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BRICKLAYERS LOCAL 17 WELFARE PLAN 401k Plan overview

Plan NameBRICKLAYERS LOCAL 17 WELFARE PLAN
Plan identification number 501

BRICKLAYERS LOCAL 17 WELFARE PLAN Benefits

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

401k Sponsoring company profile

INTERNATIONAL BROTHERHOOD OF BRICKLAYERS LOCAL 17 WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL BROTHERHOOD OF BRICKLAYERS LOCAL 17 WELFARE FUND
Employer identification number (EIN):166058900
NAIC Classification:238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRICKLAYERS LOCAL 17 WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01ASHLEY TILEBEIN2024-02-12
5012021-05-01ASHLEY TILEBEIN2023-02-15
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01ASHLEY TILEBEIN
5012016-05-01ASHLEY TILEBEIN
5012015-05-01ASHLEY TILEBEIN
5012014-05-01
5012013-05-01
5012012-05-01SONDRA VORHIS
5012011-05-01SONDRA VORHIS
5012009-05-01SONDRA VORHIS

Plan Statistics for BRICKLAYERS LOCAL 17 WELFARE PLAN

401k plan membership statisitcs for BRICKLAYERS LOCAL 17 WELFARE PLAN

Measure Date Value
2022: BRICKLAYERS LOCAL 17 WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01130
Total number of active participants reported on line 7a of the Form 55002022-05-0196
Number of retired or separated participants receiving benefits2022-05-0132
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01128
Number of employers contributing to the scheme2022-05-0140
2021: BRICKLAYERS LOCAL 17 WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01123
Total number of active participants reported on line 7a of the Form 55002021-05-0193
Number of retired or separated participants receiving benefits2021-05-0137
Total of all active and inactive participants2021-05-01130
Number of employers contributing to the scheme2021-05-0141
2020: BRICKLAYERS LOCAL 17 WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01119
Total number of active participants reported on line 7a of the Form 55002020-05-0197
Number of retired or separated participants receiving benefits2020-05-0126
Total of all active and inactive participants2020-05-01123
Number of employers contributing to the scheme2020-05-0160
2019: BRICKLAYERS LOCAL 17 WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01117
Total number of active participants reported on line 7a of the Form 55002019-05-0198
Number of retired or separated participants receiving benefits2019-05-0121
Total of all active and inactive participants2019-05-01119
Number of employers contributing to the scheme2019-05-0164
2018: BRICKLAYERS LOCAL 17 WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01119
Total number of active participants reported on line 7a of the Form 55002018-05-0192
Number of retired or separated participants receiving benefits2018-05-0125
Total of all active and inactive participants2018-05-01117
Number of employers contributing to the scheme2018-05-0162
2017: BRICKLAYERS LOCAL 17 WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01119
Total number of active participants reported on line 7a of the Form 55002017-05-0195
Number of retired or separated participants receiving benefits2017-05-0124
Total of all active and inactive participants2017-05-01119
Number of employers contributing to the scheme2017-05-0164
2016: BRICKLAYERS LOCAL 17 WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01121
Total number of active participants reported on line 7a of the Form 55002016-05-0186
Number of retired or separated participants receiving benefits2016-05-0133
Total of all active and inactive participants2016-05-01119
Number of employers contributing to the scheme2016-05-0166
2015: BRICKLAYERS LOCAL 17 WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01137
Total number of active participants reported on line 7a of the Form 55002015-05-0189
Number of retired or separated participants receiving benefits2015-05-0132
Total of all active and inactive participants2015-05-01121
Number of employers contributing to the scheme2015-05-0163
2014: BRICKLAYERS LOCAL 17 WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01137
Total number of active participants reported on line 7a of the Form 55002014-05-01137
Total of all active and inactive participants2014-05-01137
Number of employers contributing to the scheme2014-05-0163
2013: BRICKLAYERS LOCAL 17 WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01124
Total number of active participants reported on line 7a of the Form 55002013-05-01137
Total of all active and inactive participants2013-05-01137
Number of employers contributing to the scheme2013-05-0164
2012: BRICKLAYERS LOCAL 17 WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01132
Total number of active participants reported on line 7a of the Form 55002012-05-01124
Total of all active and inactive participants2012-05-01124
Number of employers contributing to the scheme2012-05-0163
2011: BRICKLAYERS LOCAL 17 WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01128
Total number of active participants reported on line 7a of the Form 55002011-05-01132
Total of all active and inactive participants2011-05-01132
Number of employers contributing to the scheme2011-05-0157
2009: BRICKLAYERS LOCAL 17 WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01130
Total number of active participants reported on line 7a of the Form 55002009-05-01104
Total of all active and inactive participants2009-05-01104
Number of employers contributing to the scheme2009-05-0135

Financial Data on BRICKLAYERS LOCAL 17 WELFARE PLAN

Measure Date Value
2023 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$134,834
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$72,787
Total income from all sources (including contributions)2023-04-30$1,640,792
Total of all expenses incurred2023-04-30$1,704,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-30$1,544,573
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-30$1,607,085
Value of total assets at end of year2023-04-30$2,541,659
Value of total assets at beginning of year2023-04-30$2,543,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-30$160,079
Total dividends received (eg from common stock, registered investment company shares)2023-04-30$74,656
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-04-30$74,656
Administrative expenses professional fees incurred2023-04-30$40,152
Was this plan covered by a fidelity bond2023-04-30Yes
Value of fidelity bond cover2023-04-30$1,250,000
If this is an individual account plan, was there a blackout period2023-04-30No
Were there any nonexempt tranactions with any party-in-interest2023-04-30No
Contributions received from participants2023-04-30$141,724
Other income not declared elsewhere2023-04-30$6,705
Administrative expenses (other) incurred2023-04-30$100,838
Liabilities. Value of operating payables at end of year2023-04-30$84,015
Liabilities. Value of operating payables at beginning of year2023-04-30$60,707
Total non interest bearing cash at end of year2023-04-30$59,811
Total non interest bearing cash at beginning of year2023-04-30$154,417
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Value of net income/loss2023-04-30$-63,860
Value of net assets at end of year (total assets less liabilities)2023-04-30$2,406,825
Value of net assets at beginning of year (total assets less liabilities)2023-04-30$2,470,685
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-30No
Were any leases to which the plan was party in default or uncollectible2023-04-30No
Investment advisory and management fees2023-04-30$19,089
