401k Plan data: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN plan

J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan Name	J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN
Plan identification number	501

J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Vision Long-term disability cover Death benefits (include travel accident but not life insurance) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

J.D. OTT COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name: J.D. OTT COMPANY, INC.

Employer identification number (EIN): 910818001

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2020-03-01
501 2019-03-01
501 2017-03-01 KADIE ENSLEY
501 2016-02-29 KADIE ENSLEY
501 2015-03-01 AARON KULAAS
501 2014-03-01 AARON KULAAS
501 2013-03-01 REX OTT
501 2012-03-01 REX OTT

Plan Statistics for J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2020: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year 2020-03-01 125
Total number of active participants reported on line 7a of the Form 5500 2020-03-01 67
Total of all active and inactive participants 2020-03-01 67
2019: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year 2019-03-01 119
Total number of active participants reported on line 7a of the Form 5500 2019-03-01 125
Total of all active and inactive participants 2019-03-01 125
2017: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 108
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 108
Total of all active and inactive participants 2017-03-01 108
2016: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year 2016-02-29 104
Total number of active participants reported on line 7a of the Form 5500 2016-02-29 108
Total of all active and inactive participants 2016-02-29 108
2015: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year 2015-03-01 101
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 104
Total of all active and inactive participants 2015-03-01 104
2014: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-03-01 105
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 101
Total of all active and inactive participants 2014-03-01 101
2013: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 107
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 105
Total of all active and inactive participants 2013-03-01 105
2012: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 103
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 107
Total of all active and inactive participants 2012-03-01 107

Measure	Date	Value
2020: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year	2020-03-01	125
Total number of active participants reported on line 7a of the Form 5500	2020-03-01	67
Total of all active and inactive participants	2020-03-01	67
2019: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year	2019-03-01	119
Total number of active participants reported on line 7a of the Form 5500	2019-03-01	125
Total of all active and inactive participants	2019-03-01	125
2017: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	108
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	108
Total of all active and inactive participants	2017-03-01	108
2016: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year	2016-02-29	104
Total number of active participants reported on line 7a of the Form 5500	2016-02-29	108
Total of all active and inactive participants	2016-02-29	108
2015: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year	2015-03-01	101
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	104
Total of all active and inactive participants	2015-03-01	104
2014: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-03-01	105
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	101
Total of all active and inactive participants	2014-03-01	101
2013: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	107
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	105
Total of all active and inactive participants	2013-03-01	105
2012: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	103
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	107
Total of all active and inactive participants	2012-03-01	107

Form 5500 Responses for J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN

2020: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-03-01	Type of plan entity	Single employer plan
2020-03-01	Submission has been amended	No
2020-03-01	This submission is the final filing	No
2020-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-03-01	Plan is a collectively bargained plan	No
2020-03-01	Plan funding arrangement – Insurance	Yes
2020-03-01	Plan benefit arrangement – Insurance	Yes
2019: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-03-01	Type of plan entity	Single employer plan
2019-03-01	Submission has been amended	No
2019-03-01	This submission is the final filing	No
2019-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-03-01	Plan is a collectively bargained plan	No
2019-03-01	Plan funding arrangement – Insurance	Yes
2019-03-01	Plan benefit arrangement – Insurance	Yes
2017: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	Submission has been amended	No
2017-03-01	This submission is the final filing	No
2017-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-03-01	Plan is a collectively bargained plan	No
2017-03-01	Plan funding arrangement – Insurance	Yes
2017-03-01	Plan benefit arrangement – Insurance	Yes
2016: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-02-29	Type of plan entity	Single employer plan
2016-02-29	Submission has been amended	No
2016-02-29	This submission is the final filing	No
2016-02-29	This return/report is a short plan year return/report (less than 12 months)	No
2016-02-29	Plan is a collectively bargained plan	No
2016-02-29	Plan funding arrangement – Insurance	Yes
2016-02-29	Plan benefit arrangement – Insurance	Yes
2015: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Submission has been amended	No
2015-03-01	This submission is the final filing	No
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – Insurance	Yes
2015-03-01	Plan benefit arrangement – Insurance	Yes
2014: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	No
2014-03-01	This submission is the final filing	No
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – Insurance	Yes
2014-03-01	Plan benefit arrangement – Insurance	Yes
2013: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2012: J. D. OTT COMPANY, INC. EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	First time form 5500 has been submitted	Yes
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PREMERA BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 47570 )
Policy contract number	4019999
Policy instance	1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number	914090
Policy instance	1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60002563
Policy instance	1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60002563
Policy instance	1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60002563
Policy instance	1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60002563
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00465604
Policy instance	1
REGENCE BLUESHIELD (National Association of Insurance Commissioners NAIC id number: 53902 )
Policy contract number	60002563
Policy instance	2

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Company Name:	J.D. OTT COMPANY, INC.
Employer identification number (EIN):	910818001
NAIC Classification:	332900