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SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 401k Plan overview

Plan NameSUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN
Plan identification number 501

SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

SUPERIOR REEDSVILLE FILTRATION LLC has sponsored the creation of one or more 401k plans.

Company Name:SUPERIOR REEDSVILLE FILTRATION LLC
Employer identification number (EIN):320178353
NAIC Classification:327210

Additional information about SUPERIOR REEDSVILLE FILTRATION LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4198395

More information about SUPERIOR REEDSVILLE FILTRATION LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-09-01
5012020-09-01
5012019-09-01
5012018-09-01
5012017-09-01
5012016-09-01DANNY JARVIS
5012015-09-01DANNY L. JARVIS
5012014-09-01DANNY L. JARVIS
5012013-09-01DANNY L. JARVIS
5012012-09-01DANNY L. JARVIS
5012011-09-01DANNY L. JARVIS
5012010-09-01DANNY L. JARVIS
5012009-09-01DANNY L. JARVIS
5012009-09-01DANNY L. JARVIS

Plan Statistics for SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN

401k plan membership statisitcs for SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN

Measure Date Value
2021: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-09-01127
Total number of active participants reported on line 7a of the Form 55002021-09-01124
Number of retired or separated participants receiving benefits2021-09-012
Total of all active and inactive participants2021-09-01126
Total participants2021-09-01126
2020: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-01122
Total number of active participants reported on line 7a of the Form 55002020-09-01127
Total of all active and inactive participants2020-09-01127
Total participants2020-09-01127
2019: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-01134
Total number of active participants reported on line 7a of the Form 55002019-09-01122
Total of all active and inactive participants2019-09-01122
Total participants2019-09-01122
2018: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-01137
Total number of active participants reported on line 7a of the Form 55002018-09-01134
Total of all active and inactive participants2018-09-01134
Total participants2018-09-01134
2017: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-01123
Total number of active participants reported on line 7a of the Form 55002017-09-01136
Number of retired or separated participants receiving benefits2017-09-011
Total of all active and inactive participants2017-09-01137
Total participants2017-09-01137
2016: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-01169
Total number of active participants reported on line 7a of the Form 55002016-09-01120
Number of retired or separated participants receiving benefits2016-09-013
Total of all active and inactive participants2016-09-01123
Total participants2016-09-01123
2015: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-01153
Total number of active participants reported on line 7a of the Form 55002015-09-01167
Number of retired or separated participants receiving benefits2015-09-012
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-01169
2014: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-01295
Total number of active participants reported on line 7a of the Form 55002014-09-01150
Number of retired or separated participants receiving benefits2014-09-013
Number of other retired or separated participants entitled to future benefits2014-09-010
Total of all active and inactive participants2014-09-01153
2013: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-01344
Total number of active participants reported on line 7a of the Form 55002013-09-01290
Number of retired or separated participants receiving benefits2013-09-015
Number of other retired or separated participants entitled to future benefits2013-09-010
Total of all active and inactive participants2013-09-01295
2012: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-01369
Total number of active participants reported on line 7a of the Form 55002012-09-01342
Number of retired or separated participants receiving benefits2012-09-012
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-01344
2011: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01398
Total number of active participants reported on line 7a of the Form 55002011-09-01368
Number of retired or separated participants receiving benefits2011-09-011
Number of other retired or separated participants entitled to future benefits2011-09-010
Total of all active and inactive participants2011-09-01369
2010: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01398
Total number of active participants reported on line 7a of the Form 55002010-09-01395
Number of retired or separated participants receiving benefits2010-09-013
Number of other retired or separated participants entitled to future benefits2010-09-010
Total of all active and inactive participants2010-09-01398
2009: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01398
Total number of active participants reported on line 7a of the Form 55002009-09-01395
Number of retired or separated participants receiving benefits2009-09-013
Number of other retired or separated participants entitled to future benefits2009-09-010
Total of all active and inactive participants2009-09-01398

