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LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 401k Plan overview

Plan NameLOCAL 807 LABOR-MANAGEMENT HEALTH FUND
Plan identification number 501

LOCAL 807 LABOR-MANAGEMENT HEALTH FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Collectively bargained welfare benefit arrangement under Code section 419A(f)(5).

401k Sponsoring company profile

BOARD OF TRUSTEES OF THE LOCAL 807 LABOR-MANAGEMENT HEALTH FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF THE LOCAL 807 LABOR-MANAGEMENT HEALTH FUND
Employer identification number (EIN):135548780
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LOCAL 807 LABOR-MANAGEMENT HEALTH FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01DEMOS P. DEMOPOULOS2023-03-14 PETER INGRAM2023-03-14
5012020-09-01DEMOS P. DEMOPOULOS2022-03-13 SCOTT LITTLE2022-03-13
5012019-09-01ROBERT G. HOLDEN2021-03-09 ANTHONY STORZ2021-03-09
5012018-09-01JOHN SULLIVAN2020-03-16 JOHN ZAK2020-03-16
5012017-09-01
5012016-09-01
5012015-09-01CAROL WESTFALL
5012014-09-01CAROL WESTFALL
5012013-09-01CAROL WESTFALL
5012012-09-01CAROL WESTFALL
5012011-09-01CAROL WESTFALL
5012009-09-01CAROL WESTFALL

Plan Statistics for LOCAL 807 LABOR-MANAGEMENT HEALTH FUND

401k plan membership statisitcs for LOCAL 807 LABOR-MANAGEMENT HEALTH FUND

Measure Date Value
2021: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2021 401k membership
Total participants, beginning-of-year2021-09-01553
Total number of active participants reported on line 7a of the Form 55002021-09-01513
Number of retired or separated participants receiving benefits2021-09-018
Total of all active and inactive participants2021-09-01521
Number of employers contributing to the scheme2021-09-0166
2020: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2020 401k membership
Total participants, beginning-of-year2020-09-01630
Total number of active participants reported on line 7a of the Form 55002020-09-01546
Number of retired or separated participants receiving benefits2020-09-017
Total of all active and inactive participants2020-09-01553
Number of employers contributing to the scheme2020-09-0175
2019: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2019 401k membership
Total participants, beginning-of-year2019-09-01719
Total number of active participants reported on line 7a of the Form 55002019-09-01622
Number of retired or separated participants receiving benefits2019-09-018
Total of all active and inactive participants2019-09-01630
Number of employers contributing to the scheme2019-09-0184
2018: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2018 401k membership
Total participants, beginning-of-year2018-09-01712
Total number of active participants reported on line 7a of the Form 55002018-09-01685
Number of retired or separated participants receiving benefits2018-09-0134
Total of all active and inactive participants2018-09-01719
Number of employers contributing to the scheme2018-09-0182
2017: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2017 401k membership
Total participants, beginning-of-year2017-09-01736
Total number of active participants reported on line 7a of the Form 55002017-09-01682
Number of retired or separated participants receiving benefits2017-09-0130
Total of all active and inactive participants2017-09-01712
Number of employers contributing to the scheme2017-09-0179
2016: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2016 401k membership
Total participants, beginning-of-year2016-09-01710
Total number of active participants reported on line 7a of the Form 55002016-09-01708
Number of retired or separated participants receiving benefits2016-09-0128
Total of all active and inactive participants2016-09-01736
Number of employers contributing to the scheme2016-09-0190
2015: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2015 401k membership
Total participants, beginning-of-year2015-09-01744
Total number of active participants reported on line 7a of the Form 55002015-09-01686
Number of retired or separated participants receiving benefits2015-09-0124
Total of all active and inactive participants2015-09-01710
Number of employers contributing to the scheme2015-09-0194
2014: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2014 401k membership
Total participants, beginning-of-year2014-09-01762
Total number of active participants reported on line 7a of the Form 55002014-09-01720
Number of retired or separated participants receiving benefits2014-09-0124
Total of all active and inactive participants2014-09-01744
Number of employers contributing to the scheme2014-09-0187
2013: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2013 401k membership
Total participants, beginning-of-year2013-09-01800
Total number of active participants reported on line 7a of the Form 55002013-09-01735
Number of retired or separated participants receiving benefits2013-09-0127
Total of all active and inactive participants2013-09-01762
Number of employers contributing to the scheme2013-09-0191
2012: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2012 401k membership
Total participants, beginning-of-year2012-09-01815
Total number of active participants reported on line 7a of the Form 55002012-09-01783
Number of retired or separated participants receiving benefits2012-09-0117
Total of all active and inactive participants2012-09-01800
Number of employers contributing to the scheme2012-09-0191
2011: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2011 401k membership
Total participants, beginning-of-year2011-09-01850
Total number of active participants reported on line 7a of the Form 55002011-09-01798
Number of retired or separated participants receiving benefits2011-09-0117
Total of all active and inactive participants2011-09-01815
Number of employers contributing to the scheme2011-09-0191
2009: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2009 401k membership
Total participants, beginning-of-year2009-09-011,145
Total number of active participants reported on line 7a of the Form 55002009-09-011,007
Number of retired or separated participants receiving benefits2009-09-0150
Total of all active and inactive participants2009-09-011,057
Number of employers contributing to the scheme2009-09-01170

Financial Data on LOCAL 807 LABOR-MANAGEMENT HEALTH FUND

Measure Date Value
2022 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-08-31$-3,403,209
Total unrealized appreciation/depreciation of assets2022-08-31$-3,403,209
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$3,905,284
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$3,996,299
Total income from all sources (including contributions)2022-08-31$6,724,365
Total loss/gain on sale of assets2022-08-31$-276,851
Total of all expenses incurred2022-08-31$11,182,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$9,732,225
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$10,381,332
Value of total assets at end of year2022-08-31$73,549,054
Value of total assets at beginning of year2022-08-31$78,098,431
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$1,450,502
Total income from rents2022-08-31$172,971
Total interest from all sources2022-08-31$1,101,366
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$300,605
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-08-31$300,605
Assets. Real estate other than employer real property at end of year2022-08-31$11,249,540
Assets. Real estate other than employer real property at beginning of year2022-08-31$11,204,711
Administrative expenses professional fees incurred2022-08-31$432,005
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$221,504
Assets. Other investments not covered elsewhere at end of year2022-08-31$3,242
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-08-31$946,785
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-08-31$660,996
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-08-31$895,995
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-08-31$348,898
Administrative expenses (other) incurred2022-08-31$950,027
Liabilities. Value of operating payables at end of year2022-08-31$290,304
Liabilities. Value of operating payables at beginning of year2022-08-31$250,511
Total non interest bearing cash at end of year2022-08-31$919,639
