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| Plan Name | CANTON REGIONAL CHAMBER HEALTH FUND |
| Plan identification number | 501 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | ORWICK TREE SERVICE INC |
| Employer identification number (EIN): | 341849379 |
| NAIC Classification: | 113210 |
| NAIC Description: | Forest Nurseries and Gathering of Forest Products |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 501 | 2020-01-01 | ||||
| 501 | 2019-01-01 |
| Measure | Date | Value |
|---|---|---|
| 2020: CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k membership | ||
| Total participants, beginning-of-year | 2020-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 4 |
| Total of all active and inactive participants | 2020-01-01 | 4 |
| Total participants | 2020-01-01 | 4 |
| 2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k membership | ||
| Total participants, beginning-of-year | 2019-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 5 |
| Total of all active and inactive participants | 2019-01-01 | 5 |
| Total participants | 2019-01-01 | 5 |
| Measure | Date | Value |
|---|---|---|
| 2020 : CANTON REGIONAL CHAMBER HEALTH FUND 2020 401k financial data | ||
| Total plan liabilities at end of year | 2020-12-31 | $2,392 |
| Total plan liabilities at beginning of year | 2020-12-31 | $2,044 |
| Total income from all sources | 2020-12-31 | $23,088 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $21,648 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $764 |
| Total plan assets at end of year | 2020-12-31 | $5,749 |
| Total plan assets at beginning of year | 2020-12-31 | $3,961 |
| Total contributions received or receivable from participants | 2020-12-31 | $11,544 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $20,884 |
| Net income (gross income less expenses) | 2020-12-31 | $1,440 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $3,357 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $1,917 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $11,544 |
| 2019 : CANTON REGIONAL CHAMBER HEALTH FUND 2019 401k financial data | ||
| Transfers to/from the plan | 2019-12-31 | $-24 |
| Total plan liabilities at end of year | 2019-12-31 | $2,044 |
| Total income from all sources | 2019-12-31 | $21,791 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $19,850 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $3,501 |
| Total plan assets at end of year | 2019-12-31 | $3,961 |
| Total contributions received or receivable from participants | 2019-12-31 | $10,895 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $16,349 |
| Net income (gross income less expenses) | 2019-12-31 | $1,941 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $1,917 |
| 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 | $10,896 |
| 2020: CANTON REGIONAL CHAMBER HEALTH FUND 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 benefit arrangement – Insurance | Yes |
| 2019: CANTON REGIONAL CHAMBER HEALTH FUND 2019 form 5500 responses | ||
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | First time form 5500 has been submitted | Yes |
| 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 benefit arrangement – Insurance | Yes |
| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | HF1310 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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| MCKINLEY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77216 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | HF1310 | ||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||
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