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THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 401k Plan overview

Plan NameTHEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN
Plan identification number 501

THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Dental
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

THEISEN SUPPLY, INC has sponsored the creation of one or more 401k plans.

Company Name:THEISEN SUPPLY, INC
Employer identification number (EIN):421286174
NAIC Classification:452300

Additional information about THEISEN SUPPLY, INC

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1987-01-01
Company Identification Number: 112730
Legal Registered Office Address: 1000 MAIN STREET

DUBUQUE
United States of America (USA)
52001

More information about THEISEN SUPPLY, INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01DAN POSTER2023-06-21
5012021-01-01DAN POSTER2022-06-23
5012020-01-01RICK MCLOUTH2021-08-02
5012019-01-01RICK MCLOUTH 2020-10-13
5012018-01-01RICK MCLOUTH2019-10-14
5012017-01-01
5012016-01-01
5012015-01-01
5012014-01-01
5012013-01-01
5012012-01-01LEO A THEISEN
5012011-01-01LEO A THEISEN
5012010-01-01LEO A THEISEN
5012009-01-01LEO A. THEISEN

Plan Statistics for THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN

401k plan membership statisitcs for THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN

Measure Date Value
2022: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01421
Total number of active participants reported on line 7a of the Form 55002022-01-01360
Number of retired or separated participants receiving benefits2022-01-010
Total of all active and inactive participants2022-01-01360
2021: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01321
Total number of active participants reported on line 7a of the Form 55002021-01-01272
Number of retired or separated participants receiving benefits2021-01-010
Total of all active and inactive participants2021-01-01272
2020: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01321
Total number of active participants reported on line 7a of the Form 55002020-01-01277
Number of retired or separated participants receiving benefits2020-01-010
Total of all active and inactive participants2020-01-01277
2019: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01280
Total number of active participants reported on line 7a of the Form 55002019-01-01268
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01268
2018: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01206
Total number of active participants reported on line 7a of the Form 55002018-01-01225
Number of retired or separated participants receiving benefits2018-01-010
Total of all active and inactive participants2018-01-01225
2017: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01196
Total number of active participants reported on line 7a of the Form 55002017-01-01202
Number of retired or separated participants receiving benefits2017-01-011
Total of all active and inactive participants2017-01-01203
2016: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01169
Total number of active participants reported on line 7a of the Form 55002016-01-01188
Number of retired or separated participants receiving benefits2016-01-012
Total of all active and inactive participants2016-01-01190
2015: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01138
Total number of active participants reported on line 7a of the Form 55002015-01-01169
Number of retired or separated participants receiving benefits2015-01-017
Total of all active and inactive participants2015-01-01176
2014: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01152
Total number of active participants reported on line 7a of the Form 55002014-01-01131
Number of retired or separated participants receiving benefits2014-01-017
Total of all active and inactive participants2014-01-01138
2013: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01131
Total number of active participants reported on line 7a of the Form 55002013-01-01146
Number of retired or separated participants receiving benefits2013-01-016
Total of all active and inactive participants2013-01-01152
2012: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01136
Total number of active participants reported on line 7a of the Form 55002012-01-01129
Number of retired or separated participants receiving benefits2012-01-012
Total of all active and inactive participants2012-01-01131
2011: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01131
Total number of active participants reported on line 7a of the Form 55002011-01-01134
Number of retired or separated participants receiving benefits2011-01-012
Total of all active and inactive participants2011-01-01136
2010: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01122
Total number of active participants reported on line 7a of the Form 55002010-01-01129
Number of retired or separated participants receiving benefits2010-01-012
Total of all active and inactive participants2010-01-01131
2009: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01107
Total number of active participants reported on line 7a of the Form 55002009-01-01120
Number of retired or separated participants receiving benefits2009-01-012
Total of all active and inactive participants2009-01-01122

