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VOSS MANUFACTURING, INC. 401(K) PLAN 401k Plan overview

Plan NameVOSS MANUFACTURING, INC. 401(K) PLAN
Plan identification number 002

VOSS MANUFACTURING, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

VOSS MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name:VOSS MANUFACTURING, INC.
Employer identification number (EIN):160967930
NAIC Classification:333310

Additional information about VOSS MANUFACTURING, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1969-12-11
Company Identification Number: 286020
Legal Registered Office Address: ATTN: MICHAEL NUNZIATO
Niagara
Sanborn
United States of America (USA)
14132

More information about VOSS MANUFACTURING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VOSS MANUFACTURING, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01FRANK M SEEP2019-06-07
0022017-01-01FRANK M SEEP2018-06-20
0022016-01-01FRANK M SEEP2017-04-13
0022015-01-01FRANK M SEEP2016-06-08
0022014-01-01FRANK M SEEP2015-07-08
0022013-01-01FRANK M SEEP2014-07-17
0022012-01-01FRANK M. SEEP2013-05-06
0022011-01-01FRANK M SEEP2012-06-13
0022010-01-01FRANK M SEEP2011-05-26

Plan Statistics for VOSS MANUFACTURING, INC. 401(K) PLAN

401k plan membership statisitcs for VOSS MANUFACTURING, INC. 401(K) PLAN

Measure Date Value
2022: VOSS MANUFACTURING, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01120
Total number of active participants reported on line 7a of the Form 55002022-01-01102
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-0121
Total of all active and inactive participants2022-01-01125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01125
Number of participants with account balances2022-01-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: VOSS MANUFACTURING, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01119
Total number of active participants reported on line 7a of the Form 55002021-01-0196
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0123
Total of all active and inactive participants2021-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01120
Number of participants with account balances2021-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: VOSS MANUFACTURING, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01145
Total number of active participants reported on line 7a of the Form 55002020-01-0198
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-0120
Total of all active and inactive participants2020-01-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01119
Number of participants with account balances2020-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: VOSS MANUFACTURING, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01125
Total number of active participants reported on line 7a of the Form 55002019-01-01110
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0132
Total of all active and inactive participants2019-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01143
Number of participants with account balances2019-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on VOSS MANUFACTURING, INC. 401(K) PLAN

