401k Plan data: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION plan

BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 401k Plan overview

Plan Name	BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION
Plan identification number	501

BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Vision

401k Sponsoring company profile

BCTGM LOCAL 334 has sponsored the creation of one or more 401k plans.

Company Name: BCTGM LOCAL 334

Employer identification number (EIN): 016123853

NAIC Classification: 311800
NAIC Description: Bakeries and Tortilla Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-06-01
501 2021-06-01
501 2020-06-01
501 2019-06-01
501 2018-06-01 JIM ANDERSCHAT
501 2017-06-01 JIM ANDERSCHAT
501 2016-06-01 JIM ANDERSCHAT
501 2015-06-01 JIM ANDERSCHAT
501 2014-06-01 JIM ANDERSCHAT
501 2013-06-01 JIM ANDERSCHAT
501 2012-06-01 JIM ANDERSCHAT
501 2011-06-01 JIM ANDERSCHAT
501 2010-06-01 JIM ANDERSCHAT
501 2009-06-01 JIM ANDERSCHAT
501 2009-06-01 JIM ANDERSCHAT

Plan Statistics for BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION

401k plan membership statisitcs for BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION

Measure Date Value
2022: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2022 401k membership
Total participants, beginning-of-year 2022-06-01 83
Number of retired or separated participants receiving benefits 2022-06-01 67
Total of all active and inactive participants 2022-06-01 67
Total participants 2022-06-01 67
2021: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2021 401k membership
Total participants, beginning-of-year 2021-06-01 96
Number of retired or separated participants receiving benefits 2021-06-01 83
Total of all active and inactive participants 2021-06-01 83
Total participants 2021-06-01 83
2020: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2020 401k membership
Total participants, beginning-of-year 2020-06-01 93
Number of retired or separated participants receiving benefits 2020-06-01 96
Total of all active and inactive participants 2020-06-01 96
Total participants 2020-06-01 96
2019: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2019 401k membership
Total participants, beginning-of-year 2019-06-01 95
Number of retired or separated participants receiving benefits 2019-06-01 93
Total of all active and inactive participants 2019-06-01 93
Total participants 2019-06-01 93
Number of participants with account balances 2019-06-01 0
2018: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2018 401k membership
Total participants, beginning-of-year 2018-06-01 99
Number of retired or separated participants receiving benefits 2018-06-01 95
Total of all active and inactive participants 2018-06-01 95
Total participants 2018-06-01 95
2017: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2017 401k membership
Total participants, beginning-of-year 2017-06-01 93
Number of retired or separated participants receiving benefits 2017-06-01 99
Total of all active and inactive participants 2017-06-01 99
Total participants 2017-06-01 99
2016: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2016 401k membership
Total participants, beginning-of-year 2016-06-01 106
Number of retired or separated participants receiving benefits 2016-06-01 93
Total of all active and inactive participants 2016-06-01 93
Total participants 2016-06-01 93
2015: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2015 401k membership
Total participants, beginning-of-year 2015-06-01 97
Number of retired or separated participants receiving benefits 2015-06-01 106
Total of all active and inactive participants 2015-06-01 106
Total participants 2015-06-01 0
2014: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2014 401k membership
Total participants, beginning-of-year 2014-06-01 159
Number of retired or separated participants receiving benefits 2014-06-01 140
Total of all active and inactive participants 2014-06-01 140
Total participants 2014-06-01 0
2013: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2013 401k membership
Total participants, beginning-of-year 2013-06-01 163
Number of retired or separated participants receiving benefits 2013-06-01 159
Total of all active and inactive participants 2013-06-01 159
Total participants 2013-06-01 0
2012: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2012 401k membership
Total participants, beginning-of-year 2012-06-01 162
Number of retired or separated participants receiving benefits 2012-06-01 163
Total of all active and inactive participants 2012-06-01 163
Total participants 2012-06-01 0
2011: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2011 401k membership
Total participants, beginning-of-year 2011-06-01 162
Number of retired or separated participants receiving benefits 2011-06-01 162
Total of all active and inactive participants 2011-06-01 162
Total participants 2011-06-01 162
2010: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2010 401k membership
Total participants, beginning-of-year 2010-06-01 160
Number of retired or separated participants receiving benefits 2010-06-01 162
Total of all active and inactive participants 2010-06-01 162
Total participants 2010-06-01 162
2009: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2009 401k membership
Total participants, beginning-of-year 2009-06-01 164
Number of retired or separated participants receiving benefits 2009-06-01 160
Total of all active and inactive participants 2009-06-01 160
Total participants 2009-06-01 160

