TRUSTEES OF UNITED EMPLOYEE BENEFIT has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT
| Measure | Date | Value |
|---|
| 2018 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2018 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $955,810 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $937,061 |
| Expenses. Interest paid | 2018-12-31 | $83,821 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2018-12-31 | $83,821 |
| Total income from all sources (including contributions) | 2018-12-31 | $2,030,119 |
| Total of all expenses incurred | 2018-12-31 | $1,318,428 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $67,061 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $51,442 |
| Value of total assets at end of year | 2018-12-31 | $22,933,700 |
| Value of total assets at beginning of year | 2018-12-31 | $22,203,260 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $1,167,546 |
| Total interest from all sources | 2018-12-31 | $230,067 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $887,217 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $2,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Participant contributions at end of year | 2018-12-31 | $3,909,294 |
| Participant contributions at beginning of year | 2018-12-31 | $3,726,865 |
| Assets. Other investments not covered elsewhere at end of year | 2018-12-31 | $17,923,606 |
| Assets. Other investments not covered elsewhere at beginning of year | 2018-12-31 | $18,114,719 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $27,001 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $34,468 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $955,810 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $937,061 |
| Other income not declared elsewhere | 2018-12-31 | $1,748,610 |
| Administrative expenses (other) incurred | 2018-12-31 | $280,329 |
| Total non interest bearing cash at end of year | 2018-12-31 | $926,562 |
| Total non interest bearing cash at beginning of year | 2018-12-31 | $225,279 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $711,691 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $21,977,890 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $21,266,199 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | Yes |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2018-12-31 | $3,909,294 |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2018-12-31 | $0 |
| Interest on participant loans | 2018-12-31 | $182,429 |
| Income. Interest from loans (other than to participants) | 2018-12-31 | $47,148 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2018-12-31 | $490 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $67,061 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $51,442 |
| Employer contributions (assets) at end of year | 2018-12-31 | $78,324 |
| Employer contributions (assets) at beginning of year | 2018-12-31 | $57,481 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2018-12-31 | $68,913 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2018-12-31 | $44,448 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Accountancy firm name | 2018-12-31 | MILLER COOPER & CO LTD. |
| Accountancy firm EIN | 2018-12-31 | 362897372 |
| 2017 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-12-31 | $937,061 |
| Total plan liabilities at beginning of year | 2017-12-31 | $889,073 |
| Total income from all sources | 2017-12-31 | $1,352,754 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $954,665 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $115,275 |
| Total plan assets at end of year | 2017-12-31 | $22,199,907 |
| Total plan assets at beginning of year | 2017-12-31 | $21,753,830 |
| Value of fidelity bond covering the plan | 2017-12-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $839,390 |
| Other income received | 2017-12-31 | $1,260,667 |
| Net income (gross income less expenses) | 2017-12-31 | $398,089 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $21,262,846 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $20,864,757 |
| Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year | 2017-12-31 | $3,726,889 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $92,087 |
| 2016 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-12-31 | $889,073 |
| Total plan liabilities at beginning of year | 2016-12-31 | $942,949 |
| Total income from all sources | 2016-12-31 | $2,231,615 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $1,029,151 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $42,599 |
| Total plan assets at end of year | 2016-12-31 | $21,753,830 |
| Total plan assets at beginning of year | 2016-12-31 | $20,605,242 |
| Value of fidelity bond covering the plan | 2016-12-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $986,552 |
| Other income received | 2016-12-31 | $2,181,537 |
| Net income (gross income less expenses) | 2016-12-31 | $1,202,464 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $20,864,757 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $19,662,293 |
| Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year | 2016-12-31 | $4,000,856 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $50,078 |
| 2015 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2015 401k financial data |
|---|
| Total plan liabilities at end of year | 2015-12-31 | $942,949 |
| Total plan liabilities at beginning of year | 2015-12-31 | $1,052,966 |
| Total income from all sources | 2015-12-31 | $877,276 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $1,121,461 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $242,268 |
| Total plan assets at end of year | 2015-12-31 | $20,605,242 |
