401k Plan data: ROYSTON LLC LIFE/LTD PLAN plan

ROYSTON LLC LIFE/LTD PLAN 401k Plan overview

Plan Name	ROYSTON LLC LIFE/LTD PLAN
Plan identification number	514

ROYSTON LLC LIFE/LTD PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

ROYSTON LLC has sponsored the creation of one or more 401k plans.

Company Name: ROYSTON LLC

Employer identification number (EIN): 582424598

NAIC Classification: 332900

Additional information about ROYSTON LLC

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 2013-12-03

Company Identification Number: 4494952

Legal Registered Office Address: 16861 STATE HIGHWAY 89
Kings
HAT CREEK
United States of America (USA)
960409414

More information about ROYSTON LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROYSTON LLC LIFE/LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
514 2014-01-01 RICK HALL
514 2013-01-01 RICK HALL
514 2012-01-01 RICK HALL
514 2011-01-01 RICK HALL
514 2009-01-01 RICK HALL

Plan id#	Filing Submission Date	Name of Administrator
514	2014-01-01	RICK HALL
514	2013-01-01	RICK HALL
514	2012-01-01	RICK HALL
514	2011-01-01	RICK HALL
514	2009-01-01	RICK HALL

Plan Statistics for ROYSTON LLC LIFE/LTD PLAN

401k plan membership statisitcs for ROYSTON LLC LIFE/LTD PLAN

Measure Date Value
2014: ROYSTON LLC LIFE/LTD PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 543
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 0
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: ROYSTON LLC LIFE/LTD PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 615
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 543
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 543
2012: ROYSTON LLC LIFE/LTD PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 565
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 627
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 627
2011: ROYSTON LLC LIFE/LTD PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 559
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 552
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 552
2009: ROYSTON LLC LIFE/LTD PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 524
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 492
Total of all active and inactive participants 2009-01-01 492
Total participants 2009-01-01 492
Number of employers contributing to the scheme 2009-01-01 492

Measure	Date	Value
2014: ROYSTON LLC LIFE/LTD PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	543
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	0
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: ROYSTON LLC LIFE/LTD PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	615
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	543
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	543
2012: ROYSTON LLC LIFE/LTD PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	565
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	627
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	627
2011: ROYSTON LLC LIFE/LTD PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	559
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	552
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	552
2009: ROYSTON LLC LIFE/LTD PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	524
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	492
Total of all active and inactive participants	2009-01-01	492
Total participants	2009-01-01	492
Number of employers contributing to the scheme	2009-01-01	492

Form 5500 Responses for ROYSTON LLC LIFE/LTD PLAN

2014: ROYSTON LLC LIFE/LTD PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	Yes
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: ROYSTON LLC LIFE/LTD PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: ROYSTON LLC LIFE/LTD PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: ROYSTON LLC LIFE/LTD PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: ROYSTON LLC LIFE/LTD PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )

Policy contract number

850-290989-01

Policy instance

Insurance contract or identification number	850-290989-01
Number of Individuals Covered	464
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $60,743
Total amount of fees paid to insurance company	USD $8,796
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	AD&D
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 Carrier	USD $345,317
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $60,743
Amount paid for insurance broker fees	8796
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMP
Insurance broker organization code?	3
Insurance broker name	GALLAGHER BENEFIT SERVICES

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )

Policy contract number

850-290989-01

Policy instance

Insurance contract or identification number	850-290989-01
Number of Individuals Covered	546
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $45,992
Total amount of fees paid to insurance company	USD $2,116
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL 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 Carrier	USD $366,660
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $32,404
Insurance broker organization code?	3
Amount paid for insurance broker fees	2116
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker name	GALLAGHER BENEFIT SERVICES, INC.

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

677633G

Policy instance

Insurance contract or identification number	677633G
Number of Individuals Covered	619
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $29,066
Total amount of fees paid to insurance company	USD $3,489
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL 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 Carrier	USD $297,162
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $26,552
Amount paid for insurance broker fees	3489
Additional information about fees paid to insurance broker	BONUS
Insurance broker organization code?	3
Insurance broker name	ARGUS HOLDINGS

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

677633G

Policy instance

Insurance contract or identification number	677633G
Number of Individuals Covered	552
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $28,008
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL 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 Carrier	USD $286,687
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )

Policy contract number

677633G

Policy instance

Insurance contract or identification number	677633G
Number of Individuals Covered	559
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $26,144
Total amount of fees paid to insurance company	USD $7,667
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	ACCIDENTAL 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 Carrier	USD $265,183
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $17,031
Amount paid for insurance broker fees	7586
Additional information about fees paid to insurance broker	BONUS COMPENSATION
Insurance broker organization code?	3
Insurance broker name	THE MCCART GROUP INC

Potentially related plans

ROYSTON LLC 401(K) PLAN [EIN = 833378989]

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Company Name:	ROYSTON LLC
Employer identification number (EIN):	582424598
NAIC Classification:	332900

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	2013-12-03
Company Identification Number:	4494952
Legal Registered Office Address:	16861 STATE HIGHWAY 89 Kings HAT CREEK United States of America (USA) 960409414