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PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 401k Plan overview

Plan NamePHARR YARNS EMPLOYEE BENEFIT PLAN TRUST
Plan identification number 501

PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

GREENLEAVES CAPITAL, LLC has sponsored the creation of one or more 401k plans.

Company Name:GREENLEAVES CAPITAL, LLC
Employer identification number (EIN):560419352
NAIC Classification:314000
NAIC Description: Textile Product Mills

Additional information about GREENLEAVES CAPITAL, LLC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0757347

More information about GREENLEAVES CAPITAL, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2018-10-12
5012016-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2017-10-13
5012016-01-01 FREDERICK J. ERICKSON2017-10-12
5012015-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2016-10-06
5012014-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2015-10-13
5012013-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2014-10-09
5012012-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2013-10-15
5012011-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2012-10-10
5012009-01-01GREGORY M. PEELER FREDERICK J. ERICKSON2010-10-13

Plan Statistics for PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST

401k plan membership statisitcs for PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2022: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01202
Total number of active participants reported on line 7a of the Form 55002022-01-01192
Number of retired or separated participants receiving benefits2022-01-013
Total of all active and inactive participants2022-01-01195
2021: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01164
Total number of active participants reported on line 7a of the Form 55002021-01-01197
Number of retired or separated participants receiving benefits2021-01-015
Total of all active and inactive participants2021-01-01202
2020: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01908
Total number of active participants reported on line 7a of the Form 55002020-01-01162
Number of retired or separated participants receiving benefits2020-01-012
Total of all active and inactive participants2020-01-01164
2019: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,200
Total number of active participants reported on line 7a of the Form 55002019-01-01908
Number of retired or separated participants receiving benefits2019-01-017
Total of all active and inactive participants2019-01-01915
2018: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,105
Total number of active participants reported on line 7a of the Form 55002018-01-011,196
Number of retired or separated participants receiving benefits2018-01-014
Total of all active and inactive participants2018-01-011,200
2017: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01890
Total number of active participants reported on line 7a of the Form 55002017-01-011,098
Number of retired or separated participants receiving benefits2017-01-017
Total of all active and inactive participants2017-01-011,105
2016: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01807
Total number of active participants reported on line 7a of the Form 55002016-01-01886
Number of retired or separated participants receiving benefits2016-01-014
Total of all active and inactive participants2016-01-01890
2015: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-01815
Total number of active participants reported on line 7a of the Form 55002015-01-01804
Number of retired or separated participants receiving benefits2015-01-013
Total of all active and inactive participants2015-01-01807
2014: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01780
Total number of active participants reported on line 7a of the Form 55002014-01-01811
Number of retired or separated participants receiving benefits2014-01-014
Total of all active and inactive participants2014-01-01815
2013: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01822
Total number of active participants reported on line 7a of the Form 55002013-01-01775
Number of retired or separated participants receiving benefits2013-01-015
Total of all active and inactive participants2013-01-01780
2012: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01895
Total number of active participants reported on line 7a of the Form 55002012-01-01817
Number of retired or separated participants receiving benefits2012-01-015
Total of all active and inactive participants2012-01-01822
2011: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01838
Total number of active participants reported on line 7a of the Form 55002011-01-01886
Number of retired or separated participants receiving benefits2011-01-019
Total of all active and inactive participants2011-01-01895
2009: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01929
Total number of active participants reported on line 7a of the Form 55002009-01-01884
Number of retired or separated participants receiving benefits2009-01-0112
Total of all active and inactive participants2009-01-01896
Total participants2009-01-01896