Measure	Date	Value
2022: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2022 401k membership
Total participants, beginning-of-year	2022-06-01	83
Number of retired or separated participants receiving benefits	2022-06-01	67
Total of all active and inactive participants	2022-06-01	67
Total participants	2022-06-01	67
2021: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2021 401k membership
Total participants, beginning-of-year	2021-06-01	96
Number of retired or separated participants receiving benefits	2021-06-01	83
Total of all active and inactive participants	2021-06-01	83
Total participants	2021-06-01	83
2020: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2020 401k membership
Total participants, beginning-of-year	2020-06-01	93
Number of retired or separated participants receiving benefits	2020-06-01	96
Total of all active and inactive participants	2020-06-01	96
Total participants	2020-06-01	96
2019: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2019 401k membership
Total participants, beginning-of-year	2019-06-01	95
Number of retired or separated participants receiving benefits	2019-06-01	93
Total of all active and inactive participants	2019-06-01	93
Total participants	2019-06-01	93
Number of participants with account balances	2019-06-01	0
2018: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2018 401k membership
Total participants, beginning-of-year	2018-06-01	99
Number of retired or separated participants receiving benefits	2018-06-01	95
Total of all active and inactive participants	2018-06-01	95
Total participants	2018-06-01	95
2017: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2017 401k membership
Total participants, beginning-of-year	2017-06-01	93
Number of retired or separated participants receiving benefits	2017-06-01	99
Total of all active and inactive participants	2017-06-01	99
Total participants	2017-06-01	99
2016: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2016 401k membership
Total participants, beginning-of-year	2016-06-01	106
Number of retired or separated participants receiving benefits	2016-06-01	93
Total of all active and inactive participants	2016-06-01	93
Total participants	2016-06-01	93
2015: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2015 401k membership
Total participants, beginning-of-year	2015-06-01	97
Number of retired or separated participants receiving benefits	2015-06-01	106
Total of all active and inactive participants	2015-06-01	106
Total participants	2015-06-01	0
2014: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2014 401k membership
Total participants, beginning-of-year	2014-06-01	159
Number of retired or separated participants receiving benefits	2014-06-01	140
Total of all active and inactive participants	2014-06-01	140
Total participants	2014-06-01	0
2013: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2013 401k membership
Total participants, beginning-of-year	2013-06-01	163
Number of retired or separated participants receiving benefits	2013-06-01	159
Total of all active and inactive participants	2013-06-01	159
Total participants	2013-06-01	0
2012: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2012 401k membership
Total participants, beginning-of-year	2012-06-01	162
Number of retired or separated participants receiving benefits	2012-06-01	163
Total of all active and inactive participants	2012-06-01	163
Total participants	2012-06-01	0
2011: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2011 401k membership
Total participants, beginning-of-year	2011-06-01	162
Number of retired or separated participants receiving benefits	2011-06-01	162
Total of all active and inactive participants	2011-06-01	162
Total participants	2011-06-01	162
2010: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2010 401k membership
Total participants, beginning-of-year	2010-06-01	160
Number of retired or separated participants receiving benefits	2010-06-01	162
Total of all active and inactive participants	2010-06-01	162
Total participants	2010-06-01	162
2009: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2009 401k membership
Total participants, beginning-of-year	2009-06-01	164
Number of retired or separated participants receiving benefits	2009-06-01	160
Total of all active and inactive participants	2009-06-01	160
Total participants	2009-06-01	160