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-04-30$2,155,544
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-04-30$2,129,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-30$25,994
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-30$25,398
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-30$25,398
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-30$1,157,752
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-04-30$-47,654
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-30No
Was there a failure to transmit to the plan any participant contributions2023-04-30No
Has the plan failed to provide any benefit when due under the plan2023-04-30No
Contributions received in cash from employer2023-04-30$1,465,361
Employer contributions (assets) at end of year2023-04-30$248,471
Employer contributions (assets) at beginning of year2023-04-30$182,199
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-30$386,821
Liabilities. Value of benefit claims payable at end of year2023-04-30$50,819
Liabilities. Value of benefit claims payable at beginning of year2023-04-30$12,080
Assets. Value of buildings and other operty used in plan operation at end of year2023-04-30$51,839
Assets. Value of buildings and other operty used in plan operation at beginning of year2023-04-30$52,320
Did the plan have assets held for investment2023-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-30No
Opinion of an independent qualified public accountant for this plan2023-04-30Unqualified
Accountancy firm name2023-04-30TRONCONI SEGARRA & ASSOCIATES
Accountancy firm EIN2023-04-30043728817
2022 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$72,787
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$89,407
Total income from all sources (including contributions)2022-04-30$1,445,590
Total of all expenses incurred2022-04-30$1,510,462
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$1,348,403
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$1,476,643
Value of total assets at end of year2022-04-30$2,543,472
Value of total assets at beginning of year2022-04-30$2,624,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$162,059
Total dividends received (eg from common stock, registered investment company shares)2022-04-30$73,080
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-04-30$73,080
Administrative expenses professional fees incurred2022-04-30$40,950
Was this plan covered by a fidelity bond2022-04-30Yes
Value of fidelity bond cover2022-04-30$1,250,000
If this is an individual account plan, was there a blackout period2022-04-30No
Were there any nonexempt tranactions with any party-in-interest2022-04-30No
Contributions received from participants2022-04-30$138,633
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-04-30$7,027
Other income not declared elsewhere2022-04-30$45,456
Administrative expenses (other) incurred2022-04-30$100,650
Liabilities. Value of operating payables at end of year2022-04-30$60,707
Liabilities. Value of operating payables at beginning of year2022-04-30$70,878
Total non interest bearing cash at end of year2022-04-30$154,417
Total non interest bearing cash at beginning of year2022-04-30$109,291
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Value of net income/loss2022-04-30$-64,872
Value of net assets at end of year (total assets less liabilities)2022-04-30$2,470,685
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$2,535,557
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-30No
Were any leases to which the plan was party in default or uncollectible2022-04-30No
Investment advisory and management fees2022-04-30$20,459
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-04-30$2,129,138
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-04-30$2,238,486
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$25,398
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$42,585
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$42,585
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$1,058,041
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-04-30$-149,589
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-30Yes
Was there a failure to transmit to the plan any participant contributions2022-04-30No
Has the plan failed to provide any benefit when due under the plan2022-04-30No
Contributions received in cash from employer2022-04-30$1,338,010
Employer contributions (assets) at end of year2022-04-30$182,199
Employer contributions (assets) at beginning of year2022-04-30$190,971
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$290,362
Liabilities. Value of benefit claims payable at end of year2022-04-30$12,080
Liabilities. Value of benefit claims payable at beginning of year2022-04-30$18,529
Assets. Value of buildings and other operty used in plan operation at end of year2022-04-30$52,320
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-04-30$36,604
Did the plan have assets held for investment2022-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-30No
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30TRONCONI SEGARRA & ASSOCIATES LLP
Accountancy firm EIN2022-04-30043728817
2021 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$89,407
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$60,543
Total income from all sources (including contributions)2021-04-30$1,593,805
Total loss/gain on sale of assets2021-04-30$0
Total of all expenses incurred2021-04-30$1,493,231
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$1,332,089
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$1,289,181
Value of total assets at end of year2021-04-30$2,624,964
Value of total assets at beginning of year2021-04-30$2,495,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$161,142
Total interest from all sources2021-04-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-04-30$48,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-04-30$48,529
Administrative expenses professional fees incurred2021-04-30$31,276
Was this plan covered by a fidelity bond2021-04-30Yes
Value of fidelity bond cover2021-04-30$3,000,000
If this is an individual account plan, was there a blackout period2021-04-30No
Were there any nonexempt tranactions with any party-in-interest2021-04-30No
Contributions received from participants2021-04-30$131,783
Assets. Other investments not covered elsewhere at beginning of year2021-04-30$8,678
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-04-30$7,027
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-04-30$40,432
Administrative expenses (other) incurred2021-04-30$110,554
Liabilities. Value of operating payables at end of year2021-04-30$70,878
Liabilities. Value of operating payables at beginning of year2021-04-30$46,945
Total non interest bearing cash at end of year2021-04-30$109,291
Total non interest bearing cash at beginning of year2021-04-30$335,866
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Value of net income/loss2021-04-30$100,574
Value of net assets at end of year (total assets less liabilities)2021-04-30$2,535,557
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$2,434,983
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-04-30No
Were any leases to which the plan was party in default or uncollectible2021-04-30No
Investment advisory and management fees2021-04-30$19,312
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-04-30$2,238,486
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-04-30$1,933,668
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$42,585