Total non interest bearing cash at beginning of year2022-08-31$1,124,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$-4,458,362
Value of net assets at end of year (total assets less liabilities)2022-08-31$69,643,770
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$74,102,132
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Assets. partnership/joint venture interests at end of year2022-08-31$312,904
Investment advisory and management fees2022-08-31$68,470
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-08-31$10,181,382
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-08-31$10,669,475
Income. Interest from US Government securities2022-08-31$558,225
Income. Interest from corporate debt instruments2022-08-31$542,541
Value of interest in common/collective trusts at end of year2022-08-31$5,795,976
Value of interest in common/collective trusts at beginning of year2022-08-31$6,531,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-08-31$2,409,378
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-08-31$1,188,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-08-31$1,188,619
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-08-31$600
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$719,240
Asset value of US Government securities at end of year2022-08-31$25,691,431
Asset value of US Government securities at beginning of year2022-08-31$24,744,597
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-08-31$-818,419
Net investment gain or loss from common/collective trusts2022-08-31$-733,430
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31No
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$10,159,828
Employer contributions (assets) at end of year2022-08-31$949,000
Employer contributions (assets) at beginning of year2022-08-31$927,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$9,012,985
Asset. Corporate debt instrument preferred debt at end of year2022-08-31$2,807,299
Asset. Corporate debt instrument preferred debt at beginning of year2022-08-31$4,254,078
Asset. Corporate debt instrument debt (other) at end of year2022-08-31$12,072,661
Asset. Corporate debt instrument debt (other) at beginning of year2022-08-31$16,411,408
Assets. Corporate common stocks other than exployer securities at beginning of year2022-08-31$0
Liabilities. Value of benefit claims payable at end of year2022-08-31$1,205,500
Liabilities. Value of benefit claims payable at beginning of year2022-08-31$1,197,600
Assets. Value of buildings and other operty used in plan operation at end of year2022-08-31$209,817
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-08-31$381,664
Did the plan have assets held for investment2022-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Aggregate proceeds on sale of assets2022-08-31$19,000,308
Aggregate carrying amount (costs) on sale of assets2022-08-31$19,277,159
Liabilities. Value of acquisition indebtedness at end of year2022-08-31$1,513,485
Liabilities. Value of acquisition indebtedness at beginning of year2022-08-31$2,199,290
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2022-08-31131577780
2021 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-08-31$-1,692,588
Total unrealized appreciation/depreciation of assets2021-08-31$-1,692,588
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$3,996,299
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$3,541,785
Total income from all sources (including contributions)2021-08-31$14,415,303
Total loss/gain on sale of assets2021-08-31$1,909,852
Total of all expenses incurred2021-08-31$11,804,605
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$10,284,160
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$9,357,588
Value of total assets at end of year2021-08-31$78,098,431
Value of total assets at beginning of year2021-08-31$75,033,219
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$1,520,445
Total income from rents2021-08-31$167,186
Total interest from all sources2021-08-31$1,323,717
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$238,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-08-31$62,821
Assets. Real estate other than employer real property at end of year2021-08-31$11,204,711
Assets. Real estate other than employer real property at beginning of year2021-08-31$8,633,015
Administrative expenses professional fees incurred2021-08-31$357,026
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$364,957
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-08-31$660,996
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-08-31$1,191,979
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-08-31$348,898
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-08-31$593,576
Administrative expenses (other) incurred2021-08-31$1,088,631
Liabilities. Value of operating payables at end of year2021-08-31$250,511
Liabilities. Value of operating payables at beginning of year2021-08-31$278,051
Total non interest bearing cash at end of year2021-08-31$1,124,079
Total non interest bearing cash at beginning of year2021-08-31$766,078
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$2,610,698
Value of net assets at end of year (total assets less liabilities)2021-08-31$74,102,132
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$71,491,434
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Investment advisory and management fees2021-08-31$74,788
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-08-31$10,669,475
Income. Interest from US Government securities2021-08-31$603,985
Income. Interest from corporate debt instruments2021-08-31$719,464
Value of interest in common/collective trusts at end of year2021-08-31$6,531,804
Value of interest in common/collective trusts at beginning of year2021-08-31$4,982,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-08-31$1,188,619
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-08-31$3,212,292
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-08-31$3,212,292
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-31$268
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$660,285
Asset value of US Government securities at end of year2021-08-31$24,744,597
Asset value of US Government securities at beginning of year2021-08-31$29,068,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-08-31$1,558,350
Net investment gain or loss from common/collective trusts2021-08-31$1,552,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31No
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$8,992,631
Employer contributions (assets) at end of year2021-08-31$927,000
Employer contributions (assets) at beginning of year2021-08-31$873,100
Income. Dividends from common stock2021-08-31$176,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$9,623,875
Asset. Corporate debt instrument preferred debt at end of year2021-08-31$4,254,078
Asset. Corporate debt instrument preferred debt at beginning of year2021-08-31$6,088,071
Asset. Corporate debt instrument debt (other) at end of year2021-08-31$16,411,408
Asset. Corporate debt instrument debt (other) at beginning of year2021-08-31$8,813,301
Assets. Corporate common stocks other than exployer securities at end of year2021-08-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2021-08-31$11,261,656
Liabilities. Value of benefit claims payable at end of year2021-08-31$1,197,600
Liabilities. Value of benefit claims payable at beginning of year2021-08-31$1,261,200
Assets. Value of buildings and other operty used in plan operation at end of year2021-08-31$381,664
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-08-31$143,017
Did the plan have assets held for investment2021-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Aggregate proceeds on sale of assets2021-08-31$37,705,644
Aggregate carrying amount (costs) on sale of assets2021-08-31$35,795,792
Liabilities. Value of acquisition indebtedness at end of year2021-08-31$2,199,290
Liabilities. Value of acquisition indebtedness at beginning of year2021-08-31$1,408,958
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2021-08-31131577780
2020 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-08-31$81,296
Total unrealized appreciation/depreciation of assets2020-08-31$81,296
