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CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 401k Plan overview

Plan NameCEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND
Plan identification number 501

CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Temporary disability (accident and sickness)
  • Scholarship (funded)
  • Other welfare benefit cover

401k Sponsoring company profile

CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND has sponsored the creation of one or more 401k plans.

Company Name:CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND
Employer identification number (EIN):166095037
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01
5012020-09-01
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01
5012016-09-01CHUCK LOCURTO
5012015-09-01CHUCK LOCURTO
5012014-09-01CHUCK LOCURTO
5012013-09-01
5012012-09-01CHARLES LOCURTO ANGELO MASSARO2014-06-10
5012011-09-01ANTHONY LOCURTO ANGELO MASSARO2013-05-15
5012009-09-01ANTHONY LOCURTO ANGELO MASSARO2011-03-28

Plan Statistics for CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND

401k plan membership statisitcs for CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND

Measure Date Value
2021: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2021 401k membership
Total participants, beginning-of-year2021-09-01168
Total number of active participants reported on line 7a of the Form 55002021-09-0199
Number of retired or separated participants receiving benefits2021-09-0138
Number of other retired or separated participants entitled to future benefits2021-09-0114
Total of all active and inactive participants2021-09-01151
2020: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2020 401k membership
Total participants, beginning-of-year2020-09-01168
Total number of active participants reported on line 7a of the Form 55002020-09-01102
Number of retired or separated participants receiving benefits2020-09-0137
Number of other retired or separated participants entitled to future benefits2020-09-0112
Total of all active and inactive participants2020-09-01151
2019: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2019 401k membership
Total participants, beginning-of-year2019-09-01161
Total number of active participants reported on line 7a of the Form 55002019-09-01102
Number of retired or separated participants receiving benefits2019-09-0137
Number of other retired or separated participants entitled to future benefits2019-09-0112
Total of all active and inactive participants2019-09-01151
2018: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2018 401k membership
Total participants, beginning-of-year2018-09-01168
Total number of active participants reported on line 7a of the Form 55002018-09-01161
Number of retired or separated participants receiving benefits2018-09-0146
Number of other retired or separated participants entitled to future benefits2018-09-0110
Total of all active and inactive participants2018-09-01217
2017: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2017 401k membership
Total participants, beginning-of-year2017-09-01172
Total number of active participants reported on line 7a of the Form 55002017-09-01110
Number of retired or separated participants receiving benefits2017-09-0143
Number of other retired or separated participants entitled to future benefits2017-09-0115
Total of all active and inactive participants2017-09-01168
2016: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2016 401k membership
Total participants, beginning-of-year2016-09-01176
Total number of active participants reported on line 7a of the Form 55002016-09-01114
Number of retired or separated participants receiving benefits2016-09-0142
Number of other retired or separated participants entitled to future benefits2016-09-0116
Total of all active and inactive participants2016-09-01172
2015: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2015 401k membership
Total participants, beginning-of-year2015-09-01176
Total number of active participants reported on line 7a of the Form 55002015-09-01111
Number of retired or separated participants receiving benefits2015-09-0125
Number of other retired or separated participants entitled to future benefits2015-09-0125
Total of all active and inactive participants2015-09-01161
2014: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2014 401k membership
Total participants, beginning-of-year2014-09-01171
Total number of active participants reported on line 7a of the Form 55002014-09-01108
Number of retired or separated participants receiving benefits2014-09-0155
Number of other retired or separated participants entitled to future benefits2014-09-0112
Total of all active and inactive participants2014-09-01175
Number of employers contributing to the scheme2014-09-0132
2013: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2013 401k membership
Total participants, beginning-of-year2013-09-01138
Total number of active participants reported on line 7a of the Form 55002013-09-01114
Number of retired or separated participants receiving benefits2013-09-0146
Number of other retired or separated participants entitled to future benefits2013-09-0111
Total of all active and inactive participants2013-09-01171
Number of employers contributing to the scheme2013-09-0132
2012: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2012 401k membership
Total participants, beginning-of-year2012-09-01136
Number of retired or separated participants receiving benefits2012-09-01100
Number of other retired or separated participants entitled to future benefits2012-09-0138
Total of all active and inactive participants2012-09-01138
Total participants2012-09-01138
Number of participants with account balances2012-09-01123
Number of employers contributing to the scheme2012-09-0136
2011: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2011 401k membership
Total participants, beginning-of-year2011-09-01156
Total number of active participants reported on line 7a of the Form 55002011-09-0192
Number of retired or separated participants receiving benefits2011-09-0144
Total of all active and inactive participants2011-09-01136
Total participants2011-09-01136
Number of participants with account balances2011-09-01119
Number of employers contributing to the scheme2011-09-0136
2009: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2009 401k membership
Total participants, beginning-of-year2009-09-01161
Total number of active participants reported on line 7a of the Form 55002009-09-01140
Number of retired or separated participants receiving benefits2009-09-0114
Total of all active and inactive participants2009-09-01154
Total participants2009-09-01154

