401k Plan data: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN plan

MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 401k Plan overview

Plan Name	MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN
Plan identification number	501

MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

MIDWEST LABORATORIES, INC. has sponsored the creation of one or more 401k plans.

Company Name: MIDWEST LABORATORIES, INC.

Employer identification number (EIN): 470564465

NAIC Classification: 541380
NAIC Description: Testing Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2019-01-01
501 2018-01-01
501 2017-01-01
501 2016-01-01
501 2015-07-01
501 2014-07-01
501 2013-07-01
501 2012-07-01 JOHN DEBOER JOHN DEBOER 2014-01-23
501 2011-07-01 JOHN DEBOER JOHN DEBOER 2013-04-11
501 2009-07-01 JOHN DEBOER 2011-04-15
501 2009-07-01 JOHN DEBOER 2011-04-15

Plan Statistics for MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN

401k plan membership statisitcs for MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN

Measure Date Value
2019: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 0
2018: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 149
Number of retired or separated participants receiving benefits 2018-01-01 4
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 153
2017: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 139
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 138
Number of retired or separated participants receiving benefits 2017-01-01 1
Total of all active and inactive participants 2017-01-01 139
2016: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 132
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 137
Number of retired or separated participants receiving benefits 2016-01-01 2
Total of all active and inactive participants 2016-01-01 139
2015: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-07-01 124
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 131
Number of retired or separated participants receiving benefits 2015-07-01 1
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 132
2014: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-07-01 125
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 124
Number of retired or separated participants receiving benefits 2014-07-01 2
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 126
2013: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 119
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 125
Total of all active and inactive participants 2013-07-01 125
2012: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 111
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 119
Total of all active and inactive participants 2012-07-01 119
Total participants 2012-07-01 119
2011: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 112
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 111
Total of all active and inactive participants 2011-07-01 111
Total participants 2011-07-01 111
2009: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 97
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 96
Total of all active and inactive participants 2009-07-01 96
Total participants 2009-07-01 96

Measure	Date	Value
2019: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	0
2018: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	149
Number of retired or separated participants receiving benefits	2018-01-01	4
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	153
2017: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	139
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	138
Number of retired or separated participants receiving benefits	2017-01-01	1
Total of all active and inactive participants	2017-01-01	139
2016: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	132
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	137
Number of retired or separated participants receiving benefits	2016-01-01	2
Total of all active and inactive participants	2016-01-01	139
2015: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-07-01	124
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	131
Number of retired or separated participants receiving benefits	2015-07-01	1
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	132
2014: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-07-01	125
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	124
Number of retired or separated participants receiving benefits	2014-07-01	2
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	126
2013: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	119
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	125
Total of all active and inactive participants	2013-07-01	125
2012: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	111
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	119
Total of all active and inactive participants	2012-07-01	119
Total participants	2012-07-01	119
2011: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	112
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	111
Total of all active and inactive participants	2011-07-01	111
Total participants	2011-07-01	111
2009: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	97
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	96
Total of all active and inactive participants	2009-07-01	96
Total participants	2009-07-01	96

