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AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN 401k Plan overview

Plan NameAC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN
Plan identification number 505

AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

AC SHARED SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:AC SHARED SERVICES, INC.
Employer identification number (EIN):261877115
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052018-01-01
5052017-01-01NORMAN ADDINGTON2018-09-28
5052016-01-01NORMAN ADDINGTON2017-06-02
5052015-01-01NORMAN ADDINGTON2016-07-25
5052014-01-01NORMAN ADDINGTON2015-07-20
5052013-01-01NORMAN ADDINGTON2014-04-29
5052012-01-01NORMAN ADDINGTON2013-06-06
5052011-01-01NORMAN ADDINGTON2012-07-25
5052010-01-01NORMAN ADDINGTON2012-07-25

Plan Statistics for AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN

401k plan membership statisitcs for AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN

Measure Date Value
2018: AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01131
Total number of active participants reported on line 7a of the Form 55002018-01-0195
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0195

Financial Data on AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN

Measure Date Value
2018 : AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$2,521
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$74,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$58,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$0
Value of total assets at end of year2018-12-31$284,276
Value of total assets at beginning of year2018-12-31$356,173
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$16,234
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$691
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$691
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-71,897
Value of net assets at end of year (total assets less liabilities)2018-12-31$284,276
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$356,173
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$16,234
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$70,608
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$82,269
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$213,668
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$273,904
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$1,830
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$58,184
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31WEGNER CPAS, LLP
Accountancy firm EIN2018-12-31390974031

Form 5500 Responses for AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN

2018: AC SHARED SERVICES, INC. VEBA HEALTH SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number811740A
Policy instance 1
Insurance contract or identification number811740A
Number of Individuals Covered95
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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

Potentially related plans

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