401k Plan data: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS plan

BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 401k Plan overview

Plan Name	BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS
Plan identification number	503

BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental Vision

401k Sponsoring company profile

BRENTWOOD INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: BRENTWOOD INDUSTRIES, INC.

Employer identification number (EIN): 231658487

NAIC Classification: 326100

Additional information about BRENTWOOD INDUSTRIES, INC.

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division

Incorporation Date: 1986-11-03

Company Identification Number: 600644487

Legal Registered Office Address: 1621 LAKE MOUNT DR

SNOHOMISH
United States of America (USA)
98290

More information about BRENTWOOD INDUSTRIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2018-01-01
503 2017-01-01 DEBRA SMOLNIK
503 2016-01-01 JEANNINE O'NEILL-ROHRBACH
503 2015-01-01 JEANNINE O'NEILL-ROHRBACH
503 2014-01-01 JEANNINE O'NEILL-ROHRBACH
503 2013-10-01 PETER PELLICANO
503 2012-10-01 PETER PELLICANO
503 2011-10-01 PETER P. PELLICANO
503 2009-10-01 PAT P PELLICANY

Plan Statistics for BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS

401k plan membership statisitcs for BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS

Measure Date Value
2018: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2018 401k membership
Total participants, beginning-of-year 2018-01-01 395
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 0
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 0
2017: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2017 401k membership
Total participants, beginning-of-year 2017-01-01 431
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 395
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 395
2016: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2016 401k membership
Total participants, beginning-of-year 2016-01-01 403
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 431
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 2016-01-01 431
2015: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2015 401k membership
Total participants, beginning-of-year 2015-01-01 433
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 413
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 413
2014: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2014 401k membership
Total participants, beginning-of-year 2014-01-01 334
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 359
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 359
2013: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2013 401k membership
Total participants, beginning-of-year 2013-10-01 343
Total number of active participants reported on line 7a of the Form 5500 2013-10-01 334
Number of retired or separated participants receiving benefits 2013-10-01 0
Number of other retired or separated participants entitled to future benefits 2013-10-01 0
Total of all active and inactive participants 2013-10-01 334
2012: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2012 401k membership
Total participants, beginning-of-year 2012-10-01 319
Total number of active participants reported on line 7a of the Form 5500 2012-10-01 342
Number of retired or separated participants receiving benefits 2012-10-01 1
Number of other retired or separated participants entitled to future benefits 2012-10-01 0
Total of all active and inactive participants 2012-10-01 343
2011: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2011 401k membership
Total participants, beginning-of-year 2011-10-01 281
Total number of active participants reported on line 7a of the Form 5500 2011-10-01 317
Number of retired or separated participants receiving benefits 2011-10-01 1
Number of other retired or separated participants entitled to future benefits 2011-10-01 1
Total of all active and inactive participants 2011-10-01 319
2009: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2009 401k membership
Total participants, beginning-of-year 2009-10-01 263
Total number of active participants reported on line 7a of the Form 5500 2009-10-01 277
Total of all active and inactive participants 2009-10-01 277

Measure	Date	Value
2018: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2018 401k membership
Total participants, beginning-of-year	2018-01-01	395
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
2017: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2017 401k membership
Total participants, beginning-of-year	2017-01-01	431
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	395
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	395
2016: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2016 401k membership
Total participants, beginning-of-year	2016-01-01	403
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	431
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	431
2015: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2015 401k membership
Total participants, beginning-of-year	2015-01-01	433
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	413
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	413
2014: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2014 401k membership
Total participants, beginning-of-year	2014-01-01	334
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	359
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	359
2013: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2013 401k membership
Total participants, beginning-of-year	2013-10-01	343
Total number of active participants reported on line 7a of the Form 5500	2013-10-01	334
Number of retired or separated participants receiving benefits	2013-10-01	0
Number of other retired or separated participants entitled to future benefits	2013-10-01	0
Total of all active and inactive participants	2013-10-01	334
2012: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2012 401k membership
Total participants, beginning-of-year	2012-10-01	319
Total number of active participants reported on line 7a of the Form 5500	2012-10-01	342
Number of retired or separated participants receiving benefits	2012-10-01	1
Number of other retired or separated participants entitled to future benefits	2012-10-01	0
Total of all active and inactive participants	2012-10-01	343
2011: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2011 401k membership
Total participants, beginning-of-year	2011-10-01	281
Total number of active participants reported on line 7a of the Form 5500	2011-10-01	317
Number of retired or separated participants receiving benefits	2011-10-01	1
Number of other retired or separated participants entitled to future benefits	2011-10-01	1
Total of all active and inactive participants	2011-10-01	319
2009: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2009 401k membership
Total participants, beginning-of-year	2009-10-01	263
Total number of active participants reported on line 7a of the Form 5500	2009-10-01	277
Total of all active and inactive participants	2009-10-01	277