Financial Data on MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN

Measure	Date	Value
2017 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$62,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$196,525
Total income from all sources (including contributions)	2017-12-31	$1,467,432
Total of all expenses incurred	2017-12-31	$1,550,934
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$1,473,364
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$1,466,920
Value of total assets at end of year	2017-12-31	$412,373
Value of total assets at beginning of year	2017-12-31	$630,027
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$77,570
Total interest from all sources	2017-12-31	$512
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$210,535
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$35,918
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-12-31	$350,000
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-12-31	$76,867
Administrative expenses (other) incurred	2017-12-31	$77,570
Liabilities. Value of operating payables at end of year	2017-12-31	$6,723
Liabilities. Value of operating payables at beginning of year	2017-12-31	$0
Total non interest bearing cash at end of year	2017-12-31	$0
Total non interest bearing cash at beginning of year	2017-12-31	$53,192
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-83,502
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$350,000
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$433,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-12-31	$62,373
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-12-31	$464,050
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-12-31	$464,050
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-12-31	$512
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$283,132
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$1,256,385
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$1,190,232
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Liabilities. Value of benefit claims payable at end of year	2017-12-31	$55,650
Liabilities. Value of benefit claims payable at beginning of year	2017-12-31	$196,525
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	No
Opinion of an independent qualified public accountant for this plan	2017-12-31	Unqualified
Accountancy firm name	2017-12-31	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2017-12-31	470574775
2016 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$196,525
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$156,994
Total income from all sources (including contributions)	2016-12-31	$1,842,595
Total of all expenses incurred	2016-12-31	$1,777,379
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$1,707,537
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$1,842,148
Value of total assets at end of year	2016-12-31	$630,027
Value of total assets at beginning of year	2016-12-31	$525,280
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$69,842
Total interest from all sources	2016-12-31	$447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$305,669
Participant contributions at end of year	2016-12-31	$35,918
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$76,867
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$67,725
Administrative expenses (other) incurred	2016-12-31	$69,842
Total non interest bearing cash at end of year	2016-12-31	$53,192
Total non interest bearing cash at beginning of year	2016-12-31	$123,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$65,216
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$433,502
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$368,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$464,050
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$334,033
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$334,033
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$447
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$270,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,536,479
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$1,436,538
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$196,525
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$156,994
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	No
Opinion of an independent qualified public accountant for this plan	2016-12-31	Unqualified
Accountancy firm name	2016-12-31	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2016-12-31	470574775
2015 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$156,994
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$194,706
Total income from all sources (including contributions)	2015-12-31	$630,699
Total of all expenses incurred	2015-12-31	$688,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$660,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$630,585
Value of total assets at end of year	2015-12-31	$525,280
Value of total assets at beginning of year	2015-12-31	$621,068
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$28,285
Total interest from all sources	2015-12-31	$114
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$134,425
Participant contributions at beginning of year	2015-12-31	$55,239
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$67,725
Administrative expenses (other) incurred	2015-12-31	$28,285
Total non interest bearing cash at end of year	2015-12-31	$123,522
Total non interest bearing cash at beginning of year	2015-12-31	$160,876
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$-58,076
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$368,286
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$426,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$334,033
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$404,953
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$404,953
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$114
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$117,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$496,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$543,174
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$156,994
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$194,706
Did the plan have assets held for investment	2015-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	No
Opinion of an independent qualified public accountant for this plan	2015-12-31	Unqualified
Accountancy firm name	2015-12-31	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2015-12-31	470574775
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-06-30	$194,706