| Total plan assets at beginning of year | 2015-12-31 | $20,959,444 |
| Value of fidelity bond covering the plan | 2015-12-31 | $1,000,000 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $879,193 |
| Other income received | 2015-12-31 | $635,468 |
| Net income (gross income less expenses) | 2015-12-31 | $-244,185 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $19,662,293 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $19,906,478 |
| Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year | 2015-12-31 | $3,791,555 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $241,808 |
| 2014 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $1,640,696 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $1,640,696 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $1,052,966 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $1,074,321 |
| Expenses. Interest paid | 2014-12-31 | $87,031 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2014-12-31 | $87,031 |
| Total income from all sources (including contributions) | 2014-12-31 | $2,181,745 |
| Total of all expenses incurred | 2014-12-31 | $1,044,253 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $369,323 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $353,403 |
| Value of total assets at end of year | 2014-12-31 | $20,959,444 |
| Value of total assets at beginning of year | 2014-12-31 | $19,843,307 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $587,899 |
| Total interest from all sources | 2014-12-31 | $187,646 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $155,085 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Participant contributions at end of year | 2014-12-31 | $3,621,896 |
| Participant contributions at beginning of year | 2014-12-31 | $2,731,193 |
| Assets. Other investments not covered elsewhere at end of year | 2014-12-31 | $15,824,973 |
| Assets. Other investments not covered elsewhere at beginning of year | 2014-12-31 | $15,927,583 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $7,613 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-12-31 | $905,834 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-12-31 | $976,886 |
| Administrative expenses (other) incurred | 2014-12-31 | $432,814 |
| Total non interest bearing cash at end of year | 2014-12-31 | $1,299,963 |
| Total non interest bearing cash at beginning of year | 2014-12-31 | $1,050,011 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $1,137,492 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $19,906,478 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $18,768,986 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | Yes |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2014-12-31 | $3,621,896 |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Interest on participant loans | 2014-12-31 | $187,646 |
| Value of interest in common/collective trusts at end of year | 2014-12-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $369,323 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Contributions received in cash from employer | 2014-12-31 | $353,403 |
| Employer contributions (assets) at end of year | 2014-12-31 | $165,537 |
| Employer contributions (assets) at beginning of year | 2014-12-31 | $84,535 |
| Liabilities. Value of benefit claims payable at end of year | 2014-12-31 | $147,132 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-12-31 | $97,435 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2014-12-31 | $47,075 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2014-12-31 | $42,372 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | WELTMAN BERNFIELD LLC |
| Accountancy firm EIN | 2014-12-31 | 364119553 |
| 2013 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $-649,465 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $-649,465 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $1,074,321 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $7,436,097 |
| Expenses. Interest paid | 2013-12-31 | $247,098 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2013-12-31 | $247,098 |
| Total income from all sources (including contributions) | 2013-12-31 | $-9,413 |
| Total of all expenses incurred | 2013-12-31 | $1,211,239 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $366,512 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $363,443 |
| Value of total assets at end of year | 2013-12-31 | $19,843,307 |
| Value of total assets at beginning of year | 2013-12-31 | $27,425,735 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $597,629 |
| Total interest from all sources | 2013-12-31 | $276,609 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Administrative expenses professional fees incurred | 2013-12-31 | $167,481 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $3,000,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Participant contributions at end of year | 2013-12-31 | $2,731,193 |
| Participant contributions at beginning of year | 2013-12-31 | $5,029,517 |
| Assets. Other investments not covered elsewhere at end of year | 2013-12-31 | $15,927,583 |
| Assets. Other investments not covered elsewhere at beginning of year | 2013-12-31 | $20,770,421 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $7,613 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $1,061,371 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-12-31 | $976,886 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-12-31 | $7,340,195 |
| Administrative expenses (other) incurred | 2013-12-31 | $430,148 |
| Total non interest bearing cash at end of year | 2013-12-31 | $1,050,011 |
