401k Plan data: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN plan

CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 401k Plan overview

Plan Name	CREATIVE LIQUID COATINGS, INC. HEALTH PLAN
Plan identification number	501

CREATIVE LIQUID COATINGS, INC. HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Other welfare benefit cover

401k Sponsoring company profile

CREATIVE LIQUID COATINGS, INC. has sponsored the creation of one or more 401k plans.

Company Name: CREATIVE LIQUID COATINGS, INC.

Employer identification number (EIN): 351993102

NAIC Classification: 336300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CREATIVE LIQUID COATINGS, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-08-01
501 2018-08-01
501 2017-08-01 TABATHA CHRISTMAN
501 2016-08-01 TABATHA CHRISTMAN
501 2016-08-01
501 2015-08-01 DAN ST. GERMAIN
501 2014-08-01 DAN ST. GERMAIN DAN ST. GERMAIN
501 2014-08-01 DAN ST. GERMAIN

Plan Statistics for CREATIVE LIQUID COATINGS, INC. HEALTH PLAN

401k plan membership statisitcs for CREATIVE LIQUID COATINGS, INC. HEALTH PLAN

Measure Date Value
2019: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-08-01 272
Total number of active participants reported on line 7a of the Form 5500 2019-08-01 275
Number of retired or separated participants receiving benefits 2019-08-01 0
Number of other retired or separated participants entitled to future benefits 2019-08-01 0
Total of all active and inactive participants 2019-08-01 275
2018: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year 2018-08-01 245
Total number of active participants reported on line 7a of the Form 5500 2018-08-01 272
Number of retired or separated participants receiving benefits 2018-08-01 0
Number of other retired or separated participants entitled to future benefits 2018-08-01 0
Total of all active and inactive participants 2018-08-01 272
2017: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year 2017-08-01 247
Total number of active participants reported on line 7a of the Form 5500 2017-08-01 245
Number of retired or separated participants receiving benefits 2017-08-01 0
Number of other retired or separated participants entitled to future benefits 2017-08-01 0
Total of all active and inactive participants 2017-08-01 245
2016: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year 2016-08-01 244
Total number of active participants reported on line 7a of the Form 5500 2016-08-01 247
Number of retired or separated participants receiving benefits 2016-08-01 0
Number of other retired or separated participants entitled to future benefits 2016-08-01 0
Total of all active and inactive participants 2016-08-01 247
2015: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year 2015-08-01 191
Total number of active participants reported on line 7a of the Form 5500 2015-08-01 244
Number of retired or separated participants receiving benefits 2015-08-01 0
Number of other retired or separated participants entitled to future benefits 2015-08-01 0
Total of all active and inactive participants 2015-08-01 244
2014: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year 2014-08-01 156
Total number of active participants reported on line 7a of the Form 5500 2014-08-01 191
Number of retired or separated participants receiving benefits 2014-08-01 1
Number of other retired or separated participants entitled to future benefits 2014-08-01 0
Total of all active and inactive participants 2014-08-01 192

Measure	Date	Value
2019: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-08-01	272
Total number of active participants reported on line 7a of the Form 5500	2019-08-01	275
Number of retired or separated participants receiving benefits	2019-08-01	0
Number of other retired or separated participants entitled to future benefits	2019-08-01	0
Total of all active and inactive participants	2019-08-01	275
2018: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year	2018-08-01	245
Total number of active participants reported on line 7a of the Form 5500	2018-08-01	272
Number of retired or separated participants receiving benefits	2018-08-01	0
Number of other retired or separated participants entitled to future benefits	2018-08-01	0
Total of all active and inactive participants	2018-08-01	272
2017: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year	2017-08-01	247
Total number of active participants reported on line 7a of the Form 5500	2017-08-01	245
Number of retired or separated participants receiving benefits	2017-08-01	0
Number of other retired or separated participants entitled to future benefits	2017-08-01	0
Total of all active and inactive participants	2017-08-01	245
2016: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year	2016-08-01	244
Total number of active participants reported on line 7a of the Form 5500	2016-08-01	247
Number of retired or separated participants receiving benefits	2016-08-01	0
Number of other retired or separated participants entitled to future benefits	2016-08-01	0
Total of all active and inactive participants	2016-08-01	247
2015: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year	2015-08-01	191
Total number of active participants reported on line 7a of the Form 5500	2015-08-01	244
Number of retired or separated participants receiving benefits	2015-08-01	0
Number of other retired or separated participants entitled to future benefits	2015-08-01	0
Total of all active and inactive participants	2015-08-01	244
2014: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year	2014-08-01	156
Total number of active participants reported on line 7a of the Form 5500	2014-08-01	191
Number of retired or separated participants receiving benefits	2014-08-01	1
Number of other retired or separated participants entitled to future benefits	2014-08-01	0
Total of all active and inactive participants	2014-08-01	192