Financial Data on PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2022 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$2,442,097
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,521,405
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,443,082
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,442,350
Value of total assets at end of year2022-12-31$279,585
Value of total assets at beginning of year2022-12-31$358,893
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$78,323
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$7,806
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$7,806
Administrative expenses professional fees incurred2022-12-31$24,325
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$491,846
Administrative expenses (other) incurred2022-12-31$7,801
Liabilities. Value of operating payables at beginning of year2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$341
Total non interest bearing cash at beginning of year2022-12-31$207,889
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-79,308
Value of net assets at end of year (total assets less liabilities)2022-12-31$279,585
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$358,893
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$142,945
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$151,004
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$136,299
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,380,959
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-8,059
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 contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,950,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$62,123
Contract administrator fees2022-12-31$46,197
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
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 name2022-12-31GREERWALKER LLP
Accountancy firm EIN2022-12-31561434747
2021 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 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$2,330,024
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,361,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,343,081
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,324,334
Value of total assets at end of year2021-12-31$358,893
Value of total assets at beginning of year2021-12-31$389,957
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$18,007
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$4,828
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$4,828
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
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$501,255
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$2,414
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Administrative expenses (other) incurred2021-12-31$12,089
Liabilities. Value of operating payables at end of year2021-12-31$0
Liabilities. Value of operating payables at beginning of year2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$207,889
Total non interest bearing cash at beginning of year2021-12-31$62,901
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-31,064
Value of net assets at end of year (total assets less liabilities)2021-12-31$358,893
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$389,957
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$151,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$319,437
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,259,124
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$862
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 contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,823,079
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$5,205
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$83,957
Contract administrator fees2021-12-31$5,918
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
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 name2021-12-31GREERWALKER LLP
Accountancy firm EIN2021-12-31561434747
2020 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
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$127,885
Total income from all sources (including contributions)2020-12-31$3,914,866
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,254,127
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,099,359
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$3,911,078
Value of total assets at end of year2020-12-31$389,957
Value of total assets at beginning of year2020-12-31$857,103
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$154,768
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$6,221
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$6,221
Administrative expenses professional fees incurred2020-12-31$22,725
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 period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,047,913
Participant contributions at end of year2020-12-31$2,414
Participant contributions at beginning of year2020-12-31$34,413
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$1,372
Administrative expenses (other) incurred2020-12-31$125,636
Liabilities. Value of operating payables at end of year2020-12-31$0
Liabilities. Value of operating payables at beginning of year2020-12-31$22,240
Total non interest bearing cash at end of year2020-12-31$62,901
Total non interest bearing cash at beginning of year2020-12-31$378,103
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-339,261
Value of net assets at end of year (total assets less liabilities)2020-12-31$389,957
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$729,218
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
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$319,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$443,215
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,648,186
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$-2,433
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 contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,863,165
Employer contributions (assets) at end of year2020-12-31$5,205
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,451,173
Contract administrator fees2020-12-31$6,407
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$105,645
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
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31GREERWALKER LLP
Accountancy firm EIN2020-12-31561434747
2019 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 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$127,885
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$215,680
Total income from all sources (including contributions)2019-12-31$12,595,725
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$12,574,550
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$11,799,949
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$12,579,460
Value of total assets at end of year2019-12-31$857,103
Value of total assets at beginning of year2019-12-31$923,723
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$774,601
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$10,943
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$10,943
Administrative expenses professional fees incurred2019-12-31$21,725
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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$3,301,284
Participant contributions at end of year2019-12-31$34,413
Participant contributions at beginning of year2019-12-31$73,655
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$1,372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,347
Administrative expenses (other) incurred2019-12-31$718,704
Liabilities. Value of operating payables at end of year2019-12-31$22,240
