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CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 401k Plan overview

Plan NameCRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH
Plan identification number 502

CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Dental
  • Long-term disability cover

401k Sponsoring company profile

CRYSTAL CABINET WORKS, INC. has sponsored the creation of one or more 401k plans.

Company Name:CRYSTAL CABINET WORKS, INC.
Employer identification number (EIN):410828559
NAIC Classification:337000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-08-01
5022016-08-01ROBERT NORDLAND ROBERT NORDLAND2018-04-03
5022015-08-01ROBERT NORDLAND ROBERT NORDLAND2017-01-30
5022014-08-01ROBERT NORDLAND ROBERT NORDLAND2016-01-27
5022013-08-01ROBERT NORDLAND ROBERT NORDLAND2015-01-30
5022012-08-01ROBERT NORDLAND ROBERT NORDLAND2014-05-14
5022011-08-01ROBERT NORDLAND ROBERT NORDLAND2013-04-13
5022010-08-01ROBERT NORDLAND
5022009-08-01ROBERT NORDLAND

Plan Statistics for CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH

401k plan membership statisitcs for CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH

Measure Date Value
2017: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2017 401k membership
Total participants, beginning-of-year2017-08-01410
Total number of active participants reported on line 7a of the Form 55002017-08-010
Total of all active and inactive participants2017-08-010
Total participants2017-08-010
2016: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2016 401k membership
Total participants, beginning-of-year2016-08-01420
Total number of active participants reported on line 7a of the Form 55002016-08-01410
Total of all active and inactive participants2016-08-01410
Total participants2016-08-01410
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-08-010
2015: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2015 401k membership
Total participants, beginning-of-year2015-08-01388
Total number of active participants reported on line 7a of the Form 55002015-08-01420
Total of all active and inactive participants2015-08-01420
Total participants2015-08-01420
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-08-010
2014: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2014 401k membership
Total participants, beginning-of-year2014-08-01349
Total number of active participants reported on line 7a of the Form 55002014-08-01388
Total of all active and inactive participants2014-08-01388
Total participants2014-08-01388
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-08-010
2013: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2013 401k membership
Total participants, beginning-of-year2013-08-01312
Total number of active participants reported on line 7a of the Form 55002013-08-01348
Number of retired or separated participants receiving benefits2013-08-011
Total of all active and inactive participants2013-08-01349
Total participants2013-08-01349
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-08-010
2012: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2012 401k membership
Total participants, beginning-of-year2012-08-01312
Total number of active participants reported on line 7a of the Form 55002012-08-01311
Number of retired or separated participants receiving benefits2012-08-011
Total of all active and inactive participants2012-08-01312
Total participants2012-08-01312
Number of participants with account balances2012-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-08-010
2011: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2011 401k membership
Total participants, beginning-of-year2011-08-01303
Total number of active participants reported on line 7a of the Form 55002011-08-01311
Number of retired or separated participants receiving benefits2011-08-011
Number of other retired or separated participants entitled to future benefits2011-08-010
Total of all active and inactive participants2011-08-01312
Total participants2011-08-01312
Number of participants with account balances2011-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-08-010
2010: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2010 401k membership
Total participants, beginning-of-year2010-08-01320
Total number of active participants reported on line 7a of the Form 55002010-08-01301
Number of retired or separated participants receiving benefits2010-08-012
Number of other retired or separated participants entitled to future benefits2010-08-010
Total of all active and inactive participants2010-08-01303
Total participants2010-08-01303
Number of participants with account balances2010-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-08-010
2009: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2009 401k membership
Total participants, beginning-of-year2009-08-01391
Total number of active participants reported on line 7a of the Form 55002009-08-01290
Number of retired or separated participants receiving benefits2009-08-0130
Number of other retired or separated participants entitled to future benefits2009-08-010
Total of all active and inactive participants2009-08-01320
Total participants2009-08-01320

Form 5500 Responses for CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH

2017: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingYes
2017-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement – InsuranceYes
2016: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan benefit arrangement – InsuranceYes
2015: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan benefit arrangement – InsuranceYes
2014: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan benefit arrangement – InsuranceYes
2013: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01First time form 5500 has been submittedYes
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan benefit arrangement – InsuranceYes
2012: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01First time form 5500 has been submittedYes
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planNo
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan benefit arrangement – InsuranceYes
2011: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01First time form 5500 has been submittedYes
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan benefit arrangement – InsuranceYes
2010: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Submission has been amendedNo
2010-08-01This submission is the final filingNo
2010-08-01This return/report is a short plan year return/report (less than 12 months)No
2010-08-01Plan is a collectively bargained planNo
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan benefit arrangement – InsuranceYes
2009: CRYSTAL CABINET WORKS INC. GROUP TERM LIFE ADDITIONAL CONTRIBUTION LIFE AND ACCIDENTAL DEATH 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

DELTA DENTAL PLAN OF MINNESOTA (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number0000095866
Policy instance 2
Insurance contract or identification number0000095866
Number of Individuals Covered531
Insurance policy start date2017-08-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $14,590
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?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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $190,260
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberGOOOB63G
Policy instance 1
Insurance contract or identification numberGOOOB63G
Number of Individuals Covered435
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $43,588
Total amount of fees paid to insurance companyUSD $3,936
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $203,402
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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