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EMPLOYEE MEDICAL BENEFIT TRUST 401k Plan overview

Plan NameEMPLOYEE MEDICAL BENEFIT TRUST
Plan identification number 501

EMPLOYEE MEDICAL BENEFIT TRUST Benefits

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

401k Sponsoring company profile

SPEEDLING, INC. has sponsored the creation of one or more 401k plans.

Company Name:SPEEDLING, INC.
Employer identification number (EIN):592324368
NAIC Classification:111400
NAIC Description:Greenhouse, Nursery, and Floriculture Production

Additional information about SPEEDLING, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1978-09-29
Company Identification Number: 588049
Legal Registered Office Address: 808 60TH ST. N.W.

BRADENTON

33505

More information about SPEEDLING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE MEDICAL BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012009-05-01
5012009-05-01KEVIN REHBERG

Plan Statistics for EMPLOYEE MEDICAL BENEFIT TRUST

401k plan membership statisitcs for EMPLOYEE MEDICAL BENEFIT TRUST

Measure Date Value
2009: EMPLOYEE MEDICAL BENEFIT TRUST 2009 401k membership
Total participants, beginning-of-year2009-05-01120
Total number of active participants reported on line 7a of the Form 55002009-05-01123
Number of retired or separated participants receiving benefits2009-05-010
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-01123

Financial Data on EMPLOYEE MEDICAL BENEFIT TRUST

Measure Date Value
2010 : EMPLOYEE MEDICAL BENEFIT TRUST 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-04-30$42,598
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-04-30$199,377
Total income from all sources (including contributions)2010-04-30$936,618
Total loss/gain on sale of assets2010-04-30$0
Total of all expenses incurred2010-04-30$936,618
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-04-30$936,618
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-04-30$936,618
Value of total assets at end of year2010-04-30$42,598
Value of total assets at beginning of year2010-04-30$199,377
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-04-30$0
Total interest from all sources2010-04-30$0
Total dividends received (eg from common stock, registered investment company shares)2010-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-04-30Yes
Was this plan covered by a fidelity bond2010-04-30No
If this is an individual account plan, was there a blackout period2010-04-30No
Were there any nonexempt tranactions with any party-in-interest2010-04-30No
Contributions received from participants2010-04-30$161,238
Income. Received or receivable in cash from other sources (including rollovers)2010-04-30$184,445
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-04-30$-141,431
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-04-30$77,669
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-04-30$22,371
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-04-30$163,802
Liabilities. Value of operating payables at end of year2010-04-30$20,227
Liabilities. Value of operating payables at beginning of year2010-04-30$35,575
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-04-30No
Value of net income/loss2010-04-30$0
Value of net assets at end of year (total assets less liabilities)2010-04-30$0
Value of net assets at beginning of year (total assets less liabilities)2010-04-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2010-04-30No
Were any leases to which the plan was party in default or uncollectible2010-04-30No
Expenses. Payments to insurance carriers foe the provision of benefits2010-04-30$375,324
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-04-30No
Was there a failure to transmit to the plan any participant contributions2010-04-30No
Has the plan failed to provide any benefit when due under the plan2010-04-30No
Contributions received in cash from employer2010-04-30$590,935
Employer contributions (assets) at end of year2010-04-30$42,598
Employer contributions (assets) at beginning of year2010-04-30$121,708
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-04-30$702,725
Did the plan have assets held for investment2010-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-04-30No
Opinion of an independent qualified public accountant for this plan2010-04-30Unqualified
Accountancy firm name2010-04-30BRAXTON HOLWAY PA
Accountancy firm EIN2010-04-30650761778

Form 5500 Responses for EMPLOYEE MEDICAL BENEFIT TRUST

2009: EMPLOYEE MEDICAL BENEFIT TRUST 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedYes
2009-05-01This submission is the final filingYes
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number384122
Policy instance 1
Insurance contract or identification number384122
Number of Individuals Covered106
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $4,992
Total amount of fees paid to insurance companyUSD $2,076
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 BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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 $53,548
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $370
Insurance broker organization code?3
Amount paid for insurance broker fees2076
Additional information about fees paid to insurance brokerSPECIAL AGENT OR PRODUCER
Insurance broker nameEXCALILBUR FINANCIAL GROUP
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number66853
Policy instance 2
Insurance contract or identification number66853
Number of Individuals Covered21
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $710
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 BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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 $5,503
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $710
Insurance broker organization code?3
Insurance broker nameEXCALIBUR FINANCIAL GROUP
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract number20000SLG19-09
Policy instance 3
Insurance contract or identification number20000SLG19-09
Number of Individuals Covered100
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $2,089
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
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 $192,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,089
Insurance broker organization code?3
Insurance broker nameSLG BENEFITS AND INSURANCE LLC
COLONIAL LIFE & ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 62049 )
Policy contract numberE3004785
Policy instance 4
Insurance contract or identification numberE3004785
Number of Individuals Covered100
Insurance policy start date2009-05-01
Insurance policy end date2010-04-30
Total amount of commissions paid to insurance brokerUSD $9,275
Total amount of fees paid to insurance companyUSD $2,085
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
Other welfare benefits providedACCIDENT, CANCER CRITICAL ILLNESS
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $3,586
Amount paid for insurance broker fees485
Additional information about fees paid to insurance brokerAGENT OR BROKER OF RECORD
Insurance broker organization code?3
Insurance broker nameANN MARIE BETHEA

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