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DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan NameDUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST
Plan identification number 502

DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

DUBOIS WOOD PRODUCTS INC has sponsored the creation of one or more 401k plans.

Company Name:DUBOIS WOOD PRODUCTS INC
Employer identification number (EIN):351457681
NAIC Classification:337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-03-01PHIL LUEKEN2023-12-04
5022021-03-01PHIL LUEKEN2022-12-06
5022020-03-01PHIL LUEKEN2021-09-14
5022019-03-01PHIL LUEKEN2020-11-16
5022018-03-01
5022017-03-01PHIL LUEKEN
5022016-03-01PHIL LUEKEN
5022015-03-01PHIL LUEKEN
5022014-03-01PAUL LUEKEN
5022013-03-01PAUL LUEKEN
5022012-03-01PAUL LUEKEN

Plan Statistics for DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST

Measure Date Value
2018: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-03-01102
Total number of active participants reported on line 7a of the Form 55002018-03-0196
Number of retired or separated participants receiving benefits2018-03-010
Number of other retired or separated participants entitled to future benefits2018-03-010
Total of all active and inactive participants2018-03-0196
2017: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-03-01111
Total number of active participants reported on line 7a of the Form 55002017-03-01102
Number of retired or separated participants receiving benefits2017-03-010
Number of other retired or separated participants entitled to future benefits2017-03-010
Total of all active and inactive participants2017-03-01102
2016: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-03-01140
Total number of active participants reported on line 7a of the Form 55002016-03-01113
Number of retired or separated participants receiving benefits2016-03-010
Number of other retired or separated participants entitled to future benefits2016-03-010
Total of all active and inactive participants2016-03-01113
2015: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-03-01153
Total number of active participants reported on line 7a of the Form 55002015-03-01140
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01140
2014: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-03-01167
Total number of active participants reported on line 7a of the Form 55002014-03-01153
Number of retired or separated participants receiving benefits2014-03-010
Number of other retired or separated participants entitled to future benefits2014-03-010
Total of all active and inactive participants2014-03-01153
2013: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-03-01168
Total number of active participants reported on line 7a of the Form 55002013-03-01167
Total of all active and inactive participants2013-03-01167
2012: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-03-01155
Total number of active participants reported on line 7a of the Form 55002012-03-01168
Total of all active and inactive participants2012-03-01168