Financial Data on CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND

Measure Date Value
2022 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-08-31$-1,071,698
Total unrealized appreciation/depreciation of assets2022-08-31$-1,071,698
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$15,620
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$2,450
Total income from all sources (including contributions)2022-08-31$1,984,533
Total loss/gain on sale of assets2022-08-31$277,421
Total of all expenses incurred2022-08-31$2,273,777
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$1,996,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$2,624,444
Value of total assets at end of year2022-08-31$6,764,425
Value of total assets at beginning of year2022-08-31$7,040,499
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$277,195
Total interest from all sources2022-08-31$195
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$154,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-08-31$149,246
Administrative expenses professional fees incurred2022-08-31$35,429
Was this plan covered by a fidelity bond2022-08-31Yes
Value of fidelity bond cover2022-08-31$1,000,000
If this is an individual account plan, was there a blackout period2022-08-31No
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$61,298
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-08-31$57,070
Administrative expenses (other) incurred2022-08-31$171,185
Liabilities. Value of operating payables at end of year2022-08-31$15,620
Liabilities. Value of operating payables at beginning of year2022-08-31$2,450
Total non interest bearing cash at end of year2022-08-31$839,150
Total non interest bearing cash at beginning of year2022-08-31$729,325
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$-289,244
Value of net assets at end of year (total assets less liabilities)2022-08-31$6,748,805
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$7,038,049
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Investment advisory and management fees2022-08-31$57,816
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-08-31$5,370,195
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-08-31$4,805,396
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-08-31$70,836
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-08-31$192,487
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-08-31$192,487
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-08-31$195
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$720,860
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31Yes
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$2,563,146
Employer contributions (assets) at end of year2022-08-31$427,174
Employer contributions (assets) at beginning of year2022-08-31$619,714
Income. Dividends from common stock2022-08-31$4,925
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$1,275,722
Asset. Corporate debt instrument preferred debt at end of year2022-08-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-08-31$693,577
Contract administrator fees2022-08-31$12,765
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-08-31No
Did the plan have assets held for investment2022-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Aggregate proceeds on sale of assets2022-08-31$1,884,999
Aggregate carrying amount (costs) on sale of assets2022-08-31$1,607,578
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31EFPR GROUP CPAS, PLLC
Accountancy firm EIN2022-08-31474526160
2021 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-08-31$430,456
Total unrealized appreciation/depreciation of assets2021-08-31$430,456
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$2,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$2,450
Total income from all sources (including contributions)2021-08-31$3,117,837
Total loss/gain on sale of assets2021-08-31$230,654
Total of all expenses incurred2021-08-31$2,156,999
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$1,911,572
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$2,337,349
Value of total assets at end of year2021-08-31$7,040,499
Value of total assets at beginning of year2021-08-31$6,079,661
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$245,427
Total interest from all sources2021-08-31$4,232
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$115,146
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-08-31$111,571
Administrative expenses professional fees incurred2021-08-31$32,906
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$1,000,000
If this is an individual account plan, was there a blackout period2021-08-31No
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$80,867
Administrative expenses (other) incurred2021-08-31$151,963
Liabilities. Value of operating payables at end of year2021-08-31$2,450
Liabilities. Value of operating payables at beginning of year2021-08-31$2,450
Total non interest bearing cash at end of year2021-08-31$729,325
Total non interest bearing cash at beginning of year2021-08-31$584,459
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$960,838
Value of net assets at end of year (total assets less liabilities)2021-08-31$7,038,049
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$6,077,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Investment advisory and management fees2021-08-31$54,199
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-08-31$4,805,396
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-08-31$4,307,762
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-08-31$192,487
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-08-31$94,775
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-08-31$94,775
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-08-31$4,232
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$694,171
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31No
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$2,256,482
Employer contributions (assets) at end of year2021-08-31$619,714
Employer contributions (assets) at beginning of year2021-08-31$523,700
Income. Dividends from common stock2021-08-31$3,575
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$1,217,401
Asset. Corporate debt instrument preferred debt at end of year2021-08-31$693,577
Asset. Corporate debt instrument preferred debt at beginning of year2021-08-31$568,965
Contract administrator fees2021-08-31$6,359
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-08-31No
Did the plan have assets held for investment2021-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Aggregate proceeds on sale of assets2021-08-31$1,533,583
