401k Plan data: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN plan

WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 401k Plan overview

Plan Name	WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN
Plan identification number	501

WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN Benefits

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

401k Sponsoring company profile

WITMER MASONRY, INC. has sponsored the creation of one or more 401k plans.

Company Name: WITMER MASONRY, INC.

Employer identification number (EIN): 231746964

NAIC Classification: 238100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01
501 2018-01-01
501 2017-01-01 KENNETH D. SCHWEBEL
501 2016-01-01 KENNETH D. SCHWEBEL
501 2015-01-01 KENNETH D. SCHWEBEL
501 2014-01-01 KENNETH D. SCHWEBEL
501 2013-01-01 KENNETH D. SCHWEBEL
501 2012-01-01 KENNETH D. SCHWEBEL
501 2011-01-01 KENNETH D. SCHWEBEL
501 2010-01-01 KENNETH D. SCHWEBEL
501 2009-01-01 KENNETH D. SCHWEBEL

Plan Statistics for WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN

401k plan membership statisitcs for WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN

Measure Date Value
2019: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 153
Total of all active and inactive participants 2019-01-01 153
2018: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 153
Number of retired or separated participants receiving benefits 2018-01-01 1
Total of all active and inactive participants 2018-01-01 154
2017: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 156
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 155
Total of all active and inactive participants 2017-01-01 155
2016: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 162
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 153
Total of all active and inactive participants 2016-01-01 153
2015: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 152
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 162
Total of all active and inactive participants 2015-01-01 162
2014: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 140
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 2014-01-01 140
2013: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 140
Total of all active and inactive participants 2013-01-01 140
2012: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 135
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 144
Total of all active and inactive participants 2012-01-01 144
2011: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 94
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 117
Total of all active and inactive participants 2011-01-01 117
2010: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 125
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 94
Total of all active and inactive participants 2010-01-01 94
2009: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 136
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 169
Number of retired or separated participants receiving benefits 2009-01-01 4
Total of all active and inactive participants 2009-01-01 173

Measure	Date	Value
2019: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	153
Total of all active and inactive participants	2019-01-01	153
2018: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	153
Number of retired or separated participants receiving benefits	2018-01-01	1
Total of all active and inactive participants	2018-01-01	154
2017: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	156
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	155
Total of all active and inactive participants	2017-01-01	155
2016: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	162
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	153
Total of all active and inactive participants	2016-01-01	153
2015: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	152
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	162
Total of all active and inactive participants	2015-01-01	162
2014: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	140
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	140
2013: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	140
Total of all active and inactive participants	2013-01-01	140
2012: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	135
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	144
Total of all active and inactive participants	2012-01-01	144
2011: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	94
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	117
Total of all active and inactive participants	2011-01-01	117
2010: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	125
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	94
Total of all active and inactive participants	2010-01-01	94
2009: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	136
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	169
Number of retired or separated participants receiving benefits	2009-01-01	4
Total of all active and inactive participants	2009-01-01	173

Form 5500 Responses for WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN

2019: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
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: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
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
2015: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
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: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: WITMER MASONRY, INC. HEALTH AND MEDICAL BENEFITS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

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

Policy contract number

5957075

Policy instance

Insurance contract or identification number	5957075
Number of Individuals Covered	160
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $616
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD&D
Welfare Benefit Premiums Paid to Carrier	USD $4,489
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $562
Insurance broker organization code?	3

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

Policy contract number

111350

Policy instance

Insurance contract or identification number	111350
Number of Individuals Covered	155
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $490
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $4,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $490
Insurance broker organization code?	3
Insurance broker name	MURRAY INSURANCE ASSOCIATES

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Company Name:	WITMER MASONRY, INC.
Employer identification number (EIN):	231746964
NAIC Classification:	238100