401k Plan data: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN plan

PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 401k Plan overview

Plan Name	PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN
Plan identification number	501

PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Temporary disability (accident and sickness) Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

PAIGE ELECTRIC CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: PAIGE ELECTRIC CORPORATION

Employer identification number (EIN): 223148731

NAIC Classification: 551112
NAIC Description: Offices of Other Holding Companies

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-09-01 WILLIAM VRANEK 2023-05-25
501 2020-09-01 WILLIAM VRANEK 2022-06-09
501 2019-09-01 WILLIAM VRANEK 2021-06-15
501 2018-09-01
501 2017-09-01
501 2016-09-01
501 2015-09-01 WILLIAM WATKINS
501 2014-09-01 WILLIAM WATKINS
501 2013-09-01 WILLIAM WATKINS
501 2012-09-01 WILLIAM WATKINS
501 2011-09-01 WILLIAM WATKINS
501 2009-09-01 WILLIAM WATKINS
501 2008-09-01 JAMES DECKER
501 2007-09-01 JAMES DECKER
501 2006-09-01 JAMES DECKER

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2021-09-01	WILLIAM VRANEK	2023-05-25
501	2020-09-01	WILLIAM VRANEK	2022-06-09
501	2019-09-01	WILLIAM VRANEK	2021-06-15
501	2018-09-01
501	2017-09-01
501	2016-09-01
501	2015-09-01	WILLIAM WATKINS
501	2014-09-01	WILLIAM WATKINS
501	2013-09-01	WILLIAM WATKINS
501	2012-09-01	WILLIAM WATKINS
501	2011-09-01	WILLIAM WATKINS
501	2009-09-01	WILLIAM WATKINS
501	2008-09-01	JAMES DECKER
501	2007-09-01	JAMES DECKER
501	2006-09-01	JAMES DECKER

Plan Statistics for PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN

401k plan membership statisitcs for PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN

Measure Date Value
2021: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year 2021-09-01 104
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 120
Number of retired or separated participants receiving benefits 2021-09-01 2
Number of other retired or separated participants entitled to future benefits 2021-09-01 0
Total of all active and inactive participants 2021-09-01 122
2020: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year 2020-09-01 111
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 104
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 0
Total of all active and inactive participants 2020-09-01 104
2019: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-09-01 101
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 111
Number of retired or separated participants receiving benefits 2019-09-01 0
Number of other retired or separated participants entitled to future benefits 2019-09-01 0
Total of all active and inactive participants 2019-09-01 111
2018: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-09-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-09-01 101
Total of all active and inactive participants 2018-09-01 101
Total participants 2018-09-01 101
2017: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-09-01 113
Total number of active participants reported on line 7a of the Form 5500 2017-09-01 108
Total of all active and inactive participants 2017-09-01 108
Total participants 2017-09-01 108
2016: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 106
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 113
Total of all active and inactive participants 2016-09-01 113
Total participants 2016-09-01 113
2015: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 100
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 106
Total of all active and inactive participants 2015-09-01 106
Total participants 2015-09-01 106
2014: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 102
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 100
Total of all active and inactive participants 2014-09-01 100
Total participants 2014-09-01 100
2013: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 101
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 102
Total of all active and inactive participants 2013-09-01 102
Total participants 2013-09-01 102
2012: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 101
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 101
Total of all active and inactive participants 2012-09-01 101
Total participants 2012-09-01 101
2011: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-09-01 102
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 101
Total of all active and inactive participants 2011-09-01 101
Total participants 2011-09-01 101
2009: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 106
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 105
Total of all active and inactive participants 2009-09-01 105
Total participants 2009-09-01 105
2008: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year 2008-09-01 128
Total number of active participants reported on line 7a of the Form 5500 2008-09-01 106
Number of retired or separated participants receiving benefits 2008-09-01 0
Number of other retired or separated participants entitled to future benefits 2008-09-01 0
Total of all active and inactive participants 2008-09-01 106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-09-01 0
Total participants 2008-09-01 106
Number of participants with account balances 2008-09-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-09-01 0
2007: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year 2007-09-01 112
Total number of active participants reported on line 7a of the Form 5500 2007-09-01 128
Number of retired or separated participants receiving benefits 2007-09-01 0
Number of other retired or separated participants entitled to future benefits 2007-09-01 0
Total of all active and inactive participants 2007-09-01 128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2007-09-01 0
Total participants 2007-09-01 128
Number of participants with account balances 2007-09-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2007-09-01 0
2006: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2006 401k membership
Total number of active participants reported on line 7a of the Form 5500 2006-09-01 112
Number of retired or separated participants receiving benefits 2006-09-01 0
Number of other retired or separated participants entitled to future benefits 2006-09-01 0
Total of all active and inactive participants 2006-09-01 112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2006-09-01 0
Total participants 2006-09-01 112
Number of participants with account balances 2006-09-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2006-09-01 0

