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TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 401k Plan overview

Plan NameTRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125
Plan identification number 501

TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

TRI-VALLEY DEVELOPMENTAL SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name:TRI-VALLEY DEVELOPMENTAL SERVICES INC
Employer identification number (EIN):480825148
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-07-01
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01TIMOTHY CUNNINGHAM
5012016-07-01TIMOTHY CUNNINGHAM
5012015-07-01TIMOTHY CUNNINGHAM
5012014-07-01TIMOTHY CUNNINGHAM
5012013-07-01TIMOTHY CUNNINGHAM
5012012-07-01TIMOTHY CUNNINGHAM
5012011-07-01TIMOTHY CUNNINGHAM
5012009-07-01TIMOTHY CUNNINGHAM
5012009-07-01TIM CUNNINGHAM

Plan Statistics for TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125

401k plan membership statisitcs for TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125

Measure Date Value
2022: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2022 401k membership
Total participants, beginning-of-year2022-07-01100
Total number of active participants reported on line 7a of the Form 55002022-07-01117
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-010
Total of all active and inactive participants2022-07-01117
2021: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2021 401k membership
Total participants, beginning-of-year2021-07-01116
Total number of active participants reported on line 7a of the Form 55002021-07-01100
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-010
Total of all active and inactive participants2021-07-01100
2020: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2020 401k membership
Total participants, beginning-of-year2020-07-01136
Total number of active participants reported on line 7a of the Form 55002020-07-01116
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-010
Total of all active and inactive participants2020-07-01116
2019: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2019 401k membership
Total participants, beginning-of-year2019-07-01101
Total number of active participants reported on line 7a of the Form 55002019-07-01136
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-01136
2018: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2018 401k membership
Total participants, beginning-of-year2018-07-01104
Total number of active participants reported on line 7a of the Form 55002018-07-01101
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-01101
2017: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2017 401k membership
Total participants, beginning-of-year2017-07-01112
Total number of active participants reported on line 7a of the Form 55002017-07-01104
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-01104
2016: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2016 401k membership
Total participants, beginning-of-year2016-07-01124
Total number of active participants reported on line 7a of the Form 55002016-07-01112
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-01112
2015: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2015 401k membership
Total participants, beginning-of-year2015-07-01109
Total number of active participants reported on line 7a of the Form 55002015-07-01124
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-01124
2014: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2014 401k membership
Total participants, beginning-of-year2014-07-01118
Total number of active participants reported on line 7a of the Form 55002014-07-01109
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-01109
2013: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2013 401k membership
Total participants, beginning-of-year2013-07-01126
Total number of active participants reported on line 7a of the Form 55002013-07-01118
Total of all active and inactive participants2013-07-01118
2012: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2012 401k membership
Total participants, beginning-of-year2012-07-01107
Total number of active participants reported on line 7a of the Form 55002012-07-01126
Total of all active and inactive participants2012-07-01126
2011: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2011 401k membership
Total participants, beginning-of-year2011-07-01118
Total number of active participants reported on line 7a of the Form 55002011-07-01107
Total of all active and inactive participants2011-07-01107
Total participants2011-07-01107
2009: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2009 401k membership
Total participants, beginning-of-year2009-07-01131
Total number of active participants reported on line 7a of the Form 55002009-07-01126
Total of all active and inactive participants2009-07-01126
Total participants2009-07-01126

Form 5500 Responses for TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125

2022: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan benefit arrangement – InsuranceYes
2021: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: TRIVALLEY DEVELOPMENTAL SERVICESINC IRC SECTION 125 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00022153
Policy instance 1
Insurance contract or identification number00022153
Number of Individuals Covered117
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,993
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00022153
Policy instance 1
Insurance contract or identification number00022153
Number of Individuals Covered100
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,668
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00022153
Policy instance 1
Insurance contract or identification number00022153
Number of Individuals Covered116
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00022153
Policy instance 1
Insurance contract or identification number00022153
Number of Individuals Covered136
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ADVANCE INSURANCE COMPANY OF KANSAS (National Association of Insurance Commissioners NAIC id number: 12143 )
Policy contract number00022153
Policy instance 1
Insurance contract or identification number00022153
Number of Individuals Covered101
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,206
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 numberGL 151481
Policy instance 1
Insurance contract or identification numberGL 151481
Number of Individuals Covered104
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $459
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,169
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $459
Insurance broker organization code?3
Insurance broker nameIMA INC.

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