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E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 401k Plan overview

Plan NameE & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN
Plan identification number 501

E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

E & C MID-ATLANTIC VENTURES, LLC has sponsored the creation of one or more 401k plans.

Company Name:E & C MID-ATLANTIC VENTURES, LLC
Employer identification number (EIN):810795746
NAIC Classification:447100
NAIC Description: Gasoline Stations, Gas

Additional information about E & C MID-ATLANTIC VENTURES, LLC

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 2015-12-11
Company Identification Number: S591632
Legal Registered Office Address: 10308 Regency Station Drive

Fairfax Station
United States of America (USA)
22039

More information about E & C MID-ATLANTIC VENTURES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-08-01
5012021-08-01
5012020-08-01
5012019-08-01
5012018-08-01
5012017-08-01MARIE VOISEY

Plan Statistics for E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN

401k plan membership statisitcs for E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN

Measure Date Value
2022: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-08-0161
Total number of active participants reported on line 7a of the Form 55002022-08-0155
Number of retired or separated participants receiving benefits2022-08-010
Number of other retired or separated participants entitled to future benefits2022-08-010
Total of all active and inactive participants2022-08-0155
2021: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-08-0165
Total number of active participants reported on line 7a of the Form 55002021-08-0161
Number of retired or separated participants receiving benefits2021-08-010
Number of other retired or separated participants entitled to future benefits2021-08-010
Total of all active and inactive participants2021-08-0161
2020: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-08-0159
Total number of active participants reported on line 7a of the Form 55002020-08-0165
Number of retired or separated participants receiving benefits2020-08-010
Number of other retired or separated participants entitled to future benefits2020-08-010
Total of all active and inactive participants2020-08-0165
2019: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-08-0169
Total number of active participants reported on line 7a of the Form 55002019-08-0159
Number of retired or separated participants receiving benefits2019-08-010
Number of other retired or separated participants entitled to future benefits2019-08-010
Total of all active and inactive participants2019-08-0159
2018: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-0164
Total number of active participants reported on line 7a of the Form 55002018-08-0169
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-010
Total of all active and inactive participants2018-08-0169
2017: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-0180
Total number of active participants reported on line 7a of the Form 55002017-08-0164
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-010
Total of all active and inactive participants2017-08-0164