Financial Data on DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST

Measure Date Value
2018 : DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$45,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-02-28$60,000
Total income from all sources (including contributions)2018-02-28$1,231,666
Total of all expenses incurred2018-02-28$1,227,028
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$1,159,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$1,126,821
Value of total assets at end of year2018-02-28$2,809
Value of total assets at beginning of year2018-02-28$13,171
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-02-28$67,678
Total interest from all sources2018-02-28$4
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28No
Administrative expenses professional fees incurred2018-02-28$23,690
Was this plan covered by a fidelity bond2018-02-28Yes
Value of fidelity bond cover2018-02-28$1,000,000
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Contributions received from participants2018-02-28$258,483
Income. Received or receivable in cash from other sources (including rollovers)2018-02-28$3,383
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-02-28$912,576
Other income not declared elsewhere2018-02-28$104,841
Administrative expenses (other) incurred2018-02-28$15,419
Total non interest bearing cash at end of year2018-02-28$2,809
Total non interest bearing cash at beginning of year2018-02-28$13,171
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$4,638
Value of net assets at end of year (total assets less liabilities)2018-02-28$-42,191
Value of net assets at beginning of year (total assets less liabilities)2018-02-28$-46,829
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-02-28$4
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$246,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28No
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$864,955
Contract administrator fees2018-02-28$28,569
Liabilities. Value of benefit claims payable at end of year2018-02-28$45,000
Liabilities. Value of benefit claims payable at beginning of year2018-02-28$60,000
Did the plan have assets held for investment2018-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-02-28No
Opinion of an independent qualified public accountant for this plan2018-02-28Unqualified
Accountancy firm name2018-02-28HORIZON CPA SERVICES, INC.
Accountancy firm EIN2018-02-28204287594
2017 : DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$60,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-02-28$100,000
Total income from all sources (including contributions)2017-02-28$1,377,338
Total of all expenses incurred2017-02-28$1,324,168
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$1,257,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$1,060,586
Value of total assets at end of year2017-02-28$13,171
Value of total assets at beginning of year2017-02-28$1
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-02-28$66,224
Total interest from all sources2017-02-28$4
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Administrative expenses professional fees incurred2017-02-28$11,000
Was this plan covered by a fidelity bond2017-02-28Yes
Value of fidelity bond cover2017-02-28$1,000,000
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Contributions received from participants2017-02-28$344,010
Income. Received or receivable in cash from other sources (including rollovers)2017-02-28$890
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-02-28$1,017,325
Other income not declared elsewhere2017-02-28$316,748
Administrative expenses (other) incurred2017-02-28$25,244
Total non interest bearing cash at end of year2017-02-28$13,171
Total non interest bearing cash at beginning of year2017-02-28$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$53,170
Value of net assets at end of year (total assets less liabilities)2017-02-28$-46,829
Value of net assets at beginning of year (total assets less liabilities)2017-02-28$-99,999
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-02-28$4
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$240,619
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28No
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$715,686
Contract administrator fees2017-02-28$29,980
Liabilities. Value of benefit claims payable at end of year2017-02-28$60,000
Liabilities. Value of benefit claims payable at beginning of year2017-02-28$100,000
Did the plan have assets held for investment2017-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-02-28No
Opinion of an independent qualified public accountant for this plan2017-02-28Unqualified
Accountancy firm name2017-02-28HORIZON CPA SERVICES, INC.
Accountancy firm EIN2017-02-28204287594
2016 : DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$100,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-02-29$50,000
Total income from all sources (including contributions)2016-02-29$1,136,760
Total of all expenses incurred2016-02-29$1,190,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$1,140,087
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$1,129,092
Value of total assets at end of year2016-02-29$1