Financial Data on BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION

Measure	Date	Value
2023 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2023 401k financial data
Total plan liabilities at end of year	2023-05-31	$424
Total plan liabilities at beginning of year	2023-05-31	$424
Total income from all sources	2023-05-31	$12,725
Expenses. Total of all expenses incurred	2023-05-31	$94,158
Benefits paid (including direct rollovers)	2023-05-31	$45,172
Total plan assets at end of year	2023-05-31	$1,085,414
Total plan assets at beginning of year	2023-05-31	$1,166,847
Value of fidelity bond covering the plan	2023-05-31	$400,000
Expenses. Other expenses not covered elsewhere	2023-05-31	$8,911
Other income received	2023-05-31	$12,725
Net income (gross income less expenses)	2023-05-31	$-81,433
Net plan assets at end of year (total assets less liabilities)	2023-05-31	$1,084,990
Net plan assets at beginning of year (total assets less liabilities)	2023-05-31	$1,166,423
Expenses. Administrative service providers (salaries,fees and commissions)	2023-05-31	$40,075
2022 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2022 401k financial data
Total plan liabilities at end of year	2022-05-31	$424
Total income from all sources	2022-05-31	$-68,417
Expenses. Total of all expenses incurred	2022-05-31	$107,375
Benefits paid (including direct rollovers)	2022-05-31	$55,937
Total plan assets at end of year	2022-05-31	$1,166,847
Total plan assets at beginning of year	2022-05-31	$1,342,215
Value of fidelity bond covering the plan	2022-05-31	$400,000
Expenses. Other expenses not covered elsewhere	2022-05-31	$6,950
Other income received	2022-05-31	$-68,417
Net income (gross income less expenses)	2022-05-31	$-175,792
Net plan assets at end of year (total assets less liabilities)	2022-05-31	$1,166,423
Net plan assets at beginning of year (total assets less liabilities)	2022-05-31	$1,342,215
Expenses. Administrative service providers (salaries,fees and commissions)	2022-05-31	$44,488
2021 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2021 401k financial data
Total income from all sources	2021-05-31	$271,956
Expenses. Total of all expenses incurred	2021-05-31	$110,886
Benefits paid (including direct rollovers)	2021-05-31	$53,729
Total plan assets at end of year	2021-05-31	$1,342,215
Total plan assets at beginning of year	2021-05-31	$1,181,145
Value of fidelity bond covering the plan	2021-05-31	$400,000
Expenses. Other expenses not covered elsewhere	2021-05-31	$6,775
Other income received	2021-05-31	$271,956
Net income (gross income less expenses)	2021-05-31	$161,070
Net plan assets at end of year (total assets less liabilities)	2021-05-31	$1,342,215
Net plan assets at beginning of year (total assets less liabilities)	2021-05-31	$1,181,145
Expenses. Administrative service providers (salaries,fees and commissions)	2021-05-31	$50,382
2020 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2020 401k financial data
Total income from all sources	2020-05-31	$75,307
Expenses. Total of all expenses incurred	2020-05-31	$116,138
Benefits paid (including direct rollovers)	2020-05-31	$51,195
Total plan assets at end of year	2020-05-31	$1,181,145
Total plan assets at beginning of year	2020-05-31	$1,221,976
Value of fidelity bond covering the plan	2020-05-31	$400,000
Expenses. Other expenses not covered elsewhere	2020-05-31	$7,404
Other income received	2020-05-31	$75,307
Net income (gross income less expenses)	2020-05-31	$-40,831
Net plan assets at end of year (total assets less liabilities)	2020-05-31	$1,181,145
Net plan assets at beginning of year (total assets less liabilities)	2020-05-31	$1,221,976
Expenses. Administrative service providers (salaries,fees and commissions)	2020-05-31	$57,539
2019 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2019 401k financial data
Total income from all sources	2019-05-31	$23,849
Expenses. Total of all expenses incurred	2019-05-31	$124,027
Benefits paid (including direct rollovers)	2019-05-31	$58,264
Total plan assets at end of year	2019-05-31	$1,221,976
Total plan assets at beginning of year	2019-05-31	$1,322,154
Value of fidelity bond covering the plan	2019-05-31	$400,000
Expenses. Other expenses not covered elsewhere	2019-05-31	$4,824
Other income received	2019-05-31	$23,849
Net income (gross income less expenses)	2019-05-31	$-100,178
Net plan assets at end of year (total assets less liabilities)	2019-05-31	$1,221,976
Net plan assets at beginning of year (total assets less liabilities)	2019-05-31	$1,322,154
Expenses. Administrative service providers (salaries,fees and commissions)	2019-05-31	$60,939
2018 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2018 401k financial data
Total income from all sources	2018-05-31	$36,167
Expenses. Total of all expenses incurred	2018-05-31	$127,684
Benefits paid (including direct rollovers)	2018-05-31	$55,625
Total plan assets at end of year	2018-05-31	$1,322,154
Total plan assets at beginning of year	2018-05-31	$1,413,671
Value of fidelity bond covering the plan	2018-05-31	$1,000,000
Expenses. Other expenses not covered elsewhere	2018-05-31	$4,824
Other income received	2018-05-31	$36,167
Net income (gross income less expenses)	2018-05-31	$-91,517
Net plan assets at end of year (total assets less liabilities)	2018-05-31	$1,322,154
Net plan assets at beginning of year (total assets less liabilities)	2018-05-31	$1,413,671
Expenses. Administrative service providers (salaries,fees and commissions)	2018-05-31	$67,235
2017 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2017 401k financial data
Total income from all sources	2017-05-31	$84,373
Expenses. Total of all expenses incurred	2017-05-31	$136,477
Benefits paid (including direct rollovers)	2017-05-31	$50,694
Total plan assets at end of year	2017-05-31	$1,413,671
Total plan assets at beginning of year	2017-05-31	$1,465,775
Value of fidelity bond covering the plan	2017-05-31	$400,000
Expenses. Other expenses not covered elsewhere	2017-05-31	$6,328
Other income received	2017-05-31	$84,373
Net income (gross income less expenses)	2017-05-31	$-52,104
Net plan assets at end of year (total assets less liabilities)	2017-05-31	$1,413,671
Net plan assets at beginning of year (total assets less liabilities)	2017-05-31	$1,465,775
Expenses. Administrative service providers (salaries,fees and commissions)	2017-05-31	$79,455
2016 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2016 401k financial data
Total income from all sources	2016-05-31	$10,260
Expenses. Total of all expenses incurred	2016-05-31	$157,683
Benefits paid (including direct rollovers)	2016-05-31	$65,475
Total plan assets at end of year	2016-05-31	$1,465,775
Total plan assets at beginning of year	2016-05-31	$1,613,198
Value of fidelity bond covering the plan	2016-05-31	$400,000
Total contributions received or receivable from participants	2016-05-31	$445
Expenses. Other expenses not covered elsewhere	2016-05-31	$7,469
Other income received	2016-05-31	$9,815
Net income (gross income less expenses)	2016-05-31	$-147,423
Net plan assets at end of year (total assets less liabilities)	2016-05-31	$1,465,775
Net plan assets at beginning of year (total assets less liabilities)	2016-05-31	$1,613,198