Aggregate carrying amount (costs) on sale of assets2021-08-31$1,302,929
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31EFPR GROUP CPAS, PLLC
Accountancy firm EIN2021-08-31474526160
2020 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-08-31$-66,733
Total unrealized appreciation/depreciation of assets2020-08-31$-66,733
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$2,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$2,450
Total income from all sources (including contributions)2020-08-31$2,599,042
Total loss/gain on sale of assets2020-08-31$206,104
Total of all expenses incurred2020-08-31$2,271,957
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$2,039,718
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$2,341,216
Value of total assets at end of year2020-08-31$6,079,661
Value of total assets at beginning of year2020-08-31$5,752,576
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$232,239
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$118,455
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-08-31$108,930
Administrative expenses professional fees incurred2020-08-31$26,765
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$1,000,000
If this is an individual account plan, was there a blackout period2020-08-31No
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$67,287
Administrative expenses (other) incurred2020-08-31$148,308
Liabilities. Value of operating payables at end of year2020-08-31$2,450
Liabilities. Value of operating payables at beginning of year2020-08-31$2,450
Total non interest bearing cash at end of year2020-08-31$584,459
Total non interest bearing cash at beginning of year2020-08-31$375,704
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$327,085
Value of net assets at end of year (total assets less liabilities)2020-08-31$6,077,211
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$5,750,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Investment advisory and management fees2020-08-31$49,828
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-08-31$4,307,762
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-08-31$3,437,313
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-08-31$94,775
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-08-31$210,418
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-08-31$210,418
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$690,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31Yes
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$2,273,929
Employer contributions (assets) at end of year2020-08-31$523,700
Employer contributions (assets) at beginning of year2020-08-31$614,330
Income. Dividends from common stock2020-08-31$9,525
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-08-31$1,349,619
Asset. Corporate debt instrument preferred debt at end of year2020-08-31$568,965
Asset. Corporate debt instrument preferred debt at beginning of year2020-08-31$1,114,811
Contract administrator fees2020-08-31$7,338
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-08-31No
Did the plan have assets held for investment2020-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Aggregate proceeds on sale of assets2020-08-31$4,899,395
Aggregate carrying amount (costs) on sale of assets2020-08-31$4,693,291
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31No
Opinion of an independent qualified public accountant for this plan2020-08-31Unqualified
Accountancy firm name2020-08-31EFPR GROUP CPAS, PLLC
Accountancy firm EIN2020-08-31474526160
2019 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-08-31$-261,739
Total unrealized appreciation/depreciation of assets2019-08-31$-261,739
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$2,450
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$7,332
Total income from all sources (including contributions)2019-08-31$2,406,475
Total loss/gain on sale of assets2019-08-31$272,124
Total of all expenses incurred2019-08-31$2,209,910
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$1,974,417
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$2,297,792
Value of total assets at end of year2019-08-31$5,752,576
Value of total assets at beginning of year2019-08-31$5,560,893
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$235,493
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$98,298
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-08-31$77,205
Administrative expenses professional fees incurred2019-08-31$27,083
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$1,000,000
If this is an individual account plan, was there a blackout period2019-08-31No
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$5,578
Administrative expenses (other) incurred2019-08-31$146,728
Liabilities. Value of operating payables at end of year2019-08-31$2,450
Liabilities. Value of operating payables at beginning of year2019-08-31$7,332
Total non interest bearing cash at end of year2019-08-31$375,704
Total non interest bearing cash at beginning of year2019-08-31$452,633
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$196,565
Value of net assets at end of year (total assets less liabilities)2019-08-31$5,750,126
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$5,553,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Investment advisory and management fees2019-08-31$58,456
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-08-31$3,437,313
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-08-31$3,334,591
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-08-31$210,418
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-08-31$100,980
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-08-31$100,980
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$604,457
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31Yes
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$2,292,214
Employer contributions (assets) at end of year2019-08-31$614,330
Employer contributions (assets) at beginning of year2019-08-31$543,035
Income. Dividends from common stock2019-08-31$21,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-08-31$1,369,960
Asset. Corporate debt instrument preferred debt at end of year2019-08-31$1,114,811
Asset. Corporate debt instrument preferred debt at beginning of year2019-08-31$1,129,441
Contract administrator fees2019-08-31$3,226
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-08-31No
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-08-31$213
Did the plan have assets held for investment2019-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Aggregate proceeds on sale of assets2019-08-31$2,152,566
Aggregate carrying amount (costs) on sale of assets2019-08-31$1,880,442