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$42,779
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$42,779
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$1,021,855
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-04-30$256,095
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-04-30Yes
Was there a failure to transmit to the plan any participant contributions2021-04-30No
Has the plan failed to provide any benefit when due under the plan2021-04-30No
Contributions received in cash from employer2021-04-30$1,157,398
Employer contributions (assets) at end of year2021-04-30$190,971
Employer contributions (assets) at beginning of year2021-04-30$96,982
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$310,234
Liabilities. Value of benefit claims payable at end of year2021-04-30$18,529
Liabilities. Value of benefit claims payable at beginning of year2021-04-30$13,598
Assets. Value of buildings and other operty used in plan operation at end of year2021-04-30$36,604
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-04-30$37,121
Did the plan have assets held for investment2021-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-04-30No
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30INSERO & CO. CPAS, LLP
Accountancy firm EIN2021-04-30475324570
2020 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$60,543
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$101,763
Total income from all sources (including contributions)2020-04-30$1,586,467
Total loss/gain on sale of assets2020-04-30$0
Total of all expenses incurred2020-04-30$1,426,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$1,275,870
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$1,514,723
Value of total assets at end of year2020-04-30$2,495,526
Value of total assets at beginning of year2020-04-30$2,377,059
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$150,910
Total interest from all sources2020-04-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$53,270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-04-30$53,270
Administrative expenses professional fees incurred2020-04-30$56,443
Was this plan covered by a fidelity bond2020-04-30Yes
Value of fidelity bond cover2020-04-30$3,000,000
If this is an individual account plan, was there a blackout period2020-04-30No
Were there any nonexempt tranactions with any party-in-interest2020-04-30No
Contributions received from participants2020-04-30$116,551
Assets. Other investments not covered elsewhere at end of year2020-04-30$8,678
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-04-30$40,432
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-04-30$15,872
Administrative expenses (other) incurred2020-04-30$78,715
Liabilities. Value of operating payables at end of year2020-04-30$46,945
Liabilities. Value of operating payables at beginning of year2020-04-30$67,897
Total non interest bearing cash at end of year2020-04-30$335,866
Total non interest bearing cash at beginning of year2020-04-30$371,945
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Value of net income/loss2020-04-30$159,687
Value of net assets at end of year (total assets less liabilities)2020-04-30$2,434,983
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$2,275,296
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No
Were any leases to which the plan was party in default or uncollectible2020-04-30No
Investment advisory and management fees2020-04-30$15,752
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-04-30$1,933,668
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-04-30$1,771,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$42,779
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$33,677
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$33,677
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$1,007,396
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-04-30$18,474
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-30No
Was there a failure to transmit to the plan any participant contributions2020-04-30No
Has the plan failed to provide any benefit when due under the plan2020-04-30No
Contributions received in cash from employer2020-04-30$1,398,172
Employer contributions (assets) at end of year2020-04-30$96,982
Employer contributions (assets) at beginning of year2020-04-30$179,585
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$268,474
Liabilities. Value of benefit claims payable at end of year2020-04-30$13,598
Liabilities. Value of benefit claims payable at beginning of year2020-04-30$33,866
Assets. Value of buildings and other operty used in plan operation at end of year2020-04-30$37,121
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-04-30$4,954
Did the plan have assets held for investment2020-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-04-30No
Opinion of an independent qualified public accountant for this plan2020-04-30Unqualified
Accountancy firm name2020-04-30INSERO & CO. CPAS, LLP
Accountancy firm EIN2020-04-30475324570
2019 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$101,763
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$69,761
Total income from all sources (including contributions)2019-04-30$1,580,628
Total loss/gain on sale of assets2019-04-30$0
Total of all expenses incurred2019-04-30$1,447,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$1,310,755
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$1,460,338
Value of total assets at end of year2019-04-30$2,377,059
Value of total assets at beginning of year2019-04-30$2,211,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$136,606
Total interest from all sources2019-04-30$12,074
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$54,879
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-04-30$54,879
Administrative expenses professional fees incurred2019-04-30$42,459
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$1,000,000
If this is an individual account plan, was there a blackout period2019-04-30No
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Contributions received from participants2019-04-30$119,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-04-30$15,872
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-04-30$12,906
Administrative expenses (other) incurred2019-04-30$77,166
Liabilities. Value of operating payables at end of year2019-04-30$67,897
Liabilities. Value of operating payables at beginning of year2019-04-30$53,667
Total non interest bearing cash at end of year2019-04-30$371,945
Total non interest bearing cash at beginning of year2019-04-30$214,532
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$133,267
Value of net assets at end of year (total assets less liabilities)2019-04-30$2,275,296
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$2,142,029
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Investment advisory and management fees2019-04-30$16,981
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-04-30$1,771,026
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-04-30$1,670,342
Interest earned on other investments2019-04-30$12,074
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$33,677
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$26,145
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$26,145
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$1,032,262
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-04-30$53,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30No
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$1,340,659