Expenses. Administrative service providers (salaries,fees and commissions)	2016-05-31	$84,739
2015 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2015-05-31	$-41,708
Total unrealized appreciation/depreciation of assets	2015-05-31	$-41,708
Total income from all sources (including contributions)	2015-05-31	$316,305
Total loss/gain on sale of assets	2015-05-31	$36,988
Total of all expenses incurred	2015-05-31	$826,467
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-05-31	$631,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-05-31	$274,143
Value of total assets at end of year	2015-05-31	$1,613,198
Value of total assets at beginning of year	2015-05-31	$2,123,360
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-05-31	$195,137
Total interest from all sources	2015-05-31	$20,258
Total dividends received (eg from common stock, registered investment company shares)	2015-05-31	$17,685
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-05-31	$4,473
Administrative expenses professional fees incurred	2015-05-31	$52,715
Was this plan covered by a fidelity bond	2015-05-31	Yes
Value of fidelity bond cover	2015-05-31	$350,000
If this is an individual account plan, was there a blackout period	2015-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-05-31	No
Contributions received from participants	2015-05-31	$236,287
Assets. Other investments not covered elsewhere at end of year	2015-05-31	$73,342
Assets. Other investments not covered elsewhere at beginning of year	2015-05-31	$386,178
Income. Received or receivable in cash from other sources (including rollovers)	2015-05-31	$37,856
Administrative expenses (other) incurred	2015-05-31	$30,748
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-05-31	No
Value of net income/loss	2015-05-31	$-510,162
Value of net assets at end of year (total assets less liabilities)	2015-05-31	$1,613,198
Value of net assets at beginning of year (total assets less liabilities)	2015-05-31	$2,123,360
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-05-31	No
Were any leases to which the plan was party in default or uncollectible	2015-05-31	No
Investment advisory and management fees	2015-05-31	$24,142
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-05-31	$194,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-05-31	$210,682
Income. Interest from US Government securities	2015-05-31	$7,690
Income. Interest from corporate debt instruments	2015-05-31	$12,138
Value of interest in common/collective trusts at end of year	2015-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-05-31	$225,971
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-05-31	$297,114
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-05-31	$297,114
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-05-31	$430
Expenses. Payments to insurance carriers foe the provision of benefits	2015-05-31	$315,040
Asset value of US Government securities at end of year	2015-05-31	$326,126
Asset value of US Government securities at beginning of year	2015-05-31	$262,836
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-05-31	$8,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-05-31	No
Was there a failure to transmit to the plan any participant contributions	2015-05-31	No
Has the plan failed to provide any benefit when due under the plan	2015-05-31	No
Income. Dividends from common stock	2015-05-31	$13,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-05-31	$316,290
Asset. Corporate debt instrument preferred debt at end of year	2015-05-31	$4,234
Asset. Corporate debt instrument debt (other) at end of year	2015-05-31	$364,414
Asset. Corporate debt instrument debt (other) at beginning of year	2015-05-31	$502,323
Contract administrator fees	2015-05-31	$87,532
Assets. Corporate common stocks other than exployer securities at end of year	2015-05-31	$424,137
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-05-31	$464,227
Did the plan have assets held for investment	2015-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-05-31	No
Aggregate proceeds on sale of assets	2015-05-31	$760,587
Aggregate carrying amount (costs) on sale of assets	2015-05-31	$723,599
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-05-31	No
Opinion of an independent qualified public accountant for this plan	2015-05-31	Unqualified
Accountancy firm name	2015-05-31	BROOKS & BROOKS CPAS
Accountancy firm EIN	2015-05-31	010447753
2014 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2014-05-31	$76,717
Total unrealized appreciation/depreciation of assets	2014-05-31	$76,717
Total income from all sources (including contributions)	2014-05-31	$707,164
Total loss/gain on sale of assets	2014-05-31	$15,428
Total of all expenses incurred	2014-05-31	$1,069,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-05-31	$864,970
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-05-31	$521,316
Value of total assets at end of year	2014-05-31	$2,123,360
Value of total assets at beginning of year	2014-05-31	$2,485,792
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-05-31	$204,626
Total interest from all sources	2014-05-31	$43,700
Total dividends received (eg from common stock, registered investment company shares)	2014-05-31	$20,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-05-31	$5,100
Administrative expenses professional fees incurred	2014-05-31	$66,787
Was this plan covered by a fidelity bond	2014-05-31	Yes
Value of fidelity bond cover	2014-05-31	$350,000
If this is an individual account plan, was there a blackout period	2014-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-05-31	No
Contributions received from participants	2014-05-31	$421,316
Assets. Other investments not covered elsewhere at end of year	2014-05-31	$386,178
Assets. Other investments not covered elsewhere at beginning of year	2014-05-31	$348,387
Income. Received or receivable in cash from other sources (including rollovers)	2014-05-31	$100,000
Other income not declared elsewhere	2014-05-31	$-140
Administrative expenses (other) incurred	2014-05-31	$45,784
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-05-31	No
Value of net income/loss	2014-05-31	$-362,432
Value of net assets at end of year (total assets less liabilities)	2014-05-31	$2,123,360
Value of net assets at beginning of year (total assets less liabilities)	2014-05-31	$2,485,792
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-05-31	No
Were any leases to which the plan was party in default or uncollectible	2014-05-31	No
Investment advisory and management fees	2014-05-31	$28,997
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-05-31	$210,682
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-05-31	$261,108
Income. Interest from US Government securities	2014-05-31	$9,022
Income. Interest from corporate debt instruments	2014-05-31	$33,993
Value of interest in common/collective trusts at end of year	2014-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-05-31	$297,114
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-05-31	$511,947
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-05-31	$511,947
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-05-31	$685
Expenses. Payments to insurance carriers foe the provision of benefits	2014-05-31	$438,680