| Total non interest bearing cash at beginning of year | 2013-12-31 | $461,174 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-1,220,652 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $18,768,986 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $19,989,638 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | Yes |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2013-12-31 | $2,731,193 |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Interest on participant loans | 2013-12-31 | $276,087 |
| Value of interest in common/collective trusts at end of year | 2013-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $522 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $366,512 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $363,443 |
| Employer contributions (assets) at end of year | 2013-12-31 | $84,535 |
| Employer contributions (assets) at beginning of year | 2013-12-31 | $58,560 |
| Liabilities. Value of benefit claims payable at end of year | 2013-12-31 | $97,435 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-12-31 | $95,902 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2013-12-31 | $42,372 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2013-12-31 | $44,692 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | WELTMAN BERNFIELD LLC |
| Accountancy firm EIN | 2013-12-31 | 364119553 |
| 2012 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $-3,061,101 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $-3,061,101 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $7,860,364 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $11,410,878 |
| Expenses. Interest paid | 2012-12-31 | $340,698 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2012-12-31 | $340,698 |
| Total income from all sources (including contributions) | 2012-12-31 | $14,286,499 |
| Total of all expenses incurred | 2012-12-31 | $1,456,358 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $473,021 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $456,468 |
| Value of total assets at end of year | 2012-12-31 | $22,574,078 |
| Value of total assets at beginning of year | 2012-12-31 | $13,294,451 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $338,917 |
| Total interest from all sources | 2012-12-31 | $684,483 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $239,292 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $3,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Participant contributions at end of year | 2012-12-31 | $6,404,388 |
| Participant contributions at beginning of year | 2012-12-31 | $11,609,561 |
| Assets. Other investments not covered elsewhere at end of year | 2012-12-31 | $15,589,686 |
| Assets. Other investments not covered elsewhere at beginning of year | 2012-12-31 | $38,493 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $15,581 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $13,878 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-12-31 | $7,764,462 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-12-31 | $11,099,563 |
| Other income not declared elsewhere | 2012-12-31 | $16,206,649 |
| Administrative expenses (other) incurred | 2012-12-31 | $99,625 |
| Total non interest bearing cash at end of year | 2012-12-31 | $461,174 |
| Total non interest bearing cash at beginning of year | 2012-12-31 | $1,271,975 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $12,830,141 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $14,713,714 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,883,573 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | Yes |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2012-12-31 | $4,808,718 |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Interest on participant loans | 2012-12-31 | $683,522 |
| Value of interest in common/collective trusts at end of year | 2012-12-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $961 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $473,021 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $456,468 |
| Employer contributions (assets) at end of year | 2012-12-31 | $58,560 |
| Employer contributions (assets) at beginning of year | 2012-12-31 | $308,380 |
| Liabilities. Value of benefit claims payable at end of year | 2012-12-31 | $95,902 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-12-31 | $311,315 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2012-12-31 | $44,689 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2012-12-31 | $52,164 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | WELTMAN BERNFIELD LLC |
| Accountancy firm EIN | 2012-12-31 | 364119553 |
| 2011 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2011 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $11,410,878 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $8,551,209 |
| Expenses. Interest paid | 2011-12-31 | $272,131 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2011-12-31 | $272,131 |
| Total income from all sources (including contributions) | 2011-12-31 | $2,009,030 |
| Total of all expenses incurred | 2011-12-31 | $1,624,056 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $606,967 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $604,442 |
| Value of total assets at end of year | 2011-12-31 | $13,294,451 |
| Value of total assets at beginning of year | 2011-12-31 | $10,049,808 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $744,958 |
| Total interest from all sources | 2011-12-31 | $550,711 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $343,768 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Participant contributions at end of year | 2011-12-31 | $11,609,561 |
| Participant contributions at beginning of year | 2011-12-31 | $8,335,627 |