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$3,541,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$1,944,240
Total income from all sources (including contributions)2020-08-31$13,416,765
Total loss/gain on sale of assets2020-08-31$214,459
Total of all expenses incurred2020-08-31$11,798,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$10,320,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$10,456,077
Value of total assets at end of year2020-08-31$75,033,219
Value of total assets at beginning of year2020-08-31$71,817,473
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$1,478,168
Total income from rents2020-08-31$165,684
Total interest from all sources2020-08-31$1,140,472
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$464,886
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Assets. Real estate other than employer real property at end of year2020-08-31$8,633,015
Assets. Real estate other than employer real property at beginning of year2020-08-31$5,800,000
Administrative expenses professional fees incurred2020-08-31$304,860
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$141,133
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-08-31$1,191,979
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-08-31$1,211,455
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-08-31$593,576
Administrative expenses (other) incurred2020-08-31$1,055,954
Liabilities. Value of operating payables at end of year2020-08-31$278,051
Liabilities. Value of operating payables at beginning of year2020-08-31$65,140
Total non interest bearing cash at end of year2020-08-31$766,078
Total non interest bearing cash at beginning of year2020-08-31$916,075
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$1,618,201
Value of net assets at end of year (total assets less liabilities)2020-08-31$71,491,434
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$69,873,233
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Investment advisory and management fees2020-08-31$117,354
Income. Interest from US Government securities2020-08-31$760,119
Income. Interest from corporate debt instruments2020-08-31$380,353
Value of interest in common/collective trusts at end of year2020-08-31$4,982,701
Value of interest in common/collective trusts at beginning of year2020-08-31$4,090,415
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-08-31$3,212,292
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-08-31$1,776,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-08-31$1,776,004
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$720,763
Asset value of US Government securities at end of year2020-08-31$29,068,009
Asset value of US Government securities at beginning of year2020-08-31$27,176,800
Net investment gain or loss from common/collective trusts2020-08-31$893,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31No
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$10,314,944
Employer contributions (assets) at end of year2020-08-31$873,100
Employer contributions (assets) at beginning of year2020-08-31$1,403,100
Income. Dividends from common stock2020-08-31$464,886
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-08-31$9,599,633
Asset. Corporate debt instrument preferred debt at end of year2020-08-31$6,088,071
Asset. Corporate debt instrument preferred debt at beginning of year2020-08-31$9,132,853
Asset. Corporate debt instrument debt (other) at end of year2020-08-31$8,813,301
Asset. Corporate debt instrument debt (other) at beginning of year2020-08-31$8,364,219
Assets. Corporate common stocks other than exployer securities at end of year2020-08-31$11,261,656
Assets. Corporate common stocks other than exployer securities at beginning of year2020-08-31$11,844,200
Liabilities. Value of benefit claims payable at end of year2020-08-31$1,261,200
Liabilities. Value of benefit claims payable at beginning of year2020-08-31$1,879,100
Assets. Value of buildings and other operty used in plan operation at end of year2020-08-31$143,017
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-08-31$102,352
Did the plan have assets held for investment2020-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Aggregate proceeds on sale of assets2020-08-31$25,197,052
Aggregate carrying amount (costs) on sale of assets2020-08-31$24,982,593
Liabilities. Value of acquisition indebtedness at end of year2020-08-31$1,408,958
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31No
Opinion of an independent qualified public accountant for this plan2020-08-31Unqualified
Accountancy firm name2020-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2020-08-31131577780
2019 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-08-31$5,958,828
Total unrealized appreciation/depreciation of assets2019-08-31$5,958,828
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$1,944,240
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$2,047,818
Total income from all sources (including contributions)2019-08-31$19,960,140
Total loss/gain on sale of assets2019-08-31$-104,139
Total of all expenses incurred2019-08-31$11,932,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$10,418,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$12,699,463
Value of total assets at end of year2019-08-31$71,817,473
Value of total assets at beginning of year2019-08-31$63,893,597
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$1,513,942
Total income from rents2019-08-31$157,691
Total interest from all sources2019-08-31$1,107,086
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$366,530
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Assets. Real estate other than employer real property at end of year2019-08-31$5,800,000
Assets. Real estate other than employer real property at beginning of year2019-08-31$2,360,000
Administrative expenses professional fees incurred2019-08-31$365,126
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$175,322
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-08-31$1,211,455
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-08-31$507,429
Administrative expenses (other) incurred2019-08-31$1,031,077
Liabilities. Value of operating payables at end of year2019-08-31$65,140
Liabilities. Value of operating payables at beginning of year2019-08-31$60,418
Total non interest bearing cash at end of year2019-08-31$916,075
Total non interest bearing cash at beginning of year2019-08-31$1,654,928
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$8,027,454
Value of net assets at end of year (total assets less liabilities)2019-08-31$69,873,233
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$61,845,779
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Investment advisory and management fees2019-08-31$117,739
Income. Interest from US Government securities2019-08-31$698,814
Income. Interest from corporate debt instruments2019-08-31$408,272
Value of interest in common/collective trusts at end of year2019-08-31$4,090,415
Value of interest in common/collective trusts at beginning of year2019-08-31$7,818,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-08-31$1,776,004
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-08-31$2,294,884
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-08-31$2,294,884
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$661,545
Asset value of US Government securities at end of year2019-08-31$27,176,800
Asset value of US Government securities at beginning of year2019-08-31$22,343,466
Net investment gain or loss from common/collective trusts2019-08-31$-225,319
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31Yes
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$12,524,141
Employer contributions (assets) at end of year2019-08-31$1,403,100
Employer contributions (assets) at beginning of year2019-08-31$1,532,701
Income. Dividends from common stock2019-08-31$366,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-08-31$9,757,199
Asset. Corporate debt instrument preferred debt at end of year2019-08-31$9,132,853
Asset. Corporate debt instrument preferred debt at beginning of year2019-08-31$8,112,497
Asset. Corporate debt instrument debt (other) at end of year2019-08-31$8,364,219
Asset. Corporate debt instrument debt (other) at beginning of year2019-08-31$9,070,823