Asset value of US Government securities at end of year	2014-05-31	$262,836
Asset value of US Government securities at beginning of year	2014-05-31	$444,056
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-05-31	$29,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-05-31	No
Was there a failure to transmit to the plan any participant contributions	2014-05-31	No
Has the plan failed to provide any benefit when due under the plan	2014-05-31	No
Income. Dividends from common stock	2014-05-31	$15,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-05-31	$426,290
Asset. Corporate debt instrument debt (other) at end of year	2014-05-31	$502,323
Asset. Corporate debt instrument debt (other) at beginning of year	2014-05-31	$438,477
Contract administrator fees	2014-05-31	$63,058
Assets. Corporate common stocks other than exployer securities at end of year	2014-05-31	$464,227
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-05-31	$481,677
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-05-31	$140
Did the plan have assets held for investment	2014-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-05-31	No
Aggregate proceeds on sale of assets	2014-05-31	$1,086,180
Aggregate carrying amount (costs) on sale of assets	2014-05-31	$1,070,752
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-05-31	No
Opinion of an independent qualified public accountant for this plan	2014-05-31	Unqualified
Accountancy firm name	2014-05-31	BROOKS & BROOKS CPAS
Accountancy firm EIN	2014-05-31	010447753
2013 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2013-05-31	$56,986
Total unrealized appreciation/depreciation of assets	2013-05-31	$56,986
Total income from all sources (including contributions)	2013-05-31	$923,600
Total loss/gain on sale of assets	2013-05-31	$63,503
Total of all expenses incurred	2013-05-31	$876,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-05-31	$701,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-05-31	$720,762
Value of total assets at end of year	2013-05-31	$2,485,792
Value of total assets at beginning of year	2013-05-31	$2,438,393
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-05-31	$174,835
Total interest from all sources	2013-05-31	$23,956
Total dividends received (eg from common stock, registered investment company shares)	2013-05-31	$24,860
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-05-31	$3,376
Administrative expenses professional fees incurred	2013-05-31	$32,126
Was this plan covered by a fidelity bond	2013-05-31	Yes
Value of fidelity bond cover	2013-05-31	$350,000
Were there any nonexempt tranactions with any party-in-interest	2013-05-31	No
Contributions received from participants	2013-05-31	$424,726
Assets. Other investments not covered elsewhere at end of year	2013-05-31	$348,387
Assets. Other investments not covered elsewhere at beginning of year	2013-05-31	$301,488
Other income not declared elsewhere	2013-05-31	$-317
Administrative expenses (other) incurred	2013-05-31	$42,273
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-05-31	No
Value of net income/loss	2013-05-31	$47,399
Value of net assets at end of year (total assets less liabilities)	2013-05-31	$2,485,792
Value of net assets at beginning of year (total assets less liabilities)	2013-05-31	$2,438,393
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-05-31	No
Were any leases to which the plan was party in default or uncollectible	2013-05-31	No
Investment advisory and management fees	2013-05-31	$27,576
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-05-31	$261,108
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-05-31	$177,414
Income. Interest from US Government securities	2013-05-31	$4,781
Income. Interest from corporate debt instruments	2013-05-31	$17,195
Value of interest in common/collective trusts at end of year	2013-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-05-31	$511,947
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-05-31	$649,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-05-31	$649,091
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-05-31	$1,980
Expenses. Payments to insurance carriers foe the provision of benefits	2013-05-31	$401,786
Asset value of US Government securities at end of year	2013-05-31	$444,056
Asset value of US Government securities at beginning of year	2013-05-31	$237,109
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-05-31	$33,850
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-05-31	No
Was there a failure to transmit to the plan any participant contributions	2013-05-31	No
Has the plan failed to provide any benefit when due under the plan	2013-05-31	No
Contributions received in cash from employer	2013-05-31	$296,036
Income. Dividends from common stock	2013-05-31	$21,484
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-05-31	$299,580
Asset. Corporate debt instrument debt (other) at end of year	2013-05-31	$438,477
Asset. Corporate debt instrument debt (other) at beginning of year	2013-05-31	$617,632
Contract administrator fees	2013-05-31	$72,860
Assets. Corporate common stocks other than exployer securities at end of year	2013-05-31	$481,677
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-05-31	$455,202
Assets. Value of buildings and other operty used in plan operation at end of year	2013-05-31	$140
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-05-31	$457
Did the plan have assets held for investment	2013-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-05-31	No
Aggregate proceeds on sale of assets	2013-05-31	$1,053,568
Aggregate carrying amount (costs) on sale of assets	2013-05-31	$990,065
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-05-31	No
Opinion of an independent qualified public accountant for this plan	2013-05-31	Unqualified
Accountancy firm name	2013-05-31	BROOKS & BROOKS CPAS
Accountancy firm EIN	2013-05-31	010447753
2012 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2012-05-31	$-48,025
Total unrealized appreciation/depreciation of assets	2012-05-31	$-48,025
Total income from all sources (including contributions)	2012-05-31	$998,102
Total loss/gain on sale of assets	2012-05-31	$24,898
Total of all expenses incurred	2012-05-31	$903,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-05-31	$744,991
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-05-31	$992,331
Value of total assets at end of year	2012-05-31	$2,438,393
Value of total assets at beginning of year	2012-05-31	$2,343,329
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-05-31	$158,047
Total interest from all sources	2012-05-31	$30,616
Total dividends received (eg from common stock, registered investment company shares)	2012-05-31	$20,721
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-05-31	$4,136
Administrative expenses professional fees incurred	2012-05-31	$26,422
Was this plan covered by a fidelity bond	2012-05-31	Yes
Value of fidelity bond cover	2012-05-31	$350,000
Were there any nonexempt tranactions with any party-in-interest	2012-05-31	No
Contributions received from participants	2012-05-31	$425,252
Assets. Other investments not covered elsewhere at end of year	2012-05-31	$301,488
Assets. Other investments not covered elsewhere at beginning of year	2012-05-31	$311,440
