401k Plan data: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN plan

CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 401k Plan overview

Plan Name	CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN
Plan identification number	511

CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Dental

401k Sponsoring company profile

CONCENTRIC ROCKFORD INC. has sponsored the creation of one or more 401k plans.

Company Name: CONCENTRIC ROCKFORD INC.

Employer identification number (EIN): 363262177

NAIC Classification: 333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
511 2022-01-01 FAIZ NAFE 2023-07-12 FAIZ NAFE 2023-07-12
511 2021-01-01 GEORGE DARMOS 2022-07-18 GEORGE DARMOS 2022-07-18
511 2020-01-01 JESSE SMITH 2021-07-25 JESSE SMITH 2021-07-25
511 2019-01-01 JESSE SMITH 2020-07-15 JESSE SMITH 2020-07-15
511 2018-01-01
511 2017-03-01
511 2016-02-29 FRANK FAY
511 2015-03-01 FRANK FAY
511 2014-03-01 REGINALD HOLMES
511 2013-03-01 DENNIS LEIGH
511 2012-03-01 DENNIS LEIGH

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
511	2022-01-01	FAIZ NAFE	2023-07-12	FAIZ NAFE	2023-07-12
511	2021-01-01	GEORGE DARMOS	2022-07-18	GEORGE DARMOS	2022-07-18
511	2020-01-01	JESSE SMITH	2021-07-25	JESSE SMITH	2021-07-25
511	2019-01-01	JESSE SMITH	2020-07-15	JESSE SMITH	2020-07-15
511	2018-01-01
511	2017-03-01
511	2016-02-29	FRANK FAY
511	2015-03-01	FRANK FAY
511	2014-03-01	REGINALD HOLMES
511	2013-03-01	DENNIS LEIGH
511	2012-03-01	DENNIS LEIGH

Plan Statistics for CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN

401k plan membership statisitcs for CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN

Measure Date Value
2022: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 136
Total of all active and inactive participants 2022-01-01 136
2021: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 116
Total of all active and inactive participants 2021-01-01 116
2020: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 137
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 114
Total of all active and inactive participants 2020-01-01 114
2019: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 154
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 137
Total of all active and inactive participants 2019-01-01 137
2018: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 144
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 154
Total of all active and inactive participants 2018-01-01 154
2017: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 179
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 144
Total of all active and inactive participants 2017-03-01 144
2016: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-02-29 162
Total number of active participants reported on line 7a of the Form 5500 2016-02-29 179
Total of all active and inactive participants 2016-02-29 179
2015: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-03-01 194
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 162
Total of all active and inactive participants 2015-03-01 162
2014: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-03-01 194
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 194
Number of retired or separated participants receiving benefits 2014-03-01 0
Number of other retired or separated participants entitled to future benefits 2014-03-01 0
Total of all active and inactive participants 2014-03-01 194
2013: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 237
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 194
Total of all active and inactive participants 2013-03-01 194
2012: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-03-01 237
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 237
Total of all active and inactive participants 2012-03-01 237

Measure	Date	Value
2022: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	136
Total of all active and inactive participants	2022-01-01	136
2021: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	116
Total of all active and inactive participants	2021-01-01	116
2020: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	137
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	114
Total of all active and inactive participants	2020-01-01	114
2019: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	154
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	137
Total of all active and inactive participants	2019-01-01	137
2018: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	144
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	154
Total of all active and inactive participants	2018-01-01	154
2017: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	179
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	144
Total of all active and inactive participants	2017-03-01	144
2016: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-02-29	162
Total number of active participants reported on line 7a of the Form 5500	2016-02-29	179
Total of all active and inactive participants	2016-02-29	179
2015: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-03-01	194
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	162
Total of all active and inactive participants	2015-03-01	162
2014: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-03-01	194
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	194
Number of retired or separated participants receiving benefits	2014-03-01	0
Number of other retired or separated participants entitled to future benefits	2014-03-01	0
Total of all active and inactive participants	2014-03-01	194
2013: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	237
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	194
Total of all active and inactive participants	2013-03-01	194
2012: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-03-01	237
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	237
Total of all active and inactive participants	2012-03-01	237

Form 5500 Responses for CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN

2022: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	Submission has been amended	No
2017-03-01	This submission is the final filing	No
2017-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-03-01	Plan is a collectively bargained plan	No
2017-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2017-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2016: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2016 form 5500 responses
2016-02-29	Type of plan entity	Single employer plan
2016-02-29	Submission has been amended	No
2016-02-29	This submission is the final filing	No
2016-02-29	This return/report is a short plan year return/report (less than 12 months)	No
2016-02-29	Plan is a collectively bargained plan	No
2016-02-29	Plan funding arrangement – General assets of the sponsor	Yes
2016-02-29	Plan benefit arrangement – General assets of the sponsor	Yes
2015: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Submission has been amended	No
2015-03-01	This submission is the final filing	No
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	No
2014-03-01	This submission is the final filing	No
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-03-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: CONCENTRIC ROCKFORD INC. DENTAL INSURANCE PLAN 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	First time form 5500 has been submitted	Yes
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes

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Company Name:	CONCENTRIC ROCKFORD INC.
Employer identification number (EIN):	363262177
NAIC Classification:	333200