401k Plan data: ARROW SHED, LLC LONG TERM DISABILITY PLAN plan

ARROW SHED, LLC LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	ARROW SHED, LLC LONG TERM DISABILITY PLAN
Plan identification number	503

ARROW SHED, LLC LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

ARROW SHED LLC has sponsored the creation of one or more 401k plans.

Company Name: ARROW SHED LLC

Employer identification number (EIN): 271885904

NAIC Classification: 332900

Additional information about ARROW SHED LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 4786142

More information about ARROW SHED LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ARROW SHED, LLC LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
503 2014-08-01 JOANN TREZZA JOANN TREZZA 2016-05-09
503 2014-08-01
503 2013-08-01 JOANN TREZZA BENJAMIN SMALL 2015-04-15
503 2012-06-01 JOANN TREZZA BENJAMIN SMALL 2014-05-15
503 2011-06-01 JOANN TREZZA LUKE HOSONITZ JR. 2013-05-10
503 2009-08-01 LUKE HOSONITZ JR. 2011-05-13
503 2009-08-01 JOANN TREZZA
503 2009-08-01 JOANN TREZZA

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
503	2014-08-01	JOANN TREZZA	JOANN TREZZA	2016-05-09
503	2014-08-01
503	2013-08-01	JOANN TREZZA	BENJAMIN SMALL	2015-04-15
503	2012-06-01	JOANN TREZZA	BENJAMIN SMALL	2014-05-15
503	2011-06-01	JOANN TREZZA	LUKE HOSONITZ JR.	2013-05-10
503	2009-08-01		LUKE HOSONITZ JR.	2011-05-13
503	2009-08-01	JOANN TREZZA
503	2009-08-01	JOANN TREZZA

Plan Statistics for ARROW SHED, LLC LONG TERM DISABILITY PLAN

401k plan membership statisitcs for ARROW SHED, LLC LONG TERM DISABILITY PLAN

Measure Date Value
2014: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 82
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 71
Total of all active and inactive participants 2014-08-01 71
Total participants 2014-08-01 71
Number of retired or separated participants receiving benefits 2014-08-01 0
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
2013: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-08-01 70
Total number of active participants reported on line 7a of the Form 5500 2013-08-01 70
Total of all active and inactive participants 2013-08-01 70
Total participants 2013-08-01 70
2012: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-06-01 113
Total number of active participants reported on line 7a of the Form 5500 2012-06-01 113
Total of all active and inactive participants 2012-06-01 113
Total participants 2012-06-01 113
2011: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 125
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 121
Total of all active and inactive participants 2011-06-01 121
Total participants 2011-06-01 121
2009: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-08-01 126
Total number of active participants reported on line 7a of the Form 5500 2009-08-01 125
Total of all active and inactive participants 2009-08-01 125
Total participants 2009-08-01 125

Measure	Date	Value
2014: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	82
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	71
Total of all active and inactive participants	2014-08-01	71
Total participants	2014-08-01	71
Number of retired or separated participants receiving benefits	2014-08-01	0
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
2013: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-08-01	70
Total number of active participants reported on line 7a of the Form 5500	2013-08-01	70
Total of all active and inactive participants	2013-08-01	70
Total participants	2013-08-01	70
2012: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-06-01	113
Total number of active participants reported on line 7a of the Form 5500	2012-06-01	113
Total of all active and inactive participants	2012-06-01	113
Total participants	2012-06-01	113
2011: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	125
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	121
Total of all active and inactive participants	2011-06-01	121
Total participants	2011-06-01	121
2009: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-08-01	126
Total number of active participants reported on line 7a of the Form 5500	2009-08-01	125
Total of all active and inactive participants	2009-08-01	125
Total participants	2009-08-01	125

Form 5500 Responses for ARROW SHED, LLC LONG TERM DISABILITY PLAN

2014: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	No
2014-08-01	This submission is the final filing	No
2014-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-08-01	Plan is a collectively bargained plan	No
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes
2013: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-08-01	Type of plan entity	Single employer plan
2013-08-01	Submission has been amended	No
2013-08-01	This submission is the final filing	No
2013-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-08-01	Plan is a collectively bargained plan	No
2013-08-01	Plan funding arrangement – Insurance	Yes
2013-08-01	Plan benefit arrangement – Insurance	Yes
2012: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-06-01	Type of plan entity	Single employer plan
2012-06-01	Submission has been amended	No
2012-06-01	This submission is the final filing	No
2012-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-06-01	Plan is a collectively bargained plan	No
2012-06-01	Plan funding arrangement – Insurance	Yes
2012-06-01	Plan benefit arrangement – Insurance	Yes
2011: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2009: ARROW SHED, LLC LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-08-01	Type of plan entity	Single employer plan
2009-08-01	Submission has been amended	No
2009-08-01	This submission is the final filing	No
2009-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-08-01	Plan is a collectively bargained plan	No
2009-08-01	Plan funding arrangement – Insurance	Yes
2009-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGD603966

Policy instance

Insurance contract or identification number	SGD603966
Insurance policy start date	2014-08-01
Insurance policy end date	2015-07-31
Total amount of commissions paid to insurance broker	USD $3,127
Are there contracts with allocated funds for individual policies?	No
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	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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 $24,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

SGD603966

Policy instance

Insurance contract or identification number	SGD603966
Number of Individuals Covered	113
Insurance policy start date	2013-08-01
Insurance policy end date	2015-07-31
Total amount of commissions paid to insurance broker	USD $3,332
Are there contracts with allocated funds for individual policies?	No
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	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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 $26,642
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,332
Insurance broker organization code?	3
Insurance broker name	DUFFY LIVINGSTON LLC

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

Policy contract number

0118559

Policy instance

Insurance contract or identification number	0118559
Number of Individuals Covered	113
Insurance policy start date	2012-06-01
Insurance policy end date	2013-05-31
Total amount of commissions paid to insurance broker	USD $3,723
Total amount of fees paid to insurance company	USD $208
Are there contracts with allocated funds for individual policies?	No
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	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
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 $31,041
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,723
Amount paid for insurance broker fees	208
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	DUFFY & LIVINGSTON

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

Policy contract number

0118559

Policy instance

Insurance contract or identification number	0118559
Number of Individuals Covered	121
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $4,144
Total amount of fees paid to insurance company	USD $684
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $41,378
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

0118559

Policy instance

Insurance contract or identification number	0118559
Number of Individuals Covered	127
Insurance policy start date	2010-06-01
Insurance policy end date	2010-05-31
Total amount of commissions paid to insurance broker	USD $8,771
Total amount of fees paid to insurance company	USD $2,515
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $130,157
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	ARROW SHED LLC
Employer identification number (EIN):	271885904
NAIC Classification:	332900

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	4786142