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DOUBLE A DAIRY, LLC 401k Plan overview

Plan NameDOUBLE A DAIRY, LLC
Plan identification number 501

DOUBLE A DAIRY, LLC Benefits

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

401k Sponsoring company profile

DOUBLE A DAIRY, LLC has sponsored the creation of one or more 401k plans.

Company Name:DOUBLE A DAIRY, LLC
Employer identification number (EIN):203150154
NAIC Classification:112120
NAIC Description:Dairy Cattle and Milk Production

Additional information about DOUBLE A DAIRY, LLC

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number: D8623W

More information about DOUBLE A DAIRY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOUBLE A DAIRY, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01CHANELLE FINLEY2023-06-13
5012021-01-01CHANELLE FINLEY2022-03-15
5012020-01-01CHANELLE FINLEY2021-02-26
5012019-05-01CHANELLE FINLEY2020-07-07

Plan Statistics for DOUBLE A DAIRY, LLC

401k plan membership statisitcs for DOUBLE A DAIRY, LLC

Measure Date Value
2022: DOUBLE A DAIRY, LLC 2022 401k membership
Total participants, beginning-of-year2022-01-01233
Total number of active participants reported on line 7a of the Form 55002022-01-01272
Total of all active and inactive participants2022-01-01272
2021: DOUBLE A DAIRY, LLC 2021 401k membership
Total participants, beginning-of-year2021-01-01241
Total number of active participants reported on line 7a of the Form 55002021-01-01233
Total of all active and inactive participants2021-01-01233
2020: DOUBLE A DAIRY, LLC 2020 401k membership
Total participants, beginning-of-year2020-01-01257
Total number of active participants reported on line 7a of the Form 55002020-01-01241
Total of all active and inactive participants2020-01-01241
2019: DOUBLE A DAIRY, LLC 2019 401k membership
Total participants, beginning-of-year2019-05-010
Total number of active participants reported on line 7a of the Form 55002019-05-01257
Total of all active and inactive participants2019-05-01257
Number of employers contributing to the scheme2019-05-01257

Form 5500 Responses for DOUBLE A DAIRY, LLC

2022: DOUBLE A DAIRY, LLC 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: DOUBLE A DAIRY, LLC 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: DOUBLE A DAIRY, LLC 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: DOUBLE A DAIRY, LLC 2019 form 5500 responses
2019-05-01Type of plan entityMulti-employer plan
2019-05-01First time form 5500 has been submittedYes
2019-05-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-05-01Plan is a collectively bargained planYes
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )
Policy contract numberID355
Policy instance 3
Insurance contract or identification numberID355
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number922532
Policy instance 2
Insurance contract or identification number922532
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract numberSE669-DOUBLE A
Policy instance 1
Insurance contract or identification numberSE669-DOUBLE A
Number of Individuals Covered272
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $13,050
Total amount of fees paid to insurance companyUSD $117,864
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees108410
Additional information about fees paid to insurance brokerINDEMNITY PREMIUM
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $13,050
WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )
Policy contract numberID355
Policy instance 3
Insurance contract or identification numberID355
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number922532
Policy instance 2
Insurance contract or identification number922532
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract numberSE669-DOUBLE A
Policy instance 1
Insurance contract or identification numberSE669-DOUBLE A
Number of Individuals Covered233
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11,928
Total amount of fees paid to insurance companyUSD $107,428
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees98940
Additional information about fees paid to insurance brokerINDEMNITY PREMIUM
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $11,928
WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )
Policy contract numberID355
Policy instance 3
Insurance contract or identification numberID355
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number922532
Policy instance 2
Insurance contract or identification number922532
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract numberSE669-DOUBLE A
Policy instance 1
Insurance contract or identification numberSE669-DOUBLE A
Number of Individuals Covered241
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $12,503
Total amount of fees paid to insurance companyUSD $112,639
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees103755
Additional information about fees paid to insurance brokerINDEMNITY PREMIUM
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $12,503
WILLAMETTE DENTAL OF IDAHO, INC. (National Association of Insurance Commissioners NAIC id number: 95819 )
Policy contract numberID355
Policy instance 3
Insurance contract or identification numberID355
Number of Individuals Covered110
Insurance policy start date2019-05-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,181
Total amount of fees paid to insurance companyUSD $95,816
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees95816
Additional information about fees paid to insurance brokerPREMIUM
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $7,181
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number922532
Policy instance 2
Insurance contract or identification number922532
Number of Individuals Covered15
Insurance policy start date2019-02-01
Insurance policy end date2020-01-31
Total amount of commissions paid to insurance brokerUSD $6,328
Total amount of fees paid to insurance companyUSD $46,315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees46315
Additional information about fees paid to insurance brokerPREMIUM
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $6,328
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract numberSE669-DOUBLE A
Policy instance 1
Insurance contract or identification numberSE669-DOUBLE A
Number of Individuals Covered257
Insurance policy start date2019-05-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $18,173
Total amount of fees paid to insurance companyUSD $157,871
Health Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees151441
Additional information about fees paid to insurance brokerINDEMNITY PREMIUM
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $18,173

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