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BOLLORE INCORPORATED AD & D INSURANCE PLAN 401k Plan overview

Plan NameBOLLORE INCORPORATED AD & D INSURANCE PLAN
Plan identification number 502

BOLLORE INCORPORATED AD & D INSURANCE PLAN Benefits

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

401k Sponsoring company profile

BOLLORE INC. has sponsored the creation of one or more 401k plans.

Company Name:BOLLORE INC.
Employer identification number (EIN):061057290
NAIC Classification:325900
NAIC Description:Other Chemical Product and Preparation Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOLLORE INCORPORATED AD & D INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-05-01ROBERT VICKERS ROBERT VICKERS2016-06-10
5022014-05-01ROBERT VICKERS ROBERT VICKERS2015-06-12
5022013-05-01ROBERT VICKERS ROBERT VICKERS2014-05-19
5022012-05-01ROBERT VICKERS ROBERT VICKERS2013-07-09
5022011-05-01ROBERT VICKERS
5022010-05-01ROBERT VICKERS
5022009-05-01 ROBERT VICKERS2010-06-14
5022009-05-01ROBERT VICKERS

Plan Statistics for BOLLORE INCORPORATED AD & D INSURANCE PLAN

401k plan membership statisitcs for BOLLORE INCORPORATED AD & D INSURANCE PLAN

Measure Date Value
2015: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-0167
Total number of active participants reported on line 7a of the Form 55002015-05-0163
Total of all active and inactive participants2015-05-0163
Total participants2015-05-0163
2014: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-0167
Total number of active participants reported on line 7a of the Form 55002014-05-0167
Total of all active and inactive participants2014-05-0167
Total participants2014-05-0167
2013: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-0170
Total number of active participants reported on line 7a of the Form 55002013-05-0167
Total of all active and inactive participants2013-05-0167
Total participants2013-05-0167
2012: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-0173
Total number of active participants reported on line 7a of the Form 55002012-05-0170
Total of all active and inactive participants2012-05-0170
Total participants2012-05-0170
2011: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0175
Total number of active participants reported on line 7a of the Form 55002011-05-0173
Total of all active and inactive participants2011-05-0173
Total participants2011-05-0173
2010: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-0180
Total number of active participants reported on line 7a of the Form 55002010-05-0175
Total of all active and inactive participants2010-05-0175
Total participants2010-05-0175
2009: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-0188
Total number of active participants reported on line 7a of the Form 55002009-05-0180
Total of all active and inactive participants2009-05-0180
Total participants2009-05-0180

Form 5500 Responses for BOLLORE INCORPORATED AD & D INSURANCE PLAN

2015: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – General assets of the sponsorYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – General assets of the sponsorYes
2012-05-01Plan benefit arrangement – General assets of the sponsorYes
2011: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – General assets of the sponsorYes
2011-05-01Plan benefit arrangement – General assets of the sponsorYes
2010: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Submission has been amendedYes
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – General assets of the sponsorYes
2010-05-01Plan benefit arrangement – General assets of the sponsorYes
2009: BOLLORE INCORPORATED AD & D INSURANCE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – General assets of the sponsorYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL023053
Policy instance 1
Insurance contract or identification numberGL023053
Number of Individuals Covered63
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Total amount of commissions paid to insurance brokerUSD $414
Are there contracts with allocated funds for individual policies?No
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?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $414
Insurance broker organization code?3
Insurance broker nameGERARDI INSURANCE SERVICES INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL023053
Policy instance 1
Insurance contract or identification numberGL023053
Number of Individuals Covered67
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $430
Are there contracts with allocated funds for individual policies?No
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?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $430
Insurance broker organization code?3
Insurance broker nameGERARDI INSURANCE SERVICES INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL023053
Policy instance 1
Insurance contract or identification numberGL023053
Number of Individuals Covered67
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $448
Are there contracts with allocated funds for individual policies?No
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?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $448
Insurance broker organization code?3
Insurance broker nameGERARDI INSUARNCE SERVICES INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL023053
Policy instance 1
Insurance contract or identification numberGL023053
Number of Individuals Covered70
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $452
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees452
Insurance broker organization code?3
Insurance broker nameGERARDI INSURANCE SERVICES INC
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL023053
Policy instance 1
Insurance contract or identification numberGL023053
Number of Individuals Covered73
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $454
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL023053
Policy instance 1
Insurance contract or identification numberGL023053
Number of Individuals Covered75
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $515
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees515
Insurance broker organization code?3
Insurance broker nameGERARDI INSURANCE

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