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| Plan Name | LABORERS INTERNATIONAL UNION OF NORTH AMERICA DEATH BENEFIT PLAN |
| Plan identification number | 502 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | LABORERS INTERNATIONAL UNION OF NORTH AMERICA |
| Employer identification number (EIN): | 530088501 |
| NAIC Classification: | 813930 |
| NAIC Description: | Labor Unions and Similar Labor Organizations |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 502 | 2009-01-01 | ARMAND E. SABITONI |
| Measure | Date | Value |
|---|---|---|
| 2009: LABORERS INTERNATIONAL UNION OF NORTH AMERICA DEATH BENEFIT PLAN 2009 401k membership | ||
| Total participants, beginning-of-year | 2009-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|---|---|
| 2010 : LABORERS INTERNATIONAL UNION OF NORTH AMERICA DEATH BENEFIT PLAN 2010 401k financial data | ||
| Total plan liabilities at beginning of year | 2010-12-31 | $39,282 |
| Total income from all sources | 2010-12-31 | $21,612 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $21,612 |
| Total plan assets at beginning of year | 2010-12-31 | $39,282 |
| Value of fidelity bond covering the plan | 2010-12-31 | $500,000 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $21,204 |
| Other income received | 2010-12-31 | $21,612 |
| Net income (gross income less expenses) | 2010-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $408 |
| 2009: LABORERS INTERNATIONAL UNION OF NORTH AMERICA DEATH BENEFIT PLAN 2009 form 5500 responses | ||
|---|---|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
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