Assets. Corporate common stocks other than exployer securities at end of year2019-08-31$11,844,200
Assets. Corporate common stocks other than exployer securities at beginning of year2019-08-31$8,113,164
Liabilities. Value of benefit claims payable at end of year2019-08-31$1,879,100
Liabilities. Value of benefit claims payable at beginning of year2019-08-31$1,987,400
Assets. Value of buildings and other operty used in plan operation at end of year2019-08-31$102,352
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-08-31$85,534
Did the plan have assets held for investment2019-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Aggregate proceeds on sale of assets2019-08-31$18,809,623
Aggregate carrying amount (costs) on sale of assets2019-08-31$18,913,762
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31No
Opinion of an independent qualified public accountant for this plan2019-08-31Unqualified
Accountancy firm name2019-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2019-08-31131577780
2018 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-08-31$-1,006,532
Total unrealized appreciation/depreciation of assets2018-08-31$-1,006,532
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$2,047,818
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$1,771,860
Total income from all sources (including contributions)2018-08-31$14,893,579
Total loss/gain on sale of assets2018-08-31$142,201
Total of all expenses incurred2018-08-31$12,350,623
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$10,849,854
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$12,928,863
Value of total assets at end of year2018-08-31$63,893,597
Value of total assets at beginning of year2018-08-31$61,074,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$1,500,769
Total income from rents2018-08-31$150,968
Total interest from all sources2018-08-31$1,151,203
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$242,785
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Assets. Real estate other than employer real property at end of year2018-08-31$2,360,000
Assets. Real estate other than employer real property at beginning of year2018-08-31$2,360,000
Administrative expenses professional fees incurred2018-08-31$319,440
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$204,036
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-08-31$507,429
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$785,426
Administrative expenses (other) incurred2018-08-31$1,084,282
Liabilities. Value of operating payables at end of year2018-08-31$60,418
Liabilities. Value of operating payables at beginning of year2018-08-31$92,360
Total non interest bearing cash at end of year2018-08-31$1,654,928
Total non interest bearing cash at beginning of year2018-08-31$701,715
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$2,542,956
Value of net assets at end of year (total assets less liabilities)2018-08-31$61,845,779
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$59,302,823
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Investment advisory and management fees2018-08-31$97,047
Income. Interest from US Government securities2018-08-31$566,991
Income. Interest from corporate debt instruments2018-08-31$584,212
Value of interest in common/collective trusts at end of year2018-08-31$7,818,171
Value of interest in common/collective trusts at beginning of year2018-08-31$6,538,424
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-08-31$2,294,884
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-08-31$861,721
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-08-31$861,721
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$582,480
Asset value of US Government securities at end of year2018-08-31$22,343,466
Asset value of US Government securities at beginning of year2018-08-31$21,141,454
Net investment gain or loss from common/collective trusts2018-08-31$1,284,091
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31Yes
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$12,724,827
Employer contributions (assets) at end of year2018-08-31$1,532,701
Employer contributions (assets) at beginning of year2018-08-31$1,201,900
Income. Dividends from common stock2018-08-31$242,785
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$10,267,374
Asset. Corporate debt instrument preferred debt at end of year2018-08-31$8,112,497
Asset. Corporate debt instrument preferred debt at beginning of year2018-08-31$9,842,549
Asset. Corporate debt instrument debt (other) at end of year2018-08-31$9,070,823
Asset. Corporate debt instrument debt (other) at beginning of year2018-08-31$10,601,926
Assets. Corporate common stocks other than exployer securities at end of year2018-08-31$8,113,164
Assets. Corporate common stocks other than exployer securities at beginning of year2018-08-31$6,954,900
Liabilities. Value of benefit claims payable at end of year2018-08-31$1,987,400
Liabilities. Value of benefit claims payable at beginning of year2018-08-31$1,679,500
Assets. Value of buildings and other operty used in plan operation at end of year2018-08-31$85,534
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-08-31$84,668
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Aggregate proceeds on sale of assets2018-08-31$28,405,881
Aggregate carrying amount (costs) on sale of assets2018-08-31$28,263,680
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2018-08-31131577780
2017 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-08-31$-108,821
Total unrealized appreciation/depreciation of assets2017-08-31$-108,821
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$1,771,860
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$2,870,704
Total income from all sources (including contributions)2017-08-31$14,754,955
Total loss/gain on sale of assets2017-08-31$-13,375
Total of all expenses incurred2017-08-31$11,338,628
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$9,950,190
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$12,523,861
Value of total assets at end of year2017-08-31$61,074,683
Value of total assets at beginning of year2017-08-31$58,757,200
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$1,388,438
Total income from rents2017-08-31$144,183
Total interest from all sources2017-08-31$1,074,880
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$221,880
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Assets. Real estate other than employer real property at end of year2017-08-31$2,360,000
Assets. Real estate other than employer real property at beginning of year2017-08-31$2,360,000
Administrative expenses professional fees incurred2017-08-31$307,135
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$194,745
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$785,426
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-31$387,723
Administrative expenses (other) incurred2017-08-31$991,908
Liabilities. Value of operating payables at end of year2017-08-31$92,360
Liabilities. Value of operating payables at beginning of year2017-08-31$225,904
Total non interest bearing cash at end of year2017-08-31$701,715
Total non interest bearing cash at beginning of year2017-08-31$346,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$3,416,327
Value of net assets at end of year (total assets less liabilities)2017-08-31$59,302,823
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$55,886,496
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Investment advisory and management fees2017-08-31$89,395
Income. Interest from US Government securities2017-08-31$629,681
Income. Interest from corporate debt instruments2017-08-31$445,199
Value of interest in common/collective trusts at end of year2017-08-31$6,538,424
Value of interest in common/collective trusts at beginning of year2017-08-31$5,627,418
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-08-31$861,721
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-08-31$544,631
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-08-31$544,631
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$341,993
Asset value of US Government securities at end of year2017-08-31$21,141,454
Asset value of US Government securities at beginning of year2017-08-31$30,511,582