Measure	Date	Value
2021: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year	2021-09-01	104
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	120
Number of retired or separated participants receiving benefits	2021-09-01	2
Number of other retired or separated participants entitled to future benefits	2021-09-01	0
Total of all active and inactive participants	2021-09-01	122
2020: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year	2020-09-01	111
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	104
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	0
Total of all active and inactive participants	2020-09-01	104
2019: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-09-01	101
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	111
Number of retired or separated participants receiving benefits	2019-09-01	0
Number of other retired or separated participants entitled to future benefits	2019-09-01	0
Total of all active and inactive participants	2019-09-01	111
2018: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-09-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-09-01	101
Total of all active and inactive participants	2018-09-01	101
Total participants	2018-09-01	101
2017: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-09-01	113
Total number of active participants reported on line 7a of the Form 5500	2017-09-01	108
Total of all active and inactive participants	2017-09-01	108
Total participants	2017-09-01	108
2016: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	106
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	113
Total of all active and inactive participants	2016-09-01	113
Total participants	2016-09-01	113
2015: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	100
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	106
Total of all active and inactive participants	2015-09-01	106
Total participants	2015-09-01	106
2014: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	102
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	100
Total of all active and inactive participants	2014-09-01	100
Total participants	2014-09-01	100
2013: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	101
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	102
Total of all active and inactive participants	2013-09-01	102
Total participants	2013-09-01	102
2012: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	101
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	101
Total of all active and inactive participants	2012-09-01	101
Total participants	2012-09-01	101
2011: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-09-01	102
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	101
Total of all active and inactive participants	2011-09-01	101
Total participants	2011-09-01	101
2009: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	106
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	105
Total of all active and inactive participants	2009-09-01	105
Total participants	2009-09-01	105
2008: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2008 401k membership
Total participants, beginning-of-year	2008-09-01	128
Total number of active participants reported on line 7a of the Form 5500	2008-09-01	106
Number of retired or separated participants receiving benefits	2008-09-01	0
Number of other retired or separated participants entitled to future benefits	2008-09-01	0
Total of all active and inactive participants	2008-09-01	106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-09-01	0
Total participants	2008-09-01	106
Number of participants with account balances	2008-09-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-09-01	0
2007: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2007 401k membership
Total participants, beginning-of-year	2007-09-01	112
Total number of active participants reported on line 7a of the Form 5500	2007-09-01	128
Number of retired or separated participants receiving benefits	2007-09-01	0
Number of other retired or separated participants entitled to future benefits	2007-09-01	0
Total of all active and inactive participants	2007-09-01	128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2007-09-01	0
Total participants	2007-09-01	128
Number of participants with account balances	2007-09-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2007-09-01	0
2006: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2006 401k membership
Total number of active participants reported on line 7a of the Form 5500	2006-09-01	112
Number of retired or separated participants receiving benefits	2006-09-01	0
Number of other retired or separated participants entitled to future benefits	2006-09-01	0
Total of all active and inactive participants	2006-09-01	112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2006-09-01	0
Total participants	2006-09-01	112
Number of participants with account balances	2006-09-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2006-09-01	0

