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VALIANT INTEGRATED SERVICES 401(K) PLAN 401k Plan overview

Plan NameVALIANT INTEGRATED SERVICES 401(K) PLAN
Plan identification number 001

VALIANT INTEGRATED SERVICES 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

VALIANT INTEGRATED SERVICES has sponsored the creation of one or more 401k plans.

Company Name:VALIANT INTEGRATED SERVICES
Employer identification number (EIN):474319448
NAIC Classification:561210
NAIC Description:Facilities Support Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VALIANT INTEGRATED SERVICES 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012018-01-01
0012017-02-03
0012017-02-03
0012017-01-01

Plan Statistics for VALIANT INTEGRATED SERVICES 401(K) PLAN

401k plan membership statisitcs for VALIANT INTEGRATED SERVICES 401(K) PLAN

Measure Date Value
2022: VALIANT INTEGRATED SERVICES 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-016,112
Total number of active participants reported on line 7a of the Form 55002022-01-014,065
Number of retired or separated participants receiving benefits2022-01-018
Number of other retired or separated participants entitled to future benefits2022-01-011,658
Total of all active and inactive participants2022-01-015,731
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0122
Total participants2022-01-015,753
Number of participants with account balances2022-01-013,818
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: VALIANT INTEGRATED SERVICES 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-016,072
Total number of active participants reported on line 7a of the Form 55002021-01-014,199
Number of retired or separated participants receiving benefits2021-01-018
Number of other retired or separated participants entitled to future benefits2021-01-011,607
Total of all active and inactive participants2021-01-015,814
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0119
Total participants2021-01-015,833
Number of participants with account balances2021-01-014,029
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: VALIANT INTEGRATED SERVICES 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-017,509
Total number of active participants reported on line 7a of the Form 55002020-01-014,538
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-011,439
Total of all active and inactive participants2020-01-015,981
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0113
Total participants2020-01-015,994
Number of participants with account balances2020-01-014,322
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: VALIANT INTEGRATED SERVICES 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,174
Total number of active participants reported on line 7a of the Form 55002019-01-01940
Number of retired or separated participants receiving benefits2019-01-01168
Number of other retired or separated participants entitled to future benefits2019-01-01378
Total of all active and inactive participants2019-01-011,486
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,486
Number of participants with account balances2019-01-011,234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: VALIANT INTEGRATED SERVICES 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,026
Total number of active participants reported on line 7a of the Form 55002018-01-011,256
Number of retired or separated participants receiving benefits2018-01-01503
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,759
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,759
Number of participants with account balances2018-01-011,131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: VALIANT INTEGRATED SERVICES 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-02-03972
Total number of active participants reported on line 7a of the Form 55002017-02-03761
Number of retired or separated participants receiving benefits2017-02-030
Number of other retired or separated participants entitled to future benefits2017-02-03265
Total of all active and inactive participants2017-02-031,026
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-02-030
Total participants2017-02-031,026
Number of participants with account balances2017-02-03573
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-02-030
Total participants, beginning-of-year2017-01-01783
Total number of active participants reported on line 7a of the Form 55002017-01-01733
Number of retired or separated participants receiving benefits2017-01-017
Number of other retired or separated participants entitled to future benefits2017-01-01286
Total of all active and inactive participants2017-01-011,026
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,026
Number of participants with account balances2017-01-01575
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on VALIANT INTEGRATED SERVICES 401(K) PLAN

