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LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 401k Plan overview

Plan NameLOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754
Plan identification number 501

LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision

401k Sponsoring company profile

BOARD OF TRUSTEES LOCAL 947 HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES LOCAL 947 HEALTH & WELFARE FUND
Employer identification number (EIN):134191811
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-11-01ROBERT MOORE2022-07-27
5012020-10-01
5012020-10-01
5012020-10-01
5012020-10-01
5012019-10-01
5012018-10-01
5012017-10-01ISABEL ROMAN ARNOLD BAERGA2019-03-17
5012016-10-01ISABEL ROMAN
5012015-10-01
5012014-10-01
5012013-10-01
5012012-10-01JOSE VEGA
5012011-10-01JOSE VEGA
5012010-10-01ISABEL ROMAN, FUND ADMINISTRATOR
5012009-10-01ISABEL ROMAN, FUND ADMINISTRATOR
5012008-10-01

Plan Statistics for LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754

401k plan membership statisitcs for LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754

Measure Date Value
2021: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2021 401k membership
Total participants, beginning-of-year2021-10-01196
Total number of active participants reported on line 7a of the Form 55002021-10-01322
Total of all active and inactive participants2021-10-01322
Number of employers contributing to the scheme2021-10-0111
2020: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2020 401k membership
Total participants, beginning-of-year2020-10-01157
Total number of active participants reported on line 7a of the Form 55002020-10-01196
Total of all active and inactive participants2020-10-01196
Number of employers contributing to the scheme2020-10-0112
2019: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2019 401k membership
Total participants, beginning-of-year2019-10-01347
Total number of active participants reported on line 7a of the Form 55002019-10-01157
Total of all active and inactive participants2019-10-01157
Number of employers contributing to the scheme2019-10-0115
2018: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2018 401k membership
Total participants, beginning-of-year2018-10-01151
Total number of active participants reported on line 7a of the Form 55002018-10-01347
Total of all active and inactive participants2018-10-01347
Number of employers contributing to the scheme2018-10-0115
2017: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2017 401k membership
Total participants, beginning-of-year2017-10-01174
Total number of active participants reported on line 7a of the Form 55002017-10-01151
Total of all active and inactive participants2017-10-01151
Number of employers contributing to the scheme2017-10-0117
2016: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2016 401k membership
Total participants, beginning-of-year2016-10-01190
Total number of active participants reported on line 7a of the Form 55002016-10-01174
Total of all active and inactive participants2016-10-01174
Number of employers contributing to the scheme2016-10-0117
2015: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2015 401k membership
Total participants, beginning-of-year2015-10-01209
Total number of active participants reported on line 7a of the Form 55002015-10-01190
Total of all active and inactive participants2015-10-01190
Number of employers contributing to the scheme2015-10-0113
2014: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2014 401k membership
Total participants, beginning-of-year2014-10-01203
Total number of active participants reported on line 7a of the Form 55002014-10-01209
Total of all active and inactive participants2014-10-01209
Number of employers contributing to the scheme2014-10-0115
2013: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2013 401k membership
Total participants, beginning-of-year2013-10-01246
Total number of active participants reported on line 7a of the Form 55002013-10-01203
Total of all active and inactive participants2013-10-01203
Number of employers contributing to the scheme2013-10-0115
2012: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2012 401k membership
Total participants, beginning-of-year2012-10-01359
Total number of active participants reported on line 7a of the Form 55002012-10-01246
Total of all active and inactive participants2012-10-01246
Number of employers contributing to the scheme2012-10-0113
2011: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2011 401k membership
Total participants, beginning-of-year2011-10-011,014
Total number of active participants reported on line 7a of the Form 55002011-10-01359
Total of all active and inactive participants2011-10-01359
Number of employers contributing to the scheme2011-10-0121
2010: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2010 401k membership
Total participants, beginning-of-year2010-10-011,867
Total number of active participants reported on line 7a of the Form 55002010-10-011,014
Total of all active and inactive participants2010-10-011,014
Number of employers contributing to the scheme2010-10-0117
2009: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2009 401k membership
Total participants, beginning-of-year2009-10-011,004
Total number of active participants reported on line 7a of the Form 55002009-10-011,867
Total of all active and inactive participants2009-10-011,867
Number of employers contributing to the scheme2009-10-0118

Financial Data on LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754

Measure Date Value
2022 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$21,939
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$76,237
Total income from all sources (including contributions)2022-09-30$2,879,144
Total of all expenses incurred2022-09-30$2,711,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$2,484,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$2,875,356
Value of total assets at end of year2022-09-30$1,030,330
Value of total assets at beginning of year2022-09-30$917,313
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$226,832
Total interest from all sources2022-09-30$3,788
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Administrative expenses professional fees incurred2022-09-30$3,000