Financial Data on SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN

Measure Date Value
2022 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$64,969
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-08-31$119,885
Total income from all sources (including contributions)2022-08-31$1,304,466
Total loss/gain on sale of assets2022-08-31$0
Total of all expenses incurred2022-08-31$1,249,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-08-31$1,205,776
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-08-31$1,304,466
Value of total assets at end of year2022-08-31$0
Value of total assets at beginning of year2022-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-08-31$43,774
Total interest from all sources2022-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-08-31No
Was this plan covered by a fidelity bond2022-08-31No
If this is an individual account plan, was there a blackout period2022-08-31No
Were there any nonexempt tranactions with any party-in-interest2022-08-31No
Contributions received from participants2022-08-31$468,232
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-08-31$64,969
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-08-31$119,885
Administrative expenses (other) incurred2022-08-31$7,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Value of net income/loss2022-08-31$54,916
Value of net assets at end of year (total assets less liabilities)2022-08-31$-64,969
Value of net assets at beginning of year (total assets less liabilities)2022-08-31$-119,885
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-08-31No
Were any leases to which the plan was party in default or uncollectible2022-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2022-08-31$184,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-08-31No
Was there a failure to transmit to the plan any participant contributions2022-08-31No
Has the plan failed to provide any benefit when due under the plan2022-08-31No
Contributions received in cash from employer2022-08-31$836,234
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-08-31$1,021,029
Contract administrator fees2022-08-31$35,780
Did the plan have assets held for investment2022-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-08-31No
Opinion of an independent qualified public accountant for this plan2022-08-31Unqualified
Accountancy firm name2022-08-31HIRTH NORRIS & GARRISION
Accountancy firm EIN2022-08-31311158488
2021 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$119,885
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-31$71,283
Total income from all sources (including contributions)2021-08-31$1,529,871
Total loss/gain on sale of assets2021-08-31$0
Total of all expenses incurred2021-08-31$1,578,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-31$1,535,426
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-31$1,487,600
Value of total assets at end of year2021-08-31$0
Value of total assets at beginning of year2021-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-31$43,047
Total interest from all sources2021-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-31No
Was this plan covered by a fidelity bond2021-08-31Yes
Value of fidelity bond cover2021-08-31$500,000
If this is an individual account plan, was there a blackout period2021-08-31No
Were there any nonexempt tranactions with any party-in-interest2021-08-31No
Contributions received from participants2021-08-31$445,601
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-08-31$119,885
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-08-31$71,283
Other income not declared elsewhere2021-08-31$42,271
Administrative expenses (other) incurred2021-08-31$5,555
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Value of net income/loss2021-08-31$-48,602
Value of net assets at end of year (total assets less liabilities)2021-08-31$-119,885
Value of net assets at beginning of year (total assets less liabilities)2021-08-31$-71,283
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-31No
Were any leases to which the plan was party in default or uncollectible2021-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2021-08-31$186,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-31No
Was there a failure to transmit to the plan any participant contributions2021-08-31No
Has the plan failed to provide any benefit when due under the plan2021-08-31No
Contributions received in cash from employer2021-08-31$1,041,999
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-31$1,349,040
Contract administrator fees2021-08-31$37,492
Did the plan have assets held for investment2021-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-31No
Opinion of an independent qualified public accountant for this plan2021-08-31Unqualified
Accountancy firm name2021-08-31HIRTH NORRIS & GARRISON
Accountancy firm EIN2021-08-31311158488
2020 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$71,283
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-08-31$87,978
Total income from all sources (including contributions)2020-08-31$1,458,339
Total loss/gain on sale of assets2020-08-31$0
Total of all expenses incurred2020-08-31$1,441,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-08-31$1,395,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-08-31$1,458,339
Value of total assets at end of year2020-08-31$0
Value of total assets at beginning of year2020-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-08-31$46,363
Total interest from all sources2020-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-08-31No
Was this plan covered by a fidelity bond2020-08-31Yes
Value of fidelity bond cover2020-08-31$500,000
If this is an individual account plan, was there a blackout period2020-08-31No
Were there any nonexempt tranactions with any party-in-interest2020-08-31No
Contributions received from participants2020-08-31$469,239
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-08-31$71,283
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-08-31$87,978
Administrative expenses (other) incurred2020-08-31$5,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Value of net income/loss2020-08-31$16,695
Value of net assets at end of year (total assets less liabilities)2020-08-31$-71,283