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31No
Opinion of an independent qualified public accountant for this plan2019-08-31Unqualified
Accountancy firm name2019-08-31EFPR GROUP CPAS, PLLC
Accountancy firm EIN2019-08-31474526160
2018 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-08-31$-21,560
Total unrealized appreciation/depreciation of assets2018-08-31$-21,560
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$7,332
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$5,378
Total income from all sources (including contributions)2018-08-31$2,683,020
Total loss/gain on sale of assets2018-08-31$466,490
Total of all expenses incurred2018-08-31$2,145,800
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$1,906,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$2,152,723
Value of total assets at end of year2018-08-31$5,560,893
Value of total assets at beginning of year2018-08-31$5,021,719
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$239,113
Total interest from all sources2018-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$85,367
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-08-31$67,065
Administrative expenses professional fees incurred2018-08-31$20,586
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$1,000,000
If this is an individual account plan, was there a blackout period2018-08-31No
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$6,795
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-08-31$6,520
Administrative expenses (other) incurred2018-08-31$142,585
Liabilities. Value of operating payables at end of year2018-08-31$7,332
Liabilities. Value of operating payables at beginning of year2018-08-31$5,378
Total non interest bearing cash at end of year2018-08-31$452,633
Total non interest bearing cash at beginning of year2018-08-31$254,717
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$537,220
Value of net assets at end of year (total assets less liabilities)2018-08-31$5,553,561
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$5,016,341
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Investment advisory and management fees2018-08-31$66,985
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-08-31$3,334,591
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-08-31$2,885,366
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-08-31$100,980
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-08-31$267,276
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-08-31$267,276
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$573,888
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31Yes
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$2,145,928
Employer contributions (assets) at end of year2018-08-31$543,035
Employer contributions (assets) at beginning of year2018-08-31$494,853
Income. Dividends from common stock2018-08-31$18,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$1,332,799
Asset. Corporate debt instrument preferred debt at end of year2018-08-31$1,129,441
Asset. Corporate debt instrument preferred debt at beginning of year2018-08-31$1,112,774
Contract administrator fees2018-08-31$8,957
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-08-31No
Assets. Value of buildings and other operty used in plan operation at end of year2018-08-31$213
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-08-31$213
Did the plan have assets held for investment2018-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Aggregate proceeds on sale of assets2018-08-31$2,053,747
Aggregate carrying amount (costs) on sale of assets2018-08-31$1,587,257
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31EFPR GROUP, CPAS, PLLC
Accountancy firm EIN2018-08-31474526160
2017 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-08-31$245,917
Total unrealized appreciation/depreciation of assets2017-08-31$245,917
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$5,378
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$5,150
Total income from all sources (including contributions)2017-08-31$2,477,046
Total loss/gain on sale of assets2017-08-31$11,732
Total of all expenses incurred2017-08-31$2,012,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$1,815,898
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$2,119,994
Value of total assets at end of year2017-08-31$5,021,719
Value of total assets at beginning of year2017-08-31$4,556,474
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$196,131
Total interest from all sources2017-08-31$2,047
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$97,356
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-08-31$81,321
Administrative expenses professional fees incurred2017-08-31$16,741
Was this plan covered by a fidelity bond2017-08-31Yes
Value of fidelity bond cover2017-08-31$1,000,000
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$6,504
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-31$6,520
Administrative expenses (other) incurred2017-08-31$107,089
Liabilities. Value of operating payables at end of year2017-08-31$5,378
Liabilities. Value of operating payables at beginning of year2017-08-31$5,150
Total non interest bearing cash at end of year2017-08-31$254,717
Total non interest bearing cash at beginning of year2017-08-31$255,340
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$465,017
Value of net assets at end of year (total assets less liabilities)2017-08-31$5,016,341
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$4,551,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Investment advisory and management fees2017-08-31$60,456
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-08-31$2,885,366
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-08-31$2,521,443
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-08-31$267,276
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-08-31$369,003
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-08-31$369,003
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-08-31$2,047
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$522,749
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31Yes
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$2,113,490
Employer contributions (assets) at end of year2017-08-31$494,853
Employer contributions (assets) at beginning of year2017-08-31$462,375
Income. Dividends from common stock2017-08-31$16,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$1,293,149
Asset. Corporate debt instrument preferred debt at end of year2017-08-31$1,112,774
Asset. Corporate debt instrument preferred debt at beginning of year2017-08-31$948,100
Contract administrator fees2017-08-31$11,845