Financial Data on CREATIVE LIQUID COATINGS, INC. HEALTH PLAN

Measure	Date	Value
2018 : CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2018 401k financial data
Total income from all sources	2018-07-31	$1,637,338
Expenses. Total of all expenses incurred	2018-07-31	$1,307,610
Benefits paid (including direct rollovers)	2018-07-31	$1,307,610
Total plan assets at end of year	2018-07-31	$698,377
Total plan assets at beginning of year	2018-07-31	$368,649
Total contributions received or receivable from participants	2018-07-31	$910,175
Net income (gross income less expenses)	2018-07-31	$329,728
Net plan assets at end of year (total assets less liabilities)	2018-07-31	$698,377
Net plan assets at beginning of year (total assets less liabilities)	2018-07-31	$368,649
Total contributions received or receivable from employer(s)	2018-07-31	$727,163
2017 : CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2017 401k financial data
Total income from all sources	2017-07-31	$1,464,533
Expenses. Total of all expenses incurred	2017-07-31	$1,674,264
Benefits paid (including direct rollovers)	2017-07-31	$1,674,264
Total plan assets at end of year	2017-07-31	$118,334
Total plan assets at beginning of year	2017-07-31	$328,065
Total contributions received or receivable from participants	2017-07-31	$630,692
Contributions received from other sources (not participants or employers)	2017-07-31	$7,214
Net income (gross income less expenses)	2017-07-31	$-209,731
Net plan assets at end of year (total assets less liabilities)	2017-07-31	$118,334
Net plan assets at beginning of year (total assets less liabilities)	2017-07-31	$328,065
Total contributions received or receivable from employer(s)	2017-07-31	$826,627
2016 : CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2016 401k financial data
Total income from all sources	2016-07-31	$1,381,564
Expenses. Total of all expenses incurred	2016-07-31	$1,381,064
Benefits paid (including direct rollovers)	2016-07-31	$1,270,041
Total plan assets at end of year	2016-07-31	$328,065
Total plan assets at beginning of year	2016-07-31	$327,565
Expenses. Other expenses not covered elsewhere	2016-07-31	$111,023
Contributions received from other sources (not participants or employers)	2016-07-31	$13,676
Net income (gross income less expenses)	2016-07-31	$500
Net plan assets at end of year (total assets less liabilities)	2016-07-31	$328,065
Net plan assets at beginning of year (total assets less liabilities)	2016-07-31	$327,565
Total contributions received or receivable from employer(s)	2016-07-31	$1,367,888
2015 : CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2015 401k financial data
Total income from all sources	2015-07-31	$1,296,528
Expenses. Total of all expenses incurred	2015-07-31	$1,062,333
Benefits paid (including direct rollovers)	2015-07-31	$969,197
Total plan assets at end of year	2015-07-31	$327,565
Total plan assets at beginning of year	2015-07-31	$93,370
Total contributions received or receivable from participants	2015-07-31	$415,543
Expenses. Other expenses not covered elsewhere	2015-07-31	$93,136
Contributions received from other sources (not participants or employers)	2015-07-31	$11,139
Net income (gross income less expenses)	2015-07-31	$234,195
Net plan assets at end of year (total assets less liabilities)	2015-07-31	$327,565
Net plan assets at beginning of year (total assets less liabilities)	2015-07-31	$93,370
Total contributions received or receivable from employer(s)	2015-07-31	$869,846

