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TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 401k Plan overview

Plan NameTIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN
Plan identification number 001

TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

TIER1 PERFORMANCE SOLUTIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:TIER1 PERFORMANCE SOLUTIONS, LLC
Employer identification number (EIN):611426022
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Additional information about TIER1 PERFORMANCE SOLUTIONS, LLC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: 201128110328

More information about TIER1 PERFORMANCE SOLUTIONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ANNA WOLF2023-09-26
0012021-01-01ANNA WOLF2022-10-03
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01ANNA WOLF ANNA WOLF2018-10-04
0012016-01-01ANNA WOLF ANNA WOLF2017-10-05
0012015-01-01GREG HARMEYER GREG HARMEYER2016-10-07
0012014-01-01GREG HARMEYER2015-06-29 GREG HARMEYER2015-06-29
0012013-01-01GREG HARMEYER2014-04-15 GREG HARMEYER2014-04-15

Plan Statistics for TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN

401k plan membership statisitcs for TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN

Measure Date Value
2022: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01334
Total number of active participants reported on line 7a of the Form 55002022-01-01306
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0164
Total of all active and inactive participants2022-01-01370
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01370
Number of participants with account balances2022-01-01347
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01297
Total number of active participants reported on line 7a of the Form 55002021-01-01277
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0157
Total of all active and inactive participants2021-01-01334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01334
Number of participants with account balances2021-01-01324
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01284
Total number of active participants reported on line 7a of the Form 55002020-01-01235
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0142
Total of all active and inactive participants2020-01-01277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01277
Number of participants with account balances2020-01-01270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01228
Total number of active participants reported on line 7a of the Form 55002019-01-01242
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0141
Total of all active and inactive participants2019-01-01283
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01283
Number of participants with account balances2019-01-01261
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01226
Total number of active participants reported on line 7a of the Form 55002018-01-01181
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0133
Total of all active and inactive participants2018-01-01214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01214
Number of participants with account balances2018-01-01214
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01195
Total number of active participants reported on line 7a of the Form 55002017-01-01206
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0120
Total of all active and inactive participants2017-01-01226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01226
Number of participants with account balances2017-01-01207
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01167
Total number of active participants reported on line 7a of the Form 55002016-01-01166
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0118
Total of all active and inactive participants2016-01-01184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01184
Number of participants with account balances2016-01-01160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01139
Total number of active participants reported on line 7a of the Form 55002015-01-01150
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0117
Total of all active and inactive participants2015-01-01167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01167
Number of participants with account balances2015-01-01143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN

Measure Date Value
2022 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$52,347
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-316,809
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$951,875
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$930,235
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$4,291,520
Value of total assets at end of year2022-12-31$24,433,856
Value of total assets at beginning of year2022-12-31$25,650,193
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$21,640
Total interest from all sources2022-12-31$5,253
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$3,602
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
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$2,901,043
Participant contributions at end of year2022-12-31$110,259
Participant contributions at beginning of year2022-12-31$127,541
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$546,035
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,268,684
Value of net assets at end of year (total assets less liabilities)2022-12-31$24,433,856
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$25,650,193
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
Investment advisory and management fees2022-12-31$18,038
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$23,326,863
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$24,524,983
Interest on participant loans2022-12-31$5,253
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$340
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$65
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$65
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$809,341
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$815,685
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-4,613,582
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$844,442
Employer contributions (assets) at end of year2022-12-31$187,053
Employer contributions (assets) at beginning of year2022-12-31$181,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$930,235
Contract administrator fees2022-12-31$0
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 plan2022-12-31Unqualified
Accountancy firm name2022-12-31CASSADY SCHILLER CPAS & ADVISORS
Accountancy firm EIN2022-12-31311311065
2021 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$20,370
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$7,896,386
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,624,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,602,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$4,871,889
Value of total assets at end of year2021-12-31$25,650,193
Value of total assets at beginning of year2021-12-31$19,357,451
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$21,648
Total interest from all sources2021-12-31$8,355
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$3,697
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,426,219
Participant contributions at end of year2021-12-31$127,541
Participant contributions at beginning of year2021-12-31$213,287
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,630,858
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$6,272,372
Value of net assets at end of year (total assets less liabilities)2021-12-31$25,650,193
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$19,357,451
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
Investment advisory and management fees2021-12-31$17,951
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$24,524,983
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$18,066,128
Interest on participant loans2021-12-31$8,355
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$65
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$65
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$65
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$815,685
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$879,218
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,016,142
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$814,812
Employer contributions (assets) at end of year2021-12-31$181,919
Employer contributions (assets) at beginning of year2021-12-31$198,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,602,366
Contract administrator fees2021-12-31$0
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 plan2021-12-31Unqualified
Accountancy firm name2021-12-31CASSADY SCHILLER CPAS & ADVISORS
Accountancy firm EIN2021-12-31311311065
2020 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$378,092
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$5,685,059
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,125,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,108,302
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,798,768
Value of total assets at end of year2020-12-31$19,357,451
Value of total assets at beginning of year2020-12-31$14,420,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$17,456
Total interest from all sources2020-12-31$19,089
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
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$2,175
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,038,716
Participant contributions at end of year2020-12-31$213,287
Participant contributions at beginning of year2020-12-31$254,717
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$72,753
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$4,559,301
Value of net assets at end of year (total assets less liabilities)2020-12-31$19,357,451
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$14,420,058
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
Investment advisory and management fees2020-12-31$12,781
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$18,066,128
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$13,671,922
Interest on participant loans2020-12-31$12,360
Interest earned on other investments2020-12-31$6,729
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$65
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$65
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$65
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$879,218
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$358,927
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,867,202
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$687,299
Employer contributions (assets) at end of year2020-12-31$198,753
Employer contributions (assets) at beginning of year2020-12-31$134,427
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,108,302
Contract administrator fees2020-12-31$2,500
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31CASSADY SCHILLER CPAS & ADVISORS
Accountancy firm EIN2020-12-31311311065
2019 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$57,652
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$5,349,874
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$410,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$395,131
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,945,062
Value of total assets at end of year2019-12-31$14,420,058
Value of total assets at beginning of year2019-12-31$9,422,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$15,173
Total interest from all sources2019-12-31$12,313
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
Administrative expenses professional fees incurred2019-12-31$1,300
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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
Contributions received from participants2019-12-31$1,664,735
Participant contributions at end of year2019-12-31$254,717
Participant contributions at beginning of year2019-12-31$151,135
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$679,639
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$4,939,570
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,420,058
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$9,422,836
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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$11,348
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$13,671,922
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,759,752
Interest on participant loans2019-12-31$9,193
Interest earned on other investments2019-12-31$3,118
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$65
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$945
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$945
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$358,927
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$253,680
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,392,499
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$600,688
Employer contributions (assets) at end of year2019-12-31$134,427
Employer contributions (assets) at beginning of year2019-12-31$257,324
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$395,131
Contract administrator fees2019-12-31$2,525
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
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 name2019-12-31CASSADY SCHILLER CPAS & ADVISORS
Accountancy firm EIN2019-12-31311311065
2018 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,415,601
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$886,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$873,771
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,171,974
Value of total assets at end of year2018-12-31$9,422,836
Value of total assets at beginning of year2018-12-31$8,893,838
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$12,832
Total interest from all sources2018-12-31$7,525
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$1,550
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,333,915
Participant contributions at end of year2018-12-31$151,135
Participant contributions at beginning of year2018-12-31$109,375
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$340,158
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$18,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$528,998
Value of net assets at end of year (total assets less liabilities)2018-12-31$9,422,836
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,893,838
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$9,807
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$8,759,752
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$8,339,120
Interest on participant loans2018-12-31$5,200
Interest earned on other investments2018-12-31$2,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$945
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,505
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$253,680
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$210,245
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-763,898
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$497,901
Employer contributions (assets) at end of year2018-12-31$257,324
Employer contributions (assets) at beginning of year2018-12-31$214,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$873,771
Contract administrator fees2018-12-31$1,475
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CASSADY SCHILLER CPAS & ADVISORS
Accountancy firm EIN2018-12-31311311065
2017 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$79,086
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,179,685
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$180,155
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$170,842
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,967,174
Value of total assets at end of year2017-12-31$8,893,838
Value of total assets at beginning of year2017-12-31$5,815,222
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$9,313
Total interest from all sources2017-12-31$5,431
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$1,750
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,252,512
Participant contributions at end of year2017-12-31$109,375
Participant contributions at beginning of year2017-12-31$59,607
Participant contributions at beginning of year2017-12-31$28,563
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$299,948
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$18,694
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,999,530
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,893,838
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,815,222
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$7,563
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$8,339,120
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,449,328
Interest on participant loans2017-12-31$3,402
Interest earned on other investments2017-12-31$2,026
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,505
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$210,245
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$207,467
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,207,080
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$414,714
Employer contributions (assets) at end of year2017-12-31$214,899
Employer contributions (assets) at beginning of year2017-12-31$70,257
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$170,842
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CASSADY SCHILLER CPAS & ADVISORS
Accountancy firm EIN2017-12-31311311065
2016 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$111,543
Total income from all sources (including contributions)2016-12-31$1,843,503
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$486,112
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$478,112
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,411,679
Value of total assets at end of year2016-12-31$5,815,222
Value of total assets at beginning of year2016-12-31$4,569,374
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,000
Total interest from all sources2016-12-31$4,077
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$944,826
Participant contributions at end of year2016-12-31$59,607
Participant contributions at beginning of year2016-12-31$72,878
Participant contributions at end of year2016-12-31$28,563
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$151,386
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,357,391
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,815,222
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,457,831
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$850
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,449,328
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$4,235,203
Interest on participant loans2016-12-31$1,975
Interest earned on other investments2016-12-31$2,102
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$207,467
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$185,297
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$427,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$315,467
Employer contributions (assets) at end of year2016-12-31$70,257
Employer contributions (assets) at beginning of year2016-12-31$75,996
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$478,112
Contract administrator fees2016-12-31$7,150
Liabilities. Value of benefit claims payable at end of year2016-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$111,543
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CASSADY SCHILLER & ASSOCIATES
Accountancy firm EIN2016-12-31311311065
2015 : TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$111,543
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,015,540
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$145,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$139,317
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,044,779
Value of total assets at end of year2015-12-31$4,569,374
Value of total assets at beginning of year2015-12-31$3,588,137
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,529
Total interest from all sources2015-12-31$2,448
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$755,228
Participant contributions at end of year2015-12-31$72,878
Participant contributions at beginning of year2015-12-31$34,805
Participant contributions at beginning of year2015-12-31$1,517
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$33,398
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$869,694
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,457,831
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,588,137
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$4,329
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$4,235,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,366,581
Interest on participant loans2015-12-31$1,177
Interest earned on other investments2015-12-31$1,271
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$185,297
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$101,748
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-31,687
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$256,153
Employer contributions (assets) at end of year2015-12-31$75,996
Employer contributions (assets) at beginning of year2015-12-31$83,486
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$139,317
Contract administrator fees2015-12-31$2,200
Liabilities. Value of benefit claims payable at end of year2015-12-31$111,543
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CASSADY SCHILLER & ASSOCIATES
Accountancy firm EIN2015-12-31311311065

