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SERV A PURE COMPANY PROFIT SHARING PLAN 401k Plan overview

Plan NameSERV A PURE COMPANY PROFIT SHARING PLAN
Plan identification number 001

SERV A PURE COMPANY PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SERV A PURE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:SERV A PURE COMPANY
Employer identification number (EIN):382136986
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SERV A PURE COMPANY PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JONATHON HERZBERGER2023-06-23
0012021-01-01JONATHON HERZBERGER2022-09-22
0012021-01-01JONATHON HERZBERGER2022-09-29
0012020-01-01JONATHON HERZBERGER2021-06-22
0012019-01-01
0012018-01-01JON HERZBERGER JON HERZBERGER2019-07-25
0012017-01-01JON HERZBERGER JON HERZBERGER2018-07-23
0012016-01-01JON HERZBERGER
0012015-01-01JON HERZBERGER JON HERZBERGER2016-07-26
0012014-01-01JONATHON R. HERZBERGER JONATHON R. HERZBERGER2015-07-27
0012013-01-01JONATHON R. HERZBERGER JONATHON R. HERZBERGER2014-07-31
0012012-01-01RICHARD C HERZBERGER RICHARD C HERZBERGER2013-07-31
0012011-01-01RICHARD C HERZBERGER RICHARD C HERZBERGER2012-07-30
0012010-01-01RICHARD C HERZBERGER
0012009-01-01RICHARD C HERZBERGER RICHARD C HERZBERGER2010-10-19
0012009-01-01RICHARD C HERZBERGER RICHARD C HERZBERGER2010-10-14

Plan Statistics for SERV A PURE COMPANY PROFIT SHARING PLAN

401k plan membership statisitcs for SERV A PURE COMPANY PROFIT SHARING PLAN

Measure Date Value
2019: SERV A PURE COMPANY PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0111
Total number of active participants reported on line 7a of the Form 55002019-01-019
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0110
Number of participants with account balances2019-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SERV A PURE COMPANY PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0111
Total number of active participants reported on line 7a of the Form 55002018-01-018
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0111
Number of participants with account balances2018-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SERV A PURE COMPANY PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0111
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0111
Number of participants with account balances2017-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SERV A PURE COMPANY PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0111
Total number of active participants reported on line 7a of the Form 55002016-01-019
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0111
Number of participants with account balances2016-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SERV A PURE COMPANY PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0112
Total number of active participants reported on line 7a of the Form 55002015-01-019
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0111
Number of participants with account balances2015-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SERV A PURE COMPANY PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0114
Total number of active participants reported on line 7a of the Form 55002014-01-019
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0112
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SERV A PURE COMPANY PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0114
Total number of active participants reported on line 7a of the Form 55002013-01-018
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-016
Total of all active and inactive participants2013-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0114
Number of participants with account balances2013-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: SERV A PURE COMPANY PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0114
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0114
Number of participants with account balances2012-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SERV A PURE COMPANY PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0114
Total number of active participants reported on line 7a of the Form 55002011-01-0110
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0114
Number of participants with account balances2011-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: SERV A PURE COMPANY PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0116
Total number of active participants reported on line 7a of the Form 55002010-01-0112
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0114
Number of participants with account balances2010-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SERV A PURE COMPANY PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0116
Total number of active participants reported on line 7a of the Form 55002009-01-0113
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0116
Number of participants with account balances2009-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SERV A PURE COMPANY PROFIT SHARING PLAN

