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BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 401k Plan overview

Plan NameBRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST
Plan identification number 501

BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST Benefits

401k Plan TypeWelfare 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

BRETFORD MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.

Company Name:BRETFORD MANUFACTURING, INC.
Employer identification number (EIN):362113703
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01BRAD LAVATY2023-10-05
5012021-01-01BRAD LAVATY2022-10-03
5012020-01-01BRAD LAVATY2021-10-14
5012019-01-01JERRY FLYNN2020-10-09
5012018-01-01JERRY FLYNN2019-10-02
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01JERRY FLYNN
5012011-01-01JERRY FLYNN
5012009-01-01JERRY FLYNN

Plan Statistics for BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST

401k plan membership statisitcs for BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST

Measure Date Value
2022: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01145
Total number of active participants reported on line 7a of the Form 55002022-01-01130
Total of all active and inactive participants2022-01-01130
2021: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01155
Total number of active participants reported on line 7a of the Form 55002021-01-01145
Total of all active and inactive participants2021-01-01145
2020: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01255
Total number of active participants reported on line 7a of the Form 55002020-01-01155
Total of all active and inactive participants2020-01-01155
2019: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01191
Total number of active participants reported on line 7a of the Form 55002019-01-01255
Total of all active and inactive participants2019-01-01255
2018: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01201
Total number of active participants reported on line 7a of the Form 55002018-01-01191
Total of all active and inactive participants2018-01-01191
2017: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01293
Total number of active participants reported on line 7a of the Form 55002017-01-01201
Total of all active and inactive participants2017-01-01201
2016: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01344
Total number of active participants reported on line 7a of the Form 55002016-01-01293
Total of all active and inactive participants2016-01-01293
2015: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01353
Total number of active participants reported on line 7a of the Form 55002015-01-01344
Total of all active and inactive participants2015-01-01344
2014: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01342
Total number of active participants reported on line 7a of the Form 55002014-01-01353
Total of all active and inactive participants2014-01-01353
2013: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01341
Total number of active participants reported on line 7a of the Form 55002013-01-01342
Total of all active and inactive participants2013-01-01342
2012: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01336
Total number of active participants reported on line 7a of the Form 55002012-01-01341
Total of all active and inactive participants2012-01-01341
2011: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01362
Total number of active participants reported on line 7a of the Form 55002011-01-01336
Total of all active and inactive participants2011-01-01336
2009: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01530
Total number of active participants reported on line 7a of the Form 55002009-01-01364
Total of all active and inactive participants2009-01-01364

Financial Data on BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST

Measure Date Value
2022 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$269,511
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$338,028
Total income from all sources (including contributions)2022-12-31$2,088,348
Total of all expenses incurred2022-12-31$2,135,682
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,029,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,084,440
Value of total assets at end of year2022-12-31$675,660
Value of total assets at beginning of year2022-12-31$791,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$106,390
Total interest from all sources2022-12-31$3,908
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$412,635
Participant contributions at end of year2022-12-31$33,386
Participant contributions at beginning of year2022-12-31$33,388
Administrative expenses (other) incurred2022-12-31$106,390
Liabilities. Value of operating payables at end of year2022-12-31$150,414
Liabilities. Value of operating payables at beginning of year2022-12-31$250,368
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-47,334
Value of net assets at end of year (total assets less liabilities)2022-12-31$406,149
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$453,483
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$514,434
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$530,331
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$530,331
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$3,908
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$425,185
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,671,805
Employer contributions (assets) at end of year2022-12-31$127,840
Employer contributions (assets) at beginning of year2022-12-31$227,792
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,604,107
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$119,097
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$87,660
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2022-12-31363280790
2021 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$338,028
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$278,629
Total income from all sources (including contributions)2021-12-31$2,113,733
Total of all expenses incurred2021-12-31$2,089,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,913,661
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,113,235
Value of total assets at end of year2021-12-31$791,511
