401k Plan data: BECKER TIRE & TREADING, INC. plan

BECKER TIRE & TREADING, INC. 401k Plan overview

Plan Name	BECKER TIRE & TREADING, INC.
Plan identification number	502

BECKER TIRE & TREADING, INC. Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Other welfare benefit cover

401k Sponsoring company profile

BECKER TIRE & TREADING, INC. has sponsored the creation of one or more 401k plans.

Company Name: BECKER TIRE & TREADING, INC.

Employer identification number (EIN): 480684158

NAIC Classification: 441300
NAIC Description: Automotive Parts, Accessories, and Tire Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BECKER TIRE & TREADING, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01
502 2016-01-01
502 2015-01-01
502 2014-01-01

Plan Statistics for BECKER TIRE & TREADING, INC.

401k plan membership statisitcs for BECKER TIRE & TREADING, INC.

Measure Date Value
2017: BECKER TIRE & TREADING, INC. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 111
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: BECKER TIRE & TREADING, INC. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 117
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 111
Total of all active and inactive participants 2016-01-01 111
2015: BECKER TIRE & TREADING, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 116
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 116
Total of all active and inactive participants 2015-01-01 116
2014: BECKER TIRE & TREADING, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 131
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 114
Total of all active and inactive participants 2014-01-01 114

Measure	Date	Value
2017: BECKER TIRE & TREADING, INC. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	111
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: BECKER TIRE & TREADING, INC. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	117
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	111
Total of all active and inactive participants	2016-01-01	111
2015: BECKER TIRE & TREADING, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	116
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	116
Total of all active and inactive participants	2015-01-01	116
2014: BECKER TIRE & TREADING, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	131
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	114
Total of all active and inactive participants	2014-01-01	114

Form 5500 Responses for BECKER TIRE & TREADING, INC.

2017: BECKER TIRE & TREADING, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: BECKER TIRE & TREADING, INC. 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 benefit arrangement – Insurance	Yes
2015: BECKER TIRE & TREADING, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: BECKER TIRE & TREADING, INC. 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

632106

Policy instance

Insurance contract or identification number	632106
Number of Individuals Covered	0
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
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $1,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

632106

Policy instance

Insurance contract or identification number	632106
Number of Individuals Covered	116
Insurance policy start date	2015-01-01
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
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	AD & D
Welfare Benefit Premiums Paid to Carrier	USD $4,868
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

UNION SECURITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70408 )

Policy contract number

5466415

Policy instance

Insurance contract or identification number	5466415
Number of Individuals Covered	114
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $806
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
Other welfare benefits provided	AD & D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $806
Insurance broker organization code?	3
Insurance broker name	BENEFIT MANAGEMENT INC

Potentially related plans

BECKER TIRE LLC 401(K) PLAN [EIN = 272450787]

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Company Name:	BECKER TIRE & TREADING, INC.
Employer identification number (EIN):	480684158
NAIC Classification:	441300
NAIC Description:	Automotive Parts, Accessories, and Tire Stores