401k Plan data: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN plan

I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 401k Plan overview

Plan Name	I.A.T.S.E. LOCAL 99 RETIREMENT PLAN
Plan identification number	001

I.A.T.S.E. LOCAL 99 RETIREMENT PLAN Benefits

401k Plan Type	Defined Contribution Pension
Plan Features/Benefits	Profit-sharing 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. Life insurance Other welfare benefit cover

401k Sponsoring company profile

I.A.T.S.E. LOCAL 99 HEALTH TRUST has sponsored the creation of one or more 401k plans.

Company Name: I.A.T.S.E. LOCAL 99 HEALTH TRUST

Employer identification number (EIN): 876128478

NAIC Classification: 711100
NAIC Description: Performing Arts Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan I.A.T.S.E. LOCAL 99 RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2016-01-01
001 2015-01-01
001 2015-01-01 MATTHEW THOMAS 2016-07-23
001 2014-01-01 TIMOTHY REYNOLDS
001 2013-01-01 TIMOTHY REYNOLDS
001 2011-01-01 TIMOTHY REYNOLDS
001 2010-01-01 TIMOTHY REYNOLDS
001 2009-01-01 MARVIN CAMERON
001 2009-01-01 TIM
001 2008-01-01
001 2007-01-01 MARVIN CAMERON

Plan Statistics for I.A.T.S.E. LOCAL 99 RETIREMENT PLAN

401k plan membership statisitcs for I.A.T.S.E. LOCAL 99 RETIREMENT PLAN

Measure Date Value
2016: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 35
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 36
Number of retired or separated participants receiving benefits 2016-01-01 4
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 34
Number of retired or separated participants receiving benefits 2015-01-01 1
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 43
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 40
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 42
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 187
Total of all active and inactive participants 2013-01-01 187
Total participants 2013-01-01 187
2011: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 188
Number of retired or separated participants receiving benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 188
Total participants 2011-01-01 188
2010: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 187
Number of retired or separated participants receiving benefits 2010-01-01 0
Number of other retired or separated participants entitled to future benefits 2010-01-01 0
Total of all active and inactive participants 2010-01-01 187
Total participants 2010-01-01 187
2009: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 56
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 196
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 196
Number of participants with account balances 2009-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0
2007: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year 2007-01-01 78
Total number of active participants reported on line 7a of the Form 5500 2007-01-01 187
Number of retired or separated participants receiving benefits 2007-01-01 0
Number of other retired or separated participants entitled to future benefits 2007-01-01 0
Total of all active and inactive participants 2007-01-01 187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-01-01 0
Total participants 2007-01-01 187
Number of participants with account balances 2007-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-01-01 0

Measure	Date	Value
2016: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	35
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	36
Number of retired or separated participants receiving benefits	2016-01-01	4
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	40
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	40
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	34
Number of retired or separated participants receiving benefits	2015-01-01	1
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	35
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	35
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	43
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	40
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	43
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	42
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	187
Total of all active and inactive participants	2013-01-01	187
Total participants	2013-01-01	187
2011: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	188
Number of retired or separated participants receiving benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	188
Total participants	2011-01-01	188
2010: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	187
Number of retired or separated participants receiving benefits	2010-01-01	0
Number of other retired or separated participants entitled to future benefits	2010-01-01	0
Total of all active and inactive participants	2010-01-01	187
Total participants	2010-01-01	187
2009: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	56
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	196
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	196
Number of participants with account balances	2009-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0
2007: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2007 401k membership
Total participants, beginning-of-year	2007-01-01	78
Total number of active participants reported on line 7a of the Form 5500	2007-01-01	187
Number of retired or separated participants receiving benefits	2007-01-01	0
Number of other retired or separated participants entitled to future benefits	2007-01-01	0
Total of all active and inactive participants	2007-01-01	187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-01-01	0
Total participants	2007-01-01	187
Number of participants with account balances	2007-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-01-01	0