Total income from all sources (including contributions)	2015-06-30	$732,971
Total of all expenses incurred	2015-06-30	$1,593,391
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-06-30	$1,540,042
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-06-30	$732,078
Value of total assets at end of year	2015-06-30	$621,068
Value of total assets at beginning of year	2015-06-30	$1,286,782
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-06-30	$53,349
Total interest from all sources	2015-06-30	$893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-06-30	No
Was this plan covered by a fidelity bond	2015-06-30	Yes
Value of fidelity bond cover	2015-06-30	$1,000,000
If this is an individual account plan, was there a blackout period	2015-06-30	No
Were there any nonexempt tranactions with any party-in-interest	2015-06-30	No
Contributions received from participants	2015-06-30	$165,374
Participant contributions at end of year	2015-06-30	$55,239
Administrative expenses (other) incurred	2015-06-30	$53,349
Total non interest bearing cash at end of year	2015-06-30	$160,876
Total non interest bearing cash at beginning of year	2015-06-30	$291,232
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Value of net income/loss	2015-06-30	$-860,420
Value of net assets at end of year (total assets less liabilities)	2015-06-30	$426,362
Value of net assets at beginning of year (total assets less liabilities)	2015-06-30	$1,286,782
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-06-30	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-06-30	No
Were any leases to which the plan was party in default or uncollectible	2015-06-30	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-06-30	$404,953
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-06-30	$995,550
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-06-30	$995,550
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-06-30	$893
Expenses. Payments to insurance carriers foe the provision of benefits	2015-06-30	$243,460
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-06-30	No
Was there a failure to transmit to the plan any participant contributions	2015-06-30	No
Has the plan failed to provide any benefit when due under the plan	2015-06-30	No
Contributions received in cash from employer	2015-06-30	$566,704
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-06-30	$1,296,582
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-06-30	No
Liabilities. Value of benefit claims payable at end of year	2015-06-30	$194,706
Did the plan have assets held for investment	2015-06-30	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-06-30	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-06-30	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-06-30	No
Opinion of an independent qualified public accountant for this plan	2015-06-30	Unqualified
Accountancy firm name	2015-06-30	FRANKEL ZACHARIA LLC
Accountancy firm EIN	2015-06-30	470574775
2014 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2014 401k financial data
Total income from all sources	2014-06-30	$1,187,432
Expenses. Total of all expenses incurred	2014-06-30	$998,201
Benefits paid (including direct rollovers)	2014-06-30	$944,641
Total plan assets at end of year	2014-06-30	$1,286,782
Total plan assets at beginning of year	2014-06-30	$1,097,551
Value of fidelity bond covering the plan	2014-06-30	$1,000,000
Total contributions received or receivable from participants	2014-06-30	$58,983
Contributions received from other sources (not participants or employers)	2014-06-30	$0
Other income received	2014-06-30	$652
Noncash contributions received	2014-06-30	$0
Net income (gross income less expenses)	2014-06-30	$189,231
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$1,286,782
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$1,097,551
Total contributions received or receivable from employer(s)	2014-06-30	$1,127,797
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$53,560
2013 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2013 401k financial data
Total income from all sources	2013-06-30	$1,161,519
Expenses. Total of all expenses incurred	2013-06-30	$820,105
Benefits paid (including direct rollovers)	2013-06-30	$612,088
Total plan assets at end of year	2013-06-30	$1,097,551
Total plan assets at beginning of year	2013-06-30	$756,131
Value of fidelity bond covering the plan	2013-06-30	$1,000,000
Total contributions received or receivable from participants	2013-06-30	$33,151
Expenses. Other expenses not covered elsewhere	2013-06-30	$208,017
Other income received	2013-06-30	$37,306
Net income (gross income less expenses)	2013-06-30	$341,414
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$1,097,551
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$756,131
Total contributions received or receivable from employer(s)	2013-06-30	$1,091,062
2012 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2012 401k financial data
Total income from all sources	2012-06-30	$1,204,431
Expenses. Total of all expenses incurred	2012-06-30	$1,027,416
Benefits paid (including direct rollovers)	2012-06-30	$830,873
Total plan assets at end of year	2012-06-30	$756,131
Total plan assets at beginning of year	2012-06-30	$579,115
Value of fidelity bond covering the plan	2012-06-30	$1,000,000
Total contributions received or receivable from participants	2012-06-30	$34,016
Expenses. Other expenses not covered elsewhere	2012-06-30	$196,543
Other income received	2012-06-30	$120,718
Net income (gross income less expenses)	2012-06-30	$177,015
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$756,131
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$579,115
Total contributions received or receivable from employer(s)	2012-06-30	$1,049,697
2011 : MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2011 401k financial data
Total income from all sources	2011-06-30	$1,021,916
Expenses. Total of all expenses incurred	2011-06-30	$831,682
Benefits paid (including direct rollovers)	2011-06-30	$648,865
Total plan assets at end of year	2011-06-30	$579,115
Total plan assets at beginning of year	2011-06-30	$388,882
Total contributions received or receivable from participants	2011-06-30	$34,821
Expenses. Other expenses not covered elsewhere	2011-06-30	$182,817
Other income received	2011-06-30	$4,857
Net income (gross income less expenses)	2011-06-30	$190,234
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$579,115
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$388,882
Total contributions received or receivable from employer(s)	2011-06-30	$982,238