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-08-31No
Assets. Value of buildings and other operty used in plan operation at end of year2017-08-31$213
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-08-31$213
Did the plan have assets held for investment2017-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Aggregate proceeds on sale of assets2017-08-31$1,077,408
Aggregate carrying amount (costs) on sale of assets2017-08-31$1,065,676
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31EFPR GROUP CPAS PLLC
Accountancy firm EIN2017-08-31474526160
2016 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-08-31$58,349
Total unrealized appreciation/depreciation of assets2016-08-31$58,349
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$5,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$12,950
Total income from all sources (including contributions)2016-08-31$2,467,701
Total loss/gain on sale of assets2016-08-31$125,714
Total of all expenses incurred2016-08-31$2,013,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$1,851,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$2,203,895
Value of total assets at end of year2016-08-31$4,556,474
Value of total assets at beginning of year2016-08-31$4,109,895
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$162,135
Total interest from all sources2016-08-31$3,427
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$76,316
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-08-31$61,230
Administrative expenses professional fees incurred2016-08-31$19,527
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$250,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$8,785
Administrative expenses (other) incurred2016-08-31$83,289
Liabilities. Value of operating payables at end of year2016-08-31$5,150
Liabilities. Value of operating payables at beginning of year2016-08-31$12,950
Total non interest bearing cash at end of year2016-08-31$255,340
Total non interest bearing cash at beginning of year2016-08-31$413,061
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$454,379
Value of net assets at end of year (total assets less liabilities)2016-08-31$4,551,324
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$4,096,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Investment advisory and management fees2016-08-31$49,267
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-08-31$2,521,443
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-08-31$2,107,456
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-08-31$369,003
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-08-31$116,159
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-08-31$116,159
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-08-31$3,427
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$557,536
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31Yes
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$2,195,110
Employer contributions (assets) at end of year2016-08-31$462,375
Employer contributions (assets) at beginning of year2016-08-31$602,573
Income. Dividends from common stock2016-08-31$15,086
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$1,293,651
Asset. Corporate debt instrument preferred debt at end of year2016-08-31$948,100
Asset. Corporate debt instrument preferred debt at beginning of year2016-08-31$870,433
Contract administrator fees2016-08-31$10,052
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-08-31No
Assets. Value of buildings and other operty used in plan operation at end of year2016-08-31$213
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-08-31$213
Did the plan have assets held for investment2016-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Aggregate proceeds on sale of assets2016-08-31$2,683,465
Aggregate carrying amount (costs) on sale of assets2016-08-31$2,557,751
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31EFPR GROUP, CPA'S, PLLC
Accountancy firm EIN2016-08-31474526160
2015 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-08-31$-98,992
Total unrealized appreciation/depreciation of assets2015-08-31$-98,992
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$12,950
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$1,777
Total income from all sources (including contributions)2015-08-31$2,311,075
Total loss/gain on sale of assets2015-08-31$84,698
Total of all expenses incurred2015-08-31$2,048,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$1,879,644
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$2,262,046
Value of total assets at end of year2015-08-31$4,109,895
Value of total assets at beginning of year2015-08-31$3,836,087
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$168,796
Total interest from all sources2015-08-31$3
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$63,320
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-08-31$51,108
Administrative expenses professional fees incurred2015-08-31$35,098
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$250,000
If this is an individual account plan, was there a blackout period2015-08-31No
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$8,136
Administrative expenses (other) incurred2015-08-31$76,627
Liabilities. Value of operating payables at end of year2015-08-31$12,950
Liabilities. Value of operating payables at beginning of year2015-08-31$1,777
Total non interest bearing cash at end of year2015-08-31$413,061
Total non interest bearing cash at beginning of year2015-08-31$299,902
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$262,635
Value of net assets at end of year (total assets less liabilities)2015-08-31$4,096,945
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$3,834,310
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Investment advisory and management fees2015-08-31$49,056
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-08-31$2,107,456
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-08-31$1,975,491
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-08-31$116,159
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-08-31$159,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-08-31$159,157
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-08-31$3
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$582,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31Yes
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$2,253,910
Employer contributions (assets) at end of year2015-08-31$602,573
Employer contributions (assets) at beginning of year2015-08-31$701,669
Income. Dividends from common stock2015-08-31$12,212
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$1,297,380
Asset. Corporate debt instrument preferred debt at end of year2015-08-31$870,433