| Assets. Other investments not covered elsewhere at end of year | 2011-12-31 | $38,493 |
| Assets. Other investments not covered elsewhere at beginning of year | 2011-12-31 | $38,493 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $13,878 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $15,947 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-12-31 | $11,099,563 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-12-31 | $8,350,584 |
| Other income not declared elsewhere | 2011-12-31 | $853,877 |
| Administrative expenses (other) incurred | 2011-12-31 | $401,190 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $311,315 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $200,625 |
| Total non interest bearing cash at end of year | 2011-12-31 | $1,271,975 |
| Total non interest bearing cash at beginning of year | 2011-12-31 | $1,551,190 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $384,974 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $1,883,573 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,498,599 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | Yes |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2011-12-31 | $10,320,197 |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Interest on participant loans | 2011-12-31 | $549,307 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $1,404 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $606,967 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Contributions received in cash from employer | 2011-12-31 | $604,442 |
| Employer contributions (assets) at end of year | 2011-12-31 | $308,380 |
| Employer contributions (assets) at beginning of year | 2011-12-31 | $65,209 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2011-12-31 | $52,164 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2011-12-31 | $43,342 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Disclaimer |
| Accountancy firm name | 2011-12-31 | WELTMAN BERNFIELD LLC |
| Accountancy firm EIN | 2011-12-31 | 364119553 |
| 2010 : UNITED EMPLOYEE BENEFIT FUND TRUST AGREEMENT 2010 401k financial data |
|---|
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $9,579,183 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $9,152,122 |
| Expenses. Interest paid | 2010-12-31 | $225,448 |
| Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102 | 2010-12-31 | $225,448 |
| Total income from all sources (including contributions) | 2010-12-31 | $3,277,454 |
| Total of all expenses incurred | 2010-12-31 | $1,508,872 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $690,753 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $689,209 |
| Value of total assets at end of year | 2010-12-31 | $11,514,127 |
| Value of total assets at beginning of year | 2010-12-31 | $9,318,484 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $592,671 |
| Total interest from all sources | 2010-12-31 | $591,506 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $200,464 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | Yes |
| Amount of non-exempt transactions with any party-in-interest | 2010-12-31 | $55,356 |
| Participant contributions at end of year | 2010-12-31 | $8,560,381 |
| Participant contributions at beginning of year | 2010-12-31 | $7,196,442 |
| Assets. Other investments not covered elsewhere at end of year | 2010-12-31 | $38,493 |
| Assets. Other investments not covered elsewhere at beginning of year | 2010-12-31 | $38,493 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $1,250,822 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $1,242,428 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2010-12-31 | $9,445,354 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2010-12-31 | $8,924,324 |
| Other income not declared elsewhere | 2010-12-31 | $1,996,739 |
| Administrative expenses (other) incurred | 2010-12-31 | $392,207 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $133,829 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $227,798 |
| Total non interest bearing cash at end of year | 2010-12-31 | $1,551,190 |
| Total non interest bearing cash at beginning of year | 2010-12-31 | $710,512 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $1,768,582 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $1,934,944 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $166,362 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | Yes |
| Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year | 2010-12-31 | $8,245,474 |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Interest on participant loans | 2010-12-31 | $463,149 |
| Income. Interest from loans (other than to participants) | 2010-12-31 | $2,165 |
| Interest earned on other investments | 2010-12-31 | $123,898 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $2,294 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $690,753 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Contributions received in cash from employer | 2010-12-31 | $689,209 |
| Employer contributions (assets) at end of year | 2010-12-31 | $68,155 |
| Employer contributions (assets) at beginning of year | 2010-12-31 | $94,452 |
| Assets. Value of buildings and other operty used in plan operation at end of year | 2010-12-31 | $45,086 |
| Assets. Value of buildings and other operty used in plan operation at beginning of year | 2010-12-31 | $36,157 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Disclaimer |
| Accountancy firm name | 2010-12-31 | WELTMAN BERNFIELD LLC |
| Accountancy firm EIN | 2010-12-31 | 364119553 |
| PACIFIC LIFE (National Association of Insurance Commissioners NAIC id number: 50800 ) |