Value of total assets at beginning of year2021-12-31$707,701
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$175,661
Total interest from all sources2021-12-31$498
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$455,361
Participant contributions at end of year2021-12-31$33,388
Participant contributions at beginning of year2021-12-31$33,388
Administrative expenses (other) incurred2021-12-31$175,661
Liabilities. Value of operating payables at end of year2021-12-31$250,368
Liabilities. Value of operating payables at beginning of year2021-12-31$161,721
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$24,411
Value of net assets at end of year (total assets less liabilities)2021-12-31$453,483
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$429,072
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$530,331
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$535,167
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$535,167
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$498
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$423,349
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,657,874
Employer contributions (assets) at end of year2021-12-31$227,792
Employer contributions (assets) at beginning of year2021-12-31$139,146
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,490,312
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$87,660
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$116,908
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2021-12-31363280790
2020 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$278,629
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$419,632
Total income from all sources (including contributions)2020-12-31$1,984,067
Total of all expenses incurred2020-12-31$1,878,484
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,660,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,982,358
Value of total assets at end of year2020-12-31$707,701
Value of total assets at beginning of year2020-12-31$743,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$218,121
Total interest from all sources2020-12-31$1,709
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$441,638
Participant contributions at end of year2020-12-31$33,388
Administrative expenses (other) incurred2020-12-31$218,121
Liabilities. Value of operating payables at end of year2020-12-31$161,721
Liabilities. Value of operating payables at beginning of year2020-12-31$252,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$105,583
Value of net assets at end of year (total assets less liabilities)2020-12-31$429,072
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$323,489
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$535,167
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$490,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$490,131
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,709
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$299,338
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,540,720
Employer contributions (assets) at end of year2020-12-31$139,146
Employer contributions (assets) at beginning of year2020-12-31$252,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,361,025
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$116,908
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$166,642
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2020-12-31363280790
2019 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$419,632
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$419,632
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$98,445
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$98,445
Total income from all sources (including contributions)2019-12-31$2,113,432
Total income from all sources (including contributions)2019-12-31$2,113,432
Total of all expenses incurred2019-12-31$2,404,161
Total of all expenses incurred2019-12-31$2,404,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,238,891
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,238,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,098,251
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,098,251
Value of total assets at end of year2019-12-31$743,121
Value of total assets at end of year2019-12-31$743,121
Value of total assets at beginning of year2019-12-31$712,663
Value of total assets at beginning of year2019-12-31$712,663
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$165,270
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$165,270
Total interest from all sources2019-12-31$15,181
Total interest from all sources2019-12-31$15,181
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$464,238
Contributions received from participants2019-12-31$464,238
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$17,136
Participant contributions at beginning of year2019-12-31$17,136
Administrative expenses (other) incurred2019-12-31$165,270
Administrative expenses (other) incurred2019-12-31$165,270
Liabilities. Value of operating payables at end of year2019-12-31$252,990
Liabilities. Value of operating payables at end of year2019-12-31$252,990
Liabilities. Value of operating payables at beginning of year2019-12-31$5,300
Liabilities. Value of operating payables at beginning of year2019-12-31$5,300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-290,729
Value of net income/loss2019-12-31$-290,729
Value of net assets at end of year (total assets less liabilities)2019-12-31$323,489
Value of net assets at end of year (total assets less liabilities)2019-12-31$323,489
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$614,218
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$614,218
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$490,131
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$490,131
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$695,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$695,527
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$695,527
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$695,527
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$15,181
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$15,181
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$382,217