Measure Date Value
2019 : SERV A PURE COMPANY PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$330,794
Expenses. Total of all expenses incurred2019-12-31$9,291
Benefits paid (including direct rollovers)2019-12-31$3,185
Total plan assets at end of year2019-12-31$1,227,586
Total plan assets at beginning of year2019-12-31$906,083
Value of fidelity bond covering the plan2019-12-31$110,000
Total contributions received or receivable from participants2019-12-31$50,552
Other income received2019-12-31$226,919
Net income (gross income less expenses)2019-12-31$321,503
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,227,586
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$906,083
Total contributions received or receivable from employer(s)2019-12-31$53,323
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$6,106
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : SERV A PURE COMPANY PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$31,445
Expenses. Total of all expenses incurred2018-12-31$293,059
Benefits paid (including direct rollovers)2018-12-31$282,863
Total plan assets at end of year2018-12-31$906,083
Total plan assets at beginning of year2018-12-31$1,167,697
Value of fidelity bond covering the plan2018-12-31$110,000
Total contributions received or receivable from participants2018-12-31$47,812
Other income received2018-12-31$-66,230
Net income (gross income less expenses)2018-12-31$-261,614
Net plan assets at end of year (total assets less liabilities)2018-12-31$906,083
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,167,697
Total contributions received or receivable from employer(s)2018-12-31$49,863
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$10,196
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SERV A PURE COMPANY PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$259,377
Expenses. Total of all expenses incurred2017-12-31$10,070
Total plan assets at end of year2017-12-31$1,167,697
Total plan assets at beginning of year2017-12-31$918,390
Value of fidelity bond covering the plan2017-12-31$110,000
Total contributions received or receivable from participants2017-12-31$47,235
Other income received2017-12-31$168,467
Net income (gross income less expenses)2017-12-31$249,307
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,167,697
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$918,390
Total contributions received or receivable from employer(s)2017-12-31$43,675
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$10,070
2016 : SERV A PURE COMPANY PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$147,805
Expenses. Total of all expenses incurred2016-12-31$58,582
Benefits paid (including direct rollovers)2016-12-31$50,000
Total plan assets at end of year2016-12-31$918,390
Total plan assets at beginning of year2016-12-31$829,167
Value of fidelity bond covering the plan2016-12-31$80,000
Total contributions received or receivable from participants2016-12-31$48,253
Other income received2016-12-31$58,099
Net income (gross income less expenses)2016-12-31$89,223
Net plan assets at end of year (total assets less liabilities)2016-12-31$918,390
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$829,167
Total contributions received or receivable from employer(s)2016-12-31$41,453
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$8,582
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : SERV A PURE COMPANY PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$46,474
Expenses. Total of all expenses incurred2015-12-31$8,699
Benefits paid (including direct rollovers)2015-12-31$465
Total plan assets at end of year2015-12-31$829,167
Total plan assets at beginning of year2015-12-31$791,392
Value of fidelity bond covering the plan2015-12-31$80,000
Total contributions received or receivable from participants2015-12-31$24,624
Other income received2015-12-31$-9,998
Net income (gross income less expenses)2015-12-31$37,775
Net plan assets at end of year (total assets less liabilities)2015-12-31$829,167
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$791,392
Total contributions received or receivable from employer(s)2015-12-31$31,848
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$8,234
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : SERV A PURE COMPANY PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$84,795
Expenses. Total of all expenses incurred2014-12-31$26,681
Benefits paid (including direct rollovers)2014-12-31$18,922
Total plan assets at end of year2014-12-31$791,392
Total plan assets at beginning of year2014-12-31$733,278
Value of fidelity bond covering the plan2014-12-31$50,000
Total contributions received or receivable from participants2014-12-31$22,751
Other income received2014-12-31$32,838
Net income (gross income less expenses)2014-12-31$58,114
Net plan assets at end of year (total assets less liabilities)2014-12-31$791,392
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$733,278
Total contributions received or receivable from employer(s)2014-12-31$29,206
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$7,759
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SERV A PURE COMPANY PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$181,219
Expenses. Total of all expenses incurred2013-12-31$311,350
Benefits paid (including direct rollovers)2013-12-31$304,359
Total plan assets at end of year2013-12-31$733,278
Total plan assets at beginning of year2013-12-31$863,409
Value of fidelity bond covering the plan2013-12-31$50,000
Total contributions received or receivable from participants2013-12-31$29,081
Other income received2013-12-31$114,898
Net income (gross income less expenses)2013-12-31$-130,131
Net plan assets at end of year (total assets less liabilities)2013-12-31$733,278
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$863,409
Total contributions received or receivable from employer(s)2013-12-31$37,240
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$6,991
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : SERV A PURE COMPANY PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$145,595
Expenses. Total of all expenses incurred2012-12-31$7,352
Benefits paid (including direct rollovers)2012-12-31$7,352
Total plan assets at end of year2012-12-31$863,409
Total plan assets at beginning of year2012-12-31$725,166
Value of fidelity bond covering the plan2012-12-31$50,000
Total contributions received or receivable from participants2012-12-31$22,686
Other income received2012-12-31$94,259
Net income (gross income less expenses)2012-12-31$138,243
Net plan assets at end of year (total assets less liabilities)2012-12-31$863,409
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$725,166
Total contributions received or receivable from employer(s)2012-12-31$28,650
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SERV A PURE COMPANY PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$24,665
Expenses. Total of all expenses incurred2011-12-31$8,179
Benefits paid (including direct rollovers)2011-12-31$1,529
Total plan assets at end of year2011-12-31$725,166
Total plan assets at beginning of year2011-12-31$708,680
Value of fidelity bond covering the plan2011-12-31$50,000
Total contributions received or receivable from participants2011-12-31$24,893
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-31,572
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$16,486
Net plan assets at end of year (total assets less liabilities)2011-12-31$725,166
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$708,680
Total contributions received or receivable from employer(s)2011-12-31$31,344
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$6,650
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : SERV A PURE COMPANY PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$149,750
Expenses. Total of all expenses incurred2010-12-31$35,790
Benefits paid (including direct rollovers)2010-12-31$29,856
Total plan assets at end of year2010-12-31$708,680
Total plan assets at beginning of year2010-12-31$594,720
Value of fidelity bond covering the plan2010-12-31$50,000
Total contributions received or receivable from participants2010-12-31$21,373
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$92,831
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$113,960
Net plan assets at end of year (total assets less liabilities)2010-12-31$708,680
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$594,720
Total contributions received or receivable from employer(s)2010-12-31$35,546
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$5,934
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for SERV A PURE COMPANY PROFIT SHARING PLAN

2019: SERV A PURE COMPANY PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: SERV A PURE COMPANY PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: SERV A PURE COMPANY PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: SERV A PURE COMPANY PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: SERV A PURE COMPANY PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: SERV A PURE COMPANY PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SERV A PURE COMPANY PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
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: SERV A PURE COMPANY PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
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: SERV A PURE COMPANY PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: SERV A PURE COMPANY PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: SERV A PURE COMPANY PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36367
Policy instance 1
Insurance contract or identification number36367
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-07-29
Total amount of commissions paid to insurance brokerUSD $2,900
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,900
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36367
Policy instance 1
Insurance contract or identification number36367
Number of Individuals Covered9
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,412
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,412
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number36367
Policy instance 1
Insurance contract or identification number36367
Number of Individuals Covered11
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,071
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,071
Insurance broker organization code?3
Insurance broker nameTHRIVENT INSURANCE AGENCY

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