Asset. Corporate debt instrument preferred debt at beginning of year2015-08-31$699,655
Contract administrator fees2015-08-31$8,015
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-08-31No
Assets. Value of buildings and other operty used in plan operation at end of year2015-08-31$213
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-08-31$213
Did the plan have assets held for investment2015-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Aggregate proceeds on sale of assets2015-08-31$1,055,792
Aggregate carrying amount (costs) on sale of assets2015-08-31$971,094
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31EFPR GROUP, CPAS PLLC
Accountancy firm EIN2015-08-31474526160
2014 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-08-31$-94,389
Total unrealized appreciation/depreciation of assets2014-08-31$-94,389
Total transfer of assets to this plan2014-08-31$1,327,134
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$1,777
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$5
Total income from all sources (including contributions)2014-08-31$2,690,835
Total loss/gain on sale of assets2014-08-31$44,810
Total of all expenses incurred2014-08-31$1,774,475
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$1,614,453
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$2,393,445
Value of total assets at end of year2014-08-31$3,836,087
Value of total assets at beginning of year2014-08-31$1,590,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$160,022
Total interest from all sources2014-08-31$114
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$41,443
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-08-31$13,830
Administrative expenses professional fees incurred2014-08-31$37,441
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$250,000
If this is an individual account plan, was there a blackout period2014-08-31No
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$37,819
Administrative expenses (other) incurred2014-08-31$79,248
Liabilities. Value of operating payables at end of year2014-08-31$1,777
Liabilities. Value of operating payables at beginning of year2014-08-31$5
Total non interest bearing cash at end of year2014-08-31$299,902
Total non interest bearing cash at beginning of year2014-08-31$242,193
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$916,360
Value of net assets at end of year (total assets less liabilities)2014-08-31$3,834,310
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$1,590,816
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Investment advisory and management fees2014-08-31$41,693
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-08-31$1,975,491
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-08-31$605,618
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-08-31$159,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-08-31$51,518
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-08-31$51,518
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-08-31$114
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$549,461
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-08-31$305,412
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31Yes
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$2,355,626
Employer contributions (assets) at end of year2014-08-31$701,669
Employer contributions (assets) at beginning of year2014-08-31$369,205
Income. Dividends from common stock2014-08-31$27,613
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$1,064,992
Contract administrator fees2014-08-31$1,640
Assets. Corporate common stocks other than exployer securities at end of year2014-08-31$699,655
Assets. Corporate common stocks other than exployer securities at beginning of year2014-08-31$322,287
Assets. Value of buildings and other operty used in plan operation at end of year2014-08-31$213
Did the plan have assets held for investment2014-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Aggregate proceeds on sale of assets2014-08-31$257,275
Aggregate carrying amount (costs) on sale of assets2014-08-31$212,465
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31BONADIO & CO., LLP
Accountancy firm EIN2014-08-31161131146
2013 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-08-31$18,264
Total unrealized appreciation/depreciation of assets2013-08-31$18,264
Total transfer of assets to this plan2013-08-31$245,676
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$4
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$67
Total income from all sources (including contributions)2013-08-31$959,421
Total loss/gain on sale of assets2013-08-31$1,959
Total of all expenses incurred2013-08-31$971,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$877,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$907,796
Value of total assets at end of year2013-08-31$1,221,615
Value of total assets at beginning of year2013-08-31$987,669
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$93,639
Total interest from all sources2013-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$31,402
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Administrative expenses professional fees incurred2013-08-31$2,924
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$250,000
If this is an individual account plan, was there a blackout period2013-08-31No
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$3,225
Administrative expenses (other) incurred2013-08-31$61,124
Liabilities. Value of operating payables at end of year2013-08-31$4
Liabilities. Value of operating payables at beginning of year2013-08-31$67
Total non interest bearing cash at end of year2013-08-31$242,192
Total non interest bearing cash at beginning of year2013-08-31$92,725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$-11,667
Value of net assets at end of year (total assets less liabilities)2013-08-31$1,221,611
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$987,602
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Investment advisory and management fees2013-08-31$16,656
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-08-31$605,618
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-08-31$561,869
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-08-31$51,518
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-08-31$119,285
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-08-31$119,285
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$28,994
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31Yes
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$904,571
Income. Dividends from common stock2013-08-31$31,402