Measure Date Value
2022 : VALIANT INTEGRATED SERVICES 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$1,509,974
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$98,927
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$193,569
Total income from all sources (including contributions)2022-12-31$-6,491,541
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$35,663,779
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$35,109,001
Expenses. Certain deemed distributions of participant loans2022-12-31$72,568
Value of total corrective distributions2022-12-31$258,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$24,371,685
Value of total assets at end of year2022-12-31$238,375,381
Value of total assets at beginning of year2022-12-31$279,115,369
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$223,353
Total interest from all sources2022-12-31$1,164,623
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,702,832
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$2,702,832
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$13,020,786
Participant contributions at end of year2022-12-31$2,101,377
Participant contributions at beginning of year2022-12-31$2,564,052
Participant contributions at end of year2022-12-31$449,794
Participant contributions at beginning of year2022-12-31$408,317
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$3,473,773
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$182,983
Other income not declared elsewhere2022-12-31$193,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-42,155,320
Value of net assets at end of year (total assets less liabilities)2022-12-31$238,276,454
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$278,921,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$133,819,424
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$165,309,562
Value of interest in pooled separate accounts at end of year2022-12-31$20,487,071
Value of interest in pooled separate accounts at beginning of year2022-12-31$25,825,292
Interest on participant loans2022-12-31$114,297
Interest earned on other investments2022-12-31$1,050,326
Value of interest in common/collective trusts at end of year2022-12-31$15,552,774
Value of interest in common/collective trusts at beginning of year2022-12-31$20,493,583
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$65,392,042
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$64,122,260
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-25,848,614
Net investment gain/loss from pooled separate accounts2022-12-31$-3,359,953
Net investment gain or loss from common/collective trusts2022-12-31$-5,715,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$7,877,126
Employer contributions (assets) at end of year2022-12-31$572,899
Employer contributions (assets) at beginning of year2022-12-31$392,303
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$34,926,018
Contract administrator fees2022-12-31$223,353
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Liabilities. Value of benefit claims payable at end of year2022-12-31$98,927
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$193,569
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SC&H ATTEST SERVICES P.C.
Accountancy firm EIN2022-12-31521743645
2021 : VALIANT INTEGRATED SERVICES 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$54,793,895
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$48,319,700
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$48,070,550
Expenses. Certain deemed distributions of participant loans2021-12-31$11,200
Value of total corrective distributions2021-12-31$12,672
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$26,015,574
Value of total assets at end of year2021-12-31$279,115,369
Value of total assets at beginning of year2021-12-31$272,641,174
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$225,278
Total interest from all sources2021-12-31$1,149,762
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,893,067
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$2,893,067
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$14,024,643
Participant contributions at end of year2021-12-31$2,564,052
Participant contributions at beginning of year2021-12-31$2,828,576
Participant contributions at end of year2021-12-31$408,317
Participant contributions at beginning of year2021-12-31$1,339
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,715,292
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$16,172
Other income not declared elsewhere2021-12-31$-384
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$6,474,195
Value of net assets at end of year (total assets less liabilities)2021-12-31$279,115,369
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$272,641,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$165,309,562
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$152,051,181
Value of interest in pooled separate accounts at end of year2021-12-31$25,825,292
Value of interest in pooled separate accounts at beginning of year2021-12-31$23,107,402
Interest on participant loans2021-12-31$132,371
Interest earned on other investments2021-12-31$1,017,391
Value of interest in common/collective trusts at end of year2021-12-31$20,493,583
Value of interest in common/collective trusts at beginning of year2021-12-31$30,849,303
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$64,122,260
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$63,331,080
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$20,235,192
Net investment gain/loss from pooled separate accounts2021-12-31$-78,889
Net investment gain or loss from common/collective trusts2021-12-31$4,579,573
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$9,275,639
Employer contributions (assets) at end of year2021-12-31$392,303
Employer contributions (assets) at beginning of year2021-12-31$472,293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$48,054,378
Contract administrator fees2021-12-31$225,278
Liabilities. Value of benefit claims payable at end of year2021-12-31$193,569
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SC&H ATTEST SERVICES P.C.
Accountancy firm EIN2021-12-31521743645
2020 : VALIANT INTEGRATED SERVICES 401(K) PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$235,863,348
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$51,981,364
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$43,455,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$42,996,237
Expenses. Certain deemed distributions of participant loans2020-12-31$90,872
Value of total corrective distributions2020-12-31$4,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$27,328,633
Value of total assets at end of year2020-12-31$272,581,545
Value of total assets at beginning of year2020-12-31$28,191,945
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$363,120
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$1,247,377
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$2,557,653
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$2,557,653
Administrative expenses professional fees incurred2020-12-31$1,881
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Amount of non-exempt transactions with any party-in-interest2020-12-31$0
Contributions received from participants2020-12-31$14,278,078
Participant contributions at end of year2020-12-31$2,828,576
Participant contributions at beginning of year2020-12-31$837,409
Participant contributions at end of year2020-12-31$1,339
Participant contributions at beginning of year2020-12-31$21,437
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$4,255,649
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$665,507
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$579,052
Administrative expenses (other) incurred2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$8,526,252
Value of net assets at end of year (total assets less liabilities)2020-12-31$272,581,545
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$28,191,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2020-12-31$0
