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POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NamePOWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN
Plan identification number 501

POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

POWER SUPPLY INDUSTRIES has sponsored the creation of one or more 401k plans.

Company Name:POWER SUPPLY INDUSTRIES
Employer identification number (EIN):431295414
NAIC Classification:423800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01
5012019-01-01
5012018-01-01SCOTT BERTELSMEYER
5012017-01-01SCOTT BERTELSMEYER
5012016-01-01JOHN J. BERTELSMEYER
5012015-01-01JOHN J. BERTELSMEYER
5012014-09-01JOHN J. BERTELSMEYER

Plan Statistics for POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN

Measure Date Value
2020: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-010
Total number of active participants reported on line 7a of the Form 55002020-01-010
Total of all active and inactive participants2020-01-010
2019: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0142
Total number of active participants reported on line 7a of the Form 55002019-01-010
Total of all active and inactive participants2019-01-010
2018: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0147
Total number of active participants reported on line 7a of the Form 55002018-01-0142
Total of all active and inactive participants2018-01-0142
2017: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0150
Total number of active participants reported on line 7a of the Form 55002017-01-0148
Total of all active and inactive participants2017-01-0148
2016: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0152
Total number of active participants reported on line 7a of the Form 55002016-01-0147
Total of all active and inactive participants2016-01-0147
2015: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0150
Total number of active participants reported on line 7a of the Form 55002015-01-0152
Total of all active and inactive participants2015-01-0152
2014: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-0148
Total number of active participants reported on line 7a of the Form 55002014-09-0150
Total of all active and inactive participants2014-09-0150

Financial Data on POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN

Measure Date Value
2020 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$446
Total income from all sources2020-12-31$16,272
Expenses. Total of all expenses incurred2020-12-31$21,296
Benefits paid (including direct rollovers)2020-12-31$1,204
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$5,470
Value of fidelity bond covering the plan2020-12-31$500,000
Expenses. Other expenses not covered elsewhere2020-12-31$747
Net income (gross income less expenses)2020-12-31$-5,024
Net plan assets at end of year (total assets less liabilities)2020-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$5,024
Total contributions received or receivable from employer(s)2020-12-31$16,272
Value of corrective distributions2020-12-31$15,675
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$3,670
2019 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$446
Total plan liabilities at beginning of year2019-12-31$2,028
Total income from all sources2019-12-31$394,390
Expenses. Total of all expenses incurred2019-12-31$542,691
Benefits paid (including direct rollovers)2019-12-31$508,213
Total plan assets at end of year2019-12-31$5,470
Total plan assets at beginning of year2019-12-31$155,353
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$103,847
Net income (gross income less expenses)2019-12-31$-148,301
Net plan assets at end of year (total assets less liabilities)2019-12-31$5,024
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$153,325
Total contributions received or receivable from employer(s)2019-12-31$290,543
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$34,478
2018 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$2,028
Total plan liabilities at beginning of year2018-12-31$13,265
Total income from all sources2018-12-31$786,818
Expenses. Total of all expenses incurred2018-12-31$690,670
Benefits paid (including direct rollovers)2018-12-31$650,214
Total plan assets at end of year2018-12-31$155,353
Total plan assets at beginning of year2018-12-31$70,442
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$143,651
Net income (gross income less expenses)2018-12-31$96,148
Net plan assets at end of year (total assets less liabilities)2018-12-31$153,325
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$57,177
Total contributions received or receivable from employer(s)2018-12-31$643,167
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$40,456
2017 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$13,265
Total plan liabilities at beginning of year2017-12-31$77,239
Total income from all sources2017-12-31$653,747
Expenses. Total of all expenses incurred2017-12-31$648,071
Benefits paid (including direct rollovers)2017-12-31$604,900
Total plan assets at end of year2017-12-31$70,442
Total plan assets at beginning of year2017-12-31$128,740
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$86,398
Net income (gross income less expenses)2017-12-31$5,676
Net plan assets at end of year (total assets less liabilities)2017-12-31$57,177
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$51,501
Total contributions received or receivable from employer(s)2017-12-31$567,349
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$43,171
2016 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$77,239
Total plan liabilities at beginning of year2016-12-31$13,964
Total income from all sources2016-12-31$462,551
Expenses. Total of all expenses incurred2016-12-31$557,392
Benefits paid (including direct rollovers)2016-12-31$511,249
Total plan assets at end of year2016-12-31$128,740
Total plan assets at beginning of year2016-12-31$160,306
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$63,261
Net income (gross income less expenses)2016-12-31$-94,841
Net plan assets at end of year (total assets less liabilities)2016-12-31$51,501
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$146,342
Total contributions received or receivable from employer(s)2016-12-31$399,290
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$46,143
2015 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$13,964
Total plan liabilities at beginning of year2015-12-31$35,219
Total income from all sources2015-12-31$595,879
Expenses. Total of all expenses incurred2015-12-31$486,492
Benefits paid (including direct rollovers)2015-12-31$438,967
Total plan assets at end of year2015-12-31$160,306
Total plan assets at beginning of year2015-12-31$72,174
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$62,859
Net income (gross income less expenses)2015-12-31$109,387
Net plan assets at end of year (total assets less liabilities)2015-12-31$146,342
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$36,955
Total contributions received or receivable from employer(s)2015-12-31$533,020
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$47,525
2014 : POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$35,219
Total income from all sources2014-12-31$237,280
Expenses. Total of all expenses incurred2014-12-31$200,325
Benefits paid (including direct rollovers)2014-12-31$184,224
Total plan assets at end of year2014-12-31$72,174
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$21,377
Net income (gross income less expenses)2014-12-31$36,955
Net plan assets at end of year (total assets less liabilities)2014-12-31$36,955
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$215,903
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$16,101

Form 5500 Responses for POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN

2020: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: POWER SUPPLY INDUSTRIES EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01First time form 5500 has been submittedYes
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201961
Policy instance 1
Insurance contract or identification numberUNI-201961
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $151,727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201961
Policy instance 1
Insurance contract or identification numberUNI-201961
Number of Individuals Covered42
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $221,037
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-201961
Policy instance 1
Insurance contract or identification numberUNI-201961
Number of Individuals Covered48
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $215,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000947
Policy instance 2
Insurance contract or identification number1000947
Number of Individuals Covered48
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $475
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMANAGED TRANSPLANT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $4,749
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $475
Insurance broker organization code?5
Insurance broker nameBAC AGENCY, INC.

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