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$848,455
Contract administrator fees2013-08-31$12,935
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2013-08-31$322,287
Assets. Corporate common stocks other than exployer securities at beginning of year2013-08-31$213,790
Did the plan have assets held for investment2013-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Aggregate proceeds on sale of assets2013-08-31$276,907
Aggregate carrying amount (costs) on sale of assets2013-08-31$274,948
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Qualified
Accountancy firm name2013-08-31RALPH J GENOVESE, CPA
Accountancy firm EIN2013-08-31161099532
2012 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-08-31$22,637
Total unrealized appreciation/depreciation of assets2012-08-31$22,637
Total transfer of assets from this plan2012-08-31$187,096
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$67
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$68
Total income from all sources (including contributions)2012-08-31$1,155,997
Total loss/gain on sale of assets2012-08-31$19,039
Total of all expenses incurred2012-08-31$906,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$804,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$1,099,023
Value of total assets at end of year2012-08-31$987,669
Value of total assets at beginning of year2012-08-31$925,376
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$102,594
Total interest from all sources2012-08-31$8,064
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$7,234
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Administrative expenses professional fees incurred2012-08-31$12,386
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$250,000
If this is an individual account plan, was there a blackout period2012-08-31No
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$3,971
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-08-31$2,336
Administrative expenses (other) incurred2012-08-31$65,804
Liabilities. Value of operating payables at end of year2012-08-31$67
Liabilities. Value of operating payables at beginning of year2012-08-31$68
Total non interest bearing cash at end of year2012-08-31$92,725
Total non interest bearing cash at beginning of year2012-08-31$348,146
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$249,390
Value of net assets at end of year (total assets less liabilities)2012-08-31$987,602
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$925,308
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Investment advisory and management fees2012-08-31$11,716
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-08-31$561,869
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-08-31$119,285
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-08-31$20,254
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-08-31$20,254
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-08-31$8,064
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$28,842
Asset value of US Government securities at beginning of year2012-08-31$143,051
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31Yes
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$1,095,052
Income. Dividends from common stock2012-08-31$7,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$775,171
Asset. Corporate debt instrument debt (other) at beginning of year2012-08-31$186,028
Contract administrator fees2012-08-31$12,688
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2012-08-31$213,790
Assets. Corporate common stocks other than exployer securities at beginning of year2012-08-31$225,561
Did the plan have assets held for investment2012-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Aggregate proceeds on sale of assets2012-08-31$1,612,178
Aggregate carrying amount (costs) on sale of assets2012-08-31$1,593,139
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Qualified
Accountancy firm name2012-08-31RALPH J GENOVESE CPA
Accountancy firm EIN2012-08-31161099532
2011 : CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-08-31$14,615
Total unrealized appreciation/depreciation of assets2011-08-31$14,615
Total transfer of assets to this plan2011-08-31$56,745
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$68
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$320
Total income from all sources (including contributions)2011-08-31$1,033,581
Total loss/gain on sale of assets2011-08-31$21,441
Total of all expenses incurred2011-08-31$901,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$812,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$986,019
Value of total assets at end of year2011-08-31$925,376
Value of total assets at beginning of year2011-08-31$736,448
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$88,252
Total interest from all sources2011-08-31$8,013
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$3,493
Administrative expenses professional fees incurred2011-08-31$8,025
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$250,000
If this is an individual account plan, was there a blackout period2011-08-31No
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$3,315
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-08-31$2,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-08-31$904
Administrative expenses (other) incurred2011-08-31$57,303
Liabilities. Value of operating payables at end of year2011-08-31$68
Liabilities. Value of operating payables at beginning of year2011-08-31$320
Total non interest bearing cash at end of year2011-08-31$348,146
Total non interest bearing cash at beginning of year2011-08-31$460,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$132,436
Value of net assets at end of year (total assets less liabilities)2011-08-31$925,308
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$736,128
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Investment advisory and management fees2011-08-31$7,938
Income. Interest from US Government securities2011-08-31$7,044
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-08-31$20,254
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-08-31$8,900
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-08-31$8,900
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-08-31$969
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$29,794
Asset value of US Government securities at end of year2011-08-31$143,051
Asset value of US Government securities at beginning of year2011-08-31$91,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31Yes
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$982,704
Income. Dividends from common stock2011-08-31$3,493
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$783,099
