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SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 401k Plan overview

Plan NameSOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN
Plan identification number 001

SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SOUTHEAST MECHANICAL CONTRACTORS has sponsored the creation of one or more 401k plans.

Company Name:SOUTHEAST MECHANICAL CONTRACTORS
Employer identification number (EIN):651153325
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01DAISY JIMENEZ2022-02-16
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01KIMBERLI PARK2018-05-22
0012016-01-01JOSEPH MANTEIGA2017-04-19
0012015-01-01JOSEPH MANTEIGA2016-05-16
0012014-01-01BEVERLY BACZANSKI2015-06-29
0012013-01-01BEVERLY BACZANSKI2014-08-12
0012012-01-01JOSEPH MANTEIGA2014-08-12
0012011-01-01JOSEPH MANTEIGA2014-08-12
0012010-01-01JOSEPH MANTEIGA2011-04-20

Plan Statistics for SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN

401k plan membership statisitcs for SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN

Measure Date Value
2022: SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01137
Total number of active participants reported on line 7a of the Form 55002022-01-01132
Number of retired or separated participants receiving benefits2022-01-0116
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01148
Number of participants with account balances2022-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2020: SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0196
Total number of active participants reported on line 7a of the Form 55002020-01-01105
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01106
Number of participants with account balances2020-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01102
Total number of active participants reported on line 7a of the Form 55002019-01-0180
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0189
Number of participants with account balances2019-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01121
Total number of active participants reported on line 7a of the Form 55002018-01-0178
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0133
Total of all active and inactive participants2018-01-01111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01111
Number of participants with account balances2018-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011

Financial Data on SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN

Measure Date Value
2022 : SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-268,463
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$723,274
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$672,430
Expenses. Certain deemed distributions of participant loans2022-12-31$6,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$757,612
Value of total assets at end of year2022-12-31$4,407,893
Value of total assets at beginning of year2022-12-31$5,399,630
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$44,310
Total interest from all sources2022-12-31$5,098
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$69,296
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$44,310
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$386,414
Participant contributions at end of year2022-12-31$150,868
Participant contributions at beginning of year2022-12-31$80,895
Participant contributions at end of year2022-12-31$5,209
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$119,896
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-991,737
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,407,893
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,399,630
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,236,106
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,318,735
Interest on participant loans2022-12-31$5,098
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,100,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$251,302
Employer contributions (assets) at end of year2022-12-31$15,710
Employer contributions (assets) at beginning of year2022-12-31$0
Income. Dividends from preferred stock2022-12-31$69,296
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$672,430
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31KEEFE MCCULLOUGH
Accountancy firm EIN2022-12-31591363792
2020 : SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2020 401k financial data
Total income from all sources2020-12-31$1,488,196
Expenses. Total of all expenses incurred2020-12-31$201,852
Benefits paid (including direct rollovers)2020-12-31$183,500
Total plan assets at end of year2020-12-31$4,301,736
Total plan assets at beginning of year2020-12-31$3,015,392
Value of fidelity bond covering the plan2020-12-31$305,000
Total contributions received or receivable from participants2020-12-31$264,230
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$214,720
Other income received2020-12-31$842,755
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,286,344
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,301,736
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,015,392
Assets. Value of participant loans2020-12-31$75,954
Total contributions received or receivable from employer(s)2020-12-31$166,491
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$18,352
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$955,406
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$505,782
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$461,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$398,857
Value of total assets at end of year2019-12-31$3,015,392
Value of total assets at beginning of year2019-12-31$2,565,768
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$44,779
Total interest from all sources2019-12-31$2,432
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$300,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$263,058
Participant contributions at end of year2019-12-31$41,998
Participant contributions at beginning of year2019-12-31$37,224
Participant contributions at end of year2019-12-31$2,934
Participant contributions at beginning of year2019-12-31$2,019
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$30
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$449,624
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,015,392
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,565,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$2,959,663
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,525,127
Interest on participant loans2019-12-31$2,432
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$41
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$41
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$554,117
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$135,799
Employer contributions (assets) at end of year2019-12-31$10,797
Employer contributions (assets) at beginning of year2019-12-31$1,327
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$461,003
Contract administrator fees2019-12-31$44,779
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KEEFE MCCULLOUGH
Accountancy firm EIN2019-12-31591363792
2018 : SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$165,651
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$58,889
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$45,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$338,144
Value of total assets at end of year2018-12-31$2,565,768
Value of total assets at beginning of year2018-12-31$2,459,006
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$13,824
Total interest from all sources2018-12-31$2,161
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$300,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$207,079
Participant contributions at end of year2018-12-31$37,224
Participant contributions at beginning of year2018-12-31$107,599
Participant contributions at end of year2018-12-31$2,019
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$34,234
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$30
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$2,901
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$106,762
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,565,768
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,459,006
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,525,127
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,348,506
Interest on participant loans2018-12-31$2,161
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$41
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-174,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$96,831
Employer contributions (assets) at end of year2018-12-31$1,327
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$45,065
Contract administrator fees2018-12-31$13,824
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KEEFE MCCULLOUGH
Accountancy firm EIN2018-12-31591363792

Form 5500 Responses for SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN

2022: SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2020: SOUTHEAST MECHANICAL CONTRACTORS 401(K)PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SOUTHEAST MECHANICAL CONTRACTORS 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: SOUTHEAST MECHANICAL CONTRACTORS 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

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number517623-000
Policy instance 1
Insurance contract or identification number517623-000
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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
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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number517623-000
Policy instance 1
Insurance contract or identification number517623-000
Number of Individuals Covered105
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,127
Are there contracts with allocated funds for individual policies?0
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
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 $0
Amount paid for insurance broker fees3127
Additional information about fees paid to insurance broker0
Insurance broker organization code?5

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