Liabilities. Value of operating payables at beginning of year2019-12-31$15,055
Total non interest bearing cash at end of year2019-12-31$378,103
Total non interest bearing cash at beginning of year2019-12-31$301,053
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$21,175
Value of net assets at end of year (total assets less liabilities)2019-12-31$729,218
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$708,043
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$443,215
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$427,014
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,510,393
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$5,322
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$9,278,176
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$120,654
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$10,289,556
Contract administrator fees2019-12-31$34,172
Liabilities. Value of benefit claims payable at end of year2019-12-31$105,645
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$200,625
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)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31GREERWALKER LLP
Accountancy firm EIN2019-12-31561434747
2018 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 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$215,680
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$120,023
Total income from all sources (including contributions)2018-12-31$10,935,877
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$11,353,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$10,644,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$10,933,818
Value of total assets at end of year2018-12-31$923,723
Value of total assets at beginning of year2018-12-31$1,245,862
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$709,175
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$9,815
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$9,815
Administrative expenses professional fees incurred2018-12-31$19,025
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$3,123,786
Participant contributions at end of year2018-12-31$73,655
Participant contributions at beginning of year2018-12-31$141,277
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,347
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$1,293
Administrative expenses (other) incurred2018-12-31$653,746
Liabilities. Value of operating payables at end of year2018-12-31$15,055
Liabilities. Value of operating payables at beginning of year2018-12-31$13,398
Total non interest bearing cash at end of year2018-12-31$301,053
Total non interest bearing cash at beginning of year2018-12-31$354,305
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-417,796
Value of net assets at end of year (total assets less liabilities)2018-12-31$708,043
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,125,839
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$427,014
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$526,020
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,348,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-7,756
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$7,810,032
Employer contributions (assets) at end of year2018-12-31$120,654
Employer contributions (assets) at beginning of year2018-12-31$222,967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$9,296,034
Contract administrator fees2018-12-31$36,404
Liabilities. Value of benefit claims payable at end of year2018-12-31$200,625
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$106,625
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)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31GREERWALKER LLP
Accountancy firm EIN2018-12-31561434747
2017 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$120,023
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$108,967
Total income from all sources (including contributions)2017-12-31$8,363,536
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$8,747,425
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$8,248,900
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,357,597
Value of total assets at end of year2017-12-31$1,245,862
Value of total assets at beginning of year2017-12-31$1,618,695
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$498,525
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$6,547
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$6,547
Administrative expenses professional fees incurred2017-12-31$14,500
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,831,795
Participant contributions at end of year2017-12-31$364,244
Participant contributions at beginning of year2017-12-31$135,506
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$1,293
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,293
Administrative expenses (other) incurred2017-12-31$449,641
Liabilities. Value of operating payables at end of year2017-12-31$13,398
Liabilities. Value of operating payables at beginning of year2017-12-31$4,238
Total non interest bearing cash at end of year2017-12-31$354,305
Total non interest bearing cash at beginning of year2017-12-31$961,750
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-383,889
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,125,839
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,509,728
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$526,020
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$520,146
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,096,861
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$-608
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$5,525,802
Employer contributions (assets) at beginning of year2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$7,152,039
Contract administrator fees2017-12-31$34,384
Liabilities. Value of benefit claims payable at end of year2017-12-31$106,625
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$104,729
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31GREERWALKER LLP
Accountancy firm EIN2017-12-31561434747
2016 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$108,967
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$64,759
Total income from all sources (including contributions)2016-12-31$6,392,564
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$5,759,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$5,295,695
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$6,381,276
Value of total assets at end of year2016-12-31$1,618,695
Value of total assets at beginning of year2016-12-31$941,366
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$463,748
Total interest from all sources2016-12-31$48
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$6,070
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$6,070
Administrative expenses professional fees incurred2016-12-31$14,500
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,211,288
Participant contributions at end of year2016-12-31$135,506
Participant contributions at beginning of year2016-12-31$95,993
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,293
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,250
Administrative expenses (other) incurred2016-12-31$422,315
Liabilities. Value of operating payables at end of year2016-12-31$4,238
Liabilities. Value of operating payables at beginning of year2016-12-31$11,104
Total non interest bearing cash at end of year2016-12-31$961,750
Total non interest bearing cash at beginning of year2016-12-31$335,152
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$633,121
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,509,728