Financial Data on I.A.T.S.E. LOCAL 99 RETIREMENT PLAN

Measure	Date	Value
2016 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$9,492
Expenses. Total of all expenses incurred	2016-12-31	$24,115
Benefits paid (including direct rollovers)	2016-12-31	$24,103
Total plan assets at end of year	2016-12-31	$102,166
Total plan assets at beginning of year	2016-12-31	$116,789
Other income received	2016-12-31	$-4,165
Net income (gross income less expenses)	2016-12-31	$-14,623
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$102,166
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$116,789
Total contributions received or receivable from employer(s)	2016-12-31	$13,657
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$12
2015 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$19,895
Expenses. Total of all expenses incurred	2015-12-31	$39,719
Benefits paid (including direct rollovers)	2015-12-31	$39,199
Total plan assets at end of year	2015-12-31	$116,789
Total plan assets at beginning of year	2015-12-31	$136,613
Other income received	2015-12-31	$7,938
Net income (gross income less expenses)	2015-12-31	$-19,824
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$116,789
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$136,613
Total contributions received or receivable from employer(s)	2015-12-31	$11,957
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$520
2014 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$7,304
Expenses. Total of all expenses incurred	2014-12-31	$12,086
Benefits paid (including direct rollovers)	2014-12-31	$11,208
Total plan assets at end of year	2014-12-31	$136,613
Total plan assets at beginning of year	2014-12-31	$141,395
Other income received	2014-12-31	$7,304
Net income (gross income less expenses)	2014-12-31	$-4,782
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$136,613
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$141,395
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$878
2013 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$25,787
Expenses. Total of all expenses incurred	2013-12-31	$23,820
Benefits paid (including direct rollovers)	2013-12-31	$22,805
Total plan assets at end of year	2013-12-31	$141,395
Total plan assets at beginning of year	2013-12-31	$139,428
Other income received	2013-12-31	$25,787
Net income (gross income less expenses)	2013-12-31	$1,967
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$141,395
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$139,428
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$1,015
2011 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$4,606
Expenses. Total of all expenses incurred	2011-12-31	$52,067
Benefits paid (including direct rollovers)	2011-12-31	$51,317
Total plan assets at end of year	2011-12-31	$125,544
Total plan assets at beginning of year	2011-12-31	$173,005
Total contributions received or receivable from participants	2011-12-31	$0
Expenses. Other expenses not covered elsewhere	2011-12-31	$750
Other income received	2011-12-31	$4,606
Net income (gross income less expenses)	2011-12-31	$-47,461
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$125,544
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$173,005
Total contributions received or receivable from employer(s)	2011-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2011-12-31	$0
Minimum employer required contribution for this plan year	2011-12-31	$0
Amount contributed by the employer to the plan for this plan year	2011-12-31	$0
2010 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$20,276
Expenses. Total of all expenses incurred	2010-12-31	$38,682
Benefits paid (including direct rollovers)	2010-12-31	$37,924
Total plan assets at end of year	2010-12-31	$173,005
Total plan assets at beginning of year	2010-12-31	$191,411
Total contributions received or receivable from participants	2010-12-31	$0
Expenses. Other expenses not covered elsewhere	2010-12-31	$758
Other income received	2010-12-31	$20,276
Net income (gross income less expenses)	2010-12-31	$-18,406
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$173,005
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$191,411
Total contributions received or receivable from employer(s)	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0
2007 : I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2007 401k financial data
Total income from all sources	2007-12-31	$11,092
Expenses. Total of all expenses incurred	2007-12-31	$1,680
Total plan assets at end of year	2007-12-31	$273,465
Total plan assets at beginning of year	2007-12-31	$296,157
Value of fidelity bond covering the plan	2007-12-31	$100,000
Other income received	2007-12-31	$11,092
Net income (gross income less expenses)	2007-12-31	$9,412
Net plan assets at end of year (total assets less liabilities)	2007-12-31	$273,465
Net plan assets at beginning of year (total assets less liabilities)	2007-12-31	$296,157
Expenses. Administrative service providers (salaries,fees and commissions)	2007-12-31	$1,680

Form 5500 Responses for I.A.T.S.E. LOCAL 99 RETIREMENT PLAN

2016: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2011: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2008: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2008 form 5500 responses
2008-01-01	Type of plan entity	Single employer plan
2008-01-01	Submission has been amended	No
2008-01-01	This submission is the final filing	No
2008-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-01-01	Plan is a collectively bargained plan	No
2007: I.A.T.S.E. LOCAL 99 RETIREMENT PLAN 2007 form 5500 responses
2007-01-01	Type of plan entity	Single employer plan
2007-01-01	Submission has been amended	No
2007-01-01	This submission is the final filing	No
2007-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-01-01	Plan is a collectively bargained plan	No
2007-01-01	Plan funding arrangement – Trust	Yes
2007-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )

Policy contract number

0003000009402

Policy instance

Insurance contract or identification number	0003000009402
Number of Individuals Covered	186
Insurance policy start date	2014-12-01
Insurance policy end date	2015-11-30
Total amount of commissions paid to insurance broker	USD $356
Are there contracts with allocated funds for individual policies?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $356
Insurance broker organization code?	3
Insurance broker name	D.R. MORTENSON INS & INVESTMENTS

JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )

Policy contract number

0003000009402

Policy instance

Insurance contract or identification number	0003000009402
Number of Individuals Covered	187
Insurance policy start date	2013-12-01
Insurance policy end date	2014-11-30
Are there contracts with allocated funds for individual policies?	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	3
Insurance broker name	D.R. MORTENSON INS & INVESTMENTS

JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )

Policy contract number

0003000009402

Policy instance

Insurance contract or identification number	0003000009402
Number of Individuals Covered	187
Insurance policy start date	2012-12-01
Insurance policy end date	2013-11-30
Total amount of commissions paid to insurance broker	USD $316
Are there contracts with allocated funds for individual policies?	Yes
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $316
Insurance broker organization code?	3
Insurance broker name	D.R. MORTENSON INS & INVESTMENTS

JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )

Policy contract number

0003000009402

Policy instance

Insurance contract or identification number	0003000009402
Number of Individuals Covered	188
Insurance policy start date	2010-12-01
Insurance policy end date	2011-11-30
Total amount of commissions paid to insurance broker	USD $338
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT

JEFFERSON PILOT FINANCIAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70254 )

Policy contract number

0003000009402

Policy instance

Insurance contract or identification number	0003000009402
Number of Individuals Covered	187
Insurance policy start date	2006-12-01
Insurance policy end date	2007-01-30
Total amount of commissions paid to insurance broker	USD $316
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $5,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $316
Insurance broker organization code?	3
Insurance broker name	D.R. MORTENSON INS. & INVESTMENTS

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Company Name:	I.A.T.S.E. LOCAL 99 HEALTH TRUST
Employer identification number (EIN):	876128478
NAIC Classification:	711100
NAIC Description:	Performing Arts Companies