Other income not declared elsewhere	2012-05-31	$-371
Administrative expenses (other) incurred	2012-05-31	$46,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-31	No
Value of net income/loss	2012-05-31	$95,064
Value of net assets at end of year (total assets less liabilities)	2012-05-31	$2,438,393
Value of net assets at beginning of year (total assets less liabilities)	2012-05-31	$2,343,329
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-05-31	No
Were any leases to which the plan was party in default or uncollectible	2012-05-31	No
Investment advisory and management fees	2012-05-31	$26,650
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-05-31	$177,414
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-05-31	$143,675
Income. Interest from US Government securities	2012-05-31	$7,522
Income. Interest from corporate debt instruments	2012-05-31	$20,682
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-05-31	$649,091
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-05-31	$512,183
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-05-31	$512,183
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-05-31	$2,412
Expenses. Payments to insurance carriers foe the provision of benefits	2012-05-31	$443,861
Asset value of US Government securities at end of year	2012-05-31	$237,109
Asset value of US Government securities at beginning of year	2012-05-31	$216,212
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-05-31	$-22,068
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-05-31	No
Was there a failure to transmit to the plan any participant contributions	2012-05-31	No
Has the plan failed to provide any benefit when due under the plan	2012-05-31	No
Contributions received in cash from employer	2012-05-31	$567,079
Income. Dividends from common stock	2012-05-31	$16,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-05-31	$301,130
Asset. Corporate debt instrument debt (other) at end of year	2012-05-31	$617,632
Asset. Corporate debt instrument debt (other) at beginning of year	2012-05-31	$628,268
Contract administrator fees	2012-05-31	$58,579
Assets. Corporate common stocks other than exployer securities at end of year	2012-05-31	$455,202
Assets. Corporate common stocks other than exployer securities at beginning of year	2012-05-31	$530,723
Assets. Value of buildings and other operty used in plan operation at end of year	2012-05-31	$457
Assets. Value of buildings and other operty used in plan operation at beginning of year	2012-05-31	$828
Did the plan have assets held for investment	2012-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-05-31	No
Aggregate proceeds on sale of assets	2012-05-31	$770,576
Aggregate carrying amount (costs) on sale of assets	2012-05-31	$745,678
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-05-31	No
Opinion of an independent qualified public accountant for this plan	2012-05-31	Unqualified
Accountancy firm name	2012-05-31	BROOKS & BROOKS CPAS
Accountancy firm EIN	2012-05-31	010447753
2011 : BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets	2011-05-31	$130,881
Total unrealized appreciation/depreciation of assets	2011-05-31	$130,881
Total income from all sources (including contributions)	2011-05-31	$1,200,907
Total loss/gain on sale of assets	2011-05-31	$54,582
Total of all expenses incurred	2011-05-31	$966,004
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-05-31	$817,726
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-05-31	$958,038
Value of total assets at end of year	2011-05-31	$2,343,329
Value of total assets at beginning of year	2011-05-31	$2,108,426
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-05-31	$148,278
Total interest from all sources	2011-05-31	$38,498
Total dividends received (eg from common stock, registered investment company shares)	2011-05-31	$19,279
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-05-31	No
Administrative expenses professional fees incurred	2011-05-31	$22,729
Was this plan covered by a fidelity bond	2011-05-31	Yes
Value of fidelity bond cover	2011-05-31	$200,000
Were there any nonexempt tranactions with any party-in-interest	2011-05-31	No
Contributions received from participants	2011-05-31	$398,615
Assets. Other investments not covered elsewhere at end of year	2011-05-31	$311,440
Assets. Other investments not covered elsewhere at beginning of year	2011-05-31	$262,722
Other income not declared elsewhere	2011-05-31	$-371
Administrative expenses (other) incurred	2011-05-31	$39,520
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-05-31	No
Value of net income/loss	2011-05-31	$234,903
Value of net assets at end of year (total assets less liabilities)	2011-05-31	$2,343,329
Value of net assets at beginning of year (total assets less liabilities)	2011-05-31	$2,108,426
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-05-31	No
Were any leases to which the plan was party in default or uncollectible	2011-05-31	No
Investment advisory and management fees	2011-05-31	$25,022
Income. Interest from US Government securities	2011-05-31	$11,679
Income. Interest from corporate debt instruments	2011-05-31	$23,883
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-05-31	$512,183
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-05-31	$492,002
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-05-31	$492,002
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-05-31	$2,936
Expenses. Payments to insurance carriers foe the provision of benefits	2011-05-31	$401,416
Asset value of US Government securities at end of year	2011-05-31	$216,212
Asset value of US Government securities at beginning of year	2011-05-31	$417,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-05-31	No
Was there a failure to transmit to the plan any participant contributions	2011-05-31	No
Has the plan failed to provide any benefit when due under the plan	2011-05-31	No
Contributions received in cash from employer	2011-05-31	$559,423
Income. Dividends from common stock	2011-05-31	$19,279
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-05-31	$416,310
Asset. Corporate debt instrument debt (other) at end of year	2011-05-31	$628,268
Asset. Corporate debt instrument debt (other) at beginning of year	2011-05-31	$460,452
Contract administrator fees	2011-05-31	$61,007
Assets. Corporate common stocks other than exployer securities at end of year	2011-05-31	$674,398
Assets. Corporate common stocks other than exployer securities at beginning of year	2011-05-31	$474,952
Assets. Value of buildings and other operty used in plan operation at end of year	2011-05-31	$828
Assets. Value of buildings and other operty used in plan operation at beginning of year	2011-05-31	$1,199
Did the plan have assets held for investment	2011-05-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-05-31	No
Aggregate proceeds on sale of assets	2011-05-31	$1,260,316
Aggregate carrying amount (costs) on sale of assets	2011-05-31	$1,205,734
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-05-31	No
Opinion of an independent qualified public accountant for this plan	2011-05-31	Unqualified
Accountancy firm name	2011-05-31	BROOKS & BROOKS CPAS
Accountancy firm EIN	2011-05-31	010447753