Asset. Corporate debt instrument debt (other) at end of year2011-08-31$186,028
Asset. Corporate debt instrument debt (other) at beginning of year2011-08-31$64,540
Contract administrator fees2011-08-31$14,986
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-08-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-08-31$225,561
Assets. Corporate common stocks other than exployer securities at beginning of year2011-08-31$110,346
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Aggregate proceeds on sale of assets2011-08-31$617,549
Aggregate carrying amount (costs) on sale of assets2011-08-31$596,108
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Qualified
Accountancy firm name2011-08-31RALPH J GENOVESE CPA
Accountancy firm EIN2011-08-31161099532

Form 5500 Responses for CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND

2021: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2021 form 5500 responses
2021-09-01Type of plan entityMulti-employer plan
2021-09-01Plan is a collectively bargained planYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2020 form 5500 responses
2020-09-01Type of plan entityMulti-employer plan
2020-09-01Submission has been amendedYes
2020-09-01Plan is a collectively bargained planYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2019 form 5500 responses
2019-09-01Type of plan entityMulti-employer plan
2019-09-01Plan is a collectively bargained planYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2018 form 5500 responses
2018-09-01Type of plan entityMulti-employer plan
2018-09-01Plan is a collectively bargained planYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2017 form 5500 responses
2017-09-01Type of plan entityMulti-employer plan
2017-09-01Plan is a collectively bargained planYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2016 form 5500 responses
2016-09-01Type of plan entityMulti-employer plan
2016-09-01Plan is a collectively bargained planYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2015 form 5500 responses
2015-09-01Type of plan entityMulti-employer plan
2015-09-01Plan is a collectively bargained planYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2014 form 5500 responses
2014-09-01Type of plan entityMulti-employer plan
2014-09-01Plan is a collectively bargained planYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2013 form 5500 responses
2013-09-01Type of plan entityMulti-employer plan
2013-09-01Plan is a collectively bargained planYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2012 form 5500 responses
2012-09-01Type of plan entityMulti-employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2011 form 5500 responses
2011-09-01Type of plan entityMulti-employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2009: CEMENT MASONS LOCAL NO. 111 HEALTH & WELFARE FUND 2009 form 5500 responses
2009-09-01Type of plan entityMulti-employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00423444
Policy instance 2
Insurance contract or identification number00423444
Number of Individuals Covered110
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $24,897
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $663,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,897
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010231879 00
Policy instance 1
Insurance contract or identification number000010231879 00
Number of Individuals Covered53
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,135
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,452
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $854
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00423444
Policy instance 2
Insurance contract or identification number00423444
Number of Individuals Covered110
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $24,897
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $663,915
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,897
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010231879 00
Policy instance 1
Insurance contract or identification number000010231879 00
Number of Individuals Covered56
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $2,238
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,693
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $895
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00423444
Policy instance 2
Insurance contract or identification number00423444
Number of Individuals Covered122
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $26,536
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $656,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,536
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010231879 00
Policy instance 1
Insurance contract or identification number000010231879 00
Number of Individuals Covered58
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $2,200
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $25,784
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $880
Insurance broker organization code?3
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00423444
Policy instance 2
Insurance contract or identification number00423444
Number of Individuals Covered110
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $22,258
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $606,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,258
Insurance broker organization code?3
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010231879 00
Policy instance 1
Insurance contract or identification number000010231879 00
Number of Individuals Covered63
Insurance policy start date2019-07-01
Insurance policy end date2019-05-01
Total amount of commissions paid to insurance brokerUSD $2,625
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $32,177
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
HEALTHNOW NEW YORK, INC. DBA BLUESHIELD OF NORTHEASTERN NEW YORK (National Association of Insurance Commissioners NAIC id number: )
Policy contract number00423444
Policy instance 2
Insurance contract or identification number00423444
Number of Individuals Covered101
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $20,044
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $572,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract number000010231879 00
Policy instance 1
Insurance contract or identification number000010231879 00
Number of Individuals Covered68
Insurance policy start date2018-07-01
Insurance policy end date2018-05-01
Total amount of commissions paid to insurance brokerUSD $1,860
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,722
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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