Financial Data on THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN

Measure Date Value
2018 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$153,893
Total of all expenses incurred2018-12-31$167,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$160,368
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$153,841
Value of total assets at end of year2018-12-31$39,290
Value of total assets at beginning of year2018-12-31$52,902
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$7,137
Total interest from all sources2018-12-31$52
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$153,841
Total non interest bearing cash at end of year2018-12-31$39,290
Total non interest bearing cash at beginning of year2018-12-31$52,902
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-13,612
Value of net assets at end of year (total assets less liabilities)2018-12-31$39,290
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$52,902
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Interest earned on other investments2018-12-31$52
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$117,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$42,925
Contract administrator fees2018-12-31$7,137
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31HONKAMP KRUEGER & CO PC
Accountancy firm EIN2018-12-31420946155
2017 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$120,191
Total of all expenses incurred2017-12-31$124,136
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$113,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$120,107
Value of total assets at end of year2017-12-31$52,902
Value of total assets at beginning of year2017-12-31$56,847
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$10,803
Total interest from all sources2017-12-31$84
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$120,107
Administrative expenses (other) incurred2017-12-31$122
Total non interest bearing cash at end of year2017-12-31$52,902
Total non interest bearing cash at beginning of year2017-12-31$56,847
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-3,945
Value of net assets at end of year (total assets less liabilities)2017-12-31$52,902
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$56,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Interest earned on other investments2017-12-31$84
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$113,333
Contract administrator fees2017-12-31$10,681
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31HONKAMP KRUEGER & CO PC
Accountancy firm EIN2017-12-31420946155
2016 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$111,091
Total of all expenses incurred2016-12-31$99,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$90,187
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$111,021
Value of total assets at end of year2016-12-31$56,847
Value of total assets at beginning of year2016-12-31$45,264
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$9,321
Total interest from all sources2016-12-31$70
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$111,021
Administrative expenses (other) incurred2016-12-31$351
Total non interest bearing cash at end of year2016-12-31$56,847
Total non interest bearing cash at beginning of year2016-12-31$45,264
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$11,583
Value of net assets at end of year (total assets less liabilities)2016-12-31$56,847
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$45,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Interest earned on other investments2016-12-31$70
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$90,187
Contract administrator fees2016-12-31$8,970
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31HONKAMP KRUEGER & CO PC
Accountancy firm EIN2016-12-31420946155
2015 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$100,245
Total of all expenses incurred2015-12-31$100,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$91,321
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$100,180
Value of total assets at end of year2015-12-31$45,264
Value of total assets at beginning of year2015-12-31$45,131
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,791
Total interest from all sources2015-12-31$65
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$100,180
Administrative expenses (other) incurred2015-12-31$36
Total non interest bearing cash at end of year2015-12-31$45,264
Total non interest bearing cash at beginning of year2015-12-31$45,131
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$133
Value of net assets at end of year (total assets less liabilities)2015-12-31$45,264
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$45,131
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Interest earned on other investments2015-12-31$65
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$91,321
Contract administrator fees2015-12-31$8,755
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31HONKAMP KRUEGER & CO P C
Accountancy firm EIN2015-12-31420946155
2014 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$103,320
Total of all expenses incurred2014-12-31$113,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$105,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$103,242
Value of total assets at end of year2014-12-31$45,131
Value of total assets at beginning of year2014-12-31$55,130
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,105
Total interest from all sources2014-12-31$78
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$103,242
Total non interest bearing cash at end of year2014-12-31$45,131
Total non interest bearing cash at beginning of year2014-12-31$55,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-9,999
Value of net assets at end of year (total assets less liabilities)2014-12-31$45,131
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$55,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Interest earned on other investments2014-12-31$78
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$105,214
Contract administrator fees2014-12-31$8,105
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31HONKAMP KRUEGER & CO P C
Accountancy firm EIN2014-12-31420946155
2013 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$98,808
Total of all expenses incurred2013-12-31$81,228
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$73,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$98,735
Value of total assets at end of year2013-12-31$55,130
Value of total assets at beginning of year2013-12-31$37,550
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$8,192
Total interest from all sources2013-12-31$73
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$98,735
Administrative expenses (other) incurred2013-12-31$258
Total non interest bearing cash at end of year2013-12-31$55,130
Total non interest bearing cash at beginning of year2013-12-31$37,550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$17,580
Value of net assets at end of year (total assets less liabilities)2013-12-31$55,130
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$37,550
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Interest earned on other investments2013-12-31$73
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$73,036
Contract administrator fees2013-12-31$7,934
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31HONKAMP KRUEGER & CO P C
Accountancy firm EIN2013-12-31420946155
2012 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$92,131
Total of all expenses incurred2012-12-31$80,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$73,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$92,084
Value of total assets at end of year2012-12-31$37,550
Value of total assets at beginning of year2012-12-31$26,346
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$7,429
Total interest from all sources2012-12-31$47
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$92,084
Administrative expenses (other) incurred2012-12-31$108
Total non interest bearing cash at end of year2012-12-31$37,550
Total non interest bearing cash at beginning of year2012-12-31$26,346
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$11,204
Value of net assets at end of year (total assets less liabilities)2012-12-31$37,550
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$26,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Interest earned on other investments2012-12-31$47
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$73,498
Contract administrator fees2012-12-31$7,321
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31HONKAMP KRUEGER & CO P C
Accountancy firm EIN2012-12-31420946155
2011 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$92,722
Total of all expenses incurred2011-12-31$83,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$76,381
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$92,675
Value of total assets at end of year2011-12-31$26,346
Value of total assets at beginning of year2011-12-31$17,192
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$7,187
Total interest from all sources2011-12-31$47
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$92,675
Administrative expenses (other) incurred2011-12-31$7,187
Total non interest bearing cash at end of year2011-12-31$26,346
Total non interest bearing cash at beginning of year2011-12-31$17,192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$9,154
Value of net assets at end of year (total assets less liabilities)2011-12-31$26,346
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$17,192
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Interest earned on other investments2011-12-31$47
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$76,381
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31HONKAMP KRUEGER & CO P C
Accountancy firm EIN2011-12-31420946155
2010 : THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$89,660
Total of all expenses incurred2010-12-31$84,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$76,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$89,635
Value of total assets at end of year2010-12-31$17,192
Value of total assets at beginning of year2010-12-31$11,561
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$7,172
Total interest from all sources2010-12-31$25
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$89,635
Administrative expenses (other) incurred2010-12-31$7,172
Total non interest bearing cash at end of year2010-12-31$17,192
Total non interest bearing cash at beginning of year2010-12-31$11,561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$5,631
Value of net assets at end of year (total assets less liabilities)2010-12-31$17,192
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$11,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Interest earned on other investments2010-12-31$25
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$76,857
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31HONKAMP KRUEGER & CO P C
Accountancy firm EIN2010-12-31420946155