| Policy contract number | BF51982900 |
| Policy instance | 18 |
| Insurance contract or identification number | BF51982900 | | Insurance policy start date | 2013-03-18 | | Insurance policy end date | 2014-03-18 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| FARMERS & TRADERS LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 63193 ) |
| Policy contract number | 0321191Y |
| Policy instance | 2 |
| Insurance contract or identification number | 0321191Y | | Insurance policy start date | 2014-04-07 | | Insurance policy end date | 2015-04-07 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 4046360 |
| Policy instance | 3 |
| Insurance contract or identification number | 4046360 | | Insurance policy start date | 2016-12-29 | | Insurance policy end date | 2017-12-29 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| SOUTHLAND LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 15883 ) |
| Policy contract number | 06 6000 9010 |
| Policy instance | 4 |
| Insurance contract or identification number | 06 6000 9010 | | Insurance policy start date | 2015-08-30 | | Insurance policy end date | 2016-08-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 ) |
| Policy contract number | A 0858890U |
| Policy instance | 5 |
| Insurance contract or identification number | A 0858890U | | Insurance policy start date | 2016-12-28 | | Insurance policy end date | 2017-12-28 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 ) |
| Policy contract number | U0292943 |
| Policy instance | 6 |
| Insurance contract or identification number | U0292943 | | Insurance policy start date | 2014-08-25 | | Insurance policy end date | 2015-08-25 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 ) |
| Policy contract number | 2LTA022461 |
| Policy instance | 7 |
| Insurance contract or identification number | 2LTA022461 | | Insurance policy start date | 2014-08-14 | | Insurance policy end date | 2015-08-14 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | B2-401-162 |
| Policy instance | 8 |
| Insurance contract or identification number | B2-401-162 | | Insurance policy start date | 2014-04-25 | | Insurance policy end date | 2015-04-25 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 ) |
| Policy contract number | 001208915 |
| Policy instance | 9 |
| Insurance contract or identification number | 001208915 | | Insurance policy start date | 2016-09-22 | | Insurance policy end date | 2017-09-22 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | BU1091557 |
| Policy instance | 10 |
| Insurance contract or identification number | BU1091557 | | Insurance policy start date | 2014-04-10 | | Insurance policy end date | 2015-04-10 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 ) |
| Policy contract number | 17B741481 |
| Policy instance | 11 |
| Insurance contract or identification number | 17B741481 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-07-01 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | SC014253 |
| Policy instance | 12 |
| Insurance contract or identification number | SC014253 | | Insurance policy start date | 2015-12-02 | | Insurance policy end date | 2016-12-02 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 64645 ) |
| Policy contract number | IL00248710 |
| Policy instance | 13 |
| Insurance contract or identification number | IL00248710 | | Insurance policy start date | 2016-12-16 | | Insurance policy end date | 2017-12-16 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| ACACIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60038 ) |
| Policy contract number | 4003132612 |
| Policy instance | 14 |
| Insurance contract or identification number | 4003132612 | | Insurance policy start date | 2014-11-07 | | Insurance policy end date | 2015-11-07 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OLD MUTUAL LIFE (National Association of Insurance Commissioners NAIC id number: 63274 ) |
| Policy contract number | L2044664 |
| Policy instance | 15 |
| Insurance contract or identification number | L2044664 | | Insurance policy start date | 2015-03-20 | | Insurance policy end date | 2016-03-20 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) |
| Policy contract number | T000001097A |
| Policy instance | 17 |
| Insurance contract or identification number | T000001097A | | Insurance policy start date | 2016-03-13 | | Insurance policy end date | 2017-04-13 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
| Policy contract number | 2723674 |
| Policy instance | 16 |
| Insurance contract or identification number | 2723674 | | Insurance policy start date | 2016-08-30 | | Insurance policy end date | 2017-08-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 ) |
| Policy contract number | T00000960 |
| Policy instance | 1 |
| Insurance contract or identification number | T00000960 | | Insurance policy start date | 2017-03-09 | | Insurance policy end date | 2018-03-09 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| PACIFIC LIFE (National Association of Insurance Commissioners NAIC id number: 50800 ) |
| Policy contract number | BF51982900 |
| Policy instance | 18 |
| Insurance contract or identification number | BF51982900 | | Insurance policy start date | 2013-03-18 | | Insurance policy end date | 2014-03-18 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | AMZ |
|
| FARMERS & TRADERS LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 63193 ) |
| Policy contract number | 0321191Y |
| Policy instance | 2 |
| Insurance contract or identification number | 0321191Y | | Insurance policy start date | 2014-04-07 | | Insurance policy end date | 2015-04-07 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOU DELPIERRE |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 4046360 |