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$382,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,634,013
Contributions received in cash from employer2019-12-31$1,634,013
Employer contributions (assets) at end of year2019-12-31$252,990
Employer contributions (assets) at end of year2019-12-31$252,990
Employer contributions (assets) at beginning of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,856,674
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$166,642
Liabilities. Value of benefit claims payable at end of year2019-12-31$166,642
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$93,145
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm name2019-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2019-12-31363280790
2018 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$98,445
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$66,611
Total income from all sources (including contributions)2018-12-31$1,464,417
Total of all expenses incurred2018-12-31$1,760,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,601,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,448,753
Value of total assets at end of year2018-12-31$712,663
Value of total assets at beginning of year2018-12-31$976,441
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$158,707
Total interest from all sources2018-12-31$15,664
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$433,016
Participant contributions at end of year2018-12-31$17,136
Participant contributions at beginning of year2018-12-31$8,721
Administrative expenses (other) incurred2018-12-31$158,707
Liabilities. Value of operating payables at end of year2018-12-31$5,300
Liabilities. Value of operating payables at beginning of year2018-12-31$8,760
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-295,612
Value of net assets at end of year (total assets less liabilities)2018-12-31$614,218
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$909,830
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$695,527
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$967,720
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$967,720
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$15,664
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$298,426
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,015,737
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,302,896
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$93,145
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$57,851
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2018-12-31363280790
2017 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$66,611
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$183,189
Total income from all sources (including contributions)2017-12-31$2,145,693
Total of all expenses incurred2017-12-31$1,936,178
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,750,279
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,139,266
Value of total assets at end of year2017-12-31$976,441
Value of total assets at beginning of year2017-12-31$883,504
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$185,899
Total interest from all sources2017-12-31$6,427
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$470,933
Participant contributions at end of year2017-12-31$8,721
Participant contributions at beginning of year2017-12-31$9,856
Administrative expenses (other) incurred2017-12-31$185,899
Liabilities. Value of operating payables at end of year2017-12-31$8,760
Liabilities. Value of operating payables at beginning of year2017-12-31$1,589
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$209,515
Value of net assets at end of year (total assets less liabilities)2017-12-31$909,830
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$700,315
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$967,720
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$873,648
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$873,648
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$6,427
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$71,002
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,668,333
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,679,277
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$57,851
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$181,600
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2017-12-31363280790
2016 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$183,189
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$57,566
Total income from all sources (including contributions)2016-12-31$3,048,991
Total of all expenses incurred2016-12-31$3,197,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,915,104
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,046,839
Value of total assets at end of year2016-12-31$883,504
Value of total assets at beginning of year2016-12-31$906,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$282,229
Total interest from all sources2016-12-31$2,152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$676,773
Participant contributions at end of year2016-12-31$9,856
Participant contributions at beginning of year2016-12-31$28,195
Administrative expenses (other) incurred2016-12-31$282,229
Liabilities. Value of operating payables at end of year2016-12-31$1,589
Liabilities. Value of operating payables at beginning of year2016-12-31$10,365
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-148,342
Value of net assets at end of year (total assets less liabilities)2016-12-31$700,315
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$848,657
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$873,648
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$878,028
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$878,028
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$2,152
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$270,514
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,370,066
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,644,590
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$181,600
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$47,201
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MCCULLOUGH, ROSSI & CO.,LTD.