Financial Data on PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN

Measure	Date	Value
2019 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-08-31	$13,250
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-08-31	$13,000
Total income from all sources (including contributions)	2019-08-31	$2,410,583
Total of all expenses incurred	2019-08-31	$2,217,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-08-31	$2,086,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-08-31	$2,410,583
Value of total assets at end of year	2019-08-31	$266,916
Value of total assets at beginning of year	2019-08-31	$73,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-08-31	$131,454
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-08-31	No
Administrative expenses professional fees incurred	2019-08-31	$13,250
Was this plan covered by a fidelity bond	2019-08-31	Yes
Value of fidelity bond cover	2019-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2019-08-31	No
Contributions received from participants	2019-08-31	$260,322
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-08-31	$253,666
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-08-31	$60,851
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-08-31	$13,250
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-08-31	$13,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-08-31	No
Value of net income/loss	2019-08-31	$192,815
Value of net assets at end of year (total assets less liabilities)	2019-08-31	$253,666
Value of net assets at beginning of year (total assets less liabilities)	2019-08-31	$60,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-08-31	No
Were any leases to which the plan was party in default or uncollectible	2019-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2019-08-31	$628,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-08-31	No
Was there a failure to transmit to the plan any participant contributions	2019-08-31	No
Has the plan failed to provide any benefit when due under the plan	2019-08-31	No
Contributions received in cash from employer	2019-08-31	$2,150,261
Employer contributions (assets) at end of year	2019-08-31	$13,250
Employer contributions (assets) at beginning of year	2019-08-31	$13,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-08-31	$1,457,977
Contract administrator fees	2019-08-31	$118,204
Did the plan have assets held for investment	2019-08-31	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	2019-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-08-31	No
Opinion of an independent qualified public accountant for this plan	2019-08-31	Unqualified
Accountancy firm name	2019-08-31	WITHUMSMITH+BROWN
Accountancy firm EIN	2019-08-31	222027092
2018 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-08-31	$13,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-08-31	$12,600
Total income from all sources (including contributions)	2018-08-31	$2,055,192
Total of all expenses incurred	2018-08-31	$2,019,771
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-08-31	$1,848,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-08-31	$2,055,192
Value of total assets at end of year	2018-08-31	$73,851
Value of total assets at beginning of year	2018-08-31	$38,030
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-08-31	$171,743
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-08-31	No
Administrative expenses professional fees incurred	2018-08-31	$13,000
Was this plan covered by a fidelity bond	2018-08-31	Yes
Value of fidelity bond cover	2018-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2018-08-31	No
Contributions received from participants	2018-08-31	$297,964
Value of other receiveables (less allowance for doubtful accounts) at end of year	2018-08-31	$60,851
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2018-08-31	$25,430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2018-08-31	$13,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2018-08-31	$12,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-08-31	No
Value of net income/loss	2018-08-31	$35,421
Value of net assets at end of year (total assets less liabilities)	2018-08-31	$60,851
Value of net assets at beginning of year (total assets less liabilities)	2018-08-31	$25,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-08-31	No
Were any leases to which the plan was party in default or uncollectible	2018-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2018-08-31	$641,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-08-31	No
Was there a failure to transmit to the plan any participant contributions	2018-08-31	No
Has the plan failed to provide any benefit when due under the plan	2018-08-31	No
Contributions received in cash from employer	2018-08-31	$1,757,228
Employer contributions (assets) at end of year	2018-08-31	$13,000
Employer contributions (assets) at beginning of year	2018-08-31	$12,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-08-31	$1,206,087
Contract administrator fees	2018-08-31	$158,743
Did the plan have assets held for investment	2018-08-31	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	2018-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-08-31	No
Opinion of an independent qualified public accountant for this plan	2018-08-31	Unqualified
Accountancy firm name	2018-08-31	WITHUMSMITH+BROWN
Accountancy firm EIN	2018-08-31	222027092
2017 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-08-31	$12,600
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-08-31	$12,600
Total income from all sources (including contributions)	2017-08-31	$1,911,193
Total of all expenses incurred	2017-08-31	$1,909,232
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-08-31	$1,787,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-08-31	$1,911,193
Value of total assets at end of year	2017-08-31	$38,030
Value of total assets at beginning of year	2017-08-31	$36,069
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-08-31	$121,770
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-08-31	No
Administrative expenses professional fees incurred	2017-08-31	$12,600
Was this plan covered by a fidelity bond	2017-08-31	Yes
Value of fidelity bond cover	2017-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2017-08-31	No
Contributions received from participants	2017-08-31	$255,885
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-08-31	$25,430
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-08-31	$23,469
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-08-31	$12,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-08-31	$12,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-08-31	No
Value of net income/loss	2017-08-31	$1,961
Value of net assets at end of year (total assets less liabilities)	2017-08-31	$25,430
Value of net assets at beginning of year (total assets less liabilities)	2017-08-31	$23,469
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-08-31	No
Were any leases to which the plan was party in default or uncollectible	2017-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2017-08-31	$653,978
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-08-31	No
Was there a failure to transmit to the plan any participant contributions	2017-08-31	No
Has the plan failed to provide any benefit when due under the plan	2017-08-31	No
Contributions received in cash from employer	2017-08-31	$1,655,308
Employer contributions (assets) at end of year	2017-08-31	$12,600
Employer contributions (assets) at beginning of year	2017-08-31	$12,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-08-31	$1,133,484
Contract administrator fees	2017-08-31	$109,170
Did the plan have assets held for investment	2017-08-31	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	2017-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-08-31	No
Opinion of an independent qualified public accountant for this plan	2017-08-31	Unqualified
Accountancy firm name	2017-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2017-08-31	222027092
