401k Plan data: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN plan

COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 401k Plan overview

Plan Name	COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN
Plan identification number	501

COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

COMPLETE GENERAL CONSTRUCTION COMPANY has sponsored the creation of one or more 401k plans.

Company Name: COMPLETE GENERAL CONSTRUCTION COMPANY

Employer identification number (EIN): 314366382

NAIC Classification: 237310
NAIC Description: Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2021-01-01
501 2021-01-01 SUZANNE HALL 2023-06-06
501 2020-01-01
501 2019-01-01
501 2018-01-01 WILLIAM COOPER WILLIAM COOPER 2019-05-16
501 2017-01-01 WILLIAM COOPER WILLIAM COOPER 2018-06-14
501 2016-01-01 WILLIAM COOPER WILLIAM COOPER 2017-05-18
501 2015-01-01 WILLIAM COOPER 2016-06-30 WILLIAM COOPER 2016-06-30
501 2014-01-01 WILLIAM COOPER 2015-10-09 WILLIAM COOPER 2015-10-09
501 2013-01-01 WILLIAM COOPER 2014-10-14 WILLIAM COOPER 2014-10-14
501 2012-01-01 WILLIAM COOPER 2013-09-30 WILLIAM COOPER 2013-10-01
501 2011-01-01 WILLIAM COOPER 2012-10-15 WILLIAM COOPER 2012-10-15
501 2010-01-01 WILLIAM COOPER 2011-10-13 WILLIAM COOPER 2011-10-13
501 2009-01-01 BILLIE ROTERT TIMOTHY MULLIGAN 2010-10-15

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2021-01-01
501	2021-01-01	SUZANNE HALL	2023-06-06
501	2020-01-01
501	2019-01-01
501	2018-01-01	WILLIAM COOPER		WILLIAM COOPER	2019-05-16
501	2017-01-01	WILLIAM COOPER		WILLIAM COOPER	2018-06-14
501	2016-01-01	WILLIAM COOPER		WILLIAM COOPER	2017-05-18
501	2015-01-01	WILLIAM COOPER	2016-06-30	WILLIAM COOPER	2016-06-30
501	2014-01-01	WILLIAM COOPER	2015-10-09	WILLIAM COOPER	2015-10-09
501	2013-01-01	WILLIAM COOPER	2014-10-14	WILLIAM COOPER	2014-10-14
501	2012-01-01	WILLIAM COOPER	2013-09-30	WILLIAM COOPER	2013-10-01
501	2011-01-01	WILLIAM COOPER	2012-10-15	WILLIAM COOPER	2012-10-15
501	2010-01-01	WILLIAM COOPER	2011-10-13	WILLIAM COOPER	2011-10-13
501	2009-01-01	BILLIE ROTERT		TIMOTHY MULLIGAN	2010-10-15

