401k Plan data: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES plan

PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 401k Plan overview

Plan Name	PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES
Plan identification number	502

PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES Benefits

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

401k Sponsoring company profile

PHILIPS NORTH AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name: PHILIPS NORTH AMERICA LLC

Employer identification number (EIN): 133429115

NAIC Classification: 339900

Additional information about PHILIPS NORTH AMERICA LLC

Jurisdiction of Incorporation: Commonwealth of Massachusetts Corporations Division

Incorporation Date:

Company Identification Number: 133429115

More information about PHILIPS NORTH AMERICA LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2023-01-01 KRISTINE FORTIN 2024-10-14 KRISTINE FORTIN 2024-10-14
502 2022-01-01 KRISTINE FORTIN 2023-10-09 KRISTINE FORTIN 2023-10-09
502 2021-01-01 KRISTINE FORTIN 2022-10-12 KRISTINE FORTIN 2022-10-12
502 2020-01-01 KRISTINE FORTIN 2021-10-07 KRISTINE FORTIN 2021-10-07
502 2019-01-01 KRISTINE FORTIN 2020-10-07 KRISTINE FORTIN 2020-10-07
502 2018-01-01 KRISTINE FORTIN 2019-10-05 KRISTINE FORTIN 2019-10-05
502 2017-01-01
502 2016-01-01
502 2015-01-01 KRISTINE FORTIN
502 2014-01-01 LEVERDA WALLACE
502 2013-01-01 JULIE THIBODEAU
502 2012-01-01 ELIZABETH A. GRELLA
502 2011-01-01 ELIZABETH A. GRELLA
502 2010-01-01 ELIZABETH A GRELLA

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
502	2023-01-01	KRISTINE FORTIN	2024-10-14	KRISTINE FORTIN	2024-10-14
502	2022-01-01	KRISTINE FORTIN	2023-10-09	KRISTINE FORTIN	2023-10-09
502	2021-01-01	KRISTINE FORTIN	2022-10-12	KRISTINE FORTIN	2022-10-12
502	2020-01-01	KRISTINE FORTIN	2021-10-07	KRISTINE FORTIN	2021-10-07
502	2019-01-01	KRISTINE FORTIN	2020-10-07	KRISTINE FORTIN	2020-10-07
502	2018-01-01	KRISTINE FORTIN	2019-10-05	KRISTINE FORTIN	2019-10-05
502	2017-01-01
502	2016-01-01
502	2015-01-01	KRISTINE FORTIN
502	2014-01-01	LEVERDA WALLACE
502	2013-01-01	JULIE THIBODEAU
502	2012-01-01	ELIZABETH A. GRELLA
502	2011-01-01	ELIZABETH A. GRELLA
502	2010-01-01	ELIZABETH A GRELLA

Form 5500 Responses for PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES

2023: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2023 form 5500 responses
2023-01-01	Type of plan entity	Single employer plan
2023-01-01	Submission has been amended	No
2023-01-01	This submission is the final filing	No
2023-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2023-01-01	Plan is a collectively bargained plan	No
2023-01-01	Plan funding arrangement – Insurance	Yes
2023-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2023-01-01	Plan benefit arrangement – Insurance	Yes
2023-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2022: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: PHILIPS ELECTRONICS NORTH AMERICA CORPORATION WELFARE BENEFIT PLAN FOR RETIREES 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Submission has been amended	Yes
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

70737

Policy instance

Insurance contract or identification number	70737
Number of Individuals Covered	1292
Insurance policy start date	2023-01-01
Insurance policy end date	2023-12-31
Total amount of commissions paid to insurance broker	USD $3,671
Total amount of fees paid to insurance company	USD $14,952
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $139,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

70737

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

221344

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

221344

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

221344

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

221344

Policy instance

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

221344

Policy instance

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX980001

Policy instance

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX980001

Policy instance

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX980001

Policy instance

Potentially related plans

PHILIPS ELECTRONICS NORTH AMERICA CORPORATION MASTER RETIREMENT TRUST [EIN = 136326118]

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Company Name:	PHILIPS NORTH AMERICA LLC
Employer identification number (EIN):	133429115
NAIC Classification:	339900

Jurisdiction of Incorporation:	Commonwealth of Massachusetts Corporations Division
Incorporation Date:
Company Identification Number:	133429115