Value of net assets at beginning of year (total assets less liabilities)2020-08-31$-87,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-08-31No
Were any leases to which the plan was party in default or uncollectible2020-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2020-08-31$200,541
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-08-31No
Was there a failure to transmit to the plan any participant contributions2020-08-31No
Has the plan failed to provide any benefit when due under the plan2020-08-31No
Contributions received in cash from employer2020-08-31$989,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-08-31$1,194,740
Contract administrator fees2020-08-31$40,374
Did the plan have assets held for investment2020-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-08-31No
Opinion of an independent qualified public accountant for this plan2020-08-31Unqualified
Accountancy firm name2020-08-31HIRTH NORRIS AND GARRISON
Accountancy firm EIN2020-08-31311158488
2019 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$87,978
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-08-31$91,817
Total income from all sources (including contributions)2019-08-31$1,897,633
Total loss/gain on sale of assets2019-08-31$0
Total of all expenses incurred2019-08-31$1,893,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-08-31$1,849,652
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-08-31$1,813,113
Value of total assets at end of year2019-08-31$0
Value of total assets at beginning of year2019-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-08-31$44,142
Total interest from all sources2019-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-08-31No
Was this plan covered by a fidelity bond2019-08-31Yes
Value of fidelity bond cover2019-08-31$500,000
If this is an individual account plan, was there a blackout period2019-08-31No
Were there any nonexempt tranactions with any party-in-interest2019-08-31No
Contributions received from participants2019-08-31$481,016
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-08-31$87,978
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-08-31$91,817
Other income not declared elsewhere2019-08-31$84,520
Administrative expenses (other) incurred2019-08-31$456
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Value of net income/loss2019-08-31$3,839
Value of net assets at end of year (total assets less liabilities)2019-08-31$-87,978
Value of net assets at beginning of year (total assets less liabilities)2019-08-31$-91,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-08-31No
Were any leases to which the plan was party in default or uncollectible2019-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-08-31$181,397
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-08-31No
Was there a failure to transmit to the plan any participant contributions2019-08-31No
Has the plan failed to provide any benefit when due under the plan2019-08-31No
Contributions received in cash from employer2019-08-31$1,332,097
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-08-31$1,668,255
Contract administrator fees2019-08-31$43,686
Did the plan have assets held for investment2019-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-08-31No
Opinion of an independent qualified public accountant for this plan2019-08-31Unqualified
Accountancy firm name2019-08-31HIRTH NORRIS & GARRISON
Accountancy firm EIN2019-08-31311158488
2018 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$91,817
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-08-31$110,186
Total income from all sources (including contributions)2018-08-31$1,579,206
Total loss/gain on sale of assets2018-08-31$0
Total of all expenses incurred2018-08-31$1,560,837
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-08-31$1,499,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-08-31$1,512,924
Value of total assets at end of year2018-08-31$0
Value of total assets at beginning of year2018-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-08-31$60,968
Total interest from all sources2018-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-08-31No
Was this plan covered by a fidelity bond2018-08-31Yes
Value of fidelity bond cover2018-08-31$500,000
If this is an individual account plan, was there a blackout period2018-08-31No
Were there any nonexempt tranactions with any party-in-interest2018-08-31No
Contributions received from participants2018-08-31$487,247
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-08-31$91,817
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-08-31$110,186
Other income not declared elsewhere2018-08-31$66,282
Administrative expenses (other) incurred2018-08-31$749
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Value of net income/loss2018-08-31$18,369
Value of net assets at end of year (total assets less liabilities)2018-08-31$-91,817
Value of net assets at beginning of year (total assets less liabilities)2018-08-31$-110,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-08-31No
Were any leases to which the plan was party in default or uncollectible2018-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-08-31$181,354
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-08-31No
Was there a failure to transmit to the plan any participant contributions2018-08-31No
Has the plan failed to provide any benefit when due under the plan2018-08-31No
Contributions received in cash from employer2018-08-31$1,025,677
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-08-31$1,318,515
Contract administrator fees2018-08-31$60,219
Did the plan have assets held for investment2018-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-08-31No
Opinion of an independent qualified public accountant for this plan2018-08-31Unqualified
Accountancy firm name2018-08-31HIRTH, NORRIS & GARRISON
Accountancy firm EIN2018-08-31311158488
2017 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$110,186
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-31$142,473
Total income from all sources (including contributions)2017-08-31$1,959,313
Total loss/gain on sale of assets2017-08-31$0
Total of all expenses incurred2017-08-31$1,927,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-31$1,872,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-31$1,738,881
