401k Plan data: CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN plan

CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN 401k Plan overview

Plan Name	CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN
Plan identification number	501

CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

CENTERCAL PROPERTIES LLC has sponsored the creation of one or more 401k plans.

Company Name: CENTERCAL PROPERTIES LLC

Employer identification number (EIN): 202116572

NAIC Classification: 531390
NAIC Description: Other Activities Related to Real Estate

Additional information about CENTERCAL PROPERTIES LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 3903123

More information about CENTERCAL PROPERTIES LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-02-01

Plan Statistics for CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN

401k plan membership statisitcs for CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN

Measure Date Value
2021: CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-02-01 138
Total number of active participants reported on line 7a of the Form 5500 2021-02-01 146
Number of retired or separated participants receiving benefits 2021-02-01 2
Number of other retired or separated participants entitled to future benefits 2021-02-01 9
Total of all active and inactive participants 2021-02-01 157
Total participants 2021-02-01 157

Measure	Date	Value
2021: CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-02-01	138
Total number of active participants reported on line 7a of the Form 5500	2021-02-01	146
Number of retired or separated participants receiving benefits	2021-02-01	2
Number of other retired or separated participants entitled to future benefits	2021-02-01	9
Total of all active and inactive participants	2021-02-01	157
Total participants	2021-02-01	157

Form 5500 Responses for CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN

2021: CENTERCAL PROPERTIES, LLC WELFARE BENEFITS PLAN 2021 form 5500 responses
2021-02-01	Type of plan entity	Single employer plan
2021-02-01	First time form 5500 has been submitted	Yes
2021-02-01	Submission has been amended	No
2021-02-01	This submission is the final filing	Yes
2021-02-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-02-01	Plan is a collectively bargained plan	No
2021-02-01	Plan funding arrangement – Insurance	Yes
2021-02-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

BLUE CROSS OF CALIFORNIA (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

L02408

Policy instance

Insurance contract or identification number	L02408
Number of Individuals Covered	148
Insurance policy start date	2021-02-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $76,425
Total amount of fees paid to insurance company	USD $31,698
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	EMPLOYEE ASSISTANCE PROGRAM
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $1,461,922
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	31698
Additional information about fees paid to insurance broker	FEES PAID
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $76,425

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010265529

Policy instance

Insurance contract or identification number	000010265529
Number of Individuals Covered	150
Insurance policy start date	2021-02-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $3,518
Total amount of fees paid to insurance company	USD $1,759
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $35,179
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	1759
Additional information about fees paid to insurance broker	OVERRIDES
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $3,518

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Company Name:	CENTERCAL PROPERTIES LLC
Employer identification number (EIN):	202116572
NAIC Classification:	531390
NAIC Description:	Other Activities Related to Real Estate

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	3903123