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MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameMIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN
Plan identification number 001

MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MIDWEST WELL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:MIDWEST WELL SERVICES, INC.
Employer identification number (EIN):392005278
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-11-01SCOTT DE YOUNG2023-04-04
0012020-11-01SCOTT DE YOUNG2022-05-26
0012019-11-01
0012018-11-01
0012017-11-01SCOTT DE YOUNG
0012016-11-01SCOTT DE YOUNG
0012015-11-01SCOTT DE YOUNG
0012014-11-01SCOTT DE YOUNG
0012013-11-01SCOTT DE YOUNG
0012012-11-01SCOTT DE YOUNG
0012011-11-01SCOTT DE YOUNG
0012009-11-01SCOTT DE YOUNG

Plan Statistics for MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2019: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-0152
Total number of active participants reported on line 7a of the Form 55002019-11-0143
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-017
Total of all active and inactive participants2019-11-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-11-010
Total participants2019-11-0150
Number of participants with account balances2019-11-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-11-010
2018: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-0146
Total number of active participants reported on line 7a of the Form 55002018-11-0141
Number of retired or separated participants receiving benefits2018-11-010
Number of other retired or separated participants entitled to future benefits2018-11-0111
Total of all active and inactive participants2018-11-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-11-010
Total participants2018-11-0152
Number of participants with account balances2018-11-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-11-014
2017: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-0147
Total number of active participants reported on line 7a of the Form 55002017-11-0138
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-018
Total of all active and inactive participants2017-11-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-11-010
Total participants2017-11-0146
Number of participants with account balances2017-11-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-11-013
2016: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-0137
Total number of active participants reported on line 7a of the Form 55002016-11-0144
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-013
Total of all active and inactive participants2016-11-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-11-010
Total participants2016-11-0147
Number of participants with account balances2016-11-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-11-010
2015: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0134
Total number of active participants reported on line 7a of the Form 55002015-11-0134
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-013
Total of all active and inactive participants2015-11-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-010
Total participants2015-11-0137
Number of participants with account balances2015-11-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-010
2014: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0128
Total number of active participants reported on line 7a of the Form 55002014-11-0131
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-013
Total of all active and inactive participants2014-11-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-010
Total participants2014-11-0134
Number of participants with account balances2014-11-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-010
2013: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0128
Total number of active participants reported on line 7a of the Form 55002013-11-0124
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-014
Total of all active and inactive participants2013-11-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-010
Total participants2013-11-0128
Number of participants with account balances2013-11-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-11-012
2012: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0123
Total number of active participants reported on line 7a of the Form 55002012-11-0126
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-012
Total of all active and inactive participants2012-11-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-010
Total participants2012-11-0128
Number of participants with account balances2012-11-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-010
2011: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0123
Total number of active participants reported on line 7a of the Form 55002011-11-0121
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-012
Total of all active and inactive participants2011-11-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-0123
Number of participants with account balances2011-11-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2009: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-0123
Total number of active participants reported on line 7a of the Form 55002009-11-0120
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-012
Total of all active and inactive participants2009-11-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-0122
Number of participants with account balances2009-11-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-010