Value of total assets at end of year2017-08-31$0
Value of total assets at beginning of year2017-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-31$54,861
Total interest from all sources2017-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-31No
Was this plan covered by a fidelity bond2017-08-31No
If this is an individual account plan, was there a blackout period2017-08-31No
Were there any nonexempt tranactions with any party-in-interest2017-08-31No
Contributions received from participants2017-08-31$421,832
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-08-31$110,186
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-08-31$142,473
Other income not declared elsewhere2017-08-31$220,432
Administrative expenses (other) incurred2017-08-31$792
Total non interest bearing cash at end of year2017-08-31$0
Total non interest bearing cash at beginning of year2017-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Value of net income/loss2017-08-31$32,287
Value of net assets at end of year (total assets less liabilities)2017-08-31$-110,186
Value of net assets at beginning of year (total assets less liabilities)2017-08-31$-142,473
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-31No
Were any leases to which the plan was party in default or uncollectible2017-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-31$126,032
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-31No
Was there a failure to transmit to the plan any participant contributions2017-08-31No
Has the plan failed to provide any benefit when due under the plan2017-08-31No
Contributions received in cash from employer2017-08-31$1,317,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-31$1,746,133
Contract administrator fees2017-08-31$54,069
Did the plan have assets held for investment2017-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-31No
Opinion of an independent qualified public accountant for this plan2017-08-31Unqualified
Accountancy firm name2017-08-31HIRTH NORRIS AND GARRISON
Accountancy firm EIN2017-08-31311158488
2016 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-08-31$0
Total transfer of assets to this plan2016-08-31$0
Total transfer of assets from this plan2016-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$142,473
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-08-31$207,378
Total income from all sources (including contributions)2016-08-31$2,677,302
Total loss/gain on sale of assets2016-08-31$0
Total of all expenses incurred2016-08-31$2,612,397
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-08-31$2,542,639
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-08-31$2,677,302
Value of total assets at end of year2016-08-31$0
Value of total assets at beginning of year2016-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-08-31$69,758
Total interest from all sources2016-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-08-31No
Was this plan covered by a fidelity bond2016-08-31Yes
Value of fidelity bond cover2016-08-31$2,000,000
If this is an individual account plan, was there a blackout period2016-08-31No
Were there any nonexempt tranactions with any party-in-interest2016-08-31No
Contributions received from participants2016-08-31$411,290
Income. Received or receivable in cash from other sources (including rollovers)2016-08-31$46,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-08-31$142,473
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-08-31$207,378
Administrative expenses (other) incurred2016-08-31$2,922
Total non interest bearing cash at end of year2016-08-31$0
Total non interest bearing cash at beginning of year2016-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Value of net income/loss2016-08-31$64,905
Value of net assets at end of year (total assets less liabilities)2016-08-31$-142,473
Value of net assets at beginning of year (total assets less liabilities)2016-08-31$-207,378
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-08-31No
Were any leases to which the plan was party in default or uncollectible2016-08-31No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2016-08-31$211,797
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-08-31No
Was there a failure to transmit to the plan any participant contributions2016-08-31No
Has the plan failed to provide any benefit when due under the plan2016-08-31No
Contributions received in cash from employer2016-08-31$2,219,505
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-08-31$2,330,842
Contract administrator fees2016-08-31$66,836
Liabilities. Value of benefit claims payable at end of year2016-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-08-31$0
Did the plan have assets held for investment2016-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-08-31No
Opinion of an independent qualified public accountant for this plan2016-08-31Unqualified
Accountancy firm name2016-08-31HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2016-08-31311158488
2015 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-08-31$0
Total transfer of assets to this plan2015-08-31$0
Total transfer of assets from this plan2015-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$207,378
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-08-31$330,324
Total income from all sources (including contributions)2015-08-31$3,020,192
Total loss/gain on sale of assets2015-08-31$0
Total of all expenses incurred2015-08-31$2,897,246
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-08-31$2,811,652
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-08-31$3,020,192
Value of total assets at end of year2015-08-31$0
Value of total assets at beginning of year2015-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-08-31$85,594
Total interest from all sources2015-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-08-31No
Was this plan covered by a fidelity bond2015-08-31Yes
Value of fidelity bond cover2015-08-31$2,000,000
If this is an individual account plan, was there a blackout period2015-08-31No
Were there any nonexempt tranactions with any party-in-interest2015-08-31No
Contributions received from participants2015-08-31$503,861
Income. Received or receivable in cash from other sources (including rollovers)2015-08-31$73,377