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$100,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$21,939
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$76,237
Administrative expenses (other) incurred2022-09-30$223,832
Total non interest bearing cash at end of year2022-09-30$356,332
Total non interest bearing cash at beginning of year2022-09-30$219,872
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$167,315
Value of net assets at end of year (total assets less liabilities)2022-09-30$1,008,391
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$841,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-09-30$504,279
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-09-30$501,480
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-09-30$501,480
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-09-30$3,788
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$2,484,997
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$2,875,356
Employer contributions (assets) at end of year2022-09-30$13,938
Employer contributions (assets) at beginning of year2022-09-30$36,560
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-09-30No
Assets. Value of buildings and other operty used in plan operation at end of year2022-09-30$155,781
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-09-30$159,401
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30COSTAROTHBORT CPAS LLC
Accountancy firm EIN2022-09-30465286678
2021 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$76,237
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$52,710
Total income from all sources (including contributions)2021-09-30$1,733,766
Total of all expenses incurred2021-09-30$1,712,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$1,507,545
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$1,730,451
Value of total assets at end of year2021-09-30$917,313
Value of total assets at beginning of year2021-09-30$872,899
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$205,334
Total interest from all sources2021-09-30$3,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Administrative expenses professional fees incurred2021-09-30$12,500
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$100,000
If this is an individual account plan, was there a blackout period2021-09-30No
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$76,237
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-09-30$52,710
Administrative expenses (other) incurred2021-09-30$192,834
Total non interest bearing cash at end of year2021-09-30$219,872
Total non interest bearing cash at beginning of year2021-09-30$285,141
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$20,887
Value of net assets at end of year (total assets less liabilities)2021-09-30$841,076
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$820,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-09-30$501,480
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-09-30$424,137
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-09-30$424,137
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-09-30$3,315
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$1,507,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$1,730,451
Employer contributions (assets) at end of year2021-09-30$36,560
Employer contributions (assets) at beginning of year2021-09-30$600
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-09-30No
Assets. Value of buildings and other operty used in plan operation at end of year2021-09-30$159,401
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-09-30$163,021
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30COSTAROTHBORT CPAS LLC
Accountancy firm EIN2021-09-30465286678
2020 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$52,710
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$45,229
Total income from all sources (including contributions)2020-09-30$1,904,586
Total of all expenses incurred2020-09-30$1,758,369
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$1,527,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$1,903,661
Value of total assets at end of year2020-09-30$872,899
Value of total assets at beginning of year2020-09-30$719,201
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$231,175
Total interest from all sources2020-09-30$925
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Administrative expenses professional fees incurred2020-09-30$12,000
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$100,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$52,710
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$45,229
Administrative expenses (other) incurred2020-09-30$219,175
Total non interest bearing cash at end of year2020-09-30$285,141
Total non interest bearing cash at beginning of year2020-09-30$217,254
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$146,217
Value of net assets at end of year (total assets less liabilities)2020-09-30$820,189
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$673,972
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-09-30$424,137
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-09-30$335,306
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-09-30$335,306
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-09-30$925
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$1,527,194
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$1,903,661
Employer contributions (assets) at end of year2020-09-30$600
Employer contributions (assets) at beginning of year2020-09-30$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-09-30No
Assets. Value of buildings and other operty used in plan operation at end of year2020-09-30$163,021
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-09-30$166,641
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30COSTAROTHBORT CPAS LLC
Accountancy firm EIN2020-09-30465286678
2019 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$45,229
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$111,175
Total income from all sources (including contributions)2019-09-30$3,282,149
Total of all expenses incurred2019-09-30$3,132,234