Accountancy firm EIN2016-12-31363280790
2015 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$57,566
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$94,482
Total income from all sources (including contributions)2015-12-31$2,573,814
Total of all expenses incurred2015-12-31$2,607,756
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,321,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,573,712
Value of total assets at end of year2015-12-31$906,223
Value of total assets at beginning of year2015-12-31$977,081
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$286,572
Total interest from all sources2015-12-31$102
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$815,509
Participant contributions at end of year2015-12-31$28,195
Participant contributions at beginning of year2015-12-31$46,397
Administrative expenses (other) incurred2015-12-31$286,572
Liabilities. Value of operating payables at end of year2015-12-31$10,365
Liabilities. Value of operating payables at beginning of year2015-12-31$8,426
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-33,942
Value of net assets at end of year (total assets less liabilities)2015-12-31$848,657
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$882,599
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$878,028
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$930,684
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$930,684
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$102
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$293,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,758,203
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,027,625
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$47,201
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$86,056
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2015-12-31363280790
2014 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$94,482
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$96,760
Total income from all sources (including contributions)2014-12-31$2,965,137
Total of all expenses incurred2014-12-31$2,922,520
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,610,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,965,038
Value of total assets at end of year2014-12-31$977,081
Value of total assets at beginning of year2014-12-31$936,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$312,455
Total interest from all sources2014-12-31$99
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$803,297
Participant contributions at end of year2014-12-31$46,397
Participant contributions at beginning of year2014-12-31$0
Administrative expenses (other) incurred2014-12-31$312,455
Liabilities. Value of operating payables at end of year2014-12-31$8,426
Liabilities. Value of operating payables at beginning of year2014-12-31$6,135
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$42,617
Value of net assets at end of year (total assets less liabilities)2014-12-31$882,599
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$839,982
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$930,684
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$936,742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$936,742
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$99
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$280,758
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$2,161,741
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,329,307
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$86,056
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$90,625
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2014-12-31363280790
2013 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$96,760
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$78,581
Total income from all sources (including contributions)2013-12-31$2,831,951
Total of all expenses incurred2013-12-31$2,762,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,517,484
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,831,859
Value of total assets at end of year2013-12-31$936,742
Value of total assets at beginning of year2013-12-31$849,004
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$244,908
Total interest from all sources2013-12-31$92
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$707,685
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$24,018
Administrative expenses (other) incurred2013-12-31$244,908
Liabilities. Value of operating payables at end of year2013-12-31$6,135
Liabilities. Value of operating payables at beginning of year2013-12-31$8,613
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$69,559
Value of net assets at end of year (total assets less liabilities)2013-12-31$839,982
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$770,423
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$936,742
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$824,986
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$824,986
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$92
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$258,102
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$2,124,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,259,382
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$90,625
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$69,968
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2013-12-31363280790
2012 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$78,581
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$144,861
Total income from all sources (including contributions)2012-12-31$2,803,672
Total of all expenses incurred2012-12-31$2,695,664
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,446,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,803,563
Value of total assets at end of year2012-12-31$849,004
Value of total assets at beginning of year2012-12-31$807,276
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$249,085
Total interest from all sources2012-12-31$109
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$720,960
Participant contributions at end of year2012-12-31$24,018
Participant contributions at beginning of year2012-12-31$67
Administrative expenses (other) incurred2012-12-31$249,085
Liabilities. Value of operating payables at end of year2012-12-31$8,613
Liabilities. Value of operating payables at beginning of year2012-12-31$6,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$108,008
Value of net assets at end of year (total assets less liabilities)2012-12-31$770,423
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$662,415
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$824,986
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$807,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$807,209
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$109
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$258,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,082,603
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,188,454
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$69,968
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$138,449
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2012-12-31363280790
2011 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$144,861
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$115,958
Total income from all sources (including contributions)2011-12-31$2,516,443
Total of all expenses incurred2011-12-31$2,503,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,256,655
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,516,340
Value of total assets at end of year2011-12-31$807,276
Value of total assets at beginning of year2011-12-31$765,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$247,251
Total interest from all sources2011-12-31$103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$800,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$707,174
Participant contributions at end of year2011-12-31$67
Participant contributions at beginning of year2011-12-31$24,232
Administrative expenses (other) incurred2011-12-31$247,251
Liabilities. Value of operating payables at end of year2011-12-31$6,412
Liabilities. Value of operating payables at beginning of year2011-12-31$2,021
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$12,537
Value of net assets at end of year (total assets less liabilities)2011-12-31$662,415
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$649,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$807,209
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$741,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$741,604
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$103
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$260,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,809,166
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,995,969
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$138,449
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$113,937
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2011-12-31363280790
2010 : BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$115,958
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$89,697
Total income from all sources (including contributions)2010-12-31$2,728,481
Total of all expenses incurred2010-12-31$2,632,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,386,328
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,728,231
Value of total assets at end of year2010-12-31$765,836
Value of total assets at beginning of year2010-12-31$643,138
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$245,716
Total interest from all sources2010-12-31$250
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$800,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$635,125
Participant contributions at end of year2010-12-31$24,232
Participant contributions at beginning of year2010-12-31$12,215
Administrative expenses (other) incurred2010-12-31$245,716
Liabilities. Value of operating payables at end of year2010-12-31$2,021
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$96,437
Value of net assets at end of year (total assets less liabilities)2010-12-31$649,878
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$553,441
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$741,604
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$630,923
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$630,923
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$250
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$169,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$2,093,106
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,216,789
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$113,937
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$89,697
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MCCULLOUGH, ROSSI & CO., LTD.