Net investment gain or loss from common/collective trusts2017-08-31$912,347
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31Yes
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$12,329,116
Employer contributions (assets) at end of year2017-08-31$1,201,900
Employer contributions (assets) at beginning of year2017-08-31$1,171,900
Income. Dividends from common stock2017-08-31$221,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$9,608,197
Asset. Corporate debt instrument preferred debt at end of year2017-08-31$9,842,549
Asset. Corporate debt instrument preferred debt at beginning of year2017-08-31$5,407,401
Asset. Corporate debt instrument debt (other) at end of year2017-08-31$10,601,926
Asset. Corporate debt instrument debt (other) at beginning of year2017-08-31$5,915,174
Assets. Corporate common stocks other than exployer securities at end of year2017-08-31$6,954,900
Assets. Corporate common stocks other than exployer securities at beginning of year2017-08-31$6,407,032
Liabilities. Value of benefit claims payable at end of year2017-08-31$1,679,500
Liabilities. Value of benefit claims payable at beginning of year2017-08-31$2,644,800
Assets. Value of buildings and other operty used in plan operation at end of year2017-08-31$84,668
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-08-31$78,103
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Aggregate proceeds on sale of assets2017-08-31$34,922,528
Aggregate carrying amount (costs) on sale of assets2017-08-31$34,935,903
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2017-08-31131577780
2016 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-08-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-08-31$1,849,731
Total unrealized appreciation/depreciation of assets2016-08-31$1,849,731
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$2,870,704
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$2,226,873
Total income from all sources (including contributions)2016-08-31$15,854,331
Total loss/gain on sale of assets2016-08-31$-293,379
Total of all expenses incurred2016-08-31$13,732,546
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$12,263,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$12,353,254
Value of total assets at end of year2016-08-31$58,757,200
Value of total assets at beginning of year2016-08-31$55,991,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$1,469,503
Total income from rents2016-08-31$153,027
Total interest from all sources2016-08-31$927,815
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$235,749
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Assets. Real estate other than employer real property at end of year2016-08-31$2,360,000
Assets. Real estate other than employer real property at beginning of year2016-08-31$2,360,000
Administrative expenses professional fees incurred2016-08-31$339,265
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$213,425
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-08-31$387,723
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-08-31$347,877
Other income not declared elsewhere2016-08-31$0
Administrative expenses (other) incurred2016-08-31$1,038,251
Liabilities. Value of operating payables at end of year2016-08-31$225,904
Liabilities. Value of operating payables at beginning of year2016-08-31$251,473
Total non interest bearing cash at end of year2016-08-31$346,236
Total non interest bearing cash at beginning of year2016-08-31$889,564
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$2,121,785
Value of net assets at end of year (total assets less liabilities)2016-08-31$55,886,496
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$53,764,711
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Investment advisory and management fees2016-08-31$91,987
Income. Interest from US Government securities2016-08-31$618,864
Income. Interest from corporate debt instruments2016-08-31$308,951
Value of interest in common/collective trusts at end of year2016-08-31$5,627,418
Value of interest in common/collective trusts at beginning of year2016-08-31$5,001,691
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-08-31$544,631
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-08-31$644,020
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-08-31$644,020
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$198,016
Asset value of US Government securities at end of year2016-08-31$30,511,582
Asset value of US Government securities at beginning of year2016-08-31$29,695,382
Net investment gain or loss from common/collective trusts2016-08-31$628,134
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31No
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$12,139,829
Employer contributions (assets) at end of year2016-08-31$1,171,900
Employer contributions (assets) at beginning of year2016-08-31$1,091,603
Income. Dividends from common stock2016-08-31$235,749
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$12,065,027
Asset. Corporate debt instrument preferred debt at end of year2016-08-31$5,407,401
Asset. Corporate debt instrument preferred debt at beginning of year2016-08-31$4,206,640
Asset. Corporate debt instrument debt (other) at end of year2016-08-31$5,915,174
Asset. Corporate debt instrument debt (other) at beginning of year2016-08-31$6,192,514
Contract administrator fees2016-08-31$0
Assets. Corporate common stocks other than exployer securities at end of year2016-08-31$6,407,032
Assets. Corporate common stocks other than exployer securities at beginning of year2016-08-31$5,485,538
Liabilities. Value of benefit claims payable at end of year2016-08-31$2,644,800
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$1,975,400
Assets. Value of buildings and other operty used in plan operation at end of year2016-08-31$78,103
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-08-31$76,755
Did the plan have assets held for investment2016-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Aggregate proceeds on sale of assets2016-08-31$8,337,321
Aggregate carrying amount (costs) on sale of assets2016-08-31$8,630,700
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2016-08-31131577780
2015 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-08-31$-2,002,271
Total unrealized appreciation/depreciation of assets2015-08-31$-2,002,271
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$2,226,873
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$2,169,693
Total income from all sources (including contributions)2015-08-31$12,390,854
Total loss/gain on sale of assets2015-08-31$1,084,925
Total of all expenses incurred2015-08-31$11,810,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$10,316,294
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$11,823,211
Value of total assets at end of year2015-08-31$55,991,584
Value of total assets at beginning of year2015-08-31$55,353,886
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$1,494,042
Total income from rents2015-08-31$132,511
Total interest from all sources2015-08-31$674,545
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$316,850
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Assets. Real estate other than employer real property at end of year2015-08-31$2,360,000
Assets. Real estate other than employer real property at beginning of year2015-08-31$2,360,000
Administrative expenses professional fees incurred2015-08-31$374,900
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$237,853
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-08-31$347,877
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-08-31$202,005
Administrative expenses (other) incurred2015-08-31$1,040,932
Liabilities. Value of operating payables at end of year2015-08-31$251,473
Liabilities. Value of operating payables at beginning of year2015-08-31$230,693
Total non interest bearing cash at end of year2015-08-31$889,564
Total non interest bearing cash at beginning of year2015-08-31$1,664,882
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$580,518
Value of net assets at end of year (total assets less liabilities)2015-08-31$53,764,711
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$53,184,193
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Investment advisory and management fees2015-08-31$78,210