Employer contributions (assets) at end of year2019-04-30$179,585
Employer contributions (assets) at beginning of year2019-04-30$282,323
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$278,493
Liabilities. Value of benefit claims payable at end of year2019-04-30$33,866
Liabilities. Value of benefit claims payable at beginning of year2019-04-30$16,094
Assets. Value of buildings and other operty used in plan operation at end of year2019-04-30$4,954
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-04-30$5,542
Did the plan have assets held for investment2019-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30INSERO & CO. CPAS, LLP
Accountancy firm EIN2019-04-30475324570
2018 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$69,761
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$88,586
Total income from all sources (including contributions)2018-04-30$1,649,852
Total loss/gain on sale of assets2018-04-30$0
Total of all expenses incurred2018-04-30$1,358,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$1,237,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$1,575,541
Value of total assets at end of year2018-04-30$2,211,790
Value of total assets at beginning of year2018-04-30$1,939,010
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$120,799
Total interest from all sources2018-04-30$7,404
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$41,782
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-04-30$41,782
Administrative expenses professional fees incurred2018-04-30$41,338
Was this plan covered by a fidelity bond2018-04-30Yes
Value of fidelity bond cover2018-04-30$1,000,000
If this is an individual account plan, was there a blackout period2018-04-30No
Were there any nonexempt tranactions with any party-in-interest2018-04-30No
Contributions received from participants2018-04-30$105,403
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-04-30$12,906
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-04-30$8,393
Administrative expenses (other) incurred2018-04-30$64,542
Liabilities. Value of operating payables at end of year2018-04-30$53,667
Liabilities. Value of operating payables at beginning of year2018-04-30$64,291
Total non interest bearing cash at end of year2018-04-30$214,532
Total non interest bearing cash at beginning of year2018-04-30$209,490
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$291,605
Value of net assets at end of year (total assets less liabilities)2018-04-30$2,142,029
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$1,850,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-04-30No
Were any leases to which the plan was party in default or uncollectible2018-04-30No
Investment advisory and management fees2018-04-30$14,919
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-04-30$1,670,342
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-04-30$1,549,055
Interest earned on other investments2018-04-30$7,380
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$26,145
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$30,501
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$30,501
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$24
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$1,002,252
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-04-30$25,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-04-30No
Was there a failure to transmit to the plan any participant contributions2018-04-30No
Has the plan failed to provide any benefit when due under the plan2018-04-30No
Contributions received in cash from employer2018-04-30$1,470,138
Employer contributions (assets) at end of year2018-04-30$282,323
Employer contributions (assets) at beginning of year2018-04-30$134,916
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$235,196
Liabilities. Value of benefit claims payable at end of year2018-04-30$16,094
Liabilities. Value of benefit claims payable at beginning of year2018-04-30$24,295
Assets. Value of buildings and other operty used in plan operation at end of year2018-04-30$5,542
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-04-30$6,655
Did the plan have assets held for investment2018-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30INSERO & CO. CPAS, LLP
Accountancy firm EIN2018-04-30475324570
2017 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$88,586
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$92,498
Total income from all sources (including contributions)2017-04-30$1,340,950
Total loss/gain on sale of assets2017-04-30$0
Total of all expenses incurred2017-04-30$1,186,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$1,080,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$1,255,127
Value of total assets at end of year2017-04-30$1,939,010
Value of total assets at beginning of year2017-04-30$1,788,699
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$105,927
Total interest from all sources2017-04-30$9,158
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$34,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-04-30$34,540
Administrative expenses professional fees incurred2017-04-30$31,056
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$1,000,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$98,608
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-04-30$8,393
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$5,165
Administrative expenses (other) incurred2017-04-30$61,005
Liabilities. Value of operating payables at end of year2017-04-30$64,291
Liabilities. Value of operating payables at beginning of year2017-04-30$44,765
Total non interest bearing cash at end of year2017-04-30$209,490
Total non interest bearing cash at beginning of year2017-04-30$170,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$154,223
Value of net assets at end of year (total assets less liabilities)2017-04-30$1,850,424
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$1,696,201
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Investment advisory and management fees2017-04-30$13,866
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-04-30$1,549,055
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-04-30$1,476,151
Interest earned on other investments2017-04-30$9,155
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$30,501
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$26,737
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$26,737
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$3
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$783,177
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-04-30$42,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30No
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$1,156,519
Employer contributions (assets) at end of year2017-04-30$134,916
Employer contributions (assets) at beginning of year2017-04-30$101,582
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$297,623
Liabilities. Value of benefit claims payable at end of year2017-04-30$24,295
Liabilities. Value of benefit claims payable at beginning of year2017-04-30$47,733
Assets. Value of buildings and other operty used in plan operation at end of year2017-04-30$6,655
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-04-30$8,564
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30INSERO & CO. CPAS, LLP
Accountancy firm EIN2017-04-30475324570
2016 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$-15,174
Total unrealized appreciation/depreciation of assets2016-04-30$-15,174