Accountancy firm EIN2010-12-31363280790

Form 5500 Responses for BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST

2022: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: BRETFORD MANUFACTURING, INC. EMPLOYEE BENEFIT TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10266778
Policy instance 6
Insurance contract or identification number10266778
Number of Individuals Covered5
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $424
Total amount of fees paid to insurance companyUSD $240
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,236
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $424
Amount paid for insurance broker fees240
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10266776
Policy instance 5
Insurance contract or identification number10266776
Number of Individuals Covered108
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $765
Total amount of fees paid to insurance companyUSD $461
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $765
Amount paid for insurance broker fees461
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10266777
Policy instance 4
Insurance contract or identification number10266777
Number of Individuals Covered3
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $556
Total amount of fees paid to insurance companyUSD $417
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,564
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $556
Amount paid for insurance broker fees417
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000
Policy instance 3
Insurance contract or identification number400001000
Number of Individuals Covered20
Insurance policy start date2022-07-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,757
Total amount of fees paid to insurance companyUSD $457
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,786
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,757
Amount paid for insurance broker fees457
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered85
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $783
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,543
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $782
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered239
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $29,799
Total amount of fees paid to insurance companyUSD $5,197
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $416,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,799
Amount paid for insurance broker fees5197
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number400001000
Policy instance 3
Insurance contract or identification number400001000
Number of Individuals Covered21
Insurance policy start date2021-07-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,451
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $768
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered103
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $776
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $696
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered260
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $37,412
Total amount of fees paid to insurance companyUSD $11,234
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $409,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,553
Amount paid for insurance broker fees11234
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10266777
Policy instance 4
Insurance contract or identification number10266777
Number of Individuals Covered5
Insurance policy start date2021-07-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $498
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $358
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10266778
Policy instance 6
Insurance contract or identification number10266778
Number of Individuals Covered5
Insurance policy start date2021-07-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $208
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,079
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $139
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10266776
Policy instance 5
Insurance contract or identification number10266776
Number of Individuals Covered119
Insurance policy start date2021-07-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $466
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $5,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $319
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5359816
Policy instance 3
Insurance contract or identification number5359816
Number of Individuals Covered145
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $5,617
Total amount of fees paid to insurance companyUSD $2,480
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $34,631
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,617
Amount paid for insurance broker fees1735
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered276
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $24,110
Total amount of fees paid to insurance companyUSD $1,890
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $341,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,474
Amount paid for insurance broker fees1890
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered103
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $846
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,734
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $767
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered286
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $25,578
Total amount of fees paid to insurance companyUSD $2,325
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $333,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,578
Amount paid for insurance broker fees2325
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
1.800MD, LLC (National Association of Insurance Commissioners NAIC id number: 62139 )
Policy contract number23999
Policy instance 4
Insurance contract or identification number23999
Number of Individuals Covered120
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $948
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees948
Additional information about fees paid to insurance brokerCONSULTANT FEES
Insurance broker organization code?5
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5359816
Policy instance 3
Insurance contract or identification number5359816
Number of Individuals Covered172
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $5,153
Total amount of fees paid to insurance companyUSD $1,943
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $32,341
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,153
Amount paid for insurance broker fees1620
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered104
Insurance policy start date2019-02-01