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2020-12-31$0
Investment advisory and management fees2020-12-31$74,421
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$152,051,181
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$23,122,622
Value of interest in pooled separate accounts at end of year2020-12-31$23,107,402
Value of interest in pooled separate accounts at beginning of year2020-12-31$0
Interest on participant loans2020-12-31$172,686
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$1,074,691
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$30,849,303
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$63,278,658
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$4,000,008
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$13,372,038
Net investment gain/loss from pooled separate accounts2020-12-31$1,820,611
Net investment gain or loss from common/collective trusts2020-12-31$5,076,000
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$8,794,906
Employer contributions (assets) at end of year2020-12-31$465,086
Employer contributions (assets) at beginning of year2020-12-31$210,469
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$42,330,730
Contract administrator fees2020-12-31$286,818
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31SC&H ATTEST SERVICES P.C.
Accountancy firm EIN2020-12-31521743645
2019 : VALIANT INTEGRATED SERVICES 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$278
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$278
Total income from all sources (including contributions)2019-12-31$13,062,686
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,423,744
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,389,780
Expenses. Certain deemed distributions of participant loans2019-12-31$33,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,392,429
Value of total assets at end of year2019-12-31$27,960,039
Value of total assets at beginning of year2019-12-31$17,321,097
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$0
Total interest from all sources2019-12-31$118,708
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$3,551,549
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$3,551,549
Administrative expenses professional fees incurred2019-12-31$119,870
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,032,244
Participant contributions at end of year2019-12-31$837,409
Participant contributions at beginning of year2019-12-31$583,682
Participant contributions at end of year2019-12-31$21,437
Participant contributions at beginning of year2019-12-31$44,500
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$3,187,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$278
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$278
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$10,638,942
Value of net assets at end of year (total assets less liabilities)2019-12-31$27,959,761
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,320,819
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$23,172,375
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$13,037,286
Interest on participant loans2019-12-31$40,660
Income. Interest from loans (other than to participants)2019-12-31$39,590
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$79,118
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$3,950,255
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,700,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,172,332
Employer contributions (assets) at end of year2019-12-31$210,469
Employer contributions (assets) at beginning of year2019-12-31$145,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,389,780
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31SCH ATTEST SERVICES, P. C.
Accountancy firm EIN2019-12-31521743645
2018 : VALIANT INTEGRATED SERVICES 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$3,461,494
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$2,658,787
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$2,658,787
Expenses. Certain deemed distributions of participant loans2018-12-31$21,238
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$4,175,516
Value of total assets at end of year2018-12-31$17,868,095
Value of total assets at beginning of year2018-12-31$17,065,388
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$27,704
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$-731,682
Was this plan covered by a fidelity bond2018-12-31No
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,123,580
Participant contributions at end of year2018-12-31$583,958
Participant contributions at beginning of year2018-12-31$399,068
Participant contributions at end of year2018-12-31$44,500
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,208,540
Administrative expenses (other) incurred2018-12-31$83,357
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$802,707
Value of net assets at end of year (total assets less liabilities)2018-12-31$17,868,095
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$17,065,388
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$12,914,221
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,631,271
Value of interest in pooled separate accounts at end of year2018-12-31$17,284,137
Value of interest in pooled separate accounts at beginning of year2018-12-31$16,666,320
Interest on participant loans2018-12-31$26,944
Income. Interest from loans (other than to participants)2018-12-31$27,704
Interest earned on other investments2018-12-31$74,724
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,729,984
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$4,081,889
Net investment gain/loss from pooled separate accounts2018-12-31$-741,726
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
Contributions received in cash from employer2018-12-31$1,843,396
Employer contributions (assets) at end of year2018-12-31$145,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$2,658,787
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31SC&H GROUP
Accountancy firm EIN2018-12-31205991824
2017 : VALIANT INTEGRATED SERVICES 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets from this plan2017-12-31$6,674,257
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$17,960,511
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$895,123
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$879,771
Expenses. Certain deemed distributions of participant loans2017-12-31$15,352
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$17,470,321
Value of total assets at end of year2017-12-31$17,065,388
Value of total assets at beginning of year2017-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$5,688
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
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 bond2017-12-31No
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$213,323
Participant contributions at end of year2017-12-31$399,069
Participant contributions at beginning of year2017-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$16,901,976
Administrative expenses (other) incurred2017-12-31$22,001
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$17,065,388
Value of net assets at end of year (total assets less liabilities)2017-12-31$17,065,388
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$0
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$12,631,271
Value of interest in pooled separate accounts at end of year2017-12-31$16,666,319
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$5,681
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$7
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$4,081,889
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$4,217,452
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$2,542,679
Net investment gain/loss from pooled separate accounts2017-12-31$484,502
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
Contributions received in cash from employer2017-12-31$355,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$879,771
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31SCH GROUP
Accountancy firm EIN2017-12-31521743645

