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PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NamePERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN
Plan identification number 501

PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

PERBACCO INVESTORS, LP has sponsored the creation of one or more 401k plans.

Company Name:PERBACCO INVESTORS, LP
Employer identification number (EIN):204823666
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-01-01
5012016-01-01UMBERTO GIBIN2018-11-12
5012015-01-01UMBERTO GIBON

Financial Data on PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2016 : PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$272,738
Expenses. Total of all expenses incurred2016-12-31$272,738
Benefits paid (including direct rollovers)2016-12-31$125,203
Total plan assets at end of year2016-12-31$0
Total plan assets at beginning of year2016-12-31$0
Total contributions received or receivable from participants2016-12-31$9,011
Net income (gross income less expenses)2016-12-31$0
Net plan assets at end of year (total assets less liabilities)2016-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$0
Total contributions received or receivable from employer(s)2016-12-31$263,727
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$147,535
2015 : PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$214,796
Expenses. Total of all expenses incurred2015-12-31$214,796
Benefits paid (including direct rollovers)2015-12-31$103,795
Total plan assets at end of year2015-12-31$0
Total plan assets at beginning of year2015-12-31$0
Total contributions received or receivable from participants2015-12-31$7,096
Expenses. Other expenses not covered elsewhere2015-12-31$59,073
Net income (gross income less expenses)2015-12-31$0
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$207,700
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$51,928

Form 5500 Responses for PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN

2016: PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: PERBACCO INVESTORS LP EMPLOYER HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05916388
Policy instance 1
SAFEGUARD HEALTH PLANS, INC. A CALIFORNIA CORPORATION (National Association of Insurance Commissioners NAIC id number: 96030 )
Policy contract numberTS05916388
Policy instance 2
BENEFIT RISK MANAGEMENT SERVICES (National Association of Insurance Commissioners NAIC id number: 95763 )
Policy contract number00
Policy instance 3

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