Insurance policy end date2020-01-01
Total amount of commissions paid to insurance brokerUSD $613
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $613
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered331
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $20,156
Total amount of fees paid to insurance companyUSD $1,760
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $288,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,156
Amount paid for insurance broker fees1760
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered123
Insurance policy start date2018-02-01
Insurance policy end date2019-01-01
Total amount of commissions paid to insurance brokerUSD $109
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $109
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05359816
Policy instance 3
Insurance contract or identification numberTS05359816
Number of Individuals Covered201
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $6,749
Total amount of fees paid to insurance companyUSD $4,566
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $40,530
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,749
Amount paid for insurance broker fees2024
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered381
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $23,994
Total amount of fees paid to insurance companyUSD $1,350
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $243,918
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $23,994
Insurance broker organization code?3
Amount paid for insurance broker fees1350
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker nameTHE HORTON GROUP, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered148
Insurance policy start date2017-02-01
Insurance policy end date2018-01-01
Total amount of commissions paid to insurance brokerUSD $703
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $15,216
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $386
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTS05359816
Policy instance 3
Insurance contract or identification numberTS05359816
Number of Individuals Covered202
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $6,027
Total amount of fees paid to insurance companyUSD $8,142
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $43,129
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,027
Amount paid for insurance broker fees5761
Additional information about fees paid to insurance brokerADMIN FEES
Insurance broker organization code?5
Insurance broker nameTHE HORTON GROUP, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0AJ4T
Policy instance 5
Insurance contract or identification numberGUPR0AJ4T
Number of Individuals Covered13
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Total amount of commissions paid to insurance brokerUSD $1,151
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,513
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,151
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AJ4T
Policy instance 4
Insurance contract or identification numberGVTL0AJ4T
Number of Individuals Covered13
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Total amount of commissions paid to insurance brokerUSD $740
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $740
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AJ4T
Policy instance 3
Insurance contract or identification numberGLUG0AJ4T
Number of Individuals Covered336
Insurance policy start date2014-07-01
Insurance policy end date2015-07-01
Total amount of commissions paid to insurance brokerUSD $2,297
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $22,972
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
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered244
Insurance policy start date2015-02-01
Insurance policy end date2016-01-01
Total amount of commissions paid to insurance brokerUSD $1,222
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,222
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number020342
Policy instance 1
Insurance contract or identification number020342
Number of Individuals Covered634
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $32,550
Total amount of fees paid to insurance companyUSD $2,898
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $296,227
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,550
Amount paid for insurance broker fees2898
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP20341/2/3/8
Policy instance 1
Insurance contract or identification numberP20341/2/3/8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $32,323
Total amount of fees paid to insurance companyUSD $25,761
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $248,028
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $32,323
Amount paid for insurance broker fees25761
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered255
Insurance policy start date2014-02-01
Insurance policy end date2015-01-31
Total amount of commissions paid to insurance brokerUSD $1,121
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $20,420
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,121
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AJ4T
Policy instance 3
Insurance contract or identification numberGLUG0AJ4T
Number of Individuals Covered334
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $2,060
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $20,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,060
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AJ4T
Policy instance 4
Insurance contract or identification numberGVTL0AJ4T
Number of Individuals Covered14
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $860
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $8,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $860
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0AJ4T
Policy instance 5
Insurance contract or identification numberGUPR0AJ4T
Number of Individuals Covered14
Insurance policy start date2013-07-01
Insurance policy end date2014-07-01
Total amount of commissions paid to insurance brokerUSD $1,369
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $13,688
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,369
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP20341/2/3/8
Policy instance 1
Insurance contract or identification numberP20341/2/3/8
Number of Individuals Covered643
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $31,850
Total amount of fees paid to insurance companyUSD $2,736
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $220,881
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $31,850
Amount paid for insurance broker fees2736
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered243
Insurance policy start date2013-02-01
Insurance policy end date2014-01-31
