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INTERLACHEN COUNTRY CLUB INC. 401K PLAN 401k Plan overview

Plan NameINTERLACHEN COUNTRY CLUB INC. 401K PLAN
Plan identification number 001

INTERLACHEN COUNTRY CLUB INC. 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

INTERLACHEN COUNTRY CLUB INC 401K PLAN has sponsored the creation of one or more 401k plans.

Company Name:INTERLACHEN COUNTRY CLUB INC 401K PLAN
Employer identification number (EIN):592256487
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERLACHEN COUNTRY CLUB INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01ANN GRAJEDA2019-04-25 ANN GRAJEDA2019-04-25
0012017-01-01BARRY HERMAN2018-05-30 BARRY HERMAN2018-05-30
0012016-01-01ANN GRAJEDA2017-10-03 ANN GRAJEDA2017-10-03
0012015-01-01ANN GRAJEDA2016-09-29 ANN GRAJEDA2016-09-29
0012014-01-01ANN GRAJEDA2015-10-07 ANN GRAJEDA2015-10-07
0012013-01-01ANN GRAJEDA2014-09-30 ANN GRAJEDA2014-09-30
0012012-01-01ANN GRAJEDA2013-09-25 ANN GRAJEDA2013-09-25
0012011-01-01CYNTHIA NAPLES2012-10-02 CYNTHIA NAPLES2012-10-02
0012010-01-01ANN GRAJEDA2011-06-27 ANN GRAJEDA2011-06-27

Plan Statistics for INTERLACHEN COUNTRY CLUB INC. 401K PLAN

401k plan membership statisitcs for INTERLACHEN COUNTRY CLUB INC. 401K PLAN

Measure Date Value
2022: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01167
Total number of active participants reported on line 7a of the Form 55002022-01-01109
Number of retired or separated participants receiving benefits2022-01-0130
Number of other retired or separated participants entitled to future benefits2022-01-0130
Total of all active and inactive participants2022-01-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01169
Number of participants with account balances2022-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0112
2021: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01148
Total number of active participants reported on line 7a of the Form 55002021-01-01152
Number of other retired or separated participants entitled to future benefits2021-01-019
Total of all active and inactive participants2021-01-01161
Total participants2021-01-01161
Number of participants with account balances2021-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01125
Total number of active participants reported on line 7a of the Form 55002020-01-01131
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-01140
Total participants2020-01-01140
Number of participants with account balances2020-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-015
2019: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01123
Total number of active participants reported on line 7a of the Form 55002019-01-01104
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01113
Number of participants with account balances2019-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012

