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GEM 401(K) PLAN 401k Plan overview

Plan NameGEM 401(K) PLAN
Plan identification number 003

GEM 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BLUE HILL PLAZA INN, INC. D/B/A has sponsored the creation of one or more 401k plans.

Company Name:BLUE HILL PLAZA INN, INC. D/B/A
Employer identification number (EIN):222731970
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GEM 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01MARIA MARCOLINI2023-07-27
0032021-01-01MARIA MARCOLINI2022-09-14
0032020-01-01
0032019-01-01
0032019-01-01
0032018-01-01
0032017-01-01MARIA MARCOLINI MARIA MARCOLINI2018-10-11
0032016-01-01MARIA MARCOLINI2017-10-16
0032015-01-01MARIA MARCOLINI2016-07-14
0032014-01-01MARIA MARCOLINI2015-07-03
0032013-01-01MARIA MARCOLINI
0032012-01-01MARIA MARCOLINI
0032011-01-01MARIA MARCOLINI
0032009-01-01PHYLLIS A. MALONEY

Plan Statistics for GEM 401(K) PLAN

401k plan membership statisitcs for GEM 401(K) PLAN

Measure Date Value
2020: GEM 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01158
Total number of active participants reported on line 7a of the Form 55002020-01-0170
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0124
Total of all active and inactive participants2020-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0194
Number of participants with account balances2020-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: GEM 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01159
Total number of active participants reported on line 7a of the Form 55002019-01-01152
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0111
Total of all active and inactive participants2019-01-01163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01163
Number of participants with account balances2019-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: GEM 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01159
Total number of active participants reported on line 7a of the Form 55002018-01-01152
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-017
Total of all active and inactive participants2018-01-01159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01159
Number of participants with account balances2018-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: GEM 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01122
Total number of active participants reported on line 7a of the Form 55002017-01-01114
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-017
Total of all active and inactive participants2017-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01121
Number of participants with account balances2017-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2013: GEM 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01150
Total number of active participants reported on line 7a of the Form 55002013-01-01126
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-015
Total of all active and inactive participants2013-01-01131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01131
Number of participants with account balances2013-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: GEM 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01150
Total number of active participants reported on line 7a of the Form 55002012-01-01150
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01150
Number of participants with account balances2012-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GEM 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01150
Total number of active participants reported on line 7a of the Form 55002011-01-01142
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01150
Number of participants with account balances2011-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: GEM 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01122
Total number of active participants reported on line 7a of the Form 55002009-01-01101
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-018
Total of all active and inactive participants2009-01-01109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01109
Number of participants with account balances2009-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on GEM 401(K) PLAN

Measure Date Value
2020 : GEM 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$0
Total transfer of assets from this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$357,944
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$137,825
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$136,775
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$42,490
Value of total assets at end of year2020-12-31$2,041,103
Value of total assets at beginning of year2020-12-31$1,820,984
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,050
Total interest from all sources2020-12-31$3,596
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$63,544
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$63,544
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$183,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$42,490
Participant contributions at end of year2020-12-31$53,934
Participant contributions at beginning of year2020-12-31$51,572
Administrative expenses (other) incurred2020-12-31$1,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$220,119
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,041,103
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,820,984
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,293,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$1,113,357
Interest on participant loans2020-12-31$3,358
Value of interest in common/collective trusts at end of year2020-12-31$577,608
Value of interest in common/collective trusts at beginning of year2020-12-31$523,244
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$116,346
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$132,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$132,811
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$238
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$166,745
Net investment gain or loss from common/collective trusts2020-12-31$81,569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$136,775
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31DUGAN, SCOTTI & ZOCH, P.A.
Accountancy firm EIN2020-12-31222333568
2019 : GEM 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total transfer of assets from this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$411,987
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$6,325
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,515
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$87,881
Value of total assets at end of year2019-12-31$1,820,984
Value of total assets at beginning of year2019-12-31$1,415,322
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$810
Total interest from all sources2019-12-31$6,040
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$62,639
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$62,639
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$142,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$87,881
Participant contributions at end of year2019-12-31$51,572
Participant contributions at beginning of year2019-12-31$67,154
Administrative expenses (other) incurred2019-12-31$810
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$405,662
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,820,984
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,415,322
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$1,113,357
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$824,373
Interest on participant loans2019-12-31$3,768
Value of interest in common/collective trusts at end of year2019-12-31$523,244
Value of interest in common/collective trusts at beginning of year2019-12-31$373,846
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$132,811
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$149,949
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$149,949
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2,272
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$139,167
Net investment gain or loss from common/collective trusts2019-12-31$116,260
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,515
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KALOSIEH, SHACKIL & MEOLA, CPAS, PA
Accountancy firm EIN2019-12-31223050045
2018 : GEM 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets to this plan2018-12-31$0
Total transfer of assets from this plan2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$15,640
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$309,830
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$303,604
Value of total corrective distributions2018-12-31$4,981
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$79,734
Value of total assets at end of year2018-12-31$1,415,322
Value of total assets at beginning of year2018-12-31$1,709,512
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,245
Total interest from all sources2018-12-31$5,744
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$65,310
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$65,310
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$171,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$79,734
Participant contributions at end of year2018-12-31$67,154
Participant contributions at beginning of year2018-12-31$50,622
Administrative expenses (other) incurred2018-12-31$1,245
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-294,190
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,415,322
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,709,512
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$824,373
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$903,805
Interest on participant loans2018-12-31$2,548
Value of interest in common/collective trusts at end of year2018-12-31$373,846
Value of interest in common/collective trusts at beginning of year2018-12-31$380,161
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$149,949
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$374,924
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$374,924
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$3,196
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-112,642
Net investment gain or loss from common/collective trusts2018-12-31$-22,506
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$303,604
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KALOSIEH SHACKIL & MEOLA CPA'S PA
Accountancy firm EIN2018-12-31223050045
2017 : GEM 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$0
Total transfer of assets from this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$294,746
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$276,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$274,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$78,427
Value of total assets at end of year2017-12-31$1,709,512
Value of total assets at beginning of year2017-12-31$1,690,818
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,105
Total interest from all sources2017-12-31$3,766
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$60,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$60,672
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$170,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$78,427
Participant contributions at end of year2017-12-31$50,622
Participant contributions at beginning of year2017-12-31$67,108
Administrative expenses (other) incurred2017-12-31$1,105
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$18,694
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,709,512
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,690,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$903,805
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$856,462
Interest on participant loans2017-12-31$3,042
Value of interest in common/collective trusts at end of year2017-12-31$380,161
Value of interest in common/collective trusts at beginning of year2017-12-31$293,182
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$374,924
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$474,066
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$474,066
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$724
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$92,639
Net investment gain or loss from common/collective trusts2017-12-31$59,242
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$274,947
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31KALOSIEHD,SHACKIL AND MEOLA,CPAS,PA
Accountancy firm EIN2017-12-31223050045
2013 : GEM 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$246,046
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$78,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$61,921
Value of total corrective distributions2013-12-31$16,059
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$62,646
Value of total assets at end of year2013-12-31$1,445,700
Value of total assets at beginning of year2013-12-31$1,278,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$725
Total interest from all sources2013-12-31$380
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$114,818
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$114,818
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$130,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$62,646
Participant contributions at end of year2013-12-31$34,611
Participant contributions at beginning of year2013-12-31$37,297
Assets. Other investments not covered elsewhere at end of year2013-12-31$430,836
Other income not declared elsewhere2013-12-31$1,476
Administrative expenses (other) incurred2013-12-31$725
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$167,341
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,445,700
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,278,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$640,600
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$652,464
Interest on participant loans2013-12-31$380
Value of interest in common/collective trusts at end of year2013-12-31$298,266
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$41,387
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$588,598
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$31,464
Net investment gain or loss from common/collective trusts2013-12-31$35,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$61,921
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KALOSIEH, SHACKIL & MEOLA CPA'S, PA
Accountancy firm EIN2013-12-31223050045
2012 : GEM 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$200,441
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$116,983
Value of total assets at end of year2012-12-31$1,278,359
Value of total assets at beginning of year2012-12-31$1,078,266
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$348
Total interest from all sources2012-12-31$875
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$32,987
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$32,987
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$352,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$70,215
Participant contributions at end of year2012-12-31$37,297
Participant contributions at beginning of year2012-12-31$20,068
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$46,768
Administrative expenses (other) incurred2012-12-31$348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$200,093
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,278,359
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,078,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$652,464
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$503,818
Interest on participant loans2012-12-31$875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$588,598
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$554,380
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$49,596
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$0
Assets. Invements in employer securities at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KALOSIEH SHACKIL MEOLA CPA'S PA
Accountancy firm EIN2012-12-31223050045
2011 : GEM 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$79,587
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$47,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$47,246
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$73,348
Value of total assets at end of year2011-12-31$1,078,266
Value of total assets at beginning of year2011-12-31$1,046,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$88
Total interest from all sources2011-12-31$672
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$25,467
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$25,467
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$352,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$73,348
Participant contributions at end of year2011-12-31$20,068
Participant contributions at beginning of year2011-12-31$12,760
Other income not declared elsewhere2011-12-31$413
Administrative expenses (other) incurred2011-12-31$88
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$32,253
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,078,266
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,046,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$503,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$501,393
Interest on participant loans2011-12-31$672
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$554,380
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$531,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-20,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$0
Assets. Invements in employer securities at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$47,246
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KALOSIEH SHACKIL MEOLA CPA'S PA
Accountancy firm EIN2011-12-31223050045
2010 : GEM 401(K) PLAN 2010 401k financial data
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$0
Total income from all sources (including contributions)2010-12-31$132,172
Total of all expenses incurred2010-12-31$2,764,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,764,073
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$68,603
Value of total assets at end of year2010-12-31$1,046,013
Value of total assets at beginning of year2010-12-31$3,678,364
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$450
Total interest from all sources2010-12-31$1,232
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$11,951
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$11,951
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$352,000
If this is an individual account plan, was there a blackout period2010-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$68,603
Participant contributions at end of year2010-12-31$12,760
Participant contributions at beginning of year2010-12-31$21,191
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$0
Other income not declared elsewhere2010-12-31$469
Administrative expenses (other) incurred2010-12-31$450
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-2,632,351
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,046,013
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,678,364
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$501,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$180,915
Interest on participant loans2010-12-31$1,232
Value of interest in common/collective trusts at end of year2010-12-31$0
Value of interest in common/collective trusts at beginning of year2010-12-31$3,157,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$318,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$318,461
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$531,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$49,917
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,764,073
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31Yes
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31KALOSIEH SHACKIL MEOLA CPA S PA
Accountancy firm EIN2010-12-31223050045
2009 : GEM 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for GEM 401(K) PLAN

2020: GEM 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: GEM 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: GEM 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GEM 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2013: GEM 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: GEM 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: GEM 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: GEM 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number386194-01
Policy instance 1
Insurance contract or identification number386194-01
Number of Individuals Covered40
Insurance policy start date2013-01-01
Insurance policy end date2013-09-02
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Other information about contractGROUP ANNUITY CONTRACT
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number386194-01
Policy instance 1
Insurance contract or identification number386194-01
Number of Individuals Covered40
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker name0
FIRST GREAT WEST LIFE INSURANCE & ANNUITY CO (National Association of Insurance Commissioners NAIC id number: 60214 )
Policy contract number386194-01
Policy instance 1
Insurance contract or identification number386194-01
Number of Individuals Covered39
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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