Total amount of commissions paid to insurance brokerUSD $1,024
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,024
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AJ4T
Policy instance 4
Insurance contract or identification numberGVTL0AJ4T
Number of Individuals Covered20
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $1,040
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $10,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,040
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AJ4T
Policy instance 3
Insurance contract or identification numberGLUG0AJ4T
Number of Individuals Covered319
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $1,567
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $15,667
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,567
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0AJ4T
Policy instance 5
Insurance contract or identification numberGUPR0AJ4T
Number of Individuals Covered24
Insurance policy start date2012-07-01
Insurance policy end date2013-07-01
Total amount of commissions paid to insurance brokerUSD $1,765
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,765
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered233
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,047
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,330
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,047
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP20341/2/3/8
Policy instance 1
Insurance contract or identification numberP20341/2/3/8
Number of Individuals Covered646
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $33,049
Total amount of fees paid to insurance companyUSD $3,632
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $213,198
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,049
Amount paid for insurance broker fees3632
Additional information about fees paid to insurance brokerSPECIAL PROGRAMS
Insurance broker organization code?3
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AJ4T
Policy instance 4
Insurance contract or identification numberGVTL0AJ4T
Number of Individuals Covered22
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $1,156
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,156
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AJ4T
Policy instance 3
Insurance contract or identification numberGLUG0AJ4T
Number of Individuals Covered344
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $1,564
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $15,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,564
Insurance broker nameFRINGE FUNDING, INC.
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0AJ4T
Policy instance 5
Insurance contract or identification numberGUPR0AJ4T
Number of Individuals Covered25
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $1,748
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,748
Insurance broker nameFRINGE FUNDING, INC.
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered230
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,050
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP20341/2/3/8
Policy instance 3
Insurance contract or identification numberP20341/2/3/8
Number of Individuals Covered649
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $32,848
Total amount of fees paid to insurance companyUSD $3,086
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $214,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number124630
Policy instance 4
Insurance contract or identification number124630
Number of Individuals Covered0
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $3
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $26
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number202337
Policy instance 5
Insurance contract or identification number202337
Number of Individuals Covered24
Insurance policy start date2011-01-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $894
Total amount of fees paid to insurance companyUSD $74
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,959
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number292516
Policy instance 6
Insurance contract or identification number292516
Number of Individuals Covered27
Insurance policy start date2011-01-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $1,457
Total amount of fees paid to insurance companyUSD $121
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $9,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGLUG0AJ4T
Policy instance 7
Insurance contract or identification numberGLUG0AJ4T
Number of Individuals Covered344
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $1,564
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $15,640
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGVTL0AJ4T
Policy instance 8
Insurance contract or identification numberGVTL0AJ4T
Number of Individuals Covered22
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $1,156
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,556
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGUPR0AJ4T
Policy instance 9
Insurance contract or identification numberGUPR0AJ4T
Number of Individuals Covered25
Insurance policy start date2011-07-01
Insurance policy end date2012-07-01
Total amount of commissions paid to insurance brokerUSD $1,748
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number124630
Policy instance 1
Insurance contract or identification number124630
Number of Individuals Covered347
Insurance policy start date2011-01-01
Insurance policy end date2011-07-01
Total amount of commissions paid to insurance brokerUSD $935
Total amount of fees paid to insurance companyUSD $117
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $9,352
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number124630
Policy instance 1
Insurance contract or identification number124630
Number of Individuals Covered341
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,068
Total amount of fees paid to insurance companyUSD $259
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $20,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP20341/2/3/8
Policy instance 3
Insurance contract or identification numberP20341/2/3/8
Number of Individuals Covered652
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $33,408
Total amount of fees paid to insurance companyUSD $3,872
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,832
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 12516 )
Policy contract number12143299
Policy instance 2
Insurance contract or identification number12143299
Number of Individuals Covered232
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,015
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $17,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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