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LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameLSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN
Plan identification number 507

LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

LSI CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:LSI CORPORATION
Employer identification number (EIN):942712976
NAIC Classification:334410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072024-01-01STEVEN BROWN
5072023-01-01
5072023-01-01STEVEN BROWN
5072022-01-01
5072022-01-01STEVEN BROWN

Financial Data on LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

Measure Date Value
2023 : LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$412,656
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$74,706
Total income from all sources (including contributions)2023-12-31$3,781,844
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$3,238,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$2,215,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$0
Value of total assets at end of year2023-12-31$72,572,284
Value of total assets at beginning of year2023-12-31$71,690,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$1,022,267
Total interest from all sources2023-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$13,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$13,071
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$15,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Assets. Other investments not covered elsewhere at end of year2023-12-31$72,101,354
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$70,646,473
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$196,850
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$783,157
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$412,656
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$74,706
Administrative expenses (other) incurred2023-12-31$924,257
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$543,695
Value of net assets at end of year (total assets less liabilities)2023-12-31$72,159,628
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$71,615,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$274,080
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$261,009
Value of interest in pooled separate accounts at end of year2023-12-31$0
Value of interest in pooled separate accounts at beginning of year2023-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$2,215,882
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$3,768,773
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contract administrator fees2023-12-31$98,010
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31MOSS ADAMS LLP
Accountancy firm EIN2023-12-31910189318
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$412,656
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$74,706
Total income from all sources (including contributions)2023-01-01$3,781,844
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$3,238,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$2,215,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$0
Value of total assets at end of year2023-01-01$72,572,284
Value of total assets at beginning of year2023-01-01$71,690,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$1,022,267
Total interest from all sources2023-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$13,071
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$13,071
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$15,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Assets. Other investments not covered elsewhere at end of year2023-01-01$72,101,354
Assets. Other investments not covered elsewhere at beginning of year2023-01-01$70,646,473
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$196,850
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$783,157
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-01-01$412,656
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-01-01$74,706
Administrative expenses (other) incurred2023-01-01$924,257
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$543,695
Value of net assets at end of year (total assets less liabilities)2023-01-01$72,159,628
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$71,615,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$274,080
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$261,009
Value of interest in pooled separate accounts at end of year2023-01-01$0
Value of interest in pooled separate accounts at beginning of year2023-01-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$2,215,882
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$3,768,773
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contract administrator fees2023-01-01$98,010
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01MOSS ADAMS LLP
Accountancy firm EIN2023-01-01910189318
2022 : LSI CORPORATION RETIREE GROUP LIFE INSURANCE 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$74,706
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,493,170
Total income from all sources (including contributions)2022-12-31$-10,782,811
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$-1,960,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,356,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$0
Value of total assets at end of year2022-12-31$71,690,639
Value of total assets at beginning of year2022-12-31$84,931,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$-4,316,476
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
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$103,312
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$15,000,000
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
Assets. Other investments not covered elsewhere at end of year2022-12-31$70,646,473
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$783,157
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$602,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$74,706
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$4,493,170
Administrative expenses (other) incurred2022-12-31$-4,419,788
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$-8,822,691
Value of net assets at end of year (total assets less liabilities)2022-12-31$71,615,933
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$80,438,624
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$261,009
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$257,112
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$84,071,753
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,356,356
Net investment gain/loss from pooled separate accounts2022-12-31$-10,782,811
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
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 name2022-12-31MOSS ADAMS LLP
Accountancy firm EIN2022-12-31910189318
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$74,706
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$4,493,170
Total income from all sources (including contributions)2022-01-01$-10,782,811
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$-1,960,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$2,356,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$0
Value of total assets at end of year2022-01-01$71,690,639
Value of total assets at beginning of year2022-01-01$84,931,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$-4,316,476
Total interest from all sources2022-01-01$0
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$103,312
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$15,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Assets. Other investments not covered elsewhere at end of year2022-01-01$70,646,473
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$783,157
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$602,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-01$74,706
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-01$4,493,170
Administrative expenses (other) incurred2022-01-01$-4,419,788
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-8,822,691
Value of net assets at end of year (total assets less liabilities)2022-01-01$71,615,933
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$80,438,624
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$261,009
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$257,112
Value of interest in pooled separate accounts at end of year2022-01-01$0
Value of interest in pooled separate accounts at beginning of year2022-01-01$84,071,753
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$2,356,356
Net investment gain/loss from pooled separate accounts2022-01-01$-10,782,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01MOSS ADAMS LLP
Accountancy firm EIN2022-01-01910189318

Form 5500 Responses for LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

2023: LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planYes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: LSI CORPORATION RETIREE GROUP LIFE INSURANCE 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 planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0105655
Policy instance 1
Insurance contract or identification number0105655
Number of Individuals Covered3615
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 BenefitYes
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?Yes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0105655
Policy instance 1

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