Value of total assets at beginning of year2016-02-29$3,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-02-29$50,063
Total interest from all sources2016-02-29$6
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Administrative expenses professional fees incurred2016-02-29$9,334
Was this plan covered by a fidelity bond2016-02-29Yes
Value of fidelity bond cover2016-02-29$1,000,000
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Contributions received from participants2016-02-29$422,718
Income. Received or receivable in cash from other sources (including rollovers)2016-02-29$4,508
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-02-29$823,904
Other income not declared elsewhere2016-02-29$7,662
Administrative expenses (other) incurred2016-02-29$15,137
Total non interest bearing cash at end of year2016-02-29$1
Total non interest bearing cash at beginning of year2016-02-29$3,391
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$-53,390
Value of net assets at end of year (total assets less liabilities)2016-02-29$-99,999
Value of net assets at beginning of year (total assets less liabilities)2016-02-29$-46,609
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-02-29$6
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$316,183
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29No
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$701,866
Contract administrator fees2016-02-29$25,592
Liabilities. Value of benefit claims payable at end of year2016-02-29$100,000
Liabilities. Value of benefit claims payable at beginning of year2016-02-29$50,000
Did the plan have assets held for investment2016-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-02-29No
Opinion of an independent qualified public accountant for this plan2016-02-29Unqualified
Accountancy firm name2016-02-29HORIZON CPA SERVICES, INC.
Accountancy firm EIN2016-02-29204287594
2015 : DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$50,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-02-28$60,000
Total income from all sources (including contributions)2015-02-28$1,156,246
Total of all expenses incurred2015-02-28$1,171,749
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-02-28$1,085,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-02-28$1,122,860
Value of total assets at end of year2015-02-28$3,391
Value of total assets at beginning of year2015-02-28$28,894
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-02-28$86,704
Total interest from all sources2015-02-28$8
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-02-28No
Administrative expenses professional fees incurred2015-02-28$8,100
Was this plan covered by a fidelity bond2015-02-28Yes
Value of fidelity bond cover2015-02-28$1,000,000
If this is an individual account plan, was there a blackout period2015-02-28No
Were there any nonexempt tranactions with any party-in-interest2015-02-28No
Contributions received from participants2015-02-28$382,550
Income. Received or receivable in cash from other sources (including rollovers)2015-02-28$8,821
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-02-28$762,891
Other income not declared elsewhere2015-02-28$33,378
Administrative expenses (other) incurred2015-02-28$51,286
Total non interest bearing cash at end of year2015-02-28$3,391
Total non interest bearing cash at beginning of year2015-02-28$28,894
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Value of net income/loss2015-02-28$-15,503
Value of net assets at end of year (total assets less liabilities)2015-02-28$-46,609
Value of net assets at beginning of year (total assets less liabilities)2015-02-28$-31,106
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2015-02-28No
Were any leases to which the plan was party in default or uncollectible2015-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-02-28$8
Expenses. Payments to insurance carriers foe the provision of benefits2015-02-28$322,154
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-02-28No
Was there a failure to transmit to the plan any participant contributions2015-02-28No
Has the plan failed to provide any benefit when due under the plan2015-02-28No
Contributions received in cash from employer2015-02-28$731,489
Contract administrator fees2015-02-28$27,318
Liabilities. Value of benefit claims payable at end of year2015-02-28$50,000
Liabilities. Value of benefit claims payable at beginning of year2015-02-28$60,000
Did the plan have assets held for investment2015-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-02-28No
Opinion of an independent qualified public accountant for this plan2015-02-28Unqualified
Accountancy firm name2015-02-28HORIZON CPA SERVICES, INC.
Accountancy firm EIN2015-02-28204287594
2014 : DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$60,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-02-28$30,000
Total income from all sources (including contributions)2014-02-28$1,232,423
Total of all expenses incurred2014-02-28$1,267,996
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-02-28$1,233,500
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-02-28$1,170,703
Value of total assets at end of year2014-02-28$28,894