Financial Data on MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2020 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2020 401k financial data
Total income from all sources2020-10-31$911,933
Expenses. Total of all expenses incurred2020-10-31$66,902
Benefits paid (including direct rollovers)2020-10-31$49,207
Total plan assets at end of year2020-10-31$5,077,449
Total plan assets at beginning of year2020-10-31$4,232,418
Value of fidelity bond covering the plan2020-10-31$500,000
Total contributions received or receivable from participants2020-10-31$336,385
Other income received2020-10-31$272,693
Net income (gross income less expenses)2020-10-31$845,031
Net plan assets at end of year (total assets less liabilities)2020-10-31$5,077,449
Net plan assets at beginning of year (total assets less liabilities)2020-10-31$4,232,418
Assets. Value of participant loans2020-10-31$35,366
Total contributions received or receivable from employer(s)2020-10-31$302,855
Expenses. Administrative service providers (salaries,fees and commissions)2020-10-31$17,695
2019 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-10-31$0
2018 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-10-31$385,137
Expenses. Total of all expenses incurred2018-10-31$112,267
Benefits paid (including direct rollovers)2018-10-31$96,550
Total plan assets at end of year2018-10-31$3,388,458
Total plan assets at beginning of year2018-10-31$3,115,588
Value of fidelity bond covering the plan2018-10-31$400,000
Total contributions received or receivable from participants2018-10-31$268,964
Other income received2018-10-31$-13,451
Net income (gross income less expenses)2018-10-31$272,870
Net plan assets at end of year (total assets less liabilities)2018-10-31$3,388,458
Net plan assets at beginning of year (total assets less liabilities)2018-10-31$3,115,588
Assets. Value of participant loans2018-10-31$49,283
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022018-10-31$271
Total contributions received or receivable from employer(s)2018-10-31$129,624
Expenses. Administrative service providers (salaries,fees and commissions)2018-10-31$15,717
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-10-31$0
2017 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-10-31$772,759
Expenses. Total of all expenses incurred2017-10-31$63,623
Benefits paid (including direct rollovers)2017-10-31$49,516
Total plan assets at end of year2017-10-31$3,115,588
Total plan assets at beginning of year2017-10-31$2,406,452
Value of fidelity bond covering the plan2017-10-31$250,000
Total contributions received or receivable from participants2017-10-31$231,037
Expenses. Other expenses not covered elsewhere2017-10-31$14,107
Other income received2017-10-31$433,068
Net income (gross income less expenses)2017-10-31$709,136
Net plan assets at end of year (total assets less liabilities)2017-10-31$3,115,588
Net plan assets at beginning of year (total assets less liabilities)2017-10-31$2,406,452
Assets. Value of participant loans2017-10-31$62,611
Total contributions received or receivable from employer(s)2017-10-31$108,654
2016 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-10-31$330,289
Expenses. Total of all expenses incurred2016-10-31$21,539
Benefits paid (including direct rollovers)2016-10-31$8,492
Total plan assets at end of year2016-10-31$2,406,452
Total plan assets at beginning of year2016-10-31$2,097,702
Value of fidelity bond covering the plan2016-10-31$200,000
Total contributions received or receivable from participants2016-10-31$162,509
Other income received2016-10-31$42,610
Net income (gross income less expenses)2016-10-31$308,750
Net plan assets at end of year (total assets less liabilities)2016-10-31$2,406,452
Net plan assets at beginning of year (total assets less liabilities)2016-10-31$2,097,702
Assets. Value of participant loans2016-10-31$67,278
Total contributions received or receivable from employer(s)2016-10-31$125,170
Expenses. Administrative service providers (salaries,fees and commissions)2016-10-31$13,047
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-31$0
2015 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-10-31$224,764
Expenses. Total of all expenses incurred2015-10-31$18,295
Benefits paid (including direct rollovers)2015-10-31$1,595
Total plan assets at end of year2015-10-31$2,097,702
Total plan assets at beginning of year2015-10-31$1,891,233
Value of fidelity bond covering the plan2015-10-31$200,000
Total contributions received or receivable from participants2015-10-31$127,904
Other income received2015-10-31$23,941
Net income (gross income less expenses)2015-10-31$206,469
Net plan assets at end of year (total assets less liabilities)2015-10-31$2,097,702
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$1,891,233
Assets. Value of participant loans2015-10-31$37,380
Total contributions received or receivable from employer(s)2015-10-31$72,919
Expenses. Administrative service providers (salaries,fees and commissions)2015-10-31$16,700
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-10-31$0
2014 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-10-31$305,598
Expenses. Total of all expenses incurred2014-10-31$21,058
Benefits paid (including direct rollovers)2014-10-31$5,132
Total plan assets at end of year2014-10-31$1,891,233
Total plan assets at beginning of year2014-10-31$1,606,693
Value of fidelity bond covering the plan2014-10-31$200,000
Total contributions received or receivable from participants2014-10-31$113,454
Other income received2014-10-31$154,283
Net income (gross income less expenses)2014-10-31$284,540
Net plan assets at end of year (total assets less liabilities)2014-10-31$1,891,233
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$1,606,693
Assets. Value of participant loans2014-10-31$59,016
Total contributions received or receivable from employer(s)2014-10-31$37,861
Expenses. Administrative service providers (salaries,fees and commissions)2014-10-31$15,926
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-10-31$0
2013 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-10-31$441,081
Expenses. Total of all expenses incurred2013-10-31$55,445
Benefits paid (including direct rollovers)2013-10-31$42,163
Total plan assets at end of year2013-10-31$1,606,693
Total plan assets at beginning of year2013-10-31$1,221,057
Value of fidelity bond covering the plan2013-10-31$120,000
Total contributions received or receivable from participants2013-10-31$108,233
Other income received2013-10-31$245,018
Net income (gross income less expenses)2013-10-31$385,636
Net plan assets at end of year (total assets less liabilities)2013-10-31$1,606,693
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$1,221,057
Assets. Value of participant loans2013-10-31$39,284
Total contributions received or receivable from employer(s)2013-10-31$87,830
Expenses. Administrative service providers (salaries,fees and commissions)2013-10-31$13,282
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-10-31$0
2012 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-10-31$253,766
Expenses. Total of all expenses incurred2012-10-31$37,424
Benefits paid (including direct rollovers)2012-10-31$25,750
Total plan assets at end of year2012-10-31$1,221,057
Total plan assets at beginning of year2012-10-31$1,004,715
Value of fidelity bond covering the plan2012-10-31$120,000
Total contributions received or receivable from participants2012-10-31$100,222
Contributions received from other sources (not participants or employers)2012-10-31$106
Other income received2012-10-31$109,417
Net income (gross income less expenses)2012-10-31$216,342
Net plan assets at end of year (total assets less liabilities)2012-10-31$1,221,057
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$1,004,715
Assets. Value of participant loans2012-10-31$53,985
Total contributions received or receivable from employer(s)2012-10-31$44,021
Expenses. Administrative service providers (salaries,fees and commissions)2012-10-31$11,674
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-10-31$0
2011 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-10-31$118,423
Expenses. Total of all expenses incurred2011-10-31$15,758
Benefits paid (including direct rollovers)2011-10-31$5,117
Total plan assets at end of year2011-10-31$1,004,715
Total plan assets at beginning of year2011-10-31$902,050
Value of fidelity bond covering the plan2011-10-31$100,000
Total contributions received or receivable from participants2011-10-31$97,074
Other income received2011-10-31$21,349
Net income (gross income less expenses)2011-10-31$102,665
Net plan assets at end of year (total assets less liabilities)2011-10-31$1,004,715
Net plan assets at beginning of year (total assets less liabilities)2011-10-31$902,050
Assets. Value of participant loans2011-10-31$35,676
Total contributions received or receivable from employer(s)2011-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-10-31$10,641
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-10-31$0
2010 : MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-10-31$0