Financial Data on COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN

Measure	Date	Value
2021 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$1,241,533
Expenses. Total of all expenses incurred	2021-12-31	$1,241,533
Benefits paid (including direct rollovers)	2021-12-31	$935,614
Total plan assets at end of year	2021-12-31	$0
Total plan assets at beginning of year	2021-12-31	$0
Value of fidelity bond covering the plan	2021-12-31	$1,000,000
Total contributions received or receivable from participants	2021-12-31	$274,080
Expenses. Other expenses not covered elsewhere	2021-12-31	$277,102
Contributions received from other sources (not participants or employers)	2021-12-31	$123,043
Other income received	2021-12-31	$7,572
Net income (gross income less expenses)	2021-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$0
Total contributions received or receivable from employer(s)	2021-12-31	$836,838
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$28,817
2020 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$944,404
Expenses. Total of all expenses incurred	2020-12-31	$944,404
Benefits paid (including direct rollovers)	2020-12-31	$662,387
Total plan assets at end of year	2020-12-31	$0
Total plan assets at beginning of year	2020-12-31	$0
Value of fidelity bond covering the plan	2020-12-31	$1,000,000
Total contributions received or receivable from participants	2020-12-31	$275,197
Expenses. Other expenses not covered elsewhere	2020-12-31	$253,570
Other income received	2020-12-31	$-33,567
Net income (gross income less expenses)	2020-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$702,774
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$28,447
2019 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$1,380,588
Expenses. Total of all expenses incurred	2019-12-31	$1,380,588
Benefits paid (including direct rollovers)	2019-12-31	$1,114,757
Total plan assets at end of year	2019-12-31	$0
Total plan assets at beginning of year	2019-12-31	$0
Value of fidelity bond covering the plan	2019-12-31	$1,000,000
Total contributions received or receivable from participants	2019-12-31	$269,074
Expenses. Other expenses not covered elsewhere	2019-12-31	$240,593
Other income received	2019-12-31	$487,375
Net income (gross income less expenses)	2019-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$0
Total contributions received or receivable from employer(s)	2019-12-31	$624,139
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$25,238
2018 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year	2018-12-31	$0
Total plan liabilities at beginning of year	2018-12-31	$0
Total income from all sources	2018-12-31	$1,346,924
Expenses. Total of all expenses incurred	2018-12-31	$1,346,924
Benefits paid (including direct rollovers)	2018-12-31	$1,066,596
Total plan assets at end of year	2018-12-31	$0
Total plan assets at beginning of year	2018-12-31	$0
Value of fidelity bond covering the plan	2018-12-31	$1,000,000
Total contributions received or receivable from participants	2018-12-31	$423,244
Expenses. Other expenses not covered elsewhere	2018-12-31	$254,003
Contributions received from other sources (not participants or employers)	2018-12-31	$90,536
Net income (gross income less expenses)	2018-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$0
Total contributions received or receivable from employer(s)	2018-12-31	$833,144
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$26,325
2017 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$969,616
Expenses. Total of all expenses incurred	2017-12-31	$969,616
Benefits paid (including direct rollovers)	2017-12-31	$661,610
Total plan assets at end of year	2017-12-31	$0
Total plan assets at beginning of year	2017-12-31	$0
Value of fidelity bond covering the plan	2017-12-31	$1,000,000
Total contributions received or receivable from participants	2017-12-31	$263,972
Expenses. Other expenses not covered elsewhere	2017-12-31	$281,029
Net income (gross income less expenses)	2017-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$0
Total contributions received or receivable from employer(s)	2017-12-31	$705,644
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$26,977
2016 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$735,120
Expenses. Total of all expenses incurred	2016-12-31	$735,120
Benefits paid (including direct rollovers)	2016-12-31	$521,462
Total plan assets at end of year	2016-12-31	$0
Total plan assets at beginning of year	2016-12-31	$0
Value of fidelity bond covering the plan	2016-12-31	$1,000,000
Total contributions received or receivable from participants	2016-12-31	$261,899
Expenses. Other expenses not covered elsewhere	2016-12-31	$187,857
Net income (gross income less expenses)	2016-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$0
Total contributions received or receivable from employer(s)	2016-12-31	$473,221
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$25,801
2015 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$633,044
Expenses. Total of all expenses incurred	2015-12-31	$633,044
Benefits paid (including direct rollovers)	2015-12-31	$436,533
Total plan assets at end of year	2015-12-31	$0
Total plan assets at beginning of year	2015-12-31	$0
Value of fidelity bond covering the plan	2015-12-31	$1,000,000
Total contributions received or receivable from participants	2015-12-31	$234,117
Expenses. Other expenses not covered elsewhere	2015-12-31	$174,041
Net income (gross income less expenses)	2015-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$398,927
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$22,470
2014 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$950,582
Expenses. Total of all expenses incurred	2014-12-31	$950,582
Benefits paid (including direct rollovers)	2014-12-31	$751,045
Total plan assets at end of year	2014-12-31	$0
Total plan assets at beginning of year	2014-12-31	$0
Value of fidelity bond covering the plan	2014-12-31	$1,000,000
Total contributions received or receivable from participants	2014-12-31	$233,871
Expenses. Other expenses not covered elsewhere	2014-12-31	$46,489
Other income received	2014-12-31	$17,281
Net income (gross income less expenses)	2014-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$0
Total contributions received or receivable from employer(s)	2014-12-31	$699,430
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$153,048
2013 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$909,565
Expenses. Total of all expenses incurred	2013-12-31	$909,565
Benefits paid (including direct rollovers)	2013-12-31	$702,663
Total plan assets at end of year	2013-12-31	$0
Total plan assets at beginning of year	2013-12-31	$0
Value of fidelity bond covering the plan	2013-12-31	$1,000,000
Total contributions received or receivable from participants	2013-12-31	$246,207
Expenses. Other expenses not covered elsewhere	2013-12-31	$206,902
Net income (gross income less expenses)	2013-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$0
Total contributions received or receivable from employer(s)	2013-12-31	$663,358
2012 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$947,167
Expenses. Total of all expenses incurred	2012-12-31	$947,167
Benefits paid (including direct rollovers)	2012-12-31	$730,934
Total plan assets at end of year	2012-12-31	$0
Total plan assets at beginning of year	2012-12-31	$0
Value of fidelity bond covering the plan	2012-12-31	$1,000,000
Total contributions received or receivable from participants	2012-12-31	$253,380
Expenses. Other expenses not covered elsewhere	2012-12-31	$216,233
Net income (gross income less expenses)	2012-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Total contributions received or receivable from employer(s)	2012-12-31	$693,787
2011 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$923,823
Expenses. Total of all expenses incurred	2011-12-31	$923,823
Benefits paid (including direct rollovers)	2011-12-31	$722,512
Total plan assets at end of year	2011-12-31	$0
Total plan assets at beginning of year	2011-12-31	$0
Value of fidelity bond covering the plan	2011-12-31	$1,000,000
Total contributions received or receivable from participants	2011-12-31	$218,460
Expenses. Other expenses not covered elsewhere	2011-12-31	$201,311
Other income received	2011-12-31	$5,239
Net income (gross income less expenses)	2011-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$0
Total contributions received or receivable from employer(s)	2011-12-31	$700,124
2010 : COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$1,392,504
Expenses. Total of all expenses incurred	2010-12-31	$1,392,504
Benefits paid (including direct rollovers)	2010-12-31	$1,184,762
Total plan assets at end of year	2010-12-31	$0
Total plan assets at beginning of year	2010-12-31	$0
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$173,275
Expenses. Other expenses not covered elsewhere	2010-12-31	$207,742
Other income received	2010-12-31	$38,438
Net income (gross income less expenses)	2010-12-31	$0
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$0
Total contributions received or receivable from employer(s)	2010-12-31	$1,180,791

Form 5500 Responses for COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN

2021: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 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	No
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 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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 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 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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 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 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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 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 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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Multi-employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
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: COMPLETE GENERAL CONSTRUCTION COMPANY EMPLOYEE HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	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

HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number	10233
Policy instance	1

Potentially related plans

COMPLETE GENERAL CONTRACTORS, INC. 401(K) PLAN [EIN = 562053159]

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Company Name:	COMPLETE GENERAL CONSTRUCTION COMPANY
Employer identification number (EIN):	314366382
NAIC Classification:	237310
NAIC Description:	Highway, Street, and Bridge Construction