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$92,498
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$91,178
Total income from all sources (including contributions)2016-04-30$1,094,962
Total loss/gain on sale of assets2016-04-30$7,103
Total of all expenses incurred2016-04-30$1,306,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$1,167,179
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$1,065,613
Value of total assets at end of year2016-04-30$1,788,699
Value of total assets at beginning of year2016-04-30$1,998,490
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$138,894
Total interest from all sources2016-04-30$3
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$37,119
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-04-30$37,119
Administrative expenses professional fees incurred2016-04-30$41,088
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$1,000,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$98,850
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$5,165
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$5,170
Other income not declared elsewhere2016-04-30$298
Administrative expenses (other) incurred2016-04-30$83,468
Liabilities. Value of operating payables at end of year2016-04-30$44,765
Liabilities. Value of operating payables at beginning of year2016-04-30$58,672
Total non interest bearing cash at end of year2016-04-30$170,500
Total non interest bearing cash at beginning of year2016-04-30$200,288
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-211,111
Value of net assets at end of year (total assets less liabilities)2016-04-30$1,696,201
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$1,907,312
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Investment advisory and management fees2016-04-30$14,338
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-04-30$1,476,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-04-30$1,642,180
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$26,737
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$31,657
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$31,657
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$3
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$770,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30Yes
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$966,763
Employer contributions (assets) at end of year2016-04-30$101,582
Employer contributions (assets) at beginning of year2016-04-30$106,703
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$397,087
Liabilities. Value of benefit claims payable at end of year2016-04-30$47,733
Liabilities. Value of benefit claims payable at beginning of year2016-04-30$32,506
Assets. Value of buildings and other operty used in plan operation at end of year2016-04-30$8,564
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-04-30$12,492
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Aggregate proceeds on sale of assets2016-04-30$1,433,342
Aggregate carrying amount (costs) on sale of assets2016-04-30$1,426,239
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30INSERO & CO. CPAS, LLP
Accountancy firm EIN2016-04-30475324570
2015 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$-6,283
Total unrealized appreciation/depreciation of assets2015-04-30$-6,283
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$91,178
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$63,673
Total income from all sources (including contributions)2015-04-30$1,221,041
Total loss/gain on sale of assets2015-04-30$12,728
Total of all expenses incurred2015-04-30$1,367,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$1,232,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$1,173,385
Value of total assets at end of year2015-04-30$1,998,490
Value of total assets at beginning of year2015-04-30$2,117,816
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$135,281
Total interest from all sources2015-04-30$7,402
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$33,809
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-04-30$33,809
Administrative expenses professional fees incurred2015-04-30$27,366
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$1,000,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$93,014
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$5,170
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$6,357
Administrative expenses (other) incurred2015-04-30$94,176
Liabilities. Value of operating payables at end of year2015-04-30$91,178
Liabilities. Value of operating payables at beginning of year2015-04-30$63,673
Total non interest bearing cash at end of year2015-04-30$200,288
Total non interest bearing cash at beginning of year2015-04-30$339,476
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-146,831
Value of net assets at end of year (total assets less liabilities)2015-04-30$1,907,312
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$2,054,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Investment advisory and management fees2015-04-30$13,739
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-04-30$1,642,180
Income. Interest from US Government securities2015-04-30$7,399
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$31,657
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$65,887
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$65,887
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$3
Asset value of US Government securities at beginning of year2015-04-30$1,562,892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30Yes
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$1,080,371
Employer contributions (assets) at end of year2015-04-30$106,703
Employer contributions (assets) at beginning of year2015-04-30$125,788
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$1,232,591
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-04-30No
Assets. Value of buildings and other operty used in plan operation at end of year2015-04-30$12,492
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-04-30$17,416
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Aggregate proceeds on sale of assets2015-04-30$1,609,448
Aggregate carrying amount (costs) on sale of assets2015-04-30$1,596,720
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30CIASCHI DIETERSHAGEN LITTLE MICKELS
Accountancy firm EIN2015-04-30161171627
2014 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-04-30$-24,472
Total unrealized appreciation/depreciation of assets2014-04-30$-24,472
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$63,673
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$87,870
Total income from all sources (including contributions)2014-04-30$1,263,293
Total loss/gain on sale of assets2014-04-30$2,795
Total of all expenses incurred2014-04-30$1,156,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$1,039,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$1,260,724
Value of total assets at end of year2014-04-30$2,117,816
Value of total assets at beginning of year2014-04-30$2,035,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$117,707
Total interest from all sources2014-04-30$24,246
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$24,821
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$1,000,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$84,867
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$6,357
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$11,869
Administrative expenses (other) incurred2014-04-30$84,751