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$2,867,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$3,273,796
Value of total assets at end of year2019-09-30$719,201
Value of total assets at beginning of year2019-09-30$635,232
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$264,648
Total interest from all sources2019-09-30$141
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Administrative expenses professional fees incurred2019-09-30$12,000
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$100,000
If this is an individual account plan, was there a blackout period2019-09-30No
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$45,229
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-30$111,175
Other income not declared elsewhere2019-09-30$8,212
Administrative expenses (other) incurred2019-09-30$252,648
Total non interest bearing cash at end of year2019-09-30$217,254
Total non interest bearing cash at beginning of year2019-09-30$209,806
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$149,915
Value of net assets at end of year (total assets less liabilities)2019-09-30$673,972
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$524,057
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-09-30$335,306
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$255,165
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$255,165
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-09-30$141
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$2,867,586
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$3,273,796
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-09-30No
Assets. Value of buildings and other operty used in plan operation at end of year2019-09-30$166,641
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-09-30$170,261
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30COSTAROTHBORT CPAS LLC
Accountancy firm EIN2019-09-30465286678
2018 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$111,175
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$46,557
Total income from all sources (including contributions)2018-09-30$1,601,908
Total of all expenses incurred2018-09-30$1,465,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$1,124,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$1,601,784
Value of total assets at end of year2018-09-30$635,232
Value of total assets at beginning of year2018-09-30$434,191
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$340,535
Total interest from all sources2018-09-30$75
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Administrative expenses professional fees incurred2018-09-30$13,075
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$100,000
If this is an individual account plan, was there a blackout period2018-09-30No
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-09-30$111,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$44,427
Other income not declared elsewhere2018-09-30$49
Administrative expenses (other) incurred2018-09-30$327,460
Liabilities. Value of operating payables at end of year2018-09-30$0
Liabilities. Value of operating payables at beginning of year2018-09-30$2,130
Total non interest bearing cash at end of year2018-09-30$209,806
Total non interest bearing cash at beginning of year2018-09-30$165,219
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$136,423
Value of net assets at end of year (total assets less liabilities)2018-09-30$524,057
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$387,634
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$255,165
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$95,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$95,091
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-09-30$75
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$1,124,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$1,601,784
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$50
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30No
Assets. Value of buildings and other operty used in plan operation at end of year2018-09-30$170,261
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-09-30$173,881
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30COSTAROTHBORT CPAS LLC
Accountancy firm EIN2018-09-30465286678
2017 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$46,557
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$61,653
Total income from all sources (including contributions)2017-09-30$1,277,285
Total of all expenses incurred2017-09-30$1,143,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$811,790
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$1,190,887
Value of total assets at end of year2017-09-30$434,191
Value of total assets at beginning of year2017-09-30$315,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$331,700
Total interest from all sources2017-09-30$29
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Administrative expenses professional fees incurred2017-09-30$49,806
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$100,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$44,427
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$59,653
Other income not declared elsewhere2017-09-30$86,369
Administrative expenses (other) incurred2017-09-30$281,894
Liabilities. Value of operating payables at end of year2017-09-30$2,130
Liabilities. Value of operating payables at beginning of year2017-09-30$2,000
Total non interest bearing cash at end of year2017-09-30$165,219
Total non interest bearing cash at beginning of year2017-09-30$46,129
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$133,795
Value of net assets at end of year (total assets less liabilities)2017-09-30$387,634
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$253,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$95,091
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-09-30$91,862
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-09-30$91,862
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-09-30$29
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$810,920
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$1,190,887
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$870
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-09-30No