Form 5500 Responses for MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN

2019: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2009: MIDWEST WELL SERVICES, INC. 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered0
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $7,220
Total amount of fees paid to insurance companyUSD $1,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,220
Insurance broker organization code?7
Amount paid for insurance broker fees1175
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered48
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $16,101
Total amount of fees paid to insurance companyUSD $2,008
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $16,101
Insurance broker organization code?7
Amount paid for insurance broker fees2008
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered42
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $15,427
Total amount of fees paid to insurance companyUSD $1,765
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $15,427
Insurance broker organization code?7
Amount paid for insurance broker fees1765
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker namePACKERLAND BROKERAGE SERVICES INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered29
Insurance policy start date2015-11-01
Insurance policy end date2016-10-31
Total amount of commissions paid to insurance brokerUSD $9,557
Total amount of fees paid to insurance companyUSD $1,519
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $9,557
Insurance broker organization code?7
Amount paid for insurance broker fees1519
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered26
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $8,865
Total amount of fees paid to insurance companyUSD $982
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $8,865
Insurance broker organization code?7
Amount paid for insurance broker fees982
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered25
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $9,199
Total amount of fees paid to insurance companyUSD $984
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $7,923
Insurance broker organization code?7
Amount paid for insurance broker fees984
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered26
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $6,600
Total amount of fees paid to insurance companyUSD $781
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $6,600
Insurance broker organization code?7
Amount paid for insurance broker fees781
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered18
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $5,427
Total amount of fees paid to insurance companyUSD $754
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number48540
Policy instance 1
Insurance contract or identification number48540
Number of Individuals Covered20
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $4,489
Total amount of fees paid to insurance companyUSD $693
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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

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