Liabilities. Value of operating payables at end of year2014-04-30$63,673
Liabilities. Value of operating payables at beginning of year2014-04-30$87,870
Total non interest bearing cash at end of year2014-04-30$339,476
Total non interest bearing cash at beginning of year2014-04-30$275,352
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$106,502
Value of net assets at end of year (total assets less liabilities)2014-04-30$2,054,143
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$1,947,641
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Investment advisory and management fees2014-04-30$8,135
Income. Interest from US Government securities2014-04-30$24,239
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$65,887
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$54,853
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$54,853
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$7
Asset value of US Government securities at end of year2014-04-30$1,562,892
Asset value of US Government securities at beginning of year2014-04-30$1,579,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30Yes
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$1,175,857
Employer contributions (assets) at end of year2014-04-30$125,788
Employer contributions (assets) at beginning of year2014-04-30$99,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$1,039,084
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-04-30No
Assets. Value of buildings and other operty used in plan operation at end of year2014-04-30$17,416
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-04-30$14,644
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Aggregate proceeds on sale of assets2014-04-30$490,000
Aggregate carrying amount (costs) on sale of assets2014-04-30$487,205
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30CIASCHI DIETERSHAGEN LITTLE MICKELS
Accountancy firm EIN2014-04-30161171627
2013 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-04-30$-21,641
Total unrealized appreciation/depreciation of assets2013-04-30$-21,641
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$87,870
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$75,528
Total income from all sources (including contributions)2013-04-30$1,006,842
Total loss/gain on sale of assets2013-04-30$2,929
Total of all expenses incurred2013-04-30$1,145,925
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$999,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$992,033
Value of total assets at end of year2013-04-30$2,035,511
Value of total assets at beginning of year2013-04-30$2,162,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$146,316
Total interest from all sources2013-04-30$33,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$26,211
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$1,000,000
If this is an individual account plan, was there a blackout period2013-04-30No
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$102,538
Participant contributions at beginning of year2013-04-30$5,457
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$11,869
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-04-30$3,872
Administrative expenses (other) incurred2013-04-30$111,946
Liabilities. Value of operating payables at end of year2013-04-30$87,870
Liabilities. Value of operating payables at beginning of year2013-04-30$75,528
Total non interest bearing cash at end of year2013-04-30$275,352
Total non interest bearing cash at beginning of year2013-04-30$403,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$-139,083
Value of net assets at end of year (total assets less liabilities)2013-04-30$1,947,641
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$2,086,724
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Investment advisory and management fees2013-04-30$8,159
Income. Interest from US Government securities2013-04-30$33,514
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$54,853
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$24,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$24,245
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$7
Asset value of US Government securities at end of year2013-04-30$1,579,491
Asset value of US Government securities at beginning of year2013-04-30$1,603,449
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30Yes
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$889,495
Employer contributions (assets) at end of year2013-04-30$99,302
Employer contributions (assets) at beginning of year2013-04-30$108,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$999,609
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-04-30No
Assets. Value of buildings and other operty used in plan operation at end of year2013-04-30$14,644
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-04-30$13,400
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Aggregate proceeds on sale of assets2013-04-30$400,000
Aggregate carrying amount (costs) on sale of assets2013-04-30$397,071
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30CIASCHI DIETERSHAGEN LITTLE MICKELS
Accountancy firm EIN2013-04-30161171627
2012 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-04-30$2,165
Total unrealized appreciation/depreciation of assets2012-04-30$2,165
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$75,528
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$84,761
Total income from all sources (including contributions)2012-04-30$1,088,182
Total loss/gain on sale of assets2012-04-30$4
Total of all expenses incurred2012-04-30$1,141,021
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$1,025,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$1,033,271
Value of total assets at end of year2012-04-30$2,162,252
Value of total assets at beginning of year2012-04-30$2,224,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$115,132
Total interest from all sources2012-04-30$45,462
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$25,955
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$1,000,000
If this is an individual account plan, was there a blackout period2012-04-30No
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$98,327
Participant contributions at end of year2012-04-30$5,457
Participant contributions at beginning of year2012-04-30$2,296
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-04-30$3,872
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-04-30$4,672
Other income not declared elsewhere2012-04-30$7,280
Administrative expenses (other) incurred2012-04-30$80,483
Liabilities. Value of operating payables at end of year2012-04-30$75,528
Liabilities. Value of operating payables at beginning of year2012-04-30$84,761
Total non interest bearing cash at end of year2012-04-30$403,720
Total non interest bearing cash at beginning of year2012-04-30$420,312
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$-52,839
Value of net assets at end of year (total assets less liabilities)2012-04-30$2,086,724
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$2,139,563
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Investment advisory and management fees2012-04-30$8,694
Income. Interest from US Government securities2012-04-30$45,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$24,245
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$32,793
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$32,793
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$4
Asset value of US Government securities at end of year2012-04-30$1,603,449