Income. Interest from US Government securities2015-08-31$465,436
Income. Interest from corporate debt instruments2015-08-31$209,109
Value of interest in common/collective trusts at end of year2015-08-31$5,001,691
Value of interest in common/collective trusts at beginning of year2015-08-31$11,646,574
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-08-31$644,020
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-08-31$3,123,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-08-31$3,123,288
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$192,565
Asset value of US Government securities at end of year2015-08-31$29,695,382
Asset value of US Government securities at beginning of year2015-08-31$18,593,600
Net investment gain or loss from common/collective trusts2015-08-31$361,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31Yes
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$11,585,358
Employer contributions (assets) at end of year2015-08-31$1,091,603
Employer contributions (assets) at beginning of year2015-08-31$1,180,600
Income. Dividends from common stock2015-08-31$316,850
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$10,123,729
Asset. Corporate debt instrument preferred debt at end of year2015-08-31$4,206,640
Asset. Corporate debt instrument preferred debt at beginning of year2015-08-31$3,117,283
Asset. Corporate debt instrument debt (other) at end of year2015-08-31$6,192,514
Asset. Corporate debt instrument debt (other) at beginning of year2015-08-31$2,736,879
Assets. Corporate common stocks other than exployer securities at end of year2015-08-31$5,485,538
Assets. Corporate common stocks other than exployer securities at beginning of year2015-08-31$10,649,420
Liabilities. Value of benefit claims payable at end of year2015-08-31$1,975,400
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$1,939,000
Assets. Value of buildings and other operty used in plan operation at end of year2015-08-31$76,755
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-08-31$79,355
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Aggregate proceeds on sale of assets2015-08-31$29,186,419
Aggregate carrying amount (costs) on sale of assets2015-08-31$28,101,494
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2015-08-31131577780
2014 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-08-31$410,000
Unrealized appreciation/depreciation of other (non real estate) assets2014-08-31$1,480,646
Total unrealized appreciation/depreciation of assets2014-08-31$1,890,646
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$2,169,693
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$1,698,059
Total income from all sources (including contributions)2014-08-31$17,647,125
Total loss/gain on sale of assets2014-08-31$-11,859
Total of all expenses incurred2014-08-31$11,172,378
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$9,689,811
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$12,111,334
Value of total assets at end of year2014-08-31$55,353,886
Value of total assets at beginning of year2014-08-31$48,407,505
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$1,482,567
Total income from rents2014-08-31$133,586
Total interest from all sources2014-08-31$73,484
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$366,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Assets. Real estate other than employer real property at end of year2014-08-31$2,360,000
Assets. Real estate other than employer real property at beginning of year2014-08-31$1,950,000
Administrative expenses professional fees incurred2014-08-31$417,652
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$303,502
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-08-31$202,005
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-08-31$1,935,726
Administrative expenses (other) incurred2014-08-31$988,759
Liabilities. Value of operating payables at end of year2014-08-31$230,693
Liabilities. Value of operating payables at beginning of year2014-08-31$224,157
Total non interest bearing cash at end of year2014-08-31$1,664,882
Total non interest bearing cash at beginning of year2014-08-31$1,555,878
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$6,474,747
Value of net assets at end of year (total assets less liabilities)2014-08-31$53,184,193
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$46,709,446
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Investment advisory and management fees2014-08-31$76,156
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-08-31$0
Income. Interest from US Government securities2014-08-31$64,715
Income. Interest from corporate debt instruments2014-08-31$8,769
Value of interest in common/collective trusts at end of year2014-08-31$11,646,574
Value of interest in common/collective trusts at beginning of year2014-08-31$34,548,864
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-08-31$3,123,288
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$513,958
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$513,958
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$191,553
Asset value of US Government securities at end of year2014-08-31$18,593,600
Net investment gain or loss from common/collective trusts2014-08-31$3,083,294
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31Yes
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$11,807,832
Employer contributions (assets) at end of year2014-08-31$1,180,600
Employer contributions (assets) at beginning of year2014-08-31$948,900
Income. Dividends from common stock2014-08-31$366,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$9,498,258
Asset. Corporate debt instrument preferred debt at end of year2014-08-31$3,117,283
Asset. Corporate debt instrument debt (other) at end of year2014-08-31$2,736,879
Assets. Corporate common stocks other than exployer securities at end of year2014-08-31$10,649,420
Assets. Corporate common stocks other than exployer securities at beginning of year2014-08-31$6,872,943
Liabilities. Value of benefit claims payable at end of year2014-08-31$1,939,000
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$1,473,902
Assets. Value of buildings and other operty used in plan operation at end of year2014-08-31$79,355
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-08-31$81,236
Did the plan have assets held for investment2014-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31Yes
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Aggregate proceeds on sale of assets2014-08-31$1,651,054
Aggregate carrying amount (costs) on sale of assets2014-08-31$1,662,913
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2014-08-31131577780
2013 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-08-31$613,427
Total unrealized appreciation/depreciation of assets2013-08-31$613,427
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$1,698,059
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$1,007,198
Expenses. Interest paid2013-08-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-08-31$0
Total income from all sources (including contributions)2013-08-31$13,557,862
Total loss/gain on sale of assets2013-08-31$120,841
Total of all expenses incurred2013-08-31$9,449,697
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$7,940,392
Expenses. Certain deemed distributions of participant loans2013-08-31$0
Value of total corrective distributions2013-08-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$11,321,753
Value of total assets at end of year2013-08-31$48,407,505
Value of total assets at beginning of year2013-08-31$43,608,479
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$1,509,305
Total income from rents2013-08-31$139,887
Total interest from all sources2013-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$183,077
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Assets. Real estate other than employer real property at end of year2013-08-31$1,950,000
Assets. Real estate other than employer real property at beginning of year2013-08-31$1,950,000
Administrative expenses professional fees incurred2013-08-31$454,110
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$364,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-08-31$1,935,726
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-08-31$150,324
