401k Plan data: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN plan

ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 401k Plan overview

Plan Name	ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN
Plan identification number	502

ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ROSENBAUER AMERICA, LLC has sponsored the creation of one or more 401k plans.

Company Name: ROSENBAUER AMERICA, LLC

Employer identification number (EIN): 411906559

NAIC Classification: 333900

Additional information about ROSENBAUER AMERICA, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations

Incorporation Date:

Company Identification Number: 2885031

More information about ROSENBAUER AMERICA, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-03-01
502 2016-03-01
502 2013-03-01
502 2011-03-01 HAROLD BOER
502 2010-03-01 BRIAN KUETER BRIAN KUETER 2011-06-03
502 2009-03-01 BRIAN KUETER BRIAN KUETER 2010-08-04

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
502	2017-03-01
502	2016-03-01
502	2013-03-01
502	2011-03-01	HAROLD BOER
502	2010-03-01	BRIAN KUETER	BRIAN KUETER	2011-06-03
502	2009-03-01	BRIAN KUETER	BRIAN KUETER	2010-08-04

Plan Statistics for ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN

401k plan membership statisitcs for ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN

Measure Date Value
2017: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-03-01 110
Total number of active participants reported on line 7a of the Form 5500 2017-03-01 0
Number of retired or separated participants receiving benefits 2017-03-01 0
Number of other retired or separated participants entitled to future benefits 2017-03-01 0
Total of all active and inactive participants 2017-03-01 0
2016: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-03-01 103
Total number of active participants reported on line 7a of the Form 5500 2016-03-01 107
Total of all active and inactive participants 2016-03-01 107
2013: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 99
Total of all active and inactive participants 2013-03-01 99
2011: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year 2011-03-01 199
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 209
Total of all active and inactive participants 2011-03-01 209
2010: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-03-01 195
Total number of active participants reported on line 7a of the Form 5500 2010-03-01 197
Total of all active and inactive participants 2010-03-01 197
2009: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-03-01 174
Total number of active participants reported on line 7a of the Form 5500 2009-03-01 198
Total of all active and inactive participants 2009-03-01 198

Measure	Date	Value
2017: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-03-01	110
Total number of active participants reported on line 7a of the Form 5500	2017-03-01	0
Number of retired or separated participants receiving benefits	2017-03-01	0
Number of other retired or separated participants entitled to future benefits	2017-03-01	0
Total of all active and inactive participants	2017-03-01	0
2016: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-03-01	103
Total number of active participants reported on line 7a of the Form 5500	2016-03-01	107
Total of all active and inactive participants	2016-03-01	107
2013: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	99
Total of all active and inactive participants	2013-03-01	99
2011: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-03-01	199
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	209
Total of all active and inactive participants	2011-03-01	209
2010: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-03-01	195
Total number of active participants reported on line 7a of the Form 5500	2010-03-01	197
Total of all active and inactive participants	2010-03-01	197
2009: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-03-01	174
Total number of active participants reported on line 7a of the Form 5500	2009-03-01	198
Total of all active and inactive participants	2009-03-01	198

Form 5500 Responses for ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN

2017: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2017 form 5500 responses
2017-03-01	Type of plan entity	Single employer plan
2017-03-01	This submission is the final filing	Yes
2017-03-01	Plan funding arrangement – Insurance	Yes
2017-03-01	Plan benefit arrangement – Insurance	Yes
2016: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2016 form 5500 responses
2016-03-01	Type of plan entity	Single employer plan
2016-03-01	Plan funding arrangement – Insurance	Yes
2016-03-01	Plan benefit arrangement – Insurance	Yes
2013: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2011: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes
2010: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2010 form 5500 responses
2010-03-01	Type of plan entity	Single employer plan
2010-03-01	Plan funding arrangement – Insurance	Yes
2010-03-01	Plan benefit arrangement – Insurance	Yes
2009: ROSENBAUER AMERICA LONG-TERM DISABILITY PLAN 2009 form 5500 responses
2009-03-01	Type of plan entity	Single employer plan
2009-03-01	This submission is the final filing	No
2009-03-01	Plan funding arrangement – Insurance	Yes
2009-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )

Policy contract number

88311

Policy instance

Insurance contract or identification number	88311
Number of Individuals Covered	105
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $3,595
Total amount of fees paid to insurance company	USD $0
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $23,968
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $3,595
Insurance broker organization code?	3
Insurance broker name	HOLMES MURPHY & ASSOCIATES, INC

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Company Name:	ROSENBAUER AMERICA, LLC
Employer identification number (EIN):	411906559
NAIC Classification:	333900

Jurisdiction of Incorporation:	State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number:	2885031