| Plan Name | NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | NVI, LLC |
| Employer identification number (EIN): | 201117678 |
| NAIC Classification: | 236200 |
Additional information about NVI, LLC
| Jurisdiction of Incorporation: | Colorado Department of State |
| Incorporation Date: | 2008-04-25 |
| Company Identification Number: | 20081227113 |
| Legal Registered Office Address: |
1245 South Bellaire, #607 Denver United States of America (USA) 80246 |
More information about NVI, LLC
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2012-03-01 | BLAKE NAQUIN | |||
| 501 | 2011-03-01 | BLAKE NAQUIN |
| Measure | Date | Value |
|---|---|---|
| 2013 : NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2013 401k financial data | ||
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-02-28 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-02-28 | $6,196 |
| Total income from all sources (including contributions) | 2013-02-28 | $643,029 |
| Total of all expenses incurred | 2013-02-28 | $645,303 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-02-28 | $608,054 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-02-28 | $643,029 |
| Value of total assets at end of year | 2013-02-28 | $7 |
| Value of total assets at beginning of year | 2013-02-28 | $8,477 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-02-28 | $37,249 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-02-28 | No |
| Was this plan covered by a fidelity bond | 2013-02-28 | Yes |
| Value of fidelity bond cover | 2013-02-28 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2013-02-28 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-02-28 | No |
| Contributions received from participants | 2013-02-28 | $342,998 |
| Administrative expenses (other) incurred | 2013-02-28 | $5,320 |
| Total non interest bearing cash at end of year | 2013-02-28 | $7 |
| Total non interest bearing cash at beginning of year | 2013-02-28 | $8,477 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-02-28 | No |
| Value of net income/loss | 2013-02-28 | $-2,274 |
| Value of net assets at end of year (total assets less liabilities) | 2013-02-28 | $7 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-02-28 | $2,281 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-02-28 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-02-28 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-02-28 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-02-28 | $541,479 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-02-28 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-02-28 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-02-28 | No |
| Contributions received in cash from employer | 2013-02-28 | $300,031 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-02-28 | $66,575 |
| Contract administrator fees | 2013-02-28 | $31,929 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-02-28 | No |
| Liabilities. Value of benefit claims payable at end of year | 2013-02-28 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-02-28 | $6,196 |
| Did the plan have assets held for investment | 2013-02-28 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-02-28 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-02-28 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-02-28 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-02-28 | Unqualified |
| Accountancy firm name | 2013-02-28 | BROUSSARD & COMPANY CPA'S, LLC |
| Accountancy firm EIN | 2013-02-28 | 721447940 |
| 2012 : NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 401k financial data | ||
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-02-29 | $6,196 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-02-29 | $0 |
| Total income from all sources (including contributions) | 2012-02-29 | $1,166,008 |
| Total of all expenses incurred | 2012-02-29 | $1,163,727 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-02-29 | $1,113,355 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-02-29 | $1,166,008 |
| Value of total assets at end of year | 2012-02-29 | $8,477 |
| Value of total assets at beginning of year | 2012-02-29 | $0 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-02-29 | $50,372 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-02-29 | No |
| Was this plan covered by a fidelity bond | 2012-02-29 | Yes |
| Value of fidelity bond cover | 2012-02-29 | $500,000 |
| If this is an individual account plan, was there a blackout period | 2012-02-29 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-02-29 | No |
| Contributions received from participants | 2012-02-29 | $630,002 |
| Administrative expenses (other) incurred | 2012-02-29 | $5,747 |
| Total non interest bearing cash at end of year | 2012-02-29 | $8,477 |
| Total non interest bearing cash at beginning of year | 2012-02-29 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-02-29 | No |
| Value of net income/loss | 2012-02-29 | $2,281 |
| Value of net assets at end of year (total assets less liabilities) | 2012-02-29 | $2,281 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-02-29 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-02-29 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-02-29 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-02-29 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-02-29 | $1,041,932 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-02-29 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-02-29 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-02-29 | No |
| Contributions received in cash from employer | 2012-02-29 | $536,006 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-02-29 | $71,423 |
| Contract administrator fees | 2012-02-29 | $44,625 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-02-29 | No |
| Liabilities. Value of benefit claims payable at end of year | 2012-02-29 | $6,196 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-02-29 | $0 |
| Did the plan have assets held for investment | 2012-02-29 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-02-29 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-02-29 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-02-29 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-02-29 | Unqualified |
| Accountancy firm name | 2012-02-29 | BROUSSARD & COMPANY CPAS, LLC |
| Accountancy firm EIN | 2012-02-29 | 721447940 |
| 2012: NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2012 form 5500 responses | ||
|---|---|---|
| 2012-03-01 | Type of plan entity | Single employer plan |
| 2012-03-01 | Submission has been amended | No |
| 2012-03-01 | This submission is the final filing | Yes |
| 2012-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2012-03-01 | Plan is a collectively bargained plan | No |
| 2012-03-01 | Plan funding arrangement – Insurance | Yes |
| 2012-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: NVI, LLC EMPLOYEE BENEFIT PLAN & TRUST 2011 form 5500 responses | ||
| 2011-03-01 | Type of plan entity | Single employer plan |
| 2011-03-01 | First time form 5500 has been submitted | Yes |
| 2011-03-01 | Plan funding arrangement – Insurance | Yes |
| 2011-03-01 | Plan funding arrangement – Trust | Yes |
| 2011-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-03-01 | Plan benefit arrangement - Trust | Yes |
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60093 ) | |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 ) | |
| Policy contract number | 477184 |
| Policy instance | 1 |
| UNITEDHEALTHCARE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 60093 ) | |
| Policy contract number | NOT AVAILABLE |
| Policy instance | 1 |