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CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameCENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN
Plan identification number 501

CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

CENTURY MANAGEMENT, LLC has sponsored the creation of one or more 401k plans.

Company Name:CENTURY MANAGEMENT, LLC
Employer identification number (EIN):621621138
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about CENTURY MANAGEMENT, LLC

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2001-12-26
Company Identification Number: 2712335
Legal Registered Office Address: ATTN: MR. ANTHONY M. GARDINI
205 OSER AVE
HAUPPAUGE
United States of America (USA)
11788

More information about CENTURY MANAGEMENT, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012017-11-01JUDITH MCQUEEN2019-08-15
5012016-11-01
5012015-11-01JUDITH MCQUEEN
5012014-11-01JUDITH MCQUEEN
5012013-11-01JUDITH MCQUEEN
5012012-11-01JUDITH MCQUEEN
5012011-11-01JUDITH MCQUEEN JUDITH MCQUEEN2013-05-10
5012010-11-01JUDITH MCQUEEN
5012009-11-01JUDY MCQUEEN

Plan Statistics for CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN

Measure Date Value
2017: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-01301
Total number of active participants reported on line 7a of the Form 55002017-11-010
Number of retired or separated participants receiving benefits2017-11-010
Number of other retired or separated participants entitled to future benefits2017-11-010
Total of all active and inactive participants2017-11-010
2016: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-01323
Total number of active participants reported on line 7a of the Form 55002016-11-01301
Number of retired or separated participants receiving benefits2016-11-010
Number of other retired or separated participants entitled to future benefits2016-11-010
Total of all active and inactive participants2016-11-01301
2015: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-01224
Total number of active participants reported on line 7a of the Form 55002015-11-01211
Number of retired or separated participants receiving benefits2015-11-011
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-01212
2014: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-01196
Total number of active participants reported on line 7a of the Form 55002014-11-01216
Number of retired or separated participants receiving benefits2014-11-011
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-01217
2013: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-01201
Total number of active participants reported on line 7a of the Form 55002013-11-01192
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-01192
2012: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-01203
Total number of active participants reported on line 7a of the Form 55002012-11-01211
Number of retired or separated participants receiving benefits2012-11-011
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-01212
2011: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01201
Total number of active participants reported on line 7a of the Form 55002011-11-01201
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-01201
2010: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-01302
Total number of active participants reported on line 7a of the Form 55002010-11-01307
Number of retired or separated participants receiving benefits2010-11-010
Number of other retired or separated participants entitled to future benefits2010-11-010
Total of all active and inactive participants2010-11-01307
2009: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01333
Total number of active participants reported on line 7a of the Form 55002009-11-01312
Number of retired or separated participants receiving benefits2009-11-011
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-01313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-01313
Number of participants with account balances2009-11-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-010

