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JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 401k Plan overview

Plan NameJOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST
Plan identification number 001

JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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.
  • 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

JOSEPH VARLEY CONSTRUCTION CO. has sponsored the creation of one or more 401k plans.

Company Name:JOSEPH VARLEY CONSTRUCTION CO.
Employer identification number (EIN):411634693
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01JOSEPH VARLEY2020-10-22 JOSEPH VARLEY2020-10-22
0012019-01-01JOSEPH VARLEY2020-09-01 JOSEPH VARLEY2020-09-01
0012018-01-01JOSEPH VARLEY2019-09-18
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01JOSEPH VARLEY
0012014-01-01JOSEPH VARLEY
0012013-01-01TROY ZWART
0012012-01-01RUBY MARTIN2013-10-01
0012011-01-01GEORGE SMITH2012-07-24
0012009-01-01ANN LEE

Plan Statistics for JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST

401k plan membership statisitcs for JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST

Measure Date Value
2020: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-016
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-016
Total number of active participants reported on line 7a of the Form 55002019-01-014
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-016
Number of participants with account balances2019-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-016
2018: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-017
Total number of active participants reported on line 7a of the Form 55002018-01-014
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-016
Number of participants with account balances2018-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-016
Total number of active participants reported on line 7a of the Form 55002017-01-014
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-016
Number of participants with account balances2017-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-016
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-016
Number of participants with account balances2016-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-016
Total number of active participants reported on line 7a of the Form 55002015-01-016
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-016
Number of participants with account balances2015-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-018
Total number of active participants reported on line 7a of the Form 55002014-01-016
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-016
Number of participants with account balances2014-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-018
Total number of active participants reported on line 7a of the Form 55002013-01-017
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-018
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2009: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0114
Total number of active participants reported on line 7a of the Form 55002009-01-0112
Number of retired or separated participants receiving benefits2009-01-011
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0114
Number of participants with account balances2009-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST

Measure Date Value
2020 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2020 401k financial data
Total income from all sources2020-10-06$204,242
Expenses. Total of all expenses incurred2020-10-06$1,899,496
Benefits paid (including direct rollovers)2020-10-06$1,895,284
Total plan assets at end of year2020-10-06$0
Total plan assets at beginning of year2020-10-06$1,695,254
Total contributions received or receivable from participants2020-10-06$14,540
Contributions received from other sources (not participants or employers)2020-10-06$0
Other income received2020-10-06$185,266
Net income (gross income less expenses)2020-10-06$-1,695,254
Net plan assets at end of year (total assets less liabilities)2020-10-06$0
Net plan assets at beginning of year (total assets less liabilities)2020-10-06$1,695,254
Total contributions received or receivable from employer(s)2020-10-06$4,436
Expenses. Administrative service providers (salaries,fees and commissions)2020-10-06$4,212
2019 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$407,577
Expenses. Total of all expenses incurred2019-12-31$29,498
Benefits paid (including direct rollovers)2019-12-31$27,358
Total plan assets at end of year2019-12-31$1,695,254
Total plan assets at beginning of year2019-12-31$1,317,175
Total contributions received or receivable from participants2019-12-31$28,540
Other income received2019-12-31$371,024
Net income (gross income less expenses)2019-12-31$378,079
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,695,254
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,317,175
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022019-12-31$24,864
Total contributions received or receivable from employer(s)2019-12-31$8,013
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$2,140
2018 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-99,722
Expenses. Total of all expenses incurred2018-12-31$201,200
Benefits paid (including direct rollovers)2018-12-31$198,940
Total plan assets at end of year2018-12-31$1,317,175
Total plan assets at beginning of year2018-12-31$1,618,097
Total contributions received or receivable from participants2018-12-31$29,788
Other income received2018-12-31$-137,147
Net income (gross income less expenses)2018-12-31$-300,922
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,317,175
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,618,097
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022018-12-31$24,864
Total contributions received or receivable from employer(s)2018-12-31$7,637
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$2,260
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$318,058
Expenses. Total of all expenses incurred2017-12-31$1,230
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$1,618,097
Total plan assets at beginning of year2017-12-31$1,301,269
Total contributions received or receivable from participants2017-12-31$25,474
Expenses. Other expenses not covered elsewhere2017-12-31$1,230
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$286,954
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$316,828
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,618,097
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,301,269
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$52,040
Total contributions received or receivable from employer(s)2017-12-31$5,630
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$90,959
Expenses. Total of all expenses incurred2016-12-31$2,725
Total plan assets at end of year2016-12-31$1,301,269
Total plan assets at beginning of year2016-12-31$1,213,035
Total contributions received or receivable from participants2016-12-31$28,625
Other income received2016-12-31$53,241
Net income (gross income less expenses)2016-12-31$88,234
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,301,269
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,213,035
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-12-31$63,958
Total contributions received or receivable from employer(s)2016-12-31$9,093
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,725
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$39,661
Expenses. Total of all expenses incurred2015-12-31$2,100
Benefits paid (including direct rollovers)2015-12-31$0
Total plan assets at end of year2015-12-31$1,213,035
Total plan assets at beginning of year2015-12-31$1,175,474
Total contributions received or receivable from participants2015-12-31$37,667
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-7,419
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$37,561
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,213,035
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,175,474
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-12-31$35,333
Total contributions received or receivable from employer(s)2015-12-31$9,413
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$2,100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$115,658
Expenses. Total of all expenses incurred2014-12-31$61,424
Benefits paid (including direct rollovers)2014-12-31$58,934
Total plan assets at end of year2014-12-31$1,175,474
Total plan assets at beginning of year2014-12-31$1,121,240
Total contributions received or receivable from participants2014-12-31$48,437
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$58,422
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$54,234
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,175,474
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,121,240
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-12-31$101,236
Total contributions received or receivable from employer(s)2014-12-31$8,799
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$2,490
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$285,629
Expenses. Total of all expenses incurred2013-12-31$0
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$1,121,240
Total plan assets at beginning of year2013-12-31$835,611
Total contributions received or receivable from participants2013-12-31$48,272
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$228,747
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$285,629
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,121,240
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$835,611
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-12-31$64,930
Total contributions received or receivable from employer(s)2013-12-31$8,610
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2010 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2010 401k financial data
Total income from all sources2010-12-31$145,096
Expenses. Total of all expenses incurred2010-12-31$13,906
Benefits paid (including direct rollovers)2010-12-31$13,906
Total plan assets at end of year2010-12-31$678,389
Total plan assets at beginning of year2010-12-31$547,199
Total contributions received or receivable from participants2010-12-31$50,585
Contributions received from other sources (not participants or employers)2010-12-31$7
Other income received2010-12-31$84,579
Net income (gross income less expenses)2010-12-31$131,190
Net plan assets at end of year (total assets less liabilities)2010-12-31$678,389
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$547,199
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$33,428
Total contributions received or receivable from employer(s)2010-12-31$9,925
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST

2020: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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 funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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 funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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 funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 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 - TrustYes
2009: JOSEPH VARLEY CONSTRUCTION CO. 401(K) PLAN & TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number337-00085
Policy instance 1
Insurance contract or identification number337-00085
Number of Individuals Covered6
Insurance policy start date2020-01-01
Insurance policy end date2020-10-06
Total amount of commissions paid to insurance brokerUSD $13,869
Total amount of fees paid to insurance companyUSD $3,225
Commission paid to Insurance BrokerUSD $13,869
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Amount paid for insurance broker fees3225
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number337-00085
Policy instance 1
Insurance contract or identification number337-00085
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $17,351
Total amount of fees paid to insurance companyUSD $4,014
Commission paid to Insurance BrokerUSD $17,351
Amount paid for insurance broker fees0
Insurance broker organization code?3
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number337-00085
Policy instance 1
Insurance contract or identification number337-00085
Number of Individuals Covered6
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $15,972
Total amount of fees paid to insurance companyUSD $2,869
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 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 $15,972
Amount paid for insurance broker fees2869
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameKESTRA INVESTMENT SERVICES, LL
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number337-00085
Policy instance 1
Insurance contract or identification number337-00085
Number of Individuals Covered6
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,301
Total amount of fees paid to insurance companyUSD $3,001
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?No
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 $13,301
Amount paid for insurance broker fees3001
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNFP ADVISOR SERVICES, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number337-00085
Policy instance 1
Insurance contract or identification number337-00085
Number of Individuals Covered6
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,252
Total amount of fees paid to insurance companyUSD $2,736
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?No
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
Commission paid to Insurance BrokerUSD $12,252
Amount paid for insurance broker fees2736
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNFP ADVISOR SERVICES, LLC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number337-00085
Policy instance 1
Insurance contract or identification number337-00085
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $10,635
Total amount of fees paid to insurance companyUSD $2,327
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?No
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
Commission paid to Insurance BrokerUSD $10,635
Amount paid for insurance broker fees2327
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNFP SECURITIES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-FK39
Policy instance 1
Insurance contract or identification numberGAP-54-FK39
Number of Individuals Covered11
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,330
Total amount of fees paid to insurance companyUSD $1,241
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?Yes
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 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

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