2016 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-08-31	$12,600
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-08-31	$12,000
Total income from all sources (including contributions)	2016-08-31	$2,131,172
Total of all expenses incurred	2016-08-31	$2,118,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-08-31	$1,993,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-08-31	$2,131,172
Value of total assets at end of year	2016-08-31	$36,069
Value of total assets at beginning of year	2016-08-31	$23,111
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-08-31	$124,910
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-08-31	No
Administrative expenses professional fees incurred	2016-08-31	$12,600
Was this plan covered by a fidelity bond	2016-08-31	Yes
Value of fidelity bond cover	2016-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2016-08-31	No
Contributions received from participants	2016-08-31	$207,824
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-08-31	$23,469
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-08-31	$11,111
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-08-31	$12,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-08-31	$12,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-08-31	No
Value of net income/loss	2016-08-31	$12,358
Value of net assets at end of year (total assets less liabilities)	2016-08-31	$23,469
Value of net assets at beginning of year (total assets less liabilities)	2016-08-31	$11,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-08-31	No
Were any leases to which the plan was party in default or uncollectible	2016-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2016-08-31	$541,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-08-31	No
Was there a failure to transmit to the plan any participant contributions	2016-08-31	No
Has the plan failed to provide any benefit when due under the plan	2016-08-31	No
Contributions received in cash from employer	2016-08-31	$1,923,348
Employer contributions (assets) at end of year	2016-08-31	$12,600
Employer contributions (assets) at beginning of year	2016-08-31	$12,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-08-31	$1,452,217
Contract administrator fees	2016-08-31	$112,310
Did the plan have assets held for investment	2016-08-31	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	2016-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-08-31	No
Opinion of an independent qualified public accountant for this plan	2016-08-31	Unqualified
Accountancy firm name	2016-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2016-08-31	222027092
2015 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-08-31	$12,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-08-31	$11,550
Total income from all sources (including contributions)	2015-08-31	$1,873,426
Total of all expenses incurred	2015-08-31	$1,870,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-08-31	$1,752,712
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-08-31	$1,873,426
Value of total assets at end of year	2015-08-31	$23,111
Value of total assets at beginning of year	2015-08-31	$19,446
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-08-31	$117,499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-08-31	No
Administrative expenses professional fees incurred	2015-08-31	$12,000
Was this plan covered by a fidelity bond	2015-08-31	Yes
Value of fidelity bond cover	2015-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2015-08-31	No
Contributions received from participants	2015-08-31	$181,369
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-08-31	$11,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-08-31	$7,896
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-08-31	$12,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-08-31	$11,550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-08-31	No
Value of net income/loss	2015-08-31	$3,215
Value of net assets at end of year (total assets less liabilities)	2015-08-31	$11,111
Value of net assets at beginning of year (total assets less liabilities)	2015-08-31	$7,896
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-08-31	No
Were any leases to which the plan was party in default or uncollectible	2015-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2015-08-31	$474,299
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-08-31	No
Was there a failure to transmit to the plan any participant contributions	2015-08-31	No
Has the plan failed to provide any benefit when due under the plan	2015-08-31	No
Contributions received in cash from employer	2015-08-31	$1,692,057
Employer contributions (assets) at end of year	2015-08-31	$12,000
Employer contributions (assets) at beginning of year	2015-08-31	$11,550
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-08-31	$1,278,413
Contract administrator fees	2015-08-31	$105,499
Did the plan have assets held for investment	2015-08-31	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	2015-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-08-31	No
Opinion of an independent qualified public accountant for this plan	2015-08-31	Unqualified
Accountancy firm name	2015-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2015-08-31	222027092
2014 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-08-31	$11,550
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-08-31	$11,000
Total income from all sources (including contributions)	2014-08-31	$1,740,982
Total of all expenses incurred	2014-08-31	$1,795,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-08-31	$1,704,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-08-31	$1,740,982
Value of total assets at end of year	2014-08-31	$19,446
Value of total assets at beginning of year	2014-08-31	$73,783
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-08-31	$90,900
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-08-31	No
Administrative expenses professional fees incurred	2014-08-31	$11,550
Was this plan covered by a fidelity bond	2014-08-31	Yes
Value of fidelity bond cover	2014-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2014-08-31	No
Contributions received from participants	2014-08-31	$159,891
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-08-31	$7,896
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-08-31	$62,783
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-08-31	$11,550
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-08-31	$11,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-08-31	No
Value of net income/loss	2014-08-31	$-54,887
Value of net assets at end of year (total assets less liabilities)	2014-08-31	$7,896
Value of net assets at beginning of year (total assets less liabilities)	2014-08-31	$62,783
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-08-31	No
Were any leases to which the plan was party in default or uncollectible	2014-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2014-08-31	$404,363
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-08-31	No
Was there a failure to transmit to the plan any participant contributions	2014-08-31	No
Has the plan failed to provide any benefit when due under the plan	2014-08-31	No
Contributions received in cash from employer	2014-08-31	$1,581,091
Employer contributions (assets) at end of year	2014-08-31	$11,550
Employer contributions (assets) at beginning of year	2014-08-31	$11,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-08-31	$1,300,606
Contract administrator fees	2014-08-31	$79,350
Did the plan have assets held for investment	2014-08-31	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	2014-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-08-31	No
Opinion of an independent qualified public accountant for this plan	2014-08-31	Unqualified
Accountancy firm name	2014-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2014-08-31	222027092
2013 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-08-31	$11,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-08-31	$10,100