Financial Data on E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN

Measure Date Value
2023 : E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2023 401k financial data
Total plan liabilities at end of year2023-07-31$86,504
Total plan liabilities at beginning of year2023-07-31$76,435
Total income from all sources2023-07-31$842,814
Expenses. Total of all expenses incurred2023-07-31$806,426
Benefits paid (including direct rollovers)2023-07-31$478,075
Total plan assets at end of year2023-07-31$88,711
Total plan assets at beginning of year2023-07-31$42,254
Value of fidelity bond covering the plan2023-07-31$100,000
Total contributions received or receivable from participants2023-07-31$295,040
Expenses. Other expenses not covered elsewhere2023-07-31$295,503
Contributions received from other sources (not participants or employers)2023-07-31$2,520
Other income received2023-07-31$324
Net income (gross income less expenses)2023-07-31$36,388
Net plan assets at end of year (total assets less liabilities)2023-07-31$2,207
Net plan assets at beginning of year (total assets less liabilities)2023-07-31$-34,181
Total contributions received or receivable from employer(s)2023-07-31$544,930
Expenses. Administrative service providers (salaries,fees and commissions)2023-07-31$32,848
2022 : E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-07-31$76,435
Total plan liabilities at beginning of year2022-07-31$38,309
Total income from all sources2022-07-31$779,833
Expenses. Total of all expenses incurred2022-07-31$963,377
Benefits paid (including direct rollovers)2022-07-31$510,015
Total plan assets at end of year2022-07-31$42,254
Total plan assets at beginning of year2022-07-31$187,672
Value of fidelity bond covering the plan2022-07-31$100,000
Total contributions received or receivable from participants2022-07-31$312,132
Expenses. Other expenses not covered elsewhere2022-07-31$280,532
Contributions received from other sources (not participants or employers)2022-07-31$0
Other income received2022-07-31$173
Net income (gross income less expenses)2022-07-31$-183,544
Net plan assets at end of year (total assets less liabilities)2022-07-31$-34,181
Net plan assets at beginning of year (total assets less liabilities)2022-07-31$149,363
Total contributions received or receivable from employer(s)2022-07-31$467,528
Value of corrective distributions2022-07-31$137,440
Expenses. Administrative service providers (salaries,fees and commissions)2022-07-31$35,390
2021 : E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-07-31$38,309
Total plan liabilities at beginning of year2021-07-31$34,152
Total income from all sources2021-07-31$780,320
Expenses. Total of all expenses incurred2021-07-31$813,056
Benefits paid (including direct rollovers)2021-07-31$464,020
Total plan assets at end of year2021-07-31$187,672
Total plan assets at beginning of year2021-07-31$216,251
Value of fidelity bond covering the plan2021-07-31$100,000
Total contributions received or receivable from participants2021-07-31$325,608
Expenses. Other expenses not covered elsewhere2021-07-31$273,367
Contributions received from other sources (not participants or employers)2021-07-31$0
Other income received2021-07-31$623
Net income (gross income less expenses)2021-07-31$-32,736
Net plan assets at end of year (total assets less liabilities)2021-07-31$149,363
Net plan assets at beginning of year (total assets less liabilities)2021-07-31$182,099
Total contributions received or receivable from employer(s)2021-07-31$454,089
Value of corrective distributions2021-07-31$35,440
Expenses. Administrative service providers (salaries,fees and commissions)2021-07-31$40,229
2020 : E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-07-31$34,152
Total plan liabilities at beginning of year2020-07-31$26,848
Total income from all sources2020-07-31$821,975
Expenses. Total of all expenses incurred2020-07-31$894,954
Benefits paid (including direct rollovers)2020-07-31$460,623
Total plan assets at end of year2020-07-31$216,251
Total plan assets at beginning of year2020-07-31$281,926
Value of fidelity bond covering the plan2020-07-31$100,000
Total contributions received or receivable from participants2020-07-31$303,669
Expenses. Other expenses not covered elsewhere2020-07-31$271,936
Contributions received from other sources (not participants or employers)2020-07-31$0
Other income received2020-07-31$588
Net income (gross income less expenses)2020-07-31$-72,979
Net plan assets at end of year (total assets less liabilities)2020-07-31$182,099
Net plan assets at beginning of year (total assets less liabilities)2020-07-31$255,078
Total contributions received or receivable from employer(s)2020-07-31$517,718
Value of corrective distributions2020-07-31$117,122
Expenses. Administrative service providers (salaries,fees and commissions)2020-07-31$45,273
2019 : E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-07-31$26,848
Total plan liabilities at beginning of year2019-07-31$44,356
Total income from all sources2019-07-31$860,864
Expenses. Total of all expenses incurred2019-07-31$593,515
Benefits paid (including direct rollovers)2019-07-31$254,835
Total plan assets at end of year2019-07-31$281,926
Total plan assets at beginning of year2019-07-31$32,085
Value of fidelity bond covering the plan2019-07-31$100,000
Total contributions received or receivable from participants2019-07-31$327,898
Expenses. Other expenses not covered elsewhere2019-07-31$260,798
Other income received2019-07-31$417
Net income (gross income less expenses)2019-07-31$267,349
Net plan assets at end of year (total assets less liabilities)2019-07-31$255,078
Net plan assets at beginning of year (total assets less liabilities)2019-07-31$-12,271
Total contributions received or receivable from employer(s)2019-07-31$532,549
Value of corrective distributions2019-07-31$23,424
Expenses. Administrative service providers (salaries,fees and commissions)2019-07-31$54,458
2018 : E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-07-31$44,356
Total plan liabilities at beginning of year2018-07-31$0
Total income from all sources2018-07-31$678,488
Expenses. Total of all expenses incurred2018-07-31$690,759
Benefits paid (including direct rollovers)2018-07-31$428,621
Total plan assets at end of year2018-07-31$32,085
Total plan assets at beginning of year2018-07-31$0
Value of fidelity bond covering the plan2018-07-31$100,000
Total contributions received or receivable from participants2018-07-31$287,186
Expenses. Other expenses not covered elsewhere2018-07-31$226,414
Other income received2018-07-31$43
Net income (gross income less expenses)2018-07-31$-12,271
Net plan assets at end of year (total assets less liabilities)2018-07-31$-12,271
Net plan assets at beginning of year (total assets less liabilities)2018-07-31$0
Total contributions received or receivable from employer(s)2018-07-31$391,259
Expenses. Administrative service providers (salaries,fees and commissions)2018-07-31$35,724