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$876,607
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$520,146
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$508,971
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$48
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$826,644
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$5,170
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,169,988
Employer contributions (assets) at end of year2016-12-31$0
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,469,051
Contract administrator fees2016-12-31$26,933
Liabilities. Value of benefit claims payable at end of year2016-12-31$104,729
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$53,655
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31GREERWALKER LLP
Accountancy firm EIN2016-12-31561434747
2015 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$64,759
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$167,540
Total income from all sources (including contributions)2015-12-31$6,034,741
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$6,420,190
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$6,022,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$6,033,531
Value of total assets at end of year2015-12-31$941,366
Value of total assets at beginning of year2015-12-31$1,429,596
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$397,397
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$6,076
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$6,076
Administrative expenses professional fees incurred2015-12-31$14,200
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,243,910
Participant contributions at end of year2015-12-31$95,993
Participant contributions at beginning of year2015-12-31$85,379
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,250
Administrative expenses (other) incurred2015-12-31$358,269
Liabilities. Value of operating payables at end of year2015-12-31$11,104
Liabilities. Value of operating payables at beginning of year2015-12-31$6,463
Total non interest bearing cash at end of year2015-12-31$335,152
Total non interest bearing cash at beginning of year2015-12-31$826,318
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-385,449
Value of net assets at end of year (total assets less liabilities)2015-12-31$876,607
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,262,056
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$508,971
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$507,843
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$768,672
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-4,866
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$3,789,621
Employer contributions (assets) at end of year2015-12-31$0
Employer contributions (assets) at beginning of year2015-12-31$10,056
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$5,254,121
Contract administrator fees2015-12-31$24,928
Liabilities. Value of benefit claims payable at end of year2015-12-31$53,655
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$161,077
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31GREERWALKER LLP
Accountancy firm EIN2015-12-31561434747
2014 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$167,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$10,897
Total income from all sources (including contributions)2014-12-31$6,091,048
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,654,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,525,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$6,089,042
Value of total assets at end of year2014-12-31$1,429,596
Value of total assets at beginning of year2014-12-31$836,102
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$128,517
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$6,568
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$6,568
Administrative expenses professional fees incurred2014-12-31$14,000
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,340,501
Participant contributions at end of year2014-12-31$85,379
Participant contributions at beginning of year2014-12-31$131,069
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$20,210
Administrative expenses (other) incurred2014-12-31$89,506
Liabilities. Value of operating payables at end of year2014-12-31$6,463
Liabilities. Value of operating payables at beginning of year2014-12-31$9,739
Total non interest bearing cash at end of year2014-12-31$826,318
Total non interest bearing cash at beginning of year2014-12-31$168,812
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$436,851
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,262,056
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$825,205
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$507,843
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$505,955
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,332,784
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-4,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,748,541
Employer contributions (assets) at end of year2014-12-31$10,056
Employer contributions (assets) at beginning of year2014-12-31$10,056
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$3,192,896
Contract administrator fees2014-12-31$25,011
Liabilities. Value of benefit claims payable at end of year2014-12-31$161,077
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,158
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31GREERWALKER LLP
Accountancy firm EIN2014-12-31561434747
2013 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$10,897
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$4,333
Total income from all sources (including contributions)2013-12-31$6,031,374
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$5,981,831
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$5,877,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,023,441
Value of total assets at end of year2013-12-31$836,102
Value of total assets at beginning of year2013-12-31$779,995
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$103,884
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$6,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$6,108
Administrative expenses professional fees incurred2013-12-31$16,500
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,331,357
Participant contributions at end of year2013-12-31$131,069
Participant contributions at beginning of year2013-12-31$63,099
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$20,210
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$25,280
Administrative expenses (other) incurred2013-12-31$62,179
Liabilities. Value of operating payables at end of year2013-12-31$9,739
Liabilities. Value of operating payables at beginning of year2013-12-31$2,695
Total non interest bearing cash at end of year2013-12-31$168,812
Total non interest bearing cash at beginning of year2013-12-31$184,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$49,543
Value of net assets at end of year (total assets less liabilities)2013-12-31$825,205
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$775,662
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$505,955
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$498,105
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$5,468,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,825
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$3,692,084
Employer contributions (assets) at end of year2013-12-31$10,056
Employer contributions (assets) at beginning of year2013-12-31$8,841
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$409,672
Contract administrator fees2013-12-31$25,205