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-08-31$207,378
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-08-31$330,324
Administrative expenses (other) incurred2015-08-31$20
Total non interest bearing cash at end of year2015-08-31$0
Total non interest bearing cash at beginning of year2015-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Value of net income/loss2015-08-31$122,946
Value of net assets at end of year (total assets less liabilities)2015-08-31$-207,378
Value of net assets at beginning of year (total assets less liabilities)2015-08-31$-330,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-08-31No
Were any leases to which the plan was party in default or uncollectible2015-08-31No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2015-08-31$150,064
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-08-31No
Was there a failure to transmit to the plan any participant contributions2015-08-31No
Has the plan failed to provide any benefit when due under the plan2015-08-31No
Contributions received in cash from employer2015-08-31$2,442,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-08-31$2,661,588
Contract administrator fees2015-08-31$85,574
Liabilities. Value of benefit claims payable at end of year2015-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-08-31$0
Did the plan have assets held for investment2015-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-08-31No
Opinion of an independent qualified public accountant for this plan2015-08-31Unqualified
Accountancy firm name2015-08-31HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2015-08-31311158488
2014 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-08-31$0
Total transfer of assets to this plan2014-08-31$0
Total transfer of assets from this plan2014-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$330,324
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-08-31$264,925
Total income from all sources (including contributions)2014-08-31$3,380,216
Total loss/gain on sale of assets2014-08-31$0
Total of all expenses incurred2014-08-31$3,445,615
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-08-31$3,362,587
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-08-31$3,380,216
Value of total assets at end of year2014-08-31$0
Value of total assets at beginning of year2014-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-08-31$83,028
Total interest from all sources2014-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-08-31No
Was this plan covered by a fidelity bond2014-08-31Yes
Value of fidelity bond cover2014-08-31$2,000,000
If this is an individual account plan, was there a blackout period2014-08-31No
Were there any nonexempt tranactions with any party-in-interest2014-08-31No
Contributions received from participants2014-08-31$643,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-08-31$330,324
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-08-31$264,925
Administrative expenses (other) incurred2014-08-31$4,201
Total non interest bearing cash at end of year2014-08-31$0
Total non interest bearing cash at beginning of year2014-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Value of net income/loss2014-08-31$-65,399
Value of net assets at end of year (total assets less liabilities)2014-08-31$-330,324
Value of net assets at beginning of year (total assets less liabilities)2014-08-31$-264,925
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-08-31No
Were any leases to which the plan was party in default or uncollectible2014-08-31No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-08-31$189,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-08-31No
Was there a failure to transmit to the plan any participant contributions2014-08-31No
Has the plan failed to provide any benefit when due under the plan2014-08-31No
Contributions received in cash from employer2014-08-31$2,736,883
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-08-31$3,173,305
Contract administrator fees2014-08-31$78,827
Liabilities. Value of benefit claims payable at end of year2014-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-08-31$0
Did the plan have assets held for investment2014-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-08-31No
Opinion of an independent qualified public accountant for this plan2014-08-31Unqualified
Accountancy firm name2014-08-31HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2014-08-31311158488
2013 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-08-31$0
Total transfer of assets to this plan2013-08-31$0
Total transfer of assets from this plan2013-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$264,925
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-08-31$4,818
Total income from all sources (including contributions)2013-08-31$4,175,886
Total loss/gain on sale of assets2013-08-31$0
Total of all expenses incurred2013-08-31$4,435,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-08-31$4,339,908
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-08-31$4,175,886
Value of total assets at end of year2013-08-31$0
Value of total assets at beginning of year2013-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-08-31$96,085
Total interest from all sources2013-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-08-31No
Was this plan covered by a fidelity bond2013-08-31Yes
Value of fidelity bond cover2013-08-31$2,000,000
If this is an individual account plan, was there a blackout period2013-08-31No
Were there any nonexempt tranactions with any party-in-interest2013-08-31No
Contributions received from participants2013-08-31$713,821
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-08-31$264,925
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-08-31$4,818
Administrative expenses (other) incurred2013-08-31$2,504
Total non interest bearing cash at end of year2013-08-31$0
Total non interest bearing cash at beginning of year2013-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Value of net income/loss2013-08-31$-260,107
Value of net assets at end of year (total assets less liabilities)2013-08-31$-264,925
Value of net assets at beginning of year (total assets less liabilities)2013-08-31$-4,818
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-08-31No