Form 5500 Responses for MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN

2019: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2018: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2017: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan funding arrangement – Trust	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement - Trust	Yes
2014: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan funding arrangement – Trust	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement - Trust	Yes
2013: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2011-07-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: MIDWEST LABORATORIES EMPLOYEE WELFARE PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-07-01	Plan benefit arrangement – General assets of the sponsor	Yes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

SR 227774

Policy instance

Insurance contract or identification number	SR 227774
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
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 Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )

Policy contract number

SR 227774

Policy instance

Insurance contract or identification number	SR 227774
Number of Individuals Covered	149
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $79
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	BUSINESS TRAVEL ACCIDENT
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 Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	79
Additional information about fees paid to insurance broker	OVERRIDE
Insurance broker organization code?	3

OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	139
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ORGAN TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	5
Insurance broker name	NOVANET INC

OPTUMHEALTH (National Association of Insurance Commissioners NAIC id number: 00000 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	139
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $18,938
Total amount of fees paid to insurance company	USD $70,753
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,105
Amount paid for insurance broker fees	41501
Additional information about fees paid to insurance broker	CONTRACT ADMINISTRATION
Insurance broker organization code?	5
Insurance broker name	PREMIERE HEALTHCARE EXCHANGE

MEDICAL EXCESS INSURANCE SERVICES (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	131
Insurance policy start date	2015-07-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Other welfare benefits provided	ORGAN TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Insurance broker organization code?	5
Insurance broker name	BRIDGEHEALTH

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	131
Insurance policy start date	2015-07-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $5,219
Total amount of fees paid to insurance company	USD $33,822
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,219
Amount paid for insurance broker fees	19170
Additional information about fees paid to insurance broker	CONTRACT ADMINISTRATION
Insurance broker organization code?	5
Insurance broker name	BRIDGEHEALTH

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

22512

Policy instance

Insurance contract or identification number	22512
Number of Individuals Covered	129
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $5,667
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,178
Additional information about fees paid to insurance broker	SALES AND SERVICE COMPENSATION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES

MEDICAL EXCESS INSURANCE SERVICES (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	126
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ORGAN TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Additional information about fees paid to insurance broker	CONTRACT ADMINISTRATION
Insurance broker organization code?	5
Insurance broker name	BRIDGEHEALTH

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	126
Insurance policy start date	2014-07-01
Insurance policy end date	2015-06-30
Total amount of commissions paid to insurance broker	USD $9,210
Total amount of fees paid to insurance company	USD $65,127
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,210
Amount paid for insurance broker fees	37886
Additional information about fees paid to insurance broker	CONTRACT ADMINISTRATION
Insurance broker organization code?	5
Insurance broker name	BRIDGEHEALTH

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )

Policy contract number

22512

Policy instance

Insurance contract or identification number	22512
Number of Individuals Covered	126
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $5,473
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Life Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH & DISMEMBERMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,906
Additional information about fees paid to insurance broker	SALES AND SERVICE COMMISSION
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES

MEDICAL EXCESS INSURANCE SERVICES (National Association of Insurance Commissioners NAIC id number: 52421 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	125
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Other welfare benefits provided	ORGAN TRANSPLANT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

STANDARD SECURITY LIFE (National Association of Insurance Commissioners NAIC id number: 69078 )

Policy contract number

650

Policy instance

Insurance contract or identification number	650
Number of Individuals Covered	125
Insurance policy start date	2013-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $7,493
Total amount of fees paid to insurance company	USD $59,856
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $7,493
Amount paid for insurance broker fees	34815
Additional information about fees paid to insurance broker	CONTRACT ADMININSTRATION
Insurance broker organization code?	5
Insurance broker name	UNITED CLAIM SOLUTIONS

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Company Name:	MIDWEST LABORATORIES, INC.
Employer identification number (EIN):	470564465
NAIC Classification:	541380
NAIC Description:	Testing Laboratories