401k Plan data: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN plan

ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 401k Plan overview

Plan Name	ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN
Plan identification number	503

ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ALCOM PRINTING GROUP, INC has sponsored the creation of one or more 401k plans.

Company Name: ALCOM PRINTING GROUP, INC

Employer identification number (EIN): 231640799

NAIC Classification: 323100

Additional information about ALCOM PRINTING GROUP, INC

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

Incorporation Date:

Company Identification Number: 702145

More information about ALCOM PRINTING GROUP, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2017-01-01
503 2017-01-01 JUDY BAEHRLE 2019-07-14
503 2016-01-01 JUDITH BAEHRLE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
503	2017-01-01
503	2017-01-01	JUDY BAEHRLE	2019-07-14
503	2016-01-01	JUDITH BAEHRLE

Plan Statistics for ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN

401k plan membership statisitcs for ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN

Measure Date Value
2017: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 109
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 100
Total of all active and inactive participants 2017-01-01 100
2016: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 109
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 109

Measure	Date	Value
2017: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	109
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	100
Total of all active and inactive participants	2017-01-01	100
2016: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	109
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	109

Form 5500 Responses for ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN

2017: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: ALCOM PRINTING INC. PRETAX EMPLOYEE PREMIUM PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

KEYSTONE HEALTH PLAN EAST (National Association of Insurance Commissioners NAIC id number: 95056 )

Policy contract number

358500

Policy instance

Insurance contract or identification number	358500
Number of Individuals Covered	100
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $54,821
Total amount of fees paid to insurance company	USD $3,543
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $49,985
Insurance broker organization code?	3
Amount paid for insurance broker fees	3543
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker name	EMERSON REID

INDEPENDENCE BLUE CROSS (National Association of Insurance Commissioners NAIC id number: 93688 )

Policy contract number

358500

Policy instance

Insurance contract or identification number	358500
Number of Individuals Covered	2
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $1,356
Total amount of fees paid to insurance company	USD $124
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	No
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $966
Insurance broker organization code?	3
Amount paid for insurance broker fees	124
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker name	EMERSON REID

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Company Name:	ALCOM PRINTING GROUP, INC
Employer identification number (EIN):	231640799
NAIC Classification:	323100

Jurisdiction of Incorporation:	COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number:	702145