Form 5500 Responses for BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION

2022: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2022 form 5500 responses
2022-06-01	Type of plan entity	Single employer plan
2022-06-01	Plan is a collectively bargained plan	Yes
2022-06-01	Plan funding arrangement – Trust	Yes
2022-06-01	Plan benefit arrangement - Trust	Yes
2021: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2021 form 5500 responses
2021-06-01	Type of plan entity	Single employer plan
2021-06-01	Plan is a collectively bargained plan	Yes
2021-06-01	Plan funding arrangement – Trust	Yes
2021-06-01	Plan benefit arrangement - Trust	Yes
2020: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Plan is a collectively bargained plan	Yes
2020-06-01	Plan funding arrangement – Trust	Yes
2020-06-01	Plan benefit arrangement - Trust	Yes
2019: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Plan is a collectively bargained plan	Yes
2019-06-01	Plan funding arrangement – Trust	Yes
2019-06-01	Plan benefit arrangement - Trust	Yes
2018: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	Plan is a collectively bargained plan	Yes
2018-06-01	Plan funding arrangement – Trust	Yes
2018-06-01	Plan benefit arrangement - Trust	Yes
2017: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	Plan is a collectively bargained plan	Yes
2017-06-01	Plan funding arrangement – Trust	Yes
2017-06-01	Plan benefit arrangement - Trust	Yes
2016: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Plan is a collectively bargained plan	Yes
2016-06-01	Plan funding arrangement – Trust	Yes
2016-06-01	Plan benefit arrangement - Trust	Yes
2015: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Plan is a collectively bargained plan	Yes
2015-06-01	Plan funding arrangement – Trust	Yes
2015-06-01	Plan benefit arrangement - Trust	Yes
2014: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	Plan is a collectively bargained plan	Yes
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan funding arrangement – Trust	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement - Trust	Yes
2013: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	Plan is a collectively bargained plan	Yes
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan funding arrangement – Trust	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement - Trust	Yes
2012: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Plan is a collectively bargained plan	Yes
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan funding arrangement – Trust	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement - Trust	Yes
2011: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Plan is a collectively bargained plan	Yes
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan funding arrangement – Trust	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement - Trust	Yes
2010: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Plan is a collectively bargained plan	Yes
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan funding arrangement – Trust	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement - Trust	Yes
2009: BCTGM LOCAL 334 RETIREE HEALTH PLAN TRUST NISSEN DIVISION 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	Plan is a collectively bargained plan	Yes
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan funding arrangement – Trust	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