| Policy instance | 3 |
| Insurance contract or identification number | 4046360 | | Insurance policy start date | 2016-12-29 | | Insurance policy end date | 2017-12-29 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $22,055 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | PHIL WEBB |
|
| SOUTHLAND LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 15883 ) |
| Policy contract number | 06 6000 9010 |
| Policy instance | 4 |
| Insurance contract or identification number | 06 6000 9010 | | Insurance policy start date | 2015-08-30 | | Insurance policy end date | 2016-08-30 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | KENNETH MCKENZIE |
|
| THE LAFAYETTE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65242 ) |
| Policy contract number | A 0858890U |
| Policy instance | 5 |
| Insurance contract or identification number | A 0858890U | | Insurance policy start date | 2016-12-28 | | Insurance policy end date | 2017-12-28 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $13,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | ARCH BONNEMA |
|
| LINCOLN BENEFIT LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 65595 ) |
| Policy contract number | U0292943 |
| Policy instance | 6 |
| Insurance contract or identification number | U0292943 | | Insurance policy start date | 2014-08-25 | | Insurance policy end date | 2015-08-25 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 ) |
| Policy contract number | 2LTA022461 |
| Policy instance | 7 |
| Insurance contract or identification number | 2LTA022461 | | Insurance policy start date | 2014-08-14 | | Insurance policy end date | 2015-08-14 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | TOM ABBOTT |
|
| RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 ) |
| Policy contract number | B2-401-162 |
| Policy instance | 8 |
| Insurance contract or identification number | B2-401-162 | | Insurance policy start date | 2014-04-25 | | Insurance policy end date | 2015-04-25 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 ) |
| Policy contract number | 001208915 |
| Policy instance | 9 |
| Insurance contract or identification number | 001208915 | | Insurance policy start date | 2016-09-22 | | Insurance policy end date | 2017-09-22 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $869 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | WINDY CITY |
|
| MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 ) |
| Policy contract number | BU1091557 |
| Policy instance | 10 |
| Insurance contract or identification number | BU1091557 | | Insurance policy start date | 2014-04-10 | | Insurance policy end date | 2015-04-10 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| BANNER LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 94250 ) |
| Policy contract number | 17B741481 |
| Policy instance | 11 |
| Insurance contract or identification number | 17B741481 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-07-01 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | RON VIOLA |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | SC014253 |
| Policy instance | 12 |
| Insurance contract or identification number | SC014253 | | Insurance policy start date | 2015-12-02 | | Insurance policy end date | 2016-12-02 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | MARSHALL KATZMAN |
|
| AVIVA LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 64645 ) |
| Policy contract number | IL00248710 |
| Policy instance | 13 |
| Insurance contract or identification number | IL00248710 | | Insurance policy start date | 2016-12-16 | | Insurance policy end date | 2017-12-16 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | MARSHALL KATZMAN |
|
| ACACIA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60038 ) |
| Policy contract number | 4003132612 |
| Policy instance | 14 |
| Insurance contract or identification number | 4003132612 | | Insurance policy start date | 2014-11-07 | | Insurance policy end date | 2015-11-07 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| OLD MUTUAL LIFE (National Association of Insurance Commissioners NAIC id number: 63274 ) |
| Policy contract number | L2044664 |
| Policy instance | 15 |
| Insurance contract or identification number | L2044664 | | Insurance policy start date | 2015-03-20 | | Insurance policy end date | 2016-03-20 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 ) |
| Policy contract number | 2723674 |
| Policy instance | 16 |
| Insurance contract or identification number | 2723674 | | Insurance policy start date | 2016-08-30 | | Insurance policy end date | 2017-08-30 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $44,390 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | THOMAS MYERS |
|
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) |
| Policy contract number | T000001097A |
| Policy instance | 17 |
| Insurance contract or identification number | T000001097A | | Insurance policy start date | 2016-03-13 | | Insurance policy end date | 2017-04-13 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $382 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | BRUCE HARTMAN |
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| AMERICAN EQUITY INVESTMENT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61689 ) |
| Policy contract number | T00000960 |
| Policy instance | 1 |
| Insurance contract or identification number | T00000960 | | Insurance policy start date | 2017-03-09 | | Insurance policy end date | 2018-03-09 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | DANIEL MAHLE |
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