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JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 401k Plan overview

Plan NameJOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN
Plan identification number 505

JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

JOHN S. CLARK COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:JOHN S. CLARK COMPANY, LLC
Employer identification number (EIN):561751248
NAIC Classification:236200

Additional information about JOHN S. CLARK COMPANY, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 4087582

More information about JOHN S. CLARK COMPANY, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052012-01-01KEISUKE MIZUTANI
5052011-01-01JULIE PERKINS
5052010-01-01JULIE PERKINS
5052009-01-01KEN KLAMFOTH

Plan Statistics for JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN

401k plan membership statisitcs for JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN

Measure Date Value
2012: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01182
Total number of active participants reported on line 7a of the Form 55002012-01-010
Total of all active and inactive participants2012-01-010
2011: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01196
Total number of active participants reported on line 7a of the Form 55002011-01-01182
Total of all active and inactive participants2011-01-01182
2010: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01201
Total number of active participants reported on line 7a of the Form 55002010-01-01196
Total of all active and inactive participants2010-01-01196
2009: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01257
Total number of active participants reported on line 7a of the Form 55002009-01-01201
Total of all active and inactive participants2009-01-01201

Form 5500 Responses for JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN

2012: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01This submission is the final filingYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: JOHN S. CLARK COMPANY, LLC LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00609225
Policy instance 1
Insurance contract or identification numberG00609225
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-01-01
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameBB&T INSURANCE SERVICES
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00609225
Policy instance 1
Insurance contract or identification numberG00609225
Number of Individuals Covered281
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,079
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $39,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG00609225
Policy instance 1
Insurance contract or identification numberG00609225
Number of Individuals Covered301
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $7,220
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $45,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,220
Insurance broker organization code?3
Insurance broker nameTRINITY CONSULTING

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