Form 5500 Responses for VALIANT INTEGRATED SERVICES 401(K) PLAN

2022: VALIANT INTEGRATED SERVICES 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: VALIANT INTEGRATED SERVICES 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: VALIANT INTEGRATED SERVICES 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: VALIANT INTEGRATED SERVICES 401(K) 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: VALIANT INTEGRATED SERVICES 401(K) 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: VALIANT INTEGRATED SERVICES 401(K) PLAN 2017 form 5500 responses
2017-02-03Type of plan entitySingle employer plan
2017-02-03First time form 5500 has been submittedYes
2017-02-03Submission has been amendedYes
2017-02-03This submission is the final filingNo
2017-02-03This return/report is a short plan year return/report (less than 12 months)Yes
2017-02-03Plan is a collectively bargained planNo
2017-02-03Plan funding arrangement – InsuranceYes
2017-02-03Plan funding arrangement – TrustYes
2017-02-03Plan benefit arrangement – InsuranceYes
2017-02-03Plan benefit arrangement - TrustYes
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedYes
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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number723109
Policy instance 2
Insurance contract or identification number723109
Number of Individuals Covered6262
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered6262
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number723109
Policy instance 2
Insurance contract or identification number723109
Number of Individuals Covered5902
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered5902
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-812800
Policy instance 3
Insurance contract or identification numberGA-812800
Number of Individuals Covered1
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number723109
Policy instance 2
Insurance contract or identification number723109
Number of Individuals Covered5994
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered5994
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-812800
Policy instance 1
Insurance contract or identification numberGA-812800
Number of Individuals Covered1
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 $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?Yes
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number235-80173
Policy instance 2
Insurance contract or identification number235-80173
Number of Individuals Covered1234
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $9,456
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $9,456
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number235-80173
Policy instance 2
Insurance contract or identification number235-80173
Number of Individuals Covered1174
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,702
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?Yes
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $5,695
Insurance broker organization code?4
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA 812800
Policy instance 1
Insurance contract or identification numberGA 812800
Number of Individuals Covered1
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?Yes
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?Yes
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number235-80173
Policy instance 1
Insurance contract or identification number235-80173
Number of Individuals Covered1256
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $10,702
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $5,007
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number235-80173
Policy instance 1
Insurance contract or identification number235-80173
Number of Individuals Covered573
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,308
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-812800
Policy instance 1
Insurance contract or identification numberGA-812800
Number of Individuals Covered1
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?Yes
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?Yes
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number23580173
Policy instance 2
Insurance contract or identification number23580173
Number of Individuals Covered573
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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