Assets. Value of buildings and other operty used in plan operation at end of year2017-09-30$173,881
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-09-30$177,501
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30COSTAROTHBORT CPAS LLC
Accountancy firm EIN2017-09-30465286678
2016 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-09-30$20,483
Total unrealized appreciation/depreciation of assets2016-09-30$20,483
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$61,653
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$97,642
Total income from all sources (including contributions)2016-09-30$1,474,517
Total of all expenses incurred2016-09-30$1,339,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$899,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$1,453,993
Value of total assets at end of year2016-09-30$333,997
Value of total assets at beginning of year2016-09-30$235,364
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$440,310
Total interest from all sources2016-09-30$41
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Administrative expenses professional fees incurred2016-09-30$15,839
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$100,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$143
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-09-30$12,461
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$59,653
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$66,920
Administrative expenses (other) incurred2016-09-30$384,331
Liabilities. Value of operating payables at end of year2016-09-30$2,000
Liabilities. Value of operating payables at beginning of year2016-09-30$23,537
Total non interest bearing cash at end of year2016-09-30$46,129
Total non interest bearing cash at beginning of year2016-09-30$7,903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$134,622
Value of net assets at end of year (total assets less liabilities)2016-09-30$272,344
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$137,722
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Interest earned on other investments2016-09-30$2
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-09-30$91,862
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-09-30$66,823
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-09-30$66,823
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$39
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$882,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$1,453,850
Employer contributions (assets) at end of year2016-09-30$18,505
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$4,499
Contract administrator fees2016-09-30$40,140
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-09-30No
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$7,185
Assets. Value of buildings and other operty used in plan operation at end of year2016-09-30$177,501
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-09-30$160,638
Did the plan have assets held for investment2016-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30ARMAO LLP
Accountancy firm EIN2016-09-30462754053
2015 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$97,642
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$138,204
Total income from all sources (including contributions)2015-09-30$1,886,525
Total of all expenses incurred2015-09-30$1,890,449
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$1,451,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$1,883,377
Value of total assets at end of year2015-09-30$235,364
Value of total assets at beginning of year2015-09-30$279,850
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$438,971
Total interest from all sources2015-09-30$39
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Administrative expenses professional fees incurred2015-09-30$13,000
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$100,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$974
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-09-30$39,756
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-09-30$66,920
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$49,158
Other income not declared elsewhere2015-09-30$3,109
Administrative expenses (other) incurred2015-09-30$425,971
Liabilities. Value of operating payables at end of year2015-09-30$23,537
Liabilities. Value of operating payables at beginning of year2015-09-30$64,764
Total non interest bearing cash at end of year2015-09-30$7,903
Total non interest bearing cash at beginning of year2015-09-30$2,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-3,924
Value of net assets at end of year (total assets less liabilities)2015-09-30$137,722
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$141,646
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-09-30$66,823
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-09-30$111,784
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-09-30$111,784
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$39
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$1,409,765
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$1,882,403
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$1,957
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-09-30No
Liabilities. Value of benefit claims payable at end of year2015-09-30$7,185
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$24,282
Assets. Value of buildings and other operty used in plan operation at end of year2015-09-30$160,638
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-09-30$165,649
Did the plan have assets held for investment2015-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30ARMAO LLP
Accountancy firm EIN2015-09-30462754053
2014 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$138,204
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$90,648
Total income from all sources (including contributions)2014-09-30$1,929,551
Total of all expenses incurred2014-09-30$2,280,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$1,730,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$1,929,551
Value of total assets at end of year2014-09-30$279,850
Value of total assets at beginning of year2014-09-30$583,719