Value of total assets at beginning of year2014-02-28$34,467
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-02-28$34,496
Total interest from all sources2014-02-28$6
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-02-28No
Administrative expenses professional fees incurred2014-02-28$7,000
Was this plan covered by a fidelity bond2014-02-28Yes
Value of fidelity bond cover2014-02-28$500,000
If this is an individual account plan, was there a blackout period2014-02-28No
Were there any nonexempt tranactions with any party-in-interest2014-02-28No
Contributions received from participants2014-02-28$390,863
Income. Received or receivable in cash from other sources (including rollovers)2014-02-28$7,068
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-02-28$905,551
Other income not declared elsewhere2014-02-28$61,714
Total non interest bearing cash at end of year2014-02-28$28,894
Total non interest bearing cash at beginning of year2014-02-28$34,467
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Value of net income/loss2014-02-28$-35,573
Value of net assets at end of year (total assets less liabilities)2014-02-28$-31,106
Value of net assets at beginning of year (total assets less liabilities)2014-02-28$4,467
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2014-02-28No
Were any leases to which the plan was party in default or uncollectible2014-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-02-28$6
Expenses. Payments to insurance carriers foe the provision of benefits2014-02-28$327,949
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-02-28No
Was there a failure to transmit to the plan any participant contributions2014-02-28No
Has the plan failed to provide any benefit when due under the plan2014-02-28No
Contributions received in cash from employer2014-02-28$772,772
Contract administrator fees2014-02-28$27,496
Liabilities. Value of benefit claims payable at end of year2014-02-28$60,000
Liabilities. Value of benefit claims payable at beginning of year2014-02-28$30,000
Did the plan have assets held for investment2014-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-02-28No
Opinion of an independent qualified public accountant for this plan2014-02-28Unqualified
Accountancy firm name2014-02-28HORIZON CPA SERVICES, INC.
Accountancy firm EIN2014-02-28204287594
2013 : DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$30,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-02-28$35,000
Total income from all sources (including contributions)2013-02-28$1,370,821
Total of all expenses incurred2013-02-28$1,373,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-02-28$1,343,320
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-02-28$1,224,912
Value of total assets at end of year2013-02-28$34,467
Value of total assets at beginning of year2013-02-28$41,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-02-28$30,028
Total interest from all sources2013-02-28$6
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-02-28No
Administrative expenses professional fees incurred2013-02-28$5,000
Was this plan covered by a fidelity bond2013-02-28Yes
Value of fidelity bond cover2013-02-28$500,000
If this is an individual account plan, was there a blackout period2013-02-28No
Were there any nonexempt tranactions with any party-in-interest2013-02-28No
Contributions received from participants2013-02-28$368,273
Income. Received or receivable in cash from other sources (including rollovers)2013-02-28$8,549
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-02-28$1,001,350
Other income not declared elsewhere2013-02-28$145,903
Administrative expenses (other) incurred2013-02-28$500
Total non interest bearing cash at end of year2013-02-28$34,467
Total non interest bearing cash at beginning of year2013-02-28$41,994
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Value of net income/loss2013-02-28$-2,527
Value of net assets at end of year (total assets less liabilities)2013-02-28$4,467
Value of net assets at beginning of year (total assets less liabilities)2013-02-28$6,994
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2013-02-28No
Were any leases to which the plan was party in default or uncollectible2013-02-28No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-02-28$6
Expenses. Payments to insurance carriers foe the provision of benefits2013-02-28$341,970
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-02-28No
Was there a failure to transmit to the plan any participant contributions2013-02-28No
Has the plan failed to provide any benefit when due under the plan2013-02-28No
Contributions received in cash from employer2013-02-28$848,090
Contract administrator fees2013-02-28$24,528
Liabilities. Value of benefit claims payable at end of year2013-02-28$30,000
Liabilities. Value of benefit claims payable at beginning of year2013-02-28$35,000
Did the plan have assets held for investment2013-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-02-28No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-02-28No
Opinion of an independent qualified public accountant for this plan2013-02-28Unqualified
Accountancy firm name2013-02-28HORIZON CPA SERVICES, INC.
Accountancy firm EIN2013-02-28204287594