Were any leases to which the plan was party in default or uncollectible2013-08-31No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-08-31$242,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-08-31No
Was there a failure to transmit to the plan any participant contributions2013-08-31No
Has the plan failed to provide any benefit when due under the plan2013-08-31No
Contributions received in cash from employer2013-08-31$3,462,065
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-08-31$4,097,415
Contract administrator fees2013-08-31$93,581
Liabilities. Value of benefit claims payable at end of year2013-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-08-31$0
Did the plan have assets held for investment2013-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-08-31No
Opinion of an independent qualified public accountant for this plan2013-08-31Unqualified
Accountancy firm name2013-08-31HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2013-08-31311158488
2012 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-08-31$0
Total transfer of assets to this plan2012-08-31$0
Total transfer of assets from this plan2012-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$4,818
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-08-31$130,309
Total income from all sources (including contributions)2012-08-31$4,186,979
Total loss/gain on sale of assets2012-08-31$0
Total of all expenses incurred2012-08-31$4,061,488
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-08-31$3,962,269
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-08-31$4,186,979
Value of total assets at end of year2012-08-31$0
Value of total assets at beginning of year2012-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-08-31$99,219
Total interest from all sources2012-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-08-31No
Was this plan covered by a fidelity bond2012-08-31Yes
Value of fidelity bond cover2012-08-31$2,000,000
If this is an individual account plan, was there a blackout period2012-08-31No
Were there any nonexempt tranactions with any party-in-interest2012-08-31No
Contributions received from participants2012-08-31$773,525
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-08-31$4,818
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-08-31$130,309
Administrative expenses (other) incurred2012-08-31$2,500
Total non interest bearing cash at end of year2012-08-31$0
Total non interest bearing cash at beginning of year2012-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Value of net income/loss2012-08-31$125,491
Value of net assets at end of year (total assets less liabilities)2012-08-31$-4,818
Value of net assets at beginning of year (total assets less liabilities)2012-08-31$-130,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-08-31No
Were any leases to which the plan was party in default or uncollectible2012-08-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-08-31$241,668
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-08-31No
Was there a failure to transmit to the plan any participant contributions2012-08-31No
Has the plan failed to provide any benefit when due under the plan2012-08-31No
Contributions received in cash from employer2012-08-31$3,413,454
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-08-31$3,720,601
Contract administrator fees2012-08-31$96,719
Liabilities. Value of benefit claims payable at end of year2012-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2012-08-31$0
Did the plan have assets held for investment2012-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-08-31No
Opinion of an independent qualified public accountant for this plan2012-08-31Unqualified
Accountancy firm name2012-08-31HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2012-08-31311158488
2011 : SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-08-31$0
Total transfer of assets to this plan2011-08-31$0
Total transfer of assets from this plan2011-08-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$130,309
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$3,626
Total income from all sources (including contributions)2011-08-31$3,751,922
Total loss/gain on sale of assets2011-08-31$0
Total of all expenses incurred2011-08-31$3,878,605
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$3,775,147
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$3,751,922
Value of total assets at end of year2011-08-31$0
Value of total assets at beginning of year2011-08-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$103,458
Total interest from all sources2011-08-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-08-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$2,000,000
If this is an individual account plan, was there a blackout period2011-08-31No
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$757,885
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-08-31$130,309
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-08-31$3,626
Administrative expenses (other) incurred2011-08-31$2,500
Total non interest bearing cash at end of year2011-08-31$0
Total non interest bearing cash at beginning of year2011-08-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$-126,683
Value of net assets at end of year (total assets less liabilities)2011-08-31$-130,309
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$-3,626
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-08-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$254,737
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31No
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Contributions received in cash from employer2011-08-31$2,994,037
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$3,520,410
Contract administrator fees2011-08-31$100,958
Liabilities. Value of benefit claims payable at end of year2011-08-31$0
Liabilities. Value of benefit claims payable at beginning of year2011-08-31$0
Did the plan have assets held for investment2011-08-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31No
Opinion of an independent qualified public accountant for this plan2011-08-31Unqualified
Accountancy firm name2011-08-31HIRTH NORRIS & GARRISON, LLP
Accountancy firm EIN2011-08-31311158488