Form 5500 Responses for CREATIVE LIQUID COATINGS, INC. HEALTH PLAN

2019: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2019 form 5500 responses
2019-08-01	Type of plan entity	Single employer plan
2019-08-01	Submission has been amended	No
2019-08-01	This submission is the final filing	No
2019-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-08-01	Plan is a collectively bargained plan	No
2019-08-01	Plan funding arrangement – Insurance	Yes
2019-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-08-01	Plan benefit arrangement – Insurance	Yes
2019-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2018 form 5500 responses
2018-08-01	Type of plan entity	Single employer plan
2018-08-01	Submission has been amended	No
2018-08-01	This submission is the final filing	No
2018-08-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-08-01	Plan is a collectively bargained plan	No
2018-08-01	Plan funding arrangement – Insurance	Yes
2018-08-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-08-01	Plan benefit arrangement – Insurance	Yes
2018-08-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2017 form 5500 responses
2017-08-01	Type of plan entity	Single employer plan
2017-08-01	Plan funding arrangement – Insurance	Yes
2017-08-01	Plan benefit arrangement – Insurance	Yes
2016: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2016 form 5500 responses
2016-08-01	Type of plan entity	Single employer plan
2016-08-01	Submission has been amended	Yes
2016-08-01	Plan funding arrangement – Insurance	Yes
2016-08-01	Plan benefit arrangement – Insurance	Yes
2015: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2015 form 5500 responses
2015-08-01	Type of plan entity	Single employer plan
2015-08-01	Plan funding arrangement – Insurance	Yes
2015-08-01	Plan benefit arrangement – Insurance	Yes
2014: CREATIVE LIQUID COATINGS, INC. HEALTH PLAN 2014 form 5500 responses
2014-08-01	Type of plan entity	Single employer plan
2014-08-01	Submission has been amended	Yes
2014-08-01	Plan funding arrangement – Insurance	Yes
2014-08-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00470489

Policy instance

Insurance contract or identification number	00470489
Number of Individuals Covered	275
Insurance policy start date	2019-08-01
Insurance policy end date	2020-07-31
Total amount of commissions paid to insurance broker	USD $25,069
Total amount of fees paid to insurance company	USD $0
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT, CRITICAL ILLNESS, ACCIDENT, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to Carrier	USD $152,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $25,069
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00470489

Policy instance

Insurance contract or identification number	00470489
Number of Individuals Covered	272
Insurance policy start date	2018-08-01
Insurance policy end date	2019-07-31
Total amount of commissions paid to insurance broker	USD $21,678
Total amount of fees paid to insurance company	USD $1,038
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT, CRITICAL ILLNESS, ACCIDENT, HOSPITAL INDEMNITY
Welfare Benefit Premiums Paid to Carrier	USD $146,160
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $21,688
Amount paid for insurance broker fees	1038
Additional information about fees paid to insurance broker	TOTAL FEES PAID
Insurance broker organization code?	3

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00470489

Policy instance

Insurance contract or identification number	00470489
Number of Individuals Covered	275
Insurance policy start date	2017-08-01
Insurance policy end date	2018-07-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	CRITICAL ILLNESS
Welfare Benefit Premiums Paid to Carrier	USD $127,602
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BERKLEY LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 64890 )

Policy contract number

417004413040

Policy instance

Insurance contract or identification number	417004413040
Number of Individuals Covered	245
Insurance policy start date	2017-08-01
Insurance policy end date	2018-07-31
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00470489

Policy instance

Insurance contract or identification number	00470489
Number of Individuals Covered	244
Insurance policy start date	2015-08-01
Insurance policy end date	2016-07-31
Total amount of commissions paid to insurance broker	USD $15,128
Total amount of fees paid to insurance company	USD $8,108
Welfare Benefit Premiums Paid to Carrier	USD $183,878
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $15,128
Amount paid for insurance broker fees	8108
Insurance broker name	ONB INSURANCE GROUP, INC

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00470489

Policy instance

Insurance contract or identification number	00470489
Number of Individuals Covered	192
Insurance policy start date	2014-08-01
Insurance policy end date	2015-07-31
Total amount of commissions paid to insurance broker	USD $13,263
Total amount of fees paid to insurance company	USD $7,593
Welfare Benefit Premiums Paid to Carrier	USD $154,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,263
Amount paid for insurance broker fees	7593
Insurance broker name	ONB INSURANCE GROUP, INC

Potentially related plans

CREATIVE LIQUID PRODUCTIONS LLC 401(K) P/S PLAN [EIN = 204336788]

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Company Name:	CREATIVE LIQUID COATINGS, INC.
Employer identification number (EIN):	351993102
NAIC Classification:	336300