Financial Data on INTERLACHEN COUNTRY CLUB INC. 401K PLAN

Measure Date Value
2022 : INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-203,629
Total of all expenses incurred2022-12-31$168,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$156,205
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$436,279
Value of total assets at end of year2022-12-31$4,465,006
Value of total assets at beginning of year2022-12-31$4,837,552
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$12,712
Total interest from all sources2022-12-31$2,686
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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$296,920
Participant contributions at end of year2022-12-31$58,479
Participant contributions at beginning of year2022-12-31$67,149
Participant contributions at beginning of year2022-12-31$4,451
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-372,546
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,465,006
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,837,552
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$4,403,337
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,761,570
Interest on participant loans2022-12-31$2,686
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$3,190
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$3,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$3,264
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-642,594
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$139,359
Employer contributions (assets) at beginning of year2022-12-31$1,118
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$156,205
Contract administrator fees2022-12-31$12,712
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 plan2022-12-31Disclaimer
Accountancy firm name2022-12-31ERIN M PERDUE CPA LLC
Accountancy firm EIN2022-12-31823518399
2021 : INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$938,567
Total of all expenses incurred2021-12-31$249,940
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$238,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$334,320
Value of total assets at end of year2021-12-31$4,837,552
Value of total assets at beginning of year2021-12-31$4,148,925
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$10,967
Total interest from all sources2021-12-31$3,935
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$263,011
Participant contributions at end of year2021-12-31$67,149
Participant contributions at beginning of year2021-12-31$71,673
Participant contributions at end of year2021-12-31$4,451
Participant contributions at beginning of year2021-12-31$3,756
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$688,627
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,837,552
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,148,925
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$4,761,570
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$20,332
Value of interest in pooled separate accounts at beginning of year2021-12-31$3,892,527
Interest on participant loans2021-12-31$3,935
Value of interest in common/collective trusts at beginning of year2021-12-31$159,575
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$3,264
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$600,312
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$71,309
Employer contributions (assets) at end of year2021-12-31$1,118
Employer contributions (assets) at beginning of year2021-12-31$1,062
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$238,973
Contract administrator fees2021-12-31$10,967
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
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 plan2021-12-31Disclaimer
Accountancy firm name2021-12-31ERIN M PERDUE CPA LLC
Accountancy firm EIN2021-12-31823518399
2020 : INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$848,979
Total of all expenses incurred2020-12-31$279,928
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$273,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$283,712
Value of total assets at end of year2020-12-31$4,148,925
Value of total assets at beginning of year2020-12-31$3,579,874
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$6,274
Total interest from all sources2020-12-31$4,896
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$6,274
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$400,000
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$211,218
Participant contributions at end of year2020-12-31$71,673
Participant contributions at beginning of year2020-12-31$76,200
Participant contributions at end of year2020-12-31$3,756
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$10,923
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
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$569,051
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,148,925
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,579,874
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$20,332
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$15,144
Value of interest in pooled separate accounts at end of year2020-12-31$3,892,527
Value of interest in pooled separate accounts at beginning of year2020-12-31$3,395,349
Interest on participant loans2020-12-31$4,896
Value of interest in common/collective trusts at end of year2020-12-31$159,575
Value of interest in common/collective trusts at beginning of year2020-12-31$93,181
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$559,441
Net investment gain or loss from common/collective trusts2020-12-31$930
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$61,571
Employer contributions (assets) at end of year2020-12-31$1,062
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$273,654
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 plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ERIN M PERDUE CPA LLC
Accountancy firm EIN2020-12-31823518399
2019 : INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,051,285
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$786,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$777,879
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Value of total corrective distributions2019-12-31$980
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$266,939
Value of total assets at end of year2019-12-31$3,579,874
Value of total assets at beginning of year2019-12-31$3,314,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$7,339
Total income from rents2019-12-31$0
Total interest from all sources2019-12-31$4,882
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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$0
Administrative expenses professional fees incurred2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$400,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Amount of non-exempt transactions with any party-in-interest2019-12-31$0
Contributions received from participants2019-12-31$205,865
Participant contributions at end of year2019-12-31$76,200
Participant contributions at beginning of year2019-12-31$69,225
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Liabilities. Value of operating payables at beginning of year2019-12-31$0
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$265,087
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,579,874
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,314,787
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2019-12-31$0
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2019-12-31$0
Investment advisory and management fees2019-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$15,144
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest in pooled separate accounts at end of year2019-12-31$3,395,349
Value of interest in pooled separate accounts at beginning of year2019-12-31$3,133,230
Interest on participant loans2019-12-31$4,882
Income. Interest from loans (other than to participants)2019-12-31$0
Interest earned on other investments2019-12-31$0
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Value of interest in common/collective trusts at end of year2019-12-31$93,181
Value of interest in common/collective trusts at beginning of year2019-12-31$112,332
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$542
Net investment gain/loss from pooled separate accounts2019-12-31$774,010
Net investment gain or loss from common/collective trusts2019-12-31$4,912
Net gain/loss from 103.12 investment entities2019-12-31$0
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$61,074
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Income. Dividends from preferred stock2019-12-31$0
Income. Dividends from common stock2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$777,879
Contract administrator fees2019-12-31$7,339
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
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
Aggregate proceeds on sale of assets2019-12-31$0
Aggregate carrying amount (costs) on sale of assets2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31ERIN PERDUE
Accountancy firm EIN2019-12-31823518399

Form 5500 Responses for INTERLACHEN COUNTRY CLUB INC. 401K PLAN

2022: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: INTERLACHEN COUNTRY CLUB INC. 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number429855
Policy instance 1
Insurance contract or identification number429855
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number429855
Policy instance 1
Insurance contract or identification number429855
Number of Individuals Covered130
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,483
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,483
Amount paid for insurance broker fees0
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number429855
Policy instance 1
Insurance contract or identification number429855
Number of Individuals Covered113
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,685
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,685
Amount paid for insurance broker fees0
Insurance broker organization code?3

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