Total income from all sources (including contributions)	2013-08-31	$1,820,465
Total of all expenses incurred	2013-08-31	$1,994,751
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-08-31	$1,892,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-08-31	$1,820,465
Value of total assets at end of year	2013-08-31	$73,783
Value of total assets at beginning of year	2013-08-31	$247,169
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-08-31	$102,315
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-08-31	No
Administrative expenses professional fees incurred	2013-08-31	$11,000
Was this plan covered by a fidelity bond	2013-08-31	Yes
Value of fidelity bond cover	2013-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2013-08-31	No
Contributions received from participants	2013-08-31	$123,120
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-08-31	$62,783
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-08-31	$237,069
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-08-31	$11,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-08-31	$10,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-08-31	No
Value of net income/loss	2013-08-31	$-174,286
Value of net assets at end of year (total assets less liabilities)	2013-08-31	$62,783
Value of net assets at beginning of year (total assets less liabilities)	2013-08-31	$237,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-08-31	No
Were any leases to which the plan was party in default or uncollectible	2013-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2013-08-31	$409,113
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-08-31	No
Was there a failure to transmit to the plan any participant contributions	2013-08-31	No
Has the plan failed to provide any benefit when due under the plan	2013-08-31	No
Contributions received in cash from employer	2013-08-31	$1,697,345
Employer contributions (assets) at end of year	2013-08-31	$11,000
Employer contributions (assets) at beginning of year	2013-08-31	$10,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-08-31	$1,483,323
Contract administrator fees	2013-08-31	$91,315
Did the plan have assets held for investment	2013-08-31	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	2013-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-08-31	No
Opinion of an independent qualified public accountant for this plan	2013-08-31	Unqualified
Accountancy firm name	2013-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2013-08-31	222027092
2012 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-08-31	$10,100
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-08-31	$9,500
Total income from all sources (including contributions)	2012-08-31	$1,751,507
Total of all expenses incurred	2012-08-31	$1,657,803
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-08-31	$1,535,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-08-31	$1,751,507
Value of total assets at end of year	2012-08-31	$247,169
Value of total assets at beginning of year	2012-08-31	$152,865
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-08-31	$122,240
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-08-31	No
Administrative expenses professional fees incurred	2012-08-31	$10,100
Was this plan covered by a fidelity bond	2012-08-31	Yes
Value of fidelity bond cover	2012-08-31	$1,000,000
Were there any nonexempt tranactions with any party-in-interest	2012-08-31	No
Contributions received from participants	2012-08-31	$85,818
Value of other receiveables (less allowance for doubtful accounts) at end of year	2012-08-31	$237,069
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2012-08-31	$143,365
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2012-08-31	$10,100
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2012-08-31	$9,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-08-31	No
Value of net income/loss	2012-08-31	$93,704
Value of net assets at end of year (total assets less liabilities)	2012-08-31	$237,069
Value of net assets at beginning of year (total assets less liabilities)	2012-08-31	$143,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-08-31	No
Were any leases to which the plan was party in default or uncollectible	2012-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2012-08-31	$314,460
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-08-31	No
Was there a failure to transmit to the plan any participant contributions	2012-08-31	No
Has the plan failed to provide any benefit when due under the plan	2012-08-31	No
Contributions received in cash from employer	2012-08-31	$1,665,689
Employer contributions (assets) at end of year	2012-08-31	$10,100
Employer contributions (assets) at beginning of year	2012-08-31	$9,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-08-31	$1,221,103
Contract administrator fees	2012-08-31	$112,140
Did the plan have assets held for investment	2012-08-31	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	2012-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-08-31	No
Opinion of an independent qualified public accountant for this plan	2012-08-31	Unqualified
Accountancy firm name	2012-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2012-08-31	222027092
2011 : PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2011 401k financial data
Total transfer of assets to this plan	2011-08-31	$143,365
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-08-31	$9,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-08-31	$18,000
Total income from all sources (including contributions)	2011-08-31	$1,556,434
Total of all expenses incurred	2011-08-31	$1,556,434
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-08-31	$1,445,016
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-08-31	$1,556,434
Value of total assets at end of year	2011-08-31	$152,865
Value of total assets at beginning of year	2011-08-31	$18,000
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-08-31	$111,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-08-31	No
Administrative expenses professional fees incurred	2011-08-31	$9,500
Was this plan covered by a fidelity bond	2011-08-31	Yes
Value of fidelity bond cover	2011-08-31	$1,000,000
If this is an individual account plan, was there a blackout period	2011-08-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-08-31	No
Contributions received from participants	2011-08-31	$23,741
Value of other receiveables (less allowance for doubtful accounts) at end of year	2011-08-31	$143,365
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2011-08-31	$9,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2011-08-31	$18,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-08-31	No
Value of net assets at end of year (total assets less liabilities)	2011-08-31	$143,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-08-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-08-31	No
Were any leases to which the plan was party in default or uncollectible	2011-08-31	No
Expenses. Payments to insurance carriers foe the provision of benefits	2011-08-31	$282,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-08-31	No
Was there a failure to transmit to the plan any participant contributions	2011-08-31	No
Has the plan failed to provide any benefit when due under the plan	2011-08-31	No
Contributions received in cash from employer	2011-08-31	$1,532,693
Employer contributions (assets) at end of year	2011-08-31	$9,500
Employer contributions (assets) at beginning of year	2011-08-31	$18,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-08-31	$1,162,534
Contract administrator fees	2011-08-31	$101,918
Did the plan have assets held for investment	2011-08-31	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	2011-08-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-08-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-08-31	No
Opinion of an independent qualified public accountant for this plan	2011-08-31	Unqualified
Accountancy firm name	2011-08-31	WITHUMSMITHBROWN
Accountancy firm EIN	2011-08-31	222027092