Form 5500 Responses for E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN

2022: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2022 form 5500 responses
2022-08-01Type of plan entitySingle employer plan
2022-08-01Submission has been amendedNo
2022-08-01This submission is the final filingNo
2022-08-01This return/report is a short plan year return/report (less than 12 months)No
2022-08-01Plan is a collectively bargained planNo
2022-08-01Plan funding arrangement – InsuranceYes
2022-08-01Plan funding arrangement – TrustYes
2022-08-01Plan benefit arrangement – InsuranceYes
2022-08-01Plan benefit arrangement - TrustYes
2021: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2021 form 5500 responses
2021-08-01Type of plan entitySingle employer plan
2021-08-01Submission has been amendedNo
2021-08-01This submission is the final filingNo
2021-08-01This return/report is a short plan year return/report (less than 12 months)No
2021-08-01Plan is a collectively bargained planNo
2021-08-01Plan funding arrangement – InsuranceYes
2021-08-01Plan funding arrangement – TrustYes
2021-08-01Plan benefit arrangement – InsuranceYes
2021-08-01Plan benefit arrangement - TrustYes
2020: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2020 form 5500 responses
2020-08-01Type of plan entitySingle employer plan
2020-08-01Submission has been amendedNo
2020-08-01This submission is the final filingNo
2020-08-01This return/report is a short plan year return/report (less than 12 months)No
2020-08-01Plan is a collectively bargained planNo
2020-08-01Plan funding arrangement – InsuranceYes
2020-08-01Plan funding arrangement – TrustYes
2020-08-01Plan benefit arrangement – InsuranceYes
2020-08-01Plan benefit arrangement - TrustYes
2019: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2019 form 5500 responses
2019-08-01Type of plan entitySingle employer plan
2019-08-01Submission has been amendedNo
2019-08-01This submission is the final filingNo
2019-08-01This return/report is a short plan year return/report (less than 12 months)No
2019-08-01Plan is a collectively bargained planNo
2019-08-01Plan funding arrangement – InsuranceYes
2019-08-01Plan funding arrangement – TrustYes
2019-08-01Plan benefit arrangement – InsuranceYes
2019-08-01Plan benefit arrangement - TrustYes
2018: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan funding arrangement – TrustYes
2018-08-01Plan benefit arrangement – InsuranceYes
2018-08-01Plan benefit arrangement - TrustYes
2017: E & C MID-ATLANTIC VENTURES, LLC GROUP BENEFIT PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01First time form 5500 has been submittedYes
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – TrustYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number203177
Policy instance 1
Insurance contract or identification number203177
Number of Individuals Covered55
Insurance policy start date2023-01-01
Insurance policy end date2023-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $248,262
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500290
Policy instance 1
Insurance contract or identification number30500290
Number of Individuals Covered61
Insurance policy start date2021-08-01
Insurance policy end date2021-12-31
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
Welfare Benefit Premiums Paid to CarrierUSD $92,956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract number203177
Policy instance 2
Insurance contract or identification number203177
Number of Individuals Covered61
Insurance policy start date2022-01-01
Insurance policy end date2022-06-30
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
Welfare Benefit Premiums Paid to CarrierUSD $140,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500290
Policy instance 1
Insurance contract or identification number30500290
Number of Individuals Covered65
Insurance policy start date2020-08-01
Insurance policy end date2021-07-31
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
Welfare Benefit Premiums Paid to CarrierUSD $229,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberSL30500290
Policy instance 1
Insurance contract or identification numberSL30500290
Number of Individuals Covered59
Insurance policy start date2019-08-01
Insurance policy end date2020-07-31
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
Welfare Benefit Premiums Paid to CarrierUSD $218,234
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered69
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
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
Welfare Benefit Premiums Paid to CarrierUSD $207,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered64
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
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
Welfare Benefit Premiums Paid to CarrierUSD $175,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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