Financial Data on CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN

Measure Date Value
2018 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-10-31$150,346
Total income from all sources (including contributions)2018-10-31$125,296
Total loss/gain on sale of assets2018-10-31$0
Total of all expenses incurred2018-10-31$234,176
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-10-31$213,327
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-10-31$85,470
Value of total assets at end of year2018-10-31$0
Value of total assets at beginning of year2018-10-31$259,226
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-10-31$20,849
Total interest from all sources2018-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-10-31Yes
Administrative expenses professional fees incurred2018-10-31$14,349
Was this plan covered by a fidelity bond2018-10-31Yes
Value of fidelity bond cover2018-10-31$500,000
If this is an individual account plan, was there a blackout period2018-10-31No
Were there any nonexempt tranactions with any party-in-interest2018-10-31No
Contributions received from participants2018-10-31$38,650
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-10-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-10-31$108,880
Other income not declared elsewhere2018-10-31$39,826
Liabilities. Value of operating payables at end of year2018-10-31$0
Liabilities. Value of operating payables at beginning of year2018-10-31$11,149
Total non interest bearing cash at end of year2018-10-31$0
Total non interest bearing cash at beginning of year2018-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Value of net income/loss2018-10-31$-108,880
Value of net assets at end of year (total assets less liabilities)2018-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-10-31$108,880
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-10-31No
Were any leases to which the plan was party in default or uncollectible2018-10-31No
Investment advisory and management fees2018-10-31$6,500
Expenses. Payments to insurance carriers foe the provision of benefits2018-10-31$175,778
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-10-31No
Was there a failure to transmit to the plan any participant contributions2018-10-31No
Has the plan failed to provide any benefit when due under the plan2018-10-31No
Contributions received in cash from employer2018-10-31$46,820
Employer contributions (assets) at end of year2018-10-31$0
Employer contributions (assets) at beginning of year2018-10-31$150,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-10-31$37,549
Liabilities. Value of benefit claims payable at end of year2018-10-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-10-31$139,197
Did the plan have assets held for investment2018-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-10-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-10-31No
Opinion of an independent qualified public accountant for this plan2018-10-31Unqualified
Accountancy firm name2018-10-31CANNON WRIGHT BLOUNT PLLC
Accountancy firm EIN2018-10-31621657946
2017 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$150,346
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-10-31$160,515
Total income from all sources (including contributions)2017-10-31$2,269,431
Total loss/gain on sale of assets2017-10-31$0
Total of all expenses incurred2017-10-31$2,365,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-10-31$2,274,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-10-31$2,269,431
Value of total assets at end of year2017-10-31$259,226
Value of total assets at beginning of year2017-10-31$365,131
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-10-31$90,887
Total interest from all sources2017-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-10-31No
Administrative expenses professional fees incurred2017-10-31$63,019
Was this plan covered by a fidelity bond2017-10-31Yes
Value of fidelity bond cover2017-10-31$500,000
If this is an individual account plan, was there a blackout period2017-10-31No
Were there any nonexempt tranactions with any party-in-interest2017-10-31No
Contributions received from participants2017-10-31$842,564
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-10-31$108,880
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-10-31$204,616
Administrative expenses (other) incurred2017-10-31$10,368
Liabilities. Value of operating payables at end of year2017-10-31$11,149
Liabilities. Value of operating payables at beginning of year2017-10-31$11,733
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Value of net income/loss2017-10-31$-95,736
Value of net assets at end of year (total assets less liabilities)2017-10-31$108,880
Value of net assets at beginning of year (total assets less liabilities)2017-10-31$204,616
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-10-31No
Were any leases to which the plan was party in default or uncollectible2017-10-31No
Investment advisory and management fees2017-10-31$17,500
Expenses. Payments to insurance carriers foe the provision of benefits2017-10-31$557,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-10-31No
Was there a failure to transmit to the plan any participant contributions2017-10-31No
Has the plan failed to provide any benefit when due under the plan2017-10-31No
Contributions received in cash from employer2017-10-31$1,426,867
Employer contributions (assets) at end of year2017-10-31$150,346
Employer contributions (assets) at beginning of year2017-10-31$160,515
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-10-31$1,716,424
Liabilities. Value of benefit claims payable at end of year2017-10-31$139,197
Liabilities. Value of benefit claims payable at beginning of year2017-10-31$148,782
Did the plan have assets held for investment2017-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-10-31No
Opinion of an independent qualified public accountant for this plan2017-10-31Unqualified
Accountancy firm name2017-10-31CANNON WRIGHT BLOUNT PLLC
Accountancy firm EIN2017-10-31621657946
2016 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$160,515
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-10-31$181,488
Total income from all sources (including contributions)2016-10-31$2,565,605
Total loss/gain on sale of assets2016-10-31$0
Total of all expenses incurred2016-10-31$2,403,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-10-31$2,312,006
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-10-31$2,565,605
Value of total assets at end of year2016-10-31$365,131
Value of total assets at beginning of year2016-10-31$223,615
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-10-31$91,110
Total interest from all sources2016-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-10-31No
Administrative expenses professional fees incurred2016-10-31$68,138
Was this plan covered by a fidelity bond2016-10-31Yes
Value of fidelity bond cover2016-10-31$500,000
If this is an individual account plan, was there a blackout period2016-10-31No
Were there any nonexempt tranactions with any party-in-interest2016-10-31No
Contributions received from participants2016-10-31$910,197
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-10-31$204,616
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-10-31$42,127
Administrative expenses (other) incurred2016-10-31$15,972
Liabilities. Value of operating payables at end of year2016-10-31$11,733
Liabilities. Value of operating payables at beginning of year2016-10-31$11,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Value of net income/loss2016-10-31$162,489
Value of net assets at end of year (total assets less liabilities)2016-10-31$204,616
Value of net assets at beginning of year (total assets less liabilities)2016-10-31$42,127
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-10-31No
Were any leases to which the plan was party in default or uncollectible2016-10-31No
Investment advisory and management fees2016-10-31$7,000
Expenses. Payments to insurance carriers foe the provision of benefits2016-10-31$335,453
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-10-31No
Was there a failure to transmit to the plan any participant contributions2016-10-31No
Has the plan failed to provide any benefit when due under the plan2016-10-31No
Contributions received in cash from employer2016-10-31$1,655,408
Employer contributions (assets) at end of year2016-10-31$160,515
Employer contributions (assets) at beginning of year2016-10-31$181,488
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-10-31$1,976,553
Liabilities. Value of benefit claims payable at end of year2016-10-31$148,782
Liabilities. Value of benefit claims payable at beginning of year2016-10-31$169,608
Did the plan have assets held for investment2016-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-10-31No
Opinion of an independent qualified public accountant for this plan2016-