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,158
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,638
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31GREERWALKER LLP
Accountancy firm EIN2013-12-31561434747
2012 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$4,333
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$8,813
Total income from all sources (including contributions)2012-12-31$6,292,010
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$6,385,209
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,279,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,265,570
Value of total assets at end of year2012-12-31$779,995
Value of total assets at beginning of year2012-12-31$877,674
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$105,521
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$6,959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$6,959
Administrative expenses professional fees incurred2012-12-31$16,500
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,550,734
Participant contributions at end of year2012-12-31$63,099
Participant contributions at beginning of year2012-12-31$94,646
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$25,280
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$27,680
Administrative expenses (other) incurred2012-12-31$61,979
Liabilities. Value of operating payables at end of year2012-12-31$2,695
Liabilities. Value of operating payables at beginning of year2012-12-31$6,471
Total non interest bearing cash at end of year2012-12-31$184,670
Total non interest bearing cash at beginning of year2012-12-31$212,903
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-93,199
Value of net assets at end of year (total assets less liabilities)2012-12-31$775,662
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$868,861
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$498,105
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$538,237
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$5,808,697
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$19,481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$3,714,836
Employer contributions (assets) at end of year2012-12-31$8,841
Employer contributions (assets) at beginning of year2012-12-31$4,208
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$470,991
Contract administrator fees2012-12-31$27,042
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,638
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$2,342
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31GREERWALKER LLP
Accountancy firm EIN2012-12-31561434747
2011 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$8,813
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$15,508
Total income from all sources (including contributions)2011-12-31$6,790,406
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$6,853,903
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,746,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$6,786,587
Value of total assets at end of year2011-12-31$877,674
Value of total assets at beginning of year2011-12-31$947,866
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$107,345
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$7,014
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$7,014
Administrative expenses professional fees incurred2011-12-31$17,400
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,913,786
Participant contributions at end of year2011-12-31$94,646
Participant contributions at beginning of year2011-12-31$94,435
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$27,680
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$13,942
Administrative expenses (other) incurred2011-12-31$62,356
Liabilities. Value of operating payables at end of year2011-12-31$6,471
Liabilities. Value of operating payables at beginning of year2011-12-31$13,924
Total non interest bearing cash at end of year2011-12-31$212,903
Total non interest bearing cash at beginning of year2011-12-31$280,801
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-63,497
Value of net assets at end of year (total assets less liabilities)2011-12-31$868,861
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$932,358
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$538,237
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$554,563
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$6,311,017
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-3,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$3,872,801
Employer contributions (assets) at end of year2011-12-31$4,208
Employer contributions (assets) at beginning of year2011-12-31$4,125
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$435,541
Contract administrator fees2011-12-31$27,589
Liabilities. Value of benefit claims payable at end of year2011-12-31$2,342
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,584
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31GREER & WALKER, LLP
Accountancy firm EIN2011-12-31561434747
2010 : PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$15,508
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,447
Total income from all sources (including contributions)2010-12-31$6,306,294
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$6,424,991
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,300,563
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,293,448
Value of total assets at end of year2010-12-31$947,866
Value of total assets at beginning of year2010-12-31$1,054,502
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$124,428
Total interest from all sources2010-12-31$174
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$7,072
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$20,200
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,701,842
Participant contributions at end of year2010-12-31$94,435
Participant contributions at beginning of year2010-12-31$51,039
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$13,942
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$14,138
Administrative expenses (other) incurred2010-12-31$76,724
Liabilities. Value of operating payables at end of year2010-12-31$13,924
Liabilities. Value of operating payables at beginning of year2010-12-31$0
Total non interest bearing cash at end of year2010-12-31$280,801
Total non interest bearing cash at beginning of year2010-12-31$267,727
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-118,697
Value of net assets at end of year (total assets less liabilities)2010-12-31$932,358
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,051,055
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$155,800
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$150,200
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$398,763
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$542,256
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$542,256
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$174
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$5,931,610
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$5,600
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$3,591,606
Employer contributions (assets) at end of year2010-12-31$4,125
Employer contributions (assets) at beginning of year2010-12-31$29,142
Income. Dividends from common stock2010-12-31$7,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$368,953
Contract administrator fees2010-12-31$27,504
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,584
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$3,447
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31GREER & WALKER, LLP
Accountancy firm EIN2010-12-31561434747