Measure Date Value
2022 : VOSS MANUFACTURING, INC. 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-3,188,003
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,042,430
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,015,869
Value of total corrective distributions2022-12-31$16,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$786,809
Value of total assets at end of year2022-12-31$14,874,517
Value of total assets at beginning of year2022-12-31$21,104,950
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$9,600
Total interest from all sources2022-12-31$89,911
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$12,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$12,315
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$566,927
Participant contributions at end of year2022-12-31$99,026
Participant contributions at beginning of year2022-12-31$89,973
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$91,412
Other income not declared elsewhere2022-12-31$5,000
Administrative expenses (other) incurred2022-12-31$9,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-6,230,433
Value of net assets at end of year (total assets less liabilities)2022-12-31$14,874,517
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$21,104,950
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,245,956
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,895,462
Value of interest in pooled separate accounts at end of year2022-12-31$9,126,296
Value of interest in pooled separate accounts at beginning of year2022-12-31$13,708,545
Interest on participant loans2022-12-31$3,166
Interest earned on other investments2022-12-31$86,745
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$4,403,239
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$5,410,970
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-403,839
Net investment gain/loss from pooled separate accounts2022-12-31$-3,678,199
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$128,470
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,015,869
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31EFPR GROUP LLC
Accountancy firm EIN2022-12-31474526160
2021 : VOSS MANUFACTURING, INC. 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,973,149
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,458,692
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,444,701
Value of total corrective distributions2021-12-31$3,812
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$750,890
Value of total assets at end of year2021-12-31$21,104,950
Value of total assets at beginning of year2021-12-31$19,590,493
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$10,179
Total interest from all sources2021-12-31$87,791
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$40,788
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$40,788
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$590,317
Participant contributions at end of year2021-12-31$89,973
Participant contributions at beginning of year2021-12-31$115,238
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$24,925
Other income not declared elsewhere2021-12-31$5,000
Administrative expenses (other) incurred2021-12-31$10,179
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,514,457
Value of net assets at end of year (total assets less liabilities)2021-12-31$21,104,950
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$19,590,493
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,895,462
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,813,275
Value of interest in pooled separate accounts at end of year2021-12-31$13,708,545
Value of interest in pooled separate accounts at beginning of year2021-12-31$10,737,906
Interest on participant loans2021-12-31$4,217
Interest earned on other investments2021-12-31$83,574
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$5,410,970
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$4,924,074
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$169,390
Net investment gain/loss from pooled separate accounts2021-12-31$1,919,290
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$135,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,444,701
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EFPR GROUP LLC
Accountancy firm EIN2021-12-31474526160
2020 : VOSS MANUFACTURING, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,530,900
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,197,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,189,708
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$739,348
Value of total assets at end of year2020-12-31$19,590,493
Value of total assets at beginning of year2020-12-31$18,257,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$8,154
Total interest from all sources2020-12-31$88,509
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$-1,384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$-1,384
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$594,438
Participant contributions at end of year2020-12-31$115,238
Participant contributions at beginning of year2020-12-31$126,977
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$3,449
Other income not declared elsewhere2020-12-31$4,933
Administrative expenses (other) incurred2020-12-31$8,154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,333,038
Value of net assets at end of year (total assets less liabilities)2020-12-31$19,590,493
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,257,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$3,813,275
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,830,298
Value of interest in pooled separate accounts at end of year2020-12-31$10,737,906
Value of interest in pooled separate accounts at beginning of year2020-12-31$11,264,233
Interest on participant loans2020-12-31$5,573
Interest earned on other investments2020-12-31$82,936
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$4,924,074
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$3,035,947
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$746,914
Net investment gain/loss from pooled separate accounts2020-12-31$1,952,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$141,461
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,189,708
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31EFPR GROUP LLC
Accountancy firm EIN2020-12-31474526160
2019 : VOSS MANUFACTURING, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,336,384
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,335,271
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,334,090
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$766,941
Value of total assets at end of year2019-12-31$18,257,455
Value of total assets at beginning of year2019-12-31$15,256,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,181
Total interest from all sources2019-12-31$74,951
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$4,990
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$4,990
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$612,843
Participant contributions at end of year2019-12-31$126,977
Participant contributions at beginning of year2019-12-31$169,333
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$4,268
Other income not declared elsewhere2019-12-31$5,922
Administrative expenses (other) incurred2019-12-31$1,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,001,113
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,257,455
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$15,256,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,830,298
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,626,657
Value of interest in pooled separate accounts at end of year2019-12-31$11,264,233
Value of interest in pooled separate accounts at beginning of year2019-12-31$9,211,415
Interest on participant loans2019-12-31$6,638
Interest earned on other investments2019-12-31$68,313
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$3,035,947
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,248,937
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$925,111
Net investment gain/loss from pooled separate accounts2019-12-31$2,558,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$149,830
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,334,090
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31EFPR GROUP LLC
Accountancy firm EIN2019-12-31474526160

Form 5500 Responses for VOSS MANUFACTURING, INC. 401(K) PLAN

2022: VOSS MANUFACTURING, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: VOSS MANUFACTURING, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: VOSS MANUFACTURING, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: VOSS MANUFACTURING, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number037411
Policy instance 1
Insurance contract or identification number037411
Number of Individuals Covered125
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number037411
Policy instance 1
Insurance contract or identification number037411
Number of Individuals Covered120
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number037411
Policy instance 1
Insurance contract or identification number037411
Number of Individuals Covered119
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number037411
Policy instance 1
Insurance contract or identification number037411
Number of Individuals Covered143
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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