Administrative expenses (other) incurred2013-08-31$1,002,548
Liabilities. Value of operating payables at end of year2013-08-31$224,157
Liabilities. Value of operating payables at beginning of year2013-08-31$212,996
Total non interest bearing cash at end of year2013-08-31$1,555,878
Total non interest bearing cash at beginning of year2013-08-31$1,427,945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$4,108,165
Value of net assets at end of year (total assets less liabilities)2013-08-31$46,709,446
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$42,601,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Investment advisory and management fees2013-08-31$52,647
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-08-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-08-31$125,734
Value of interest in common/collective trusts at end of year2013-08-31$34,548,864
Value of interest in common/collective trusts at beginning of year2013-08-31$33,390,401
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$513,958
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$199,006
Net investment gain or loss from common/collective trusts2013-08-31$1,178,877
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31No
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$10,957,074
Employer contributions (assets) at end of year2013-08-31$948,900
Employer contributions (assets) at beginning of year2013-08-31$1,125,100
Income. Dividends from common stock2013-08-31$183,077
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$7,741,386
Contract administrator fees2013-08-31$0
Assets. Corporate common stocks other than exployer securities at end of year2013-08-31$6,872,943
Assets. Corporate common stocks other than exployer securities at beginning of year2013-08-31$5,350,501
Liabilities. Value of benefit claims payable at end of year2013-08-31$1,473,902
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$794,202
Assets. Value of buildings and other operty used in plan operation at end of year2013-08-31$81,236
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-08-31$88,474
Did the plan have assets held for investment2013-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Aggregate proceeds on sale of assets2013-08-31$793,385
Aggregate carrying amount (costs) on sale of assets2013-08-31$672,544
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2013-08-31131577780
2012 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-08-31$380,487
Total unrealized appreciation/depreciation of assets2012-08-31$380,487
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$1,007,198
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$3,137,381
Total income from all sources (including contributions)2012-08-31$14,788,483
Total loss/gain on sale of assets2012-08-31$-393
Total of all expenses incurred2012-08-31$10,211,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$8,847,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$11,865,223
Value of total assets at end of year2012-08-31$43,608,479
Value of total assets at beginning of year2012-08-31$41,161,786
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$1,364,379
Total income from rents2012-08-31$129,650
Total interest from all sources2012-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$135,462
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Assets. Real estate other than employer real property at end of year2012-08-31$1,950,000
Assets. Real estate other than employer real property at beginning of year2012-08-31$1,950,000
Administrative expenses professional fees incurred2012-08-31$351,553
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$411,727
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-08-31$150,324
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-08-31$182,476
Other income not declared elsewhere2012-08-31$4,823
Administrative expenses (other) incurred2012-08-31$969,237
Liabilities. Value of operating payables at end of year2012-08-31$212,996
Liabilities. Value of operating payables at beginning of year2012-08-31$217,981
Total non interest bearing cash at end of year2012-08-31$1,427,945
Total non interest bearing cash at beginning of year2012-08-31$1,672,649
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$4,576,876
Value of net assets at end of year (total assets less liabilities)2012-08-31$42,601,281
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$38,024,405
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Investment advisory and management fees2012-08-31$43,589
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-08-31$125,734
Value of interest in common/collective trusts at end of year2012-08-31$33,390,401
Value of interest in common/collective trusts at beginning of year2012-08-31$36,132,405
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$198,217
Net investment gain or loss from common/collective trusts2012-08-31$2,273,231
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31Yes
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$11,453,496
Employer contributions (assets) at end of year2012-08-31$1,125,100
Employer contributions (assets) at beginning of year2012-08-31$1,138,400
Income. Dividends from common stock2012-08-31$135,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$8,649,011
Assets. Corporate common stocks other than exployer securities at end of year2012-08-31$5,350,501
Liabilities. Value of benefit claims payable at end of year2012-08-31$794,202
Liabilities. Value of benefit claims payable at beginning of year2012-08-31$2,919,400
Assets. Value of buildings and other operty used in plan operation at end of year2012-08-31$88,474
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-08-31$85,856
Did the plan have assets held for investment2012-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Aggregate proceeds on sale of assets2012-08-31$36,172
Aggregate carrying amount (costs) on sale of assets2012-08-31$36,565
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Unqualified
Accountancy firm name2012-08-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2012-08-31131577780
2011 : LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2011 401k financial data
Unrealized appreciation/depreciation of real estate assets2011-08-31$-250,000
Total unrealized appreciation/depreciation of assets2011-08-31$-250,000
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$3,137,381
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$3,277,334
Total income from all sources (including contributions)2011-08-31$14,555,010
Total loss/gain on sale of assets2011-08-31$0
Total of all expenses incurred2011-08-31$11,349,596
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$9,983,856
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$12,128,813
Value of total assets at end of year2011-08-31$41,161,786
Value of total assets at beginning of year2011-08-31$38,096,325
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$1,365,740
Total income from rents2011-08-31$127,619
Total interest from all sources2011-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Assets. Real estate other than employer real property at end of year2011-08-31$1,950,000
Assets. Real estate other than employer real property at beginning of year2011-08-31$2,200,000
Administrative expenses professional fees incurred2011-08-31$371,801
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$489,008
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$182,476
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$67,864
Other income not declared elsewhere2011-08-31$1,777
Administrative expenses (other) incurred2011-08-31$966,325
Liabilities. Value of operating payables at end of year2011-08-31$217,981
Liabilities. Value of operating payables at beginning of year2011-08-31$173,634
Total non interest bearing cash at end of year2011-08-31$1,672,649
Total non interest bearing cash at beginning of year2011-08-31$2,336,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$3,205,414
Value of net assets at end of year (total assets less liabilities)2011-08-31$38,024,405
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$34,818,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Investment advisory and management fees2011-08-31$27,614
