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LIBERTY DISTRIBUTION COMPANY, LLC. 401k Plan overview

Plan NameLIBERTY DISTRIBUTION COMPANY, LLC.
Plan identification number 501

LIBERTY DISTRIBUTION COMPANY, LLC. Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

LIBERTY DISTRIBUTION COMPANY, LLC. has sponsored the creation of one or more 401k plans.

Company Name:LIBERTY DISTRIBUTION COMPANY, LLC.
Employer identification number (EIN):261615876
NAIC Classification:424400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIBERTY DISTRIBUTION COMPANY, LLC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012012-04-01JOHN SANDERS

Plan Statistics for LIBERTY DISTRIBUTION COMPANY, LLC.

401k plan membership statisitcs for LIBERTY DISTRIBUTION COMPANY, LLC.

Measure Date Value
2012: LIBERTY DISTRIBUTION COMPANY, LLC. 2012 401k membership
Total participants, beginning-of-year2012-04-01128
Total number of active participants reported on line 7a of the Form 55002012-04-010
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-010
Total participants2012-04-010

Form 5500 Responses for LIBERTY DISTRIBUTION COMPANY, LLC.

2012: LIBERTY DISTRIBUTION COMPANY, LLC. 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01First time form 5500 has been submittedYes
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingYes
2012-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10126733
Policy instance 1
Insurance contract or identification number10126733
Number of Individuals Covered122
Insurance policy start date2012-04-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $672
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,482
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $672
Insurance broker organization code?3
Insurance broker nameWILLIS OF ARIZONA, INC.
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10158145
Policy instance 2
Insurance contract or identification number10158145
Number of Individuals Covered122
Insurance policy start date2012-04-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $597
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,983
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $597
Insurance broker organization code?3
Insurance broker nameWILLIS OF ARIZONA, INC.
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number109753/354609
Policy instance 3
Insurance contract or identification number109753/354609
Number of Individuals Covered205
Insurance policy start date2012-04-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $14,366
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $255,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,086
Insurance broker organization code?3
Insurance broker nameWILLIS OF ARIZONA, INC.

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