401k Plan data: LARSON ENGINEERING, INC. HEALTH PLAN plan

LARSON ENGINEERING, INC. HEALTH PLAN 401k Plan overview

Plan Name	LARSON ENGINEERING, INC. HEALTH PLAN
Plan identification number	501

LARSON ENGINEERING, INC. HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental

401k Sponsoring company profile

LARSON ENGINEERING, INC. has sponsored the creation of one or more 401k plans.

Company Name: LARSON ENGINEERING, INC.

Employer identification number (EIN): 411396375

NAIC Classification: 541330
NAIC Description: Engineering Services

Additional information about LARSON ENGINEERING, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 1981-06-03

Company Identification Number: F39226

Legal Registered Office Address: 6404 MANATEE AVE W STE N

BRADENTON

34209

More information about LARSON ENGINEERING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LARSON ENGINEERING, INC. HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2011-01-01 PHILIP DEIMEL 2022-07-14
501 2010-01-01 LEE GRANQUIST
501 2009-01-01 LEE GRANQUIST
501 2009-01-01 LEE GRANQUIST 2010-06-17
501 2009-01-01 LEE GRANQUIST
501 2009-01-01 LEE GRANQUIST
501 2009-01-01 LEE GRANQUIST 2010-06-17

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
501	2011-01-01	PHILIP DEIMEL	2022-07-14
501	2010-01-01	LEE GRANQUIST
501	2009-01-01	LEE GRANQUIST
501	2009-01-01			LEE GRANQUIST	2010-06-17
501	2009-01-01	LEE GRANQUIST
501	2009-01-01	LEE GRANQUIST
501	2009-01-01			LEE GRANQUIST	2010-06-17

Plan Statistics for LARSON ENGINEERING, INC. HEALTH PLAN

401k plan membership statisitcs for LARSON ENGINEERING, INC. HEALTH PLAN

Measure Date Value
2011: LARSON ENGINEERING, INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 235
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 0
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 0
Number of employers contributing to the scheme 2011-01-01 0
2010: LARSON ENGINEERING, INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year 2010-01-01 291
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 233
Number of retired or separated participants receiving benefits 2010-01-01 2
Total of all active and inactive participants 2010-01-01 235
Total participants 2010-01-01 235
2009: LARSON ENGINEERING, INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 337
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 276
Number of retired or separated participants receiving benefits 2009-01-01 15
Total of all active and inactive participants 2009-01-01 291
Total participants 2009-01-01 291

Measure	Date	Value
2011: LARSON ENGINEERING, INC. HEALTH PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	235
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	0
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	0
Number of employers contributing to the scheme	2011-01-01	0
2010: LARSON ENGINEERING, INC. HEALTH PLAN 2010 401k membership
Total participants, beginning-of-year	2010-01-01	291
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	233
Number of retired or separated participants receiving benefits	2010-01-01	2
Total of all active and inactive participants	2010-01-01	235
Total participants	2010-01-01	235
2009: LARSON ENGINEERING, INC. HEALTH PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	337
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	276
Number of retired or separated participants receiving benefits	2009-01-01	15
Total of all active and inactive participants	2009-01-01	291
Total participants	2009-01-01	291

Form 5500 Responses for LARSON ENGINEERING, INC. HEALTH PLAN

2011: LARSON ENGINEERING, INC. HEALTH PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	This submission is the final filing	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: LARSON ENGINEERING, INC. HEALTH PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	First time form 5500 has been submitted	Yes
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: LARSON ENGINEERING, INC. HEALTH PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

HEALTHPARTNERS INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 44547 )

Policy contract number

25437

Policy instance

Insurance contract or identification number	25437
Number of Individuals Covered	236
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $28,282
Total amount of fees paid to insurance company	USD $5
Health Insurance Welfare Benefit	Yes
Dental Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $763,592
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $28,282
Amount paid for insurance broker fees	5
Additional information about fees paid to insurance broker	INDIRECT COMPENSATION
Insurance broker organization code?	3

Potentially related plans

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Company Name:	LARSON ENGINEERING, INC.
Employer identification number (EIN):	411396375
NAIC Classification:	541330
NAIC Description:	Engineering Services

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	1981-06-03
Company Identification Number:	F39226
Legal Registered Office Address:	6404 MANATEE AVE W STE N BRADENTON 34209