Form 5500 Responses for THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN

2022: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: THEISEN SUPPLY, INC DENTAL AND TEMPORARY DISABILITY INCOME PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40208
Policy instance 1
Insurance contract or identification number40208
Number of Individuals Covered288
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,478
Total amount of fees paid to insurance companyUSD $1,243
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $151,557
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,478
Amount paid for insurance broker fees1243
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
PREFERRED HEALTH CHOICES LLC (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberHC0030
Policy instance 2
Insurance contract or identification numberHC0030
Number of Individuals Covered287
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40208
Policy instance 1
Insurance contract or identification number40208
Number of Individuals Covered271
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $6,214
Total amount of fees paid to insurance companyUSD $1,524
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $150,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,214
Amount paid for insurance broker fees1524
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
PREFERRED HEALTH CHOICES LLC (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberHC0030
Policy instance 2
Insurance contract or identification numberHC0030
Number of Individuals Covered266
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40208
Policy instance 1
Insurance contract or identification number40208
Number of Individuals Covered266
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,096
Total amount of fees paid to insurance companyUSD $1,427
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $129,837
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,096
Amount paid for insurance broker fees1427
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
PREFERRED HEALTH CHOICES LLC (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberHC0030
Policy instance 2
Insurance contract or identification numberHC0030
Number of Individuals Covered278
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40208
Policy instance 1
Insurance contract or identification number40208
Number of Individuals Covered266
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,709
Total amount of fees paid to insurance companyUSD $4,038
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $111,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,709
Amount paid for insurance broker fees4038
Additional information about fees paid to insurance brokerSALES AND PERSISTENCY BONUS
Insurance broker organization code?3
PREFERRED HEALTH CHOICES LLC (National Association of Insurance Commissioners NAIC id number: 52429 )
Policy contract numberHC0030
Policy instance 2
Insurance contract or identification numberHC0030
Number of Individuals Covered271
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,301
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $85,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5301
Additional information about fees paid to insurance brokerADMINSTRATIVE FEES
Insurance broker organization code?3
DELTA DENTAL OF IOWA (National Association of Insurance Commissioners NAIC id number: 55786 )
Policy contract number40208
Policy instance 1
Insurance contract or identification number40208
Number of Individuals Covered232
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,042
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,704
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,042
Insurance broker organization code?3

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