Value of interest in common/collective trusts at end of year2011-08-31$36,132,405
Value of interest in common/collective trusts at beginning of year2011-08-31$32,102,139
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$5,405,168
Net investment gain or loss from common/collective trusts2011-08-31$2,546,801
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31No
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$11,639,805
Employer contributions (assets) at end of year2011-08-31$1,138,400
Employer contributions (assets) at beginning of year2011-08-31$1,252,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$4,578,688
Liabilities. Value of benefit claims payable at end of year2011-08-31$2,919,400
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$3,103,700
Assets. Value of buildings and other operty used in plan operation at end of year2011-08-31$85,856
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-08-31$137,069
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31SCHULTHEIS & PANETTIER1, LLP
Accountancy firm EIN2011-08-31131577780

Form 5500 Responses for LOCAL 807 LABOR-MANAGEMENT HEALTH FUND

2021: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2015 form 5500 responses
2015-09-01Type of plan entityMulti-employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2014 form 5500 responses
2014-09-01Type of plan entityMulti-employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2013 form 5500 responses
2013-09-01Type of plan entityMulti-employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2012 form 5500 responses
2012-09-01Type of plan entityMulti-employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2011 form 5500 responses
2011-09-01Type of plan entityMulti-employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2009: LOCAL 807 LABOR-MANAGEMENT HEALTH FUND 2009 form 5500 responses
2009-09-01Type of plan entityMulti-employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10462
Policy instance 3
Insurance contract or identification numberSL10462
Number of Individuals Covered553
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $325,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number606089D
Policy instance 2
Insurance contract or identification number606089D
Number of Individuals Covered386
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $256,263
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number410509T
Policy instance 1
Insurance contract or identification number410509T
Number of Individuals Covered121
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $76,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberSL10462
Policy instance 3
Insurance contract or identification numberSL10462
Number of Individuals Covered477
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $354,629
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number606089D
Policy instance 2
Insurance contract or identification number606089D
Number of Individuals Covered408
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $224,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number410509T
Policy instance 1
Insurance contract or identification number410509T
Number of Individuals Covered212
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $121,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered244
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $115,995
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered473
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $190,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
LIBERTY INSURANCE UNDERWRITERS, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberTRU000121-02
Policy instance 3
Insurance contract or identification numberTRU000121-02
Number of Individuals Covered661
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $373,115
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
LIBERTY INSURANCE UNDERWRITERS, INC. (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberTRU000121-01
Policy instance 3
Insurance contract or identification numberTRU000121-01
Number of Individuals Covered692
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $349,323
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered259
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $85,593
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered490
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $162,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
AMERICAN ALTERNATIVE INSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 19720 )
Policy contract number33A2ES000048800
Policy instance 3
Insurance contract or identification number33A2ES000048800
Number of Individuals Covered728
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $325,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered498
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $128,756
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered257
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $85,161
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered250
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,094
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $86,543
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 fees1094
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY EASTERN STATES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered578
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,576
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $106,167
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,576
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY EASTERN STATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered257
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,151
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,493
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 fees1151
Additional information about fees paid to insurance brokerBONUS PAID
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY EASTERN STATES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered514
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,401
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $103,536
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,401
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY EASTERN STATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered255
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $92,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?0
Insurance broker name
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered451
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,519
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $106,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,519
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY EASTERN STATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered525
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,598
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $108,834
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,598
Insurance broker organization code?3
Insurance broker nameSEGAL COMPANY EASTERN STATES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered277
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $90,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?0
Insurance broker name
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered506
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,207
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $113,038
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered275
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $88,703
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNJ-410509
Policy instance 1
Insurance contract or identification numberLNJ-410509
Number of Individuals Covered233
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $82,891
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLNY-606089
Policy instance 2
Insurance contract or identification numberLNY-606089
Number of Individuals Covered641
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $10,451
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $136,532
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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