Asset value of US Government securities at beginning of year2012-04-30$1,555,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30Yes
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$934,944
Employer contributions (assets) at end of year2012-04-30$108,109
Employer contributions (assets) at beginning of year2012-04-30$196,149
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$1,025,889
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-04-30No
Assets. Value of buildings and other operty used in plan operation at end of year2012-04-30$13,400
Assets. Value of buildings and other operty used in plan operation at beginning of year2012-04-30$12,722
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Aggregate proceeds on sale of assets2012-04-30$395,000
Aggregate carrying amount (costs) on sale of assets2012-04-30$394,996
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30CIASCHI DIETERSHAGEN LITTLE MICKELS
Accountancy firm EIN2012-04-30161171627
2011 : BRICKLAYERS LOCAL 17 WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-04-30$6,386
Total unrealized appreciation/depreciation of assets2011-04-30$6,386
Total transfer of assets to this plan2011-04-30$242,004
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$84,761
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$89,875
Total income from all sources (including contributions)2011-04-30$1,081,124
Total loss/gain on sale of assets2011-04-30$-349
Total of all expenses incurred2011-04-30$1,071,932
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$958,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$1,034,112
Value of total assets at end of year2011-04-30$2,224,324
Value of total assets at beginning of year2011-04-30$1,978,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$113,427
Total interest from all sources2011-04-30$40,183
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Administrative expenses professional fees incurred2011-04-30$34,301
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$1,000,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$102,841
Participant contributions at end of year2011-04-30$2,296
Participant contributions at beginning of year2011-04-30$4,862
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-04-30$4,672
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-04-30$5,530
Other income not declared elsewhere2011-04-30$792
Administrative expenses (other) incurred2011-04-30$71,197
Liabilities. Value of operating payables at end of year2011-04-30$84,761
Liabilities. Value of operating payables at beginning of year2011-04-30$89,875
Total non interest bearing cash at end of year2011-04-30$420,312
Total non interest bearing cash at beginning of year2011-04-30$305,329
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$9,192
Value of net assets at end of year (total assets less liabilities)2011-04-30$2,139,563
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$1,888,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Investment advisory and management fees2011-04-30$7,929
Income. Interest from US Government securities2011-04-30$40,180
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$32,793
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$25,810
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$25,810
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$3
Asset value of US Government securities at end of year2011-04-30$1,555,380
Asset value of US Government securities at beginning of year2011-04-30$1,524,101
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30No
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$931,271
Employer contributions (assets) at end of year2011-04-30$196,149
Employer contributions (assets) at beginning of year2011-04-30$111,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$958,505
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-04-30No
Assets. Value of buildings and other operty used in plan operation at end of year2011-04-30$12,722
Assets. Value of buildings and other operty used in plan operation at beginning of year2011-04-30$1,301
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Aggregate proceeds on sale of assets2011-04-30$50,000
Aggregate carrying amount (costs) on sale of assets2011-04-30$50,349
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30CIASCHI DIETERSHAGEN LITTLE MICKELS
Accountancy firm EIN2011-04-30161171627

Form 5500 Responses for BRICKLAYERS LOCAL 17 WELFARE PLAN

2022: BRICKLAYERS LOCAL 17 WELFARE PLAN 2022 form 5500 responses
2022-05-01Type of plan entityMulti-employer plan
2022-05-01Plan is a collectively bargained planYes
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: BRICKLAYERS LOCAL 17 WELFARE PLAN 2021 form 5500 responses
2021-05-01Type of plan entityMulti-employer plan
2021-05-01Plan is a collectively bargained planYes
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: BRICKLAYERS LOCAL 17 WELFARE PLAN 2020 form 5500 responses
2020-05-01Type of plan entityMulti-employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planYes
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: BRICKLAYERS LOCAL 17 WELFARE PLAN 2019 form 5500 responses
2019-05-01Type of plan entityMulti-employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planYes
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: BRICKLAYERS LOCAL 17 WELFARE PLAN 2018 form 5500 responses
2018-05-01Type of plan entityMulti-employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planYes
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: BRICKLAYERS LOCAL 17 WELFARE PLAN 2017 form 5500 responses
2017-05-01Type of plan entityMulti-employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planYes
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: BRICKLAYERS LOCAL 17 WELFARE PLAN 2016 form 5500 responses
2016-05-01Type of plan entityMulti-employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planYes
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: BRICKLAYERS LOCAL 17 WELFARE PLAN 2015 form 5500 responses
2015-05-01Type of plan entityMulti-employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planYes
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: BRICKLAYERS LOCAL 17 WELFARE PLAN 2014 form 5500 responses
2014-05-01Type of plan entityMulti-employer plan
2014-05-01Plan is a collectively bargained planYes
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: BRICKLAYERS LOCAL 17 WELFARE PLAN 2013 form 5500 responses
2013-05-01Type of plan entityMulti-employer plan
2013-05-01Plan is a collectively bargained planYes
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: BRICKLAYERS LOCAL 17 WELFARE PLAN 2012 form 5500 responses
2012-05-01Type of plan entityMulti-employer plan
2012-05-01Plan is a collectively bargained planYes
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: BRICKLAYERS LOCAL 17 WELFARE PLAN 2011 form 5500 responses
2011-05-01Type of plan entityMulti-employer plan
2011-05-01Plan is a collectively bargained planYes
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2009: BRICKLAYERS LOCAL 17 WELFARE PLAN 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01This submission is the final filingNo
2009-05-01Plan is a collectively bargained planYes
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number413512-0003
Policy instance 3
Insurance contract or identification number413512-0003
Number of Individuals Covered19
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $3,188
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,113
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,188