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$550,788
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Administrative expenses professional fees incurred2014-09-30$12,245
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$100,000
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-09-30$21,706
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-09-30$49,158
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$59,410
Administrative expenses (other) incurred2014-09-30$538,543
Liabilities. Value of operating payables at end of year2014-09-30$64,764
Liabilities. Value of operating payables at beginning of year2014-09-30$0
Total non interest bearing cash at end of year2014-09-30$2,417
Total non interest bearing cash at beginning of year2014-09-30$14,202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$-351,425
Value of net assets at end of year (total assets less liabilities)2014-09-30$141,646
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$493,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-09-30$111,784
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-09-30$397,863
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-09-30$397,863
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$1,699,615
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$1,929,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$8,867
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-09-30No
Liabilities. Value of benefit claims payable at end of year2014-09-30$24,282
Liabilities. Value of benefit claims payable at beginning of year2014-09-30$31,238
Assets. Value of buildings and other operty used in plan operation at end of year2014-09-30$165,649
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-09-30$171,654
Did the plan have assets held for investment2014-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30ARMAO LLP
Accountancy firm EIN2014-09-30462754053
2013 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$90,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$157,512
Total income from all sources (including contributions)2013-09-30$2,400,036
Total of all expenses incurred2013-09-30$2,581,978
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,986,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$2,369,802
Value of total assets at end of year2013-09-30$583,719
Value of total assets at beginning of year2013-09-30$832,525
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$595,280
Total interest from all sources2013-09-30$1,331
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Administrative expenses professional fees incurred2013-09-30$13,325
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$100,000
If this is an individual account plan, was there a blackout period2013-09-30No
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$8,407
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-09-30$59,410
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$113,846
Other income not declared elsewhere2013-09-30$28,903
Administrative expenses (other) incurred2013-09-30$581,955
Total non interest bearing cash at end of year2013-09-30$14,202
Total non interest bearing cash at beginning of year2013-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$-181,942
Value of net assets at end of year (total assets less liabilities)2013-09-30$493,071
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$675,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-09-30$397,863
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-09-30$651,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-09-30$651,532
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$1,331
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$1,905,351
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$2,361,395
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$81,347
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-09-30No
Liabilities. Value of benefit claims payable at end of year2013-09-30$31,238
Liabilities. Value of benefit claims payable at beginning of year2013-09-30$43,666
Assets. Value of buildings and other operty used in plan operation at end of year2013-09-30$171,654
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-09-30$180,993
Did the plan have assets held for investment2013-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30ARMAO LLP
Accountancy firm EIN2013-09-30462754053
2012 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$157,512
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$611,369
Total income from all sources (including contributions)2012-09-30$4,434,141
Total of all expenses incurred2012-09-30$4,462,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$3,970,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$4,414,659
Value of total assets at end of year2012-09-30$832,525
Value of total assets at beginning of year2012-09-30$1,314,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$491,504
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Assets. Real estate other than employer real property at end of year2012-09-30$171,497
Assets. Real estate other than employer real property at beginning of year2012-09-30$171,497
Administrative expenses professional fees incurred2012-09-30$12,000
Was this plan covered by a fidelity bond2012-09-30No
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$4,998
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-09-30$113,846
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-09-30$201,739
Other income not declared elsewhere2012-09-30$19,482
Administrative expenses (other) incurred2012-09-30$479,504
Total non interest bearing cash at end of year2012-09-30$0
Total non interest bearing cash at beginning of year2012-09-30$303,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$-28,327
Value of net assets at end of year (total assets less liabilities)2012-09-30$675,013
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$703,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-09-30$651,532
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-09-30$821,534
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-09-30$821,534
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$3,895,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$4,409,661
