401k Plan data: LIFE PLAN FOR CLOSERLOOK, INC. plan

LIFE PLAN FOR CLOSERLOOK, INC. 401k Plan overview

Plan Name	LIFE PLAN FOR CLOSERLOOK, INC.
Plan identification number	504

LIFE PLAN FOR CLOSERLOOK, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Temporary disability (accident and sickness) Long-term disability cover

401k Sponsoring company profile

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

Company Name: CLOSERLOOK, INC.

Employer identification number (EIN): 364003276

NAIC Classification: 541800

Additional information about CLOSERLOOK, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division

Incorporation Date: 2017-10-25

Company Identification Number: 136817590

Legal Registered Office Address: 2100 SOUTHEAST BELMONT STREET

PORTLAND
United States of America (USA)
97214

More information about CLOSERLOOK, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE PLAN FOR CLOSERLOOK, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2015-06-01 JOANNA KONTOUDAKIS
504 2014-06-01 JOANNA KONTOUDAKIS JOANNA KONTOUDAKIS 2015-12-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
504	2015-06-01	JOANNA KONTOUDAKIS
504	2014-06-01	JOANNA KONTOUDAKIS		JOANNA KONTOUDAKIS	2015-12-17

Plan Statistics for LIFE PLAN FOR CLOSERLOOK, INC.

401k plan membership statisitcs for LIFE PLAN FOR CLOSERLOOK, INC.

Measure Date Value
2015: LIFE PLAN FOR CLOSERLOOK, INC. 2015 401k membership
Total participants, beginning-of-year 2015-06-01 113
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 0
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 0
2014: LIFE PLAN FOR CLOSERLOOK, INC. 2014 401k membership
Total participants, beginning-of-year 2014-06-01 111
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 113
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 113

Measure	Date	Value
2015: LIFE PLAN FOR CLOSERLOOK, INC. 2015 401k membership
Total participants, beginning-of-year	2015-06-01	113
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	0
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	0
2014: LIFE PLAN FOR CLOSERLOOK, INC. 2014 401k membership
Total participants, beginning-of-year	2014-06-01	111
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	113
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	113

Form 5500 Responses for LIFE PLAN FOR CLOSERLOOK, INC.

2015: LIFE PLAN FOR CLOSERLOOK, INC. 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	Yes
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2014: LIFE PLAN FOR CLOSERLOOK, INC. 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	First time form 5500 has been submitted	Yes
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F012798

Policy instance

Insurance contract or identification number	F012798
Number of Individuals Covered	146
Insurance policy start date	2015-06-01
Insurance policy end date	2016-05-31
Total amount of commissions paid to insurance broker	USD $9,284
Total amount of fees paid to insurance company	USD $3,654
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD & D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $70,560
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,284
Amount paid for insurance broker fees	3654
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3
Insurance broker name	ASSURANCE AGENCY

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )

Policy contract number

F012798

Policy instance

Insurance contract or identification number	F012798
Number of Individuals Covered	113
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $7,442
Total amount of fees paid to insurance company	USD $2,887
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD & D
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $54,984
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,313
Insurance broker organization code?	3
Amount paid for insurance broker fees	2887
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker name	THE PLEXUS GROUPE LLC

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Company Name:	CLOSERLOOK, INC.
Employer identification number (EIN):	364003276
NAIC Classification:	541800

Jurisdiction of Incorporation:	Oregon Secretary of State Corporations Division
Incorporation Date:	2017-10-25
Company Identification Number:	136817590
Legal Registered Office Address:	2100 SOUTHEAST BELMONT STREET PORTLAND United States of America (USA) 97214