Form 5500 Responses for BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS

2018: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	Yes
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 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 benefit arrangement – Insurance	Yes
2016: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 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 benefit arrangement – Insurance	Yes
2015: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2013 form 5500 responses
2013-10-01	Type of plan entity	Single employer plan
2013-10-01	Submission has been amended	No
2013-10-01	This submission is the final filing	No
2013-10-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2013-10-01	Plan is a collectively bargained plan	No
2013-10-01	Plan funding arrangement – Insurance	Yes
2013-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-10-01	Plan benefit arrangement – Insurance	Yes
2013-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2012 form 5500 responses
2012-10-01	Type of plan entity	Single employer plan
2012-10-01	Submission has been amended	No
2012-10-01	This submission is the final filing	No
2012-10-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-10-01	Plan is a collectively bargained plan	No
2012-10-01	Plan funding arrangement – Insurance	Yes
2012-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-10-01	Plan benefit arrangement – Insurance	Yes
2012-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2011 form 5500 responses
2011-10-01	Type of plan entity	Single employer plan
2011-10-01	Plan funding arrangement – Insurance	Yes
2011-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-10-01	Plan benefit arrangement – Insurance	Yes
2011-10-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: BRENTWOOD INDUSTRIES, INC. VISION AND DENTAL PLANS 2009 form 5500 responses
2009-10-01	Type of plan entity	Single employer plan
2009-10-01	First time form 5500 has been submitted	Yes
2009-10-01	This submission is the final filing	No
2009-10-01	Plan funding arrangement – Insurance	Yes
2009-10-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-10-01	Plan benefit arrangement – Insurance	Yes
2009-10-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HIGHMARK BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 54771 )

Policy contract number

02976227

Policy instance

Insurance contract or identification number	02976227
Number of Individuals Covered	682
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
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	Yes
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 $41,591
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

TM05922549

Policy instance

Insurance contract or identification number	TM05922549
Number of Individuals Covered	987
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $14,876
Total amount of fees paid to insurance company	USD $3,920
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 $195,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $14,876
Amount paid for insurance broker fees	3920
Additional information about fees paid to insurance broker	SUPPLEMENTAL & NON-MONETARY COMPENSATION
Insurance broker organization code?	3
Insurance broker name	WILLIS OF PENNSYLVANIA INC

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Company Name:	BRENTWOOD INDUSTRIES, INC.
Employer identification number (EIN):	231658487
NAIC Classification:	326100

Jurisdiction of Incorporation:	Washington Secretary of State Corporations Division
Incorporation Date:	1986-11-03
Company Identification Number:	600644487
Legal Registered Office Address:	1621 LAKE MOUNT DR SNOHOMISH United States of America (USA) 98290

Plan id#	Filing Submission Date	Name of Administrator
503	2018-01-01
503	2017-01-01	DEBRA SMOLNIK
503	2016-01-01	JEANNINE O'NEILL-ROHRBACH
503	2015-01-01	JEANNINE O'NEILL-ROHRBACH
503	2014-01-01	JEANNINE O'NEILL-ROHRBACH
503	2013-10-01	PETER PELLICANO
503	2012-10-01	PETER PELLICANO
503	2011-10-01	PETER P. PELLICANO
503	2009-10-01	PAT P PELLICANY