SILVERSCRIPT (National Association of Insurance Commissioners NAIC id number: 52411 )

Policy contract number

10130

Policy instance

Insurance contract or identification number	10130
Number of Individuals Covered	169
Insurance policy start date	2014-06-01
Insurance policy end date	2014-12-31
Welfare Benefit Premiums Paid to Carrier	USD $120,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL16321

Policy instance

Insurance contract or identification number	HCL16321
Number of Individuals Covered	153
Insurance policy start date	2014-03-01
Insurance policy end date	2015-02-28
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $284,933
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL16321

Policy instance

Insurance contract or identification number	HCL16321
Number of Individuals Covered	159
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $2,840
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $291,331
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,840
Insurance broker organization code?	3
Insurance broker name	PLAN MARKETING INSURANCE AGENCY INC

SILVERSCRIPT (National Association of Insurance Commissioners NAIC id number: 52411 )

Policy contract number

10130

Policy instance

Insurance contract or identification number	10130
Number of Individuals Covered	169
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Welfare Benefit Premiums Paid to Carrier	USD $150,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SILVERSCRIPT (National Association of Insurance Commissioners NAIC id number: 52411 )

Policy contract number

10130

Policy instance

Insurance contract or identification number	10130
Number of Individuals Covered	172
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Welfare Benefit Premiums Paid to Carrier	USD $133,286
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL16321

Policy instance

Insurance contract or identification number	HCL16321
Number of Individuals Covered	161
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $4,780
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $288,302
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,780
Insurance broker organization code?	3
Insurance broker name	PLAN MARKETING INSURANCE AGENCY INC

SILVERSCRIPT (National Association of Insurance Commissioners NAIC id number: 52411 )

Policy contract number

10130

Policy instance

Insurance contract or identification number	10130
Number of Individuals Covered	164
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Welfare Benefit Premiums Paid to Carrier	USD $132,659
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL16321

Policy instance

Insurance contract or identification number	HCL16321
Number of Individuals Covered	146
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $4,365
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $277,738
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SILVERSCRIPT (National Association of Insurance Commissioners NAIC id number: 52411 )

Policy contract number

10130

Policy instance

Insurance contract or identification number	10130
Number of Individuals Covered	170
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Welfare Benefit Premiums Paid to Carrier	USD $123,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )

Policy contract number

HCL16321

Policy instance

Insurance contract or identification number	HCL16321
Number of Individuals Covered	158
Insurance policy start date	2010-03-01
Insurance policy end date	2011-02-28
Total amount of commissions paid to insurance broker	USD $4,602
Health Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $275,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	BCTGM LOCAL 334
Employer identification number (EIN):	016123853
NAIC Classification:	311800
NAIC Description:	Bakeries and Tortilla Manufacturing