Form 5500 Responses for PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST

2022: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
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 planNo
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: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
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 planNo
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: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
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 planNo
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: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 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: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 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: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
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
2016: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: PHARR YARNS EMPLOYEE BENEFIT PLAN TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0210076
Policy instance 1
Insurance contract or identification number0210076
Number of Individuals Covered231
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $91,692
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $2,348,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,692
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0210076
Policy instance 1
Insurance contract or identification number0210076
Number of Individuals Covered222
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $78,792
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $2,134,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $78,792
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966682
Policy instance 1
Insurance contract or identification numberFLX966682
Number of Individuals Covered37
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $28,871
Total amount of fees paid to insurance companyUSD $5,236
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $288,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,871
Amount paid for insurance broker fees5236
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK-968204
Policy instance 2
Insurance contract or identification numberOK-968204
Number of Individuals Covered37
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $481
Total amount of fees paid to insurance companyUSD $156
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $4,808
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $481
Amount paid for insurance broker fees156
Additional information about fees paid to insurance brokerSALES & SERVICE
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK-968204
Policy instance 2
Insurance contract or identification numberOK-968204
Number of Individuals Covered908
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $693
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $6,927
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $693
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966682
Policy instance 1
Insurance contract or identification numberFLX966682
Number of Individuals Covered908
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $34,801
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $348,007
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $34,801
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966682
Policy instance 1
Insurance contract or identification numberFLX966682
Number of Individuals Covered1200
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $33,692
Total amount of fees paid to insurance companyUSD $5,287
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $337,212
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $33,692
Amount paid for insurance broker fees5287
Additional information about fees paid to insurance brokerOTHER
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK-968204
Policy instance 2
Insurance contract or identification numberOK-968204
Number of Individuals Covered1200
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $1,024
Total amount of fees paid to insurance companyUSD $153
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $10,237
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,024
Amount paid for insurance broker fees153
Additional information about fees paid to insurance brokerOTHER
Insurance broker organization code?3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX966682
Policy instance 1
Insurance contract or identification numberFLX966682
Number of Individuals Covered1303
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $28,326
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $284,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,326
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICE
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number107169
Policy instance 3
Insurance contract or identification number107169
Number of Individuals Covered2
Insurance policy start date2016-12-01
Insurance policy end date2017-11-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $15,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK-968204
Policy instance 2
Insurance contract or identification numberOK-968204
Number of Individuals Covered1303
Insurance policy start date2016-05-01
Insurance policy end date2017-04-30
Total amount of commissions paid to insurance brokerUSD $850
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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $8,500
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $850
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICE
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 143985
Policy instance 1
Insurance contract or identification numberGL 143985
Number of Individuals Covered662
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $19,604
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $202,036
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19,604
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES USA
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3120470000
Policy instance 2
Insurance contract or identification number3120470000
Number of Individuals Covered1014
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $1,991,523
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONVENTRY HEALTH AND LIFE (National Association of Insurance Commissioners NAIC id number: 81973 )
Policy contract number3120473000
Policy instance 3
Insurance contract or identification number3120473000
Number of Individuals Covered0
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $455
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 143985
Policy instance 1
Insurance contract or identification numberGL 143985
Number of Individuals Covered833
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $21,129
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $211,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,129
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES USA
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL 143985
Policy instance 1
Insurance contract or identification numberGL 143985
Number of Individuals Covered830
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $27,149
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $271,492
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,149
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES USA
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3120470000
Policy instance 2
Insurance contract or identification number3120470000
Number of Individuals Covered1084
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $4,968,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number107169
Policy instance 3
Insurance contract or identification number107169
Number of Individuals Covered52
Insurance policy start date2012-12-01
Insurance policy end date2013-11-30
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?No
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
Welfare Benefit Premiums Paid to CarrierUSD $291,137
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 143985
Policy instance 1
Insurance contract or identification numberGL 143985
Number of Individuals Covered934
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $28,507
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT, BASIC, DEPENDENT & SUPPLEMENTAL LIFE
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 CarrierUSD $285,074
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,507
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SERVICES USA
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3120470000
Policy instance 2
Insurance contract or identification number3120470000
Number of Individuals Covered1175
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
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?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $5,928,934
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 143985
Policy instance 1
Insurance contract or identification numberGL 143985
Number of Individuals Covered941
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $28,688
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $286,885
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3120470000
Policy instance 2
Insurance contract or identification number3120470000
Number of Individuals Covered1159
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
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?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $5,635,272
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COVENTRY HEALTH CARE OF CAROLINAS, INC. (National Association of Insurance Commissioners NAIC id number: 95321 )
Policy contract number3120470000
Policy instance 2
Insurance contract or identification number3120470000
Number of Individuals Covered1203
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
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?No
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $5,137,098
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 143985
Policy instance 1
Insurance contract or identification numberGL 143985
Number of Individuals Covered958
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $31,957
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
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 CarrierUSD $317,424
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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