Form 5500 Responses for SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN

2021: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2021 form 5500 responses
2021-09-01Type of plan entitySingle employer plan
2021-09-01Submission has been amendedNo
2021-09-01This submission is the final filingNo
2021-09-01This return/report is a short plan year return/report (less than 12 months)No
2021-09-01Plan is a collectively bargained planNo
2021-09-01Plan funding arrangement – InsuranceYes
2021-09-01Plan funding arrangement – TrustYes
2021-09-01Plan benefit arrangement – InsuranceYes
2021-09-01Plan benefit arrangement - TrustYes
2020: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planNo
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedYes
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2010: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Submission has been amendedNo
2010-09-01This submission is the final filingNo
2010-09-01This return/report is a short plan year return/report (less than 12 months)No
2010-09-01Plan is a collectively bargained planNo
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan funding arrangement – TrustYes
2010-09-01Plan benefit arrangement – InsuranceYes
2010-09-01Plan benefit arrangement - TrustYes
2009: SUPERIOR REEDSVILLE FILTRATION LLC EMPLOYEE HEALTH CARE PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01First time form 5500 has been submittedYes
2009-09-01Submission has been amendedYes
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planNo
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 3
Insurance contract or identification number163512
Number of Individuals Covered31
Insurance policy start date2021-07-02
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1,364
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $1,364
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 2
Insurance contract or identification number163512
Number of Individuals Covered150
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $4,049
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $4,049
Amount paid for insurance broker fees0
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS598703-18
Policy instance 1
Insurance contract or identification numberUS598703-18
Number of Individuals Covered126
Insurance policy start date2021-09-01
Insurance policy end date2022-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $128,319
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 3
Insurance contract or identification number163512
Number of Individuals Covered22
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $136
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $136
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number183512
Policy instance 2
Insurance contract or identification number183512
Number of Individuals Covered154
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $4,587
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $4,587
Amount paid for insurance broker fees0
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS598703-18
Policy instance 1
Insurance contract or identification numberUS598703-18
Number of Individuals Covered131
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $135,139
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 3
Insurance contract or identification number163512
Number of Individuals Covered22
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $1,937
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $1,937
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 2
Insurance contract or identification number163512
Number of Individuals Covered161
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $4,630
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $4,630
Amount paid for insurance broker fees0
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS598703-18
Policy instance 1
Insurance contract or identification numberUS598703-18
Number of Individuals Covered125
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $144,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 3
Insurance contract or identification number163512
Number of Individuals Covered34
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,010
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $3,010
Amount paid for insurance broker fees0
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 2
Insurance contract or identification number163512
Number of Individuals Covered149
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $6,284
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Commission paid to Insurance BrokerUSD $6,284
Amount paid for insurance broker fees0
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS598703-18
Policy instance 1
Insurance contract or identification numberUS598703-18
Number of Individuals Covered135
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $121,199
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 3
Insurance contract or identification number163512
Number of Individuals Covered29
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $1,171
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number163512
Policy instance 2
Insurance contract or identification number163512
Number of Individuals Covered128
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $2,152
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS598703-17
Policy instance 1
Insurance contract or identification numberUS598703-17
Number of Individuals Covered137
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
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
Welfare Benefit Premiums Paid to CarrierUSD $118,945
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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