Form 5500 Responses for TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN

2022: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
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 benefit arrangement - TrustYes
2018: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TIER 1 PERFORMANCE SOLUTIONS, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Number of Individuals Covered346
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $47,573
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,573
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Number of Individuals Covered324
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $43,927
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43,927
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Number of Individuals Covered270
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $30,660
Total amount of fees paid to insurance companyUSD $7,012
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $30,660
Insurance broker organization code?3
Amount paid for insurance broker fees7012
Additional information about fees paid to insurance brokerPROGRAM FEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Number of Individuals Covered261
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $28,413
Total amount of fees paid to insurance companyUSD $5,386
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28,413
Insurance broker organization code?3
Amount paid for insurance broker fees5386
Additional information about fees paid to insurance brokerPROGRAM FEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Number of Individuals Covered214
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $29,220
Total amount of fees paid to insurance companyUSD $4,537
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,220
Insurance broker organization code?3
Amount paid for insurance broker fees4537
Additional information about fees paid to insurance brokerPROGRAM FEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $24,363
Total amount of fees paid to insurance companyUSD $3,250
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,363
Insurance broker organization code?3
Amount paid for insurance broker fees3250
Additional information about fees paid to insurance brokerPROGRAM FEES
Insurance broker nameTRI-STATE PLAN ADMINISTRATION
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 1
Insurance contract or identification number813892
Number of Individuals Covered143
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,948
Total amount of fees paid to insurance companyUSD $338
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 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?Yes
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
Commission paid to Insurance BrokerUSD $4,948
Insurance broker organization code?3
Amount paid for insurance broker fees338
Additional information about fees paid to insurance brokerPROGRAM FEES
Insurance broker nameTRI-STATE PLAN ADMINISTRATION
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number813892
Policy instance 2
Insurance contract or identification number813892
Number of Individuals Covered143
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,054
Total amount of fees paid to insurance companyUSD $1,408
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 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?Yes
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
Commission paid to Insurance BrokerUSD $13,054
Insurance broker organization code?3
Amount paid for insurance broker fees1408
Additional information about fees paid to insurance brokerPROGRAM FEES
Insurance broker nameTRI-STATE PLAN ADMINISTRATION

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