Form 5500 Responses for PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN

2021: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Submission has been amended	No
2021-09-01	This submission is the final filing	No
2021-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-09-01	Plan is a collectively bargained plan	No
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Submission has been amended	No
2020-09-01	This submission is the final filing	No
2020-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-09-01	Plan is a collectively bargained plan	No
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Submission has been amended	No
2019-09-01	This submission is the final filing	No
2019-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-09-01	Plan is a collectively bargained plan	No
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2018 form 5500 responses
2018-09-01	Type of plan entity	Single employer plan
2018-09-01	Plan funding arrangement – Insurance	Yes
2018-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-09-01	Plan benefit arrangement – Insurance	Yes
2018-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2017 form 5500 responses
2017-09-01	Type of plan entity	Single employer plan
2017-09-01	Plan funding arrangement – Insurance	Yes
2017-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-09-01	Plan benefit arrangement – Insurance	Yes
2017-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2008: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2008 form 5500 responses
2008-09-01	Type of plan entity	Single employer plan
2008-09-01	Submission has been amended	No
2008-09-01	This submission is the final filing	No
2008-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-09-01	Plan is a collectively bargained plan	No
2008-09-01	Plan funding arrangement – Insurance	Yes
2008-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2008-09-01	Plan benefit arrangement – Insurance	Yes
2008-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2007: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2007 form 5500 responses
2007-09-01	Type of plan entity	Single employer plan
2007-09-01	Submission has been amended	No
2007-09-01	This submission is the final filing	No
2007-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2007-09-01	Plan is a collectively bargained plan	No
2007-09-01	Plan funding arrangement – Insurance	Yes
2007-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2007-09-01	Plan benefit arrangement – Insurance	Yes
2007-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2006: PAIGE ELECTRIC CORP HEALTH CARE BENEFITS PLAN 2006 form 5500 responses
2006-09-01	Type of plan entity	Single employer plan
2006-09-01	First time form 5500 has been submitted	Yes
2006-09-01	Submission has been amended	No
2006-09-01	This submission is the final filing	No
2006-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2006-09-01	Plan is a collectively bargained plan	No
2006-09-01	Plan funding arrangement – Insurance	Yes
2006-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2006-09-01	Plan benefit arrangement – Insurance	Yes
2006-09-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086728

