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FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 401k Plan overview

Plan NameFIVE B CORPORATION SELF FUNDED MEDICAL PLAN
Plan identification number 501

FIVE B CORPORATION SELF FUNDED MEDICAL PLAN Benefits

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

401k Sponsoring company profile

FIVE B CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:FIVE B CORPORATION
Employer identification number (EIN):470540679
NAIC Classification:112112
NAIC Description:Cattle Feedlots

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIVE B CORPORATION SELF FUNDED MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-01-01DEB BAXTER2021-06-28
5012019-01-01DEB BAXTER2020-07-24
5012018-01-01DEB BAXTER
5012017-01-01DEB BAXTER
5012016-01-01DEB BAXTER
5012015-03-01DEB BAXTER

Plan Statistics for FIVE B CORPORATION SELF FUNDED MEDICAL PLAN

401k plan membership statisitcs for FIVE B CORPORATION SELF FUNDED MEDICAL PLAN

Measure Date Value
2018: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0119
Total number of active participants reported on line 7a of the Form 55002018-01-0119
Total of all active and inactive participants2018-01-0119
Total participants2018-01-0119
2017: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0119
Total number of active participants reported on line 7a of the Form 55002017-01-0119
Total of all active and inactive participants2017-01-0119
Total participants2017-01-0119
2016: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0115
Total number of active participants reported on line 7a of the Form 55002016-01-0117
Total of all active and inactive participants2016-01-0117
Total participants2016-01-0117
2015: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-0117
Total number of active participants reported on line 7a of the Form 55002015-03-0118
Total of all active and inactive participants2015-03-0118
Total participants2015-03-0118

Financial Data on FIVE B CORPORATION SELF FUNDED MEDICAL PLAN

Measure Date Value
2018 : FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
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$134,970
Expenses. Total of all expenses incurred2018-12-31$149,215
Benefits paid (including direct rollovers)2018-12-31$41,144
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$14,245
Total contributions received or receivable from participants2018-12-31$25,023
Expenses. Other expenses not covered elsewhere2018-12-31$79,303
Net income (gross income less expenses)2018-12-31$-14,245
Net plan assets at end of year (total assets less liabilities)2018-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$14,245
Total contributions received or receivable from employer(s)2018-12-31$109,947
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$28,768
2017 : FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2017 401k financial data
Total income from all sources2017-12-31$120,590
Expenses. Total of all expenses incurred2017-12-31$122,719
Benefits paid (including direct rollovers)2017-12-31$13,707
Total plan assets at end of year2017-12-31$7,124
Total plan assets at beginning of year2017-12-31$9,253
Total contributions received or receivable from participants2017-12-31$25,204
Expenses. Other expenses not covered elsewhere2017-12-31$66,406
Net income (gross income less expenses)2017-12-31$-2,129
Net plan assets at end of year (total assets less liabilities)2017-12-31$7,124
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$9,253
Total contributions received or receivable from employer(s)2017-12-31$95,386
Value of corrective distributions2017-12-31$9,476
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$33,130
2016 : FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2016 401k financial data
Total income from all sources2016-12-31$94,192
Expenses. Total of all expenses incurred2016-12-31$108,755
Benefits paid (including direct rollovers)2016-12-31$12,607
Total plan assets at end of year2016-12-31$9,253
Total plan assets at beginning of year2016-12-31$23,816
Total contributions received or receivable from participants2016-12-31$20,454
Expenses. Other expenses not covered elsewhere2016-12-31$47,868
Net income (gross income less expenses)2016-12-31$-14,563
Net plan assets at end of year (total assets less liabilities)2016-12-31$9,253
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$23,816
Total contributions received or receivable from employer(s)2016-12-31$73,738
Value of corrective distributions2016-12-31$28,011
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$20,269
2015 : FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2015 401k financial data
Total income from all sources2015-12-31$77,382
Expenses. Total of all expenses incurred2015-12-31$53,565
Benefits paid (including direct rollovers)2015-12-31$3,518
Total plan assets at end of year2015-12-31$23,817
Total contributions received or receivable from participants2015-12-31$17,982
Expenses. Other expenses not covered elsewhere2015-12-31$33,364
Net income (gross income less expenses)2015-12-31$23,817
Net plan assets at end of year (total assets less liabilities)2015-12-31$23,817
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$59,400
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$16,683

Form 5500 Responses for FIVE B CORPORATION SELF FUNDED MEDICAL PLAN

2018: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
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: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FIVE B CORPORATION SELF FUNDED MEDICAL PLAN 2015 form 5500 responses
2015-03-01Type of plan entitySingle employer plan
2015-03-01First time form 5500 has been submittedYes
2015-03-01Submission has been amendedNo
2015-03-01This submission is the final filingNo
2015-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-03-01Plan is a collectively bargained planNo
2015-03-01Plan funding arrangement – TrustYes
2015-03-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract number281110
Policy instance 1
ALLIED NATIONAL COMPANIES (National Association of Insurance Commissioners NAIC id number: 60739 )
Policy contract number281110
Policy instance 1

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