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$75,456
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-09-30No
Liabilities. Value of benefit claims payable at end of year2012-09-30$43,666
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$409,630
Assets. Value of buildings and other operty used in plan operation at end of year2012-09-30$9,496
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-09-30$18,548
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30ARMAO, COSTA & RICCIARDI, CPAS, P.C
Accountancy firm EIN2012-09-30113264776
2011 : LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$611,369
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$363,515
Total income from all sources (including contributions)2011-09-30$4,412,692
Total of all expenses incurred2011-09-30$5,055,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$4,249,543
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$4,411,090
Value of total assets at end of year2011-09-30$1,314,709
Value of total assets at beginning of year2011-09-30$1,709,903
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$806,197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Assets. Real estate other than employer real property at end of year2011-09-30$171,497
Assets. Real estate other than employer real property at beginning of year2011-09-30$171,497
Administrative expenses professional fees incurred2011-09-30$12,000
Was this plan covered by a fidelity bond2011-09-30No
If this is an individual account plan, was there a blackout period2011-09-30No
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$16,427
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-09-30$201,739
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-09-30$184,061
Other income not declared elsewhere2011-09-30$1,602
Administrative expenses (other) incurred2011-09-30$794,197
Total non interest bearing cash at end of year2011-09-30$303,130
Total non interest bearing cash at beginning of year2011-09-30$180,699
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$-643,048
Value of net assets at end of year (total assets less liabilities)2011-09-30$703,340
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$1,346,388
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-09-30$821,534
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-09-30$1,330,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-09-30$1,330,107
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$4,177,775
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$4,394,663
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$71,768
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-09-30No
Liabilities. Value of benefit claims payable at end of year2011-09-30$409,630
Liabilities. Value of benefit claims payable at beginning of year2011-09-30$179,454
Assets. Value of buildings and other operty used in plan operation at end of year2011-09-30$18,548
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-09-30$27,600
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30ARMAO, COSTA & RICCIARDI, CPAS, P.C
Accountancy firm EIN2011-09-30113264776

Form 5500 Responses for LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754

2021: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2021 form 5500 responses
2021-10-01Type of plan entityMulti-employer plan
2021-10-01Plan is a collectively bargained planYes
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2020 form 5500 responses
2020-10-01Type of plan entityMulti-employer plan
2020-10-01Plan is a collectively bargained planYes
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2019 form 5500 responses
2019-10-01Type of plan entityMulti-employer plan
2019-10-01Plan is a collectively bargained planYes
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2018 form 5500 responses
2018-10-01Type of plan entityMulti-employer plan
2018-10-01Plan is a collectively bargained planYes
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2017 form 5500 responses
2017-10-01Type of plan entityMulti-employer plan
2017-10-01Plan is a collectively bargained planYes
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2016 form 5500 responses
2016-10-01Type of plan entityMulti-employer plan
2016-10-01Plan is a collectively bargained planYes
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2015 form 5500 responses
2015-10-01Type of plan entityMulti-employer plan
2015-10-01Plan is a collectively bargained planYes
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2014 form 5500 responses
2014-10-01Type of plan entityMulti-employer plan
2014-10-01Plan is a collectively bargained planYes
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2013 form 5500 responses
2013-10-01Type of plan entityMulti-employer plan
2013-10-01Plan is a collectively bargained planYes
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2012 form 5500 responses
2012-10-01Type of plan entityMulti-employer plan
2012-10-01Plan is a collectively bargained planYes
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2011 form 5500 responses
2011-10-01Type of plan entityMulti-employer plan
2011-10-01Submission has been amendedYes
2011-10-01Plan is a collectively bargained planYes
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2010: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2010 form 5500 responses
2010-10-01Type of plan entityMulti-employer plan
2010-10-01Plan is a collectively bargained planYes
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan funding arrangement – TrustYes
2010-10-01Plan benefit arrangement – InsuranceYes
2010-10-01Plan benefit arrangement - TrustYes
2009: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2009 form 5500 responses
2009-10-01Type of plan entityMulti-employer plan
2009-10-01This submission is the final filingNo
2009-10-01Plan is a collectively bargained planYes
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes
2008: LOCAL 947 HEALTH AND WELFARE FUND 3 MAIN STREET KINGS PARK, NY 11754 2008 form 5500 responses
2008-10-01Type of plan entityMulti-employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

PREMERA BLUE CROSS BLUE SHIELD OF ALASKA (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered52
