	Other Depository Credit Intermediation

Plan id#	Filing Submission Date	Name of Administrator
501	2023-12-01	D P POLHILL
501	2022-12-01
501	2022-12-01	D P POLHILL
501	2021-12-01
501	2021-12-01	D P POLHILL
501	2020-12-01
501	2019-12-01
501	2018-12-01
501	2017-12-01
501	2016-12-01	D. P. POLHILL
501	2015-12-01	D. P. POLHILL
501	2014-12-01	D. P. POLHILL
501	2013-12-01	D. P. POLHILL
501	2012-12-01	D. P. POLHILL
501	2011-12-01	D P POLHILL
501	2009-12-01	D P POLHILL