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number413512-0002
Policy instance 2
Insurance contract or identification number413512-0002
Number of Individuals Covered6
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $1,013
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $35,558
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,013
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered103
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $43,420
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,303
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number413512-0003
Policy instance 3
Insurance contract or identification number413512-0003
Number of Individuals Covered22
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $3,150
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $114,379
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,150
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number413512-0002
Policy instance 2
Insurance contract or identification number413512-0002
Number of Individuals Covered7
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $1,050
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $37,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,050
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered101
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $38,618
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,132
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered107
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $37,280
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 BenefitYes
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $37,341
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number0002
Policy instance 2
Insurance contract or identification number0002
Number of Individuals Covered8
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $1,200
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 BenefitYes
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 $41,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,200
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number0003
Policy instance 3
Insurance contract or identification number0003
Number of Individuals Covered19
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $2,975
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 BenefitYes
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 $102,426
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,975
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number0003
Policy instance 4
Insurance contract or identification number0003
Number of Individuals Covered19
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $3,075
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 BenefitYes
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 $97,429
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,075
Insurance broker organization code?3
MVP HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 95521 )
Policy contract number0002
Policy instance 3
Insurance contract or identification number0002
Number of Individuals Covered8
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $1,388
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 BenefitYes
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 $42,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,388
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00543395
Policy instance 2
Insurance contract or identification number00543395
Number of Individuals Covered92
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $-118
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 BenefitYes
Vision Insurance Welfare BenefitYes
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 $67,877
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $-118
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered105
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $35,321
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 BenefitYes
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 $533,847
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $35,321
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered105
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $35,415
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 BenefitYes
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 $823,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,870
Insurance broker organization code?3
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered91
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $67,330
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 BenefitYes
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 $741,420
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered111
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $24,427
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 BenefitYes
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
Commission paid to Insurance BrokerUSD $24,427
Insurance broker organization code?3
Insurance broker nameTHE FINGER LAKES GROUP, LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered111
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $38,082
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,082
Insurance broker organization code?3
Insurance broker nameTHE FINGER LAKES GROUP, LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number00112690
Policy instance 1
Insurance contract or identification number00112690
Number of Individuals Covered103
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $32,596
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,596
Insurance broker organization code?3
Insurance broker nameTHE FINGER LAKES GROUP, LLC
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC-3833, G-2589
Policy instance 2
Insurance contract or identification numberC-3833, G-2589
Number of Individuals Covered124
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,156
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number12718
Policy instance 1
Insurance contract or identification number12718
Number of Individuals Covered124
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $14,432
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,229
Insurance broker organization code?3
Insurance broker nameENV INSURANCE AGENCY, LLC
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number12718
Policy instance 1
Insurance contract or identification number12718
Number of Individuals Covered132
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC-3833, G-2589
Policy instance 2
Insurance contract or identification numberC-3833, G-2589
Number of Individuals Covered132
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $7,356
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE UNION LABOR LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 52414 )
Policy contract numberC-3833, G-2589
Policy instance 2
Insurance contract or identification numberC-3833, G-2589
Number of Individuals Covered128
Insurance policy start date2009-07-01
Insurance policy end date2010-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $6,140
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EXCELLUS BLUE CROSS/BLUE SHIELD PLAN (National Association of Insurance Commissioners NAIC id number: 55107 )
Policy contract number12718
Policy instance 1
Insurance contract or identification number12718
Number of Individuals Covered128
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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