Insurance policy start date2022-08-01
Insurance policy end date2023-07-31
Total amount of commissions paid to insurance brokerUSD $99,040
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $99,040
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81391 )
Policy contract number10025020
Policy instance 3
Insurance contract or identification number10025020
Number of Individuals Covered22
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $74,608
Total amount of fees paid to insurance companyUSD $9,302
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,608
Amount paid for insurance broker fees9302
Insurance broker organization code?6
INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number54325IN
Policy instance 2
Insurance contract or identification number54325IN
Number of Individuals Covered165
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $23,686
Total amount of fees paid to insurance companyUSD $14,479
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,686
Amount paid for insurance broker fees14479
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract numberW11041
Policy instance 1
Insurance contract or identification numberW11041
Number of Individuals Covered33
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $20,928
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,928
Insurance broker organization code?3
PREMERA BLUE CROSS BLUE SHIELD OF ALASKA (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 4
Number of Individuals Covered53
Insurance policy start date2021-08-01
Insurance policy end date2022-07-31
Total amount of commissions paid to insurance brokerUSD $80,360
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $112,398
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,360
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 81391 )
Policy contract number10025020
Policy instance 3
Insurance contract or identification number10025020
Number of Individuals Covered20
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $74,608
Total amount of fees paid to insurance companyUSD $9,302
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $289,685
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $74,608
Amount paid for insurance broker fees9302
Insurance broker organization code?6
INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number54325IN
Policy instance 2
Insurance contract or identification number54325IN
Number of Individuals Covered164
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $23,686
Total amount of fees paid to insurance companyUSD $14,479
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $418,145
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,686
Amount paid for insurance broker fees14479
Insurance broker organization code?3
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract numberW11041
Policy instance 1
Insurance contract or identification numberW11041
Number of Individuals Covered32
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $31,295
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $358,190
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,928
Insurance broker organization code?3
INTEGON NATIONAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 29742 )
Policy contract number54325IN
Policy instance 2
Insurance contract or identification number54325IN
Number of Individuals Covered169
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $34,137
Total amount of fees paid to insurance companyUSD $73,155
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $859,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees55474
Additional information about fees paid to insurance brokerTPA FEES/WELLNESS PROGRAM
Insurance broker organization code?5
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract numberW11041
Policy instance 1
Insurance contract or identification numberW11041
Number of Individuals Covered30
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $21,180
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $481,707
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,180
Amount paid for insurance broker fees0
Insurance broker organization code?3
GERBER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberGLIUME001991
Policy instance 2
Insurance contract or identification numberGLIUME001991
Number of Individuals Covered312
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $44,371
Total amount of fees paid to insurance companyUSD $200,039
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,241,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees154711
Additional information about fees paid to insurance brokerTPA FEES/WELLNESS PROGRAM
Insurance broker organization code?5
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract numberW11041
Policy instance 1
Insurance contract or identification numberW11041
Number of Individuals Covered259
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $14,085
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $396,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,085
Amount paid for insurance broker fees0
Insurance broker organization code?3
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberW11041
Policy instance 3
Insurance contract or identification numberW11041
Number of Individuals Covered0
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EMPIRE HEALTHCHOICE ASSURANCE, INC. (National Association of Insurance Commissioners NAIC id number: 55093 )
Policy contract numberW11041
Policy instance 1
Insurance contract or identification numberW11041
Number of Individuals Covered15
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $8,517
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $173,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MIDLANDS CASUALTY INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 15754 )
Policy contract numberLLH2358
Policy instance 2
Insurance contract or identification numberLLH2358
Number of Individuals Covered97
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $21,559
Total amount of fees paid to insurance companyUSD $23,816
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $227,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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