Form 5500 Responses for DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST

2018: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – InsuranceYes
2018-03-01Plan funding arrangement – TrustYes
2018-03-01Plan benefit arrangement – InsuranceYes
2018-03-01Plan benefit arrangement - TrustYes
2017: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – InsuranceYes
2017-03-01Plan funding arrangement – TrustYes
2017-03-01Plan benefit arrangement – InsuranceYes
2017-03-01Plan benefit arrangement - TrustYes
2016: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – InsuranceYes
2016-03-01Plan funding arrangement – TrustYes
2016-03-01Plan benefit arrangement – InsuranceYes
2016-03-01Plan benefit arrangement - TrustYes
2015: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01Plan funding arrangement – InsuranceYes
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement – InsuranceYes
2015-03-01Plan benefit arrangement - TrustYes
2014: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-03-01Type of plan entitySingle employer plan
2014-03-01Plan funding arrangement – InsuranceYes
2014-03-01Plan funding arrangement – TrustYes
2014-03-01Plan benefit arrangement – InsuranceYes
2014-03-01Plan benefit arrangement - TrustYes
2013: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-03-01Type of plan entitySingle employer plan
2013-03-01Plan funding arrangement – InsuranceYes
2013-03-01Plan funding arrangement – TrustYes
2013-03-01Plan benefit arrangement – InsuranceYes
2013-03-01Plan benefit arrangement - TrustYes
2012: DUBOIS WOOD PRODUCTS EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-03-01Type of plan entitySingle employer plan
2012-03-01Plan funding arrangement – InsuranceYes
2012-03-01Plan funding arrangement – TrustYes
2012-03-01Plan benefit arrangement – InsuranceYes
2012-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number
Policy instance 5
Number of Individuals Covered96
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $294
Other welfare benefits providedTRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $2,650
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $294
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
TELEMEDICINE MANAGEMENT, INC. DBA SWIFTMD (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract number
Policy instance 4
Number of Individuals Covered98
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Other welfare benefits providedSWIFT MD
Welfare Benefit Premiums Paid to CarrierUSD $5,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SCRIPT CARE, LTD. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 3
Number of Individuals Covered98
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Welfare Benefit Premiums Paid to CarrierUSD $9,319
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 number
Policy instance 2
Number of Individuals Covered98
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $1,590
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $14,311
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,590
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract number
Policy instance 1
Number of Individuals Covered96
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $21,510
Welfare Benefit Premiums Paid to CarrierUSD $193,621
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,510
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract number
Policy instance 1
Number of Individuals Covered98
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $21,931
Welfare Benefit Premiums Paid to CarrierUSD $197,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,931
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 2
Number of Individuals Covered98
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $2,107
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $18,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,107
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
SCRIPT CARE, LTD. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number
Policy instance 3
Number of Individuals Covered98
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Welfare Benefit Premiums Paid to CarrierUSD $11,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TELEMEDICINE MANAGEMENT, INC. DBA SWIFTMD (National Association of Insurance Commissioners NAIC id number: 62199 )
Policy contract number
Policy instance 4
Number of Individuals Covered98
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $2,297
Other welfare benefits providedSWIFT MD
Welfare Benefit Premiums Paid to CarrierUSD $6,345
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,297
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract number
Policy instance 3
Number of Individuals Covered140
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $1,910
Other welfare benefits providedTRANSPLANT POLICY
Welfare Benefit Premiums Paid to CarrierUSD $21,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,910
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
SCRIPT CARE, LTD. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2013
Policy instance 2
Insurance contract or identification number2013
Number of Individuals Covered153
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $1,632
Welfare Benefit Premiums Paid to CarrierUSD $37
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,632
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMIN
ELITE UNDERWRITING SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberAFA-SLP-2013-01
Policy instance 1
Insurance contract or identification numberAFA-SLP-2013-01
Number of Individuals Covered152
Insurance policy start date2015-03-01
Insurance policy end date2016-02-29
Total amount of commissions paid to insurance brokerUSD $22,258
Welfare Benefit Premiums Paid to CarrierUSD $255,889
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $22,258
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
SCRIPT CARE, LTD. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2013
Policy instance 2
Insurance contract or identification number2013
Number of Individuals Covered153
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $1,648
Welfare Benefit Premiums Paid to CarrierUSD $3
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,648
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMIN
ELITE UNDERWRITING SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberAFA-SLP-2013-01
Policy instance 1
Insurance contract or identification numberAFA-SLP-2013-01
Number of Individuals Covered152
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $24,702
Welfare Benefit Premiums Paid to CarrierUSD $284,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,702
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
PATOKA VALLEY HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract number2013
Policy instance 1
Insurance contract or identification number2013
Number of Individuals Covered167
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Welfare Benefit Premiums Paid to CarrierUSD $5,861
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ELITE UNDERWRITING SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 70939 )
Policy contract numberAFA-SLP-2013-01
Policy instance 2
Insurance contract or identification numberAFA-SLP-2013-01
Number of Individuals Covered167
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $41,789
Welfare Benefit Premiums Paid to CarrierUSD $294,496
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $41,789
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
SCRIPT CARE, LTD. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2013
Policy instance 3
Insurance contract or identification number2013
Number of Individuals Covered167
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Welfare Benefit Premiums Paid to CarrierUSD $14
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SCRIPT CARE, LTD. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2012
Policy instance 3
Insurance contract or identification number2012
Number of Individuals Covered168
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $1,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,688
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC. BENEFIT ADMINISTRATOR
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-010328-00
Policy instance 2
Insurance contract or identification number16-010328-00
Number of Individuals Covered168
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $43,925
Welfare Benefit Premiums Paid to CarrierUSD $334,796
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,925
Insurance broker organization code?5
Insurance broker nameDUNN & ASSOC BENEFIT ADMINISTRATORS
PATOKA VALLEY HEALTH CARE (National Association of Insurance Commissioners NAIC id number: 85561 )
Policy contract number2012
Policy instance 1
Insurance contract or identification number2012
Number of Individuals Covered168
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Welfare Benefit Premiums Paid to CarrierUSD $7,174
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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