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ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 401k Plan overview

Plan NameULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN
Plan identification number 504

ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

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

Company Name:ULTIMATE HYDROFORMING, INC.
Employer identification number (EIN):382242395
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042019-03-01SHIRLEY KLYN2020-12-04
5042018-03-01SHIRLEY KLYN2019-12-05
5042017-03-01
5042016-03-01
5042015-03-01

Plan Statistics for ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN

401k plan membership statisitcs for ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN

Measure Date Value
2019: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-03-01138
Total number of active participants reported on line 7a of the Form 55002019-03-010
Total of all active and inactive participants2019-03-010
2018: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-03-01128
Total number of active participants reported on line 7a of the Form 55002018-03-01138
Total of all active and inactive participants2018-03-01138
Total participants2018-03-01138
2017: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-03-01124
Total number of active participants reported on line 7a of the Form 55002017-03-01128
Total of all active and inactive participants2017-03-01128
2016: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-01115
Total number of active participants reported on line 7a of the Form 55002016-03-01124
Total of all active and inactive participants2016-03-01124
2015: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-01112
Total number of active participants reported on line 7a of the Form 55002015-03-01115
Number of retired or separated participants receiving benefits2015-03-010
Number of other retired or separated participants entitled to future benefits2015-03-010
Total of all active and inactive participants2015-03-01115

Financial Data on ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN

Measure Date Value
2020 : ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2020 401k financial data
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-02-29No
Was this plan covered by a fidelity bond2020-02-29No
If this is an individual account plan, was there a blackout period2020-02-29No
Were there any nonexempt tranactions with any party-in-interest2020-02-29No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2020-02-29No
Were any leases to which the plan was party in default or uncollectible2020-02-29No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-02-29No
Was there a failure to transmit to the plan any participant contributions2020-02-29No
Has the plan failed to provide any benefit when due under the plan2020-02-29No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-02-29No
Did the plan have assets held for investment2020-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-02-29No
2018 : ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-02-28$59,480
Total of all expenses incurred2018-02-28$59,480
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-02-28$59,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-02-28$59,480
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-02-28No
Was this plan covered by a fidelity bond2018-02-28No
If this is an individual account plan, was there a blackout period2018-02-28No
Were there any nonexempt tranactions with any party-in-interest2018-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Value of net income/loss2018-02-28$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2018-02-28No
Were any leases to which the plan was party in default or uncollectible2018-02-28No
Expenses. Payments to insurance carriers foe the provision of benefits2018-02-28$59,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-02-28No
Was there a failure to transmit to the plan any participant contributions2018-02-28No
Has the plan failed to provide any benefit when due under the plan2018-02-28No
Contributions received in cash from employer2018-02-28$59,480
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-02-28No
Did the plan have assets held for investment2018-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-02-28No
2017 : ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-02-28$65,283
Total of all expenses incurred2017-02-28$65,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-02-28$65,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-02-28$65,283
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-02-28No
Was this plan covered by a fidelity bond2017-02-28No
If this is an individual account plan, was there a blackout period2017-02-28No
Were there any nonexempt tranactions with any party-in-interest2017-02-28No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Value of net income/loss2017-02-28$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2017-02-28No
Were any leases to which the plan was party in default or uncollectible2017-02-28No
Expenses. Payments to insurance carriers foe the provision of benefits2017-02-28$65,283
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-02-28No
Was there a failure to transmit to the plan any participant contributions2017-02-28No
Has the plan failed to provide any benefit when due under the plan2017-02-28No
Contributions received in cash from employer2017-02-28$65,283
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-02-28No
Did the plan have assets held for investment2017-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-02-28No
2016 : ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-02-29$56,489
Total of all expenses incurred2016-02-29$56,489
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-02-29$56,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-02-29$56,489
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-02-29No
Was this plan covered by a fidelity bond2016-02-29No
If this is an individual account plan, was there a blackout period2016-02-29No
Were there any nonexempt tranactions with any party-in-interest2016-02-29No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Value of net income/loss2016-02-29$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-02-29No
Were any loans by the plan or fixed income obligations due to the plan in default2016-02-29No
Were any leases to which the plan was party in default or uncollectible2016-02-29No
Expenses. Payments to insurance carriers foe the provision of benefits2016-02-29$56,489
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-02-29No
Was there a failure to transmit to the plan any participant contributions2016-02-29No
Has the plan failed to provide any benefit when due under the plan2016-02-29No
Contributions received in cash from employer2016-02-29$56,489
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-02-29No
Did the plan have assets held for investment2016-02-29No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-02-29No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-02-29No

Form 5500 Responses for ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN

2019: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2019 form 5500 responses
2019-03-01Type of plan entitySingle employer plan
2019-03-01This submission is the final filingYes
2019-03-01Plan funding arrangement – General assets of the sponsorYes
2019-03-01Plan benefit arrangement – InsuranceYes
2018: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2018 form 5500 responses
2018-03-01Type of plan entitySingle employer plan
2018-03-01Plan funding arrangement – General assets of the sponsorYes
2018-03-01Plan benefit arrangement – InsuranceYes
2017: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2017 form 5500 responses
2017-03-01Type of plan entitySingle employer plan
2017-03-01Plan funding arrangement – General assets of the sponsorYes
2017-03-01Plan benefit arrangement – InsuranceYes
2016: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2016 form 5500 responses
2016-03-01Type of plan entitySingle employer plan
2016-03-01Plan funding arrangement – General assets of the sponsorYes
2016-03-01Plan benefit arrangement – InsuranceYes
2015: ULTIMATE HYDROFORMING, INC. EMPLOYEE'S LIFE & SHORT-TERM DISABILITY PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01First time form 5500 has been submittedYes
2015-03-01Plan funding arrangement – General assets of the sponsorYes
2015-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number200227
Policy instance 1
Insurance contract or identification number200227
Insurance policy start date2019-03-01
Insurance policy end date2020-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
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 number200227
Policy instance 1
Insurance contract or identification number200227
Number of Individuals Covered138
Insurance policy start date2018-03-01
Insurance policy end date2019-02-28
Total amount of commissions paid to insurance brokerUSD $5,103
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $71,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,103
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number200227
Policy instance 1
Insurance contract or identification number200227
Number of Individuals Covered124
Insurance policy start date2017-03-01
Insurance policy end date2018-02-28
Total amount of commissions paid to insurance brokerUSD $4,507
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $59,480
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,507
Insurance broker organization code?3
Insurance broker nameBRSI EMPLOYEE BENEFIT SOLUTIONS LLC

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