?>
Logo

EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 401k Plan overview

Plan NameEXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN
Plan identification number 505

EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name:EXCELSIOR DEFENSE, INC.
Employer identification number (EIN):593541210
NAIC Classification:561600

Additional information about EXCELSIOR DEFENSE, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1999-01-07
Company Identification Number: P99000002113
Legal Registered Office Address: 2660 5th Avenue North

SAINT PETERSBURG

33713

More information about EXCELSIOR DEFENSE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052015-06-01KRIS HALVERSON, PRESIDENT
5052015-06-01
5052014-06-01KRIS HALVERSON, PRESIDENT

Plan Statistics for EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN

401k plan membership statisitcs for EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2015: EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-01150
Total number of active participants reported on line 7a of the Form 55002015-06-01179
Total of all active and inactive participants2015-06-01179
Total participants2015-06-010
2014: EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-01134
Total number of active participants reported on line 7a of the Form 55002014-06-01150
Total of all active and inactive participants2014-06-01150
Total participants2014-06-010

Financial Data on EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN

Measure Date Value
2016 : EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$45,001
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-05-31$270,010
Total income from all sources (including contributions)2016-05-31$675,237
Total of all expenses incurred2016-05-31$617,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-05-31$545,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-05-31$675,193
Value of total assets at end of year2016-05-31$159,497
Value of total assets at beginning of year2016-05-31$327,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-05-31$72,082
Total interest from all sources2016-05-31$44
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-05-31No
Was this plan covered by a fidelity bond2016-05-31Yes
Value of fidelity bond cover2016-05-31$70,000
If this is an individual account plan, was there a blackout period2016-05-31No
Were there any nonexempt tranactions with any party-in-interest2016-05-31No
Contributions received from participants2016-05-31$1,456
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-05-31$40,838
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-05-31$21,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-05-31$45,001
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-05-31$267,829
Administrative expenses (other) incurred2016-05-31$2,256
Liabilities. Value of operating payables at end of year2016-05-31$3,686
Liabilities. Value of operating payables at beginning of year2016-05-31$2,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Value of net income/loss2016-05-31$57,506
Value of net assets at end of year (total assets less liabilities)2016-05-31$114,496
Value of net assets at beginning of year (total assets less liabilities)2016-05-31$56,990
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-05-31No
Were any leases to which the plan was party in default or uncollectible2016-05-31No
Value of interest in common/collective trusts at end of year2016-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-05-31$118,659
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-05-31$303,403
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-05-31$303,403
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-05-31$44
Expenses. Payments to insurance carriers foe the provision of benefits2016-05-31$524,439
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-05-31Yes
Was there a failure to transmit to the plan any participant contributions2016-05-31No
Has the plan failed to provide any benefit when due under the plan2016-05-31No
Contributions received in cash from employer2016-05-31$675,193
Employer contributions (assets) at beginning of year2016-05-31$2,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-05-31$21,210
Contract administrator fees2016-05-31$69,826
Did the plan have assets held for investment2016-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-05-31No
Opinion of an independent qualified public accountant for this plan2016-05-31Unqualified
Accountancy firm name2016-05-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2016-05-31541643141
2015 : EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-05-31$270,010
Total income from all sources (including contributions)2015-05-31$674,862
Total of all expenses incurred2015-05-31$638,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-05-31$579,761
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-05-31$674,183
Value of total assets at end of year2015-05-31$327,000
Value of total assets at beginning of year2015-05-31$21,063
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-05-31$59,174
Total interest from all sources2015-05-31$679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-05-31No
Was this plan covered by a fidelity bond2015-05-31Yes
Value of fidelity bond cover2015-05-31$70,000
If this is an individual account plan, was there a blackout period2015-05-31No
Were there any nonexempt tranactions with any party-in-interest2015-05-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-05-31$21,063
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-05-31$21,063
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-05-31$267,829
Administrative expenses (other) incurred2015-05-31$1,174
Liabilities. Value of operating payables at end of year2015-05-31$2,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Value of net income/loss2015-05-31$35,927
Value of net assets at end of year (total assets less liabilities)2015-05-31$56,990
Value of net assets at beginning of year (total assets less liabilities)2015-05-31$21,063
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-05-31No
Were any leases to which the plan was party in default or uncollectible2015-05-31No
Value of interest in common/collective trusts at end of year2015-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-05-31$303,403
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-05-31$679
Expenses. Payments to insurance carriers foe the provision of benefits2015-05-31$577,566
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-05-31Yes
Was there a failure to transmit to the plan any participant contributions2015-05-31No
Has the plan failed to provide any benefit when due under the plan2015-05-31No
Contributions received in cash from employer2015-05-31$674,183
Employer contributions (assets) at end of year2015-05-31$2,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-05-31$2,195
Contract administrator fees2015-05-31$58,000
Did the plan have assets held for investment2015-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-05-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-05-31No
Opinion of an independent qualified public accountant for this plan2015-05-31Unqualified
Accountancy firm name2015-05-31KING, SHORES & PRESTON CPAS
Accountancy firm EIN2015-05-31541643141

Form 5500 Responses for EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN

2015: EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: EXCELSIOR DEFENSE, INC. HEALTH AND WELFARE PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01First time form 5500 has been submittedYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberTRUSTIL
Policy instance 1
Insurance contract or identification numberTRUSTIL
Number of Individuals Covered132
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $1,166
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $6,855
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,042
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF FLORIDA, INC.
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberLMB N04975820
Policy instance 2
Insurance contract or identification numberLMB N04975820
Number of Individuals Covered60
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $6,983
Total amount of fees paid to insurance companyUSD $30,224
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $206,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees30224
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $6,983
Insurance broker nameBROWN & BOWN OF FLORIDA, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGP-500B
Policy instance 3
Insurance contract or identification numberGP-500B
Number of Individuals Covered81
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $17,010
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $309,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,971
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY, INC.
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract numberGP-500B
Policy instance 2
Insurance contract or identification numberGP-500B
Number of Individuals Covered111
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $20,679
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $375,970
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,799
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY, INC.
ACE AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 22667 )
Policy contract numberLMB N04975820
Policy instance 1
Insurance contract or identification numberLMB N04975820
Number of Individuals Covered52
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $37,095
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $206,083
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,557
Insurance broker organization code?3
Insurance broker nameBROWN & BROWN OF FLORIDA, INC.
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberTRUSTIL
Policy instance 3
Insurance contract or identification numberTRUSTIL
Number of Individuals Covered124
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $1,017
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D INSURANCE
Welfare Benefit Premiums Paid to CarrierUSD $10,712
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,017
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY, INC.
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX050619
Policy instance 4
Insurance contract or identification numberFLX050619
Number of Individuals Covered116
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $356
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,561
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $356
Insurance broker organization code?3
Insurance broker nameTHE BOON INSURANCE AGENCY, INC.

Was this data useful?
If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us.

Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer
The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Copyright © Market Footprint Ltd
Contact us   Datalog Company Directory
401k Lookup     VAT Lookup S3