Policy instance

Insurance contract or identification number	1086728
Number of Individuals Covered	168
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $3,462
Total amount of fees paid to insurance company	USD $0
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	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
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 $72,068
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,462
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUNJ0BV8L

Policy instance

Insurance contract or identification number	GUNJ0BV8L
Number of Individuals Covered	35
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $995
Total amount of fees paid to insurance company	USD $0
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 $9,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $995
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GUG0BV8L

Policy instance

Insurance contract or identification number	GUG0BV8L
Number of Individuals Covered	78
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $2,639
Total amount of fees paid to insurance company	USD $0
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 $26,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,639
Insurance broker organization code?	3

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

GLUG0BV8L

Policy instance

Insurance contract or identification number	GLUG0BV8L
Number of Individuals Covered	113
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $1,463
Total amount of fees paid to insurance company	USD $0
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	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
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 $14,627
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,463
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

153916

Policy instance

Insurance contract or identification number	153916
Number of Individuals Covered	65
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,896
Total amount of fees paid to insurance company	USD $0
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,334
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

153916

Policy instance

Insurance contract or identification number	153916
Number of Individuals Covered	109
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $1,874
Total amount of fees paid to insurance company	USD $0
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	Yes
Temporary Disability Insurance Welfare Benefit	No
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,520
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086728

Policy instance

Insurance contract or identification number	1086728
Number of Individuals Covered	157
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $3,194
Total amount of fees paid to insurance company	USD $305
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	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
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 $60,371
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,194
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BONUS

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

153916

Policy instance

Insurance contract or identification number	153916
Number of Individuals Covered	65
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,111
Total amount of fees paid to insurance company	USD $0
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $982
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )

Policy contract number

153916

Policy instance

Insurance contract or identification number	153916
Number of Individuals Covered	107
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,763
Total amount of fees paid to insurance company	USD $0
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	Yes
Temporary Disability Insurance Welfare Benefit	No
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,443
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )

Policy contract number

1086728

Policy instance

Insurance contract or identification number	1086728
Number of Individuals Covered	148
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $3,405
Total amount of fees paid to insurance company	USD $2,047
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	Yes
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
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 $63,598
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,405
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Additional information about fees paid to insurance broker	BONUS

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

537008530027

Policy instance

Insurance contract or identification number	537008530027
Insurance policy start date	2018-09-01
Insurance policy end date	2019-09-01
Other welfare benefits provided	TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

537005530027

Policy instance

Insurance contract or identification number	537005530027
Number of Individuals Covered	101
Insurance policy start date	2018-09-01
Insurance policy end date	2019-09-01
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

537007530027

Policy instance

Insurance contract or identification number	537007530027
Number of Individuals Covered	108
Insurance policy start date	2017-09-01
Insurance policy end date	2018-09-01
Total amount of commissions paid to insurance broker	USD $58,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )

Policy contract number

537008530027

Policy instance

Insurance contract or identification number	537008530027
Insurance policy start date	2017-09-01
Insurance policy end date	2018-09-01
Other welfare benefits provided	TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

PAIGE ELECTRIC LLC 401 K PROFIT SHARING PLAN TRUST [EIN = 364722758]

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Company Name:	PAIGE ELECTRIC CORPORATION
Employer identification number (EIN):	223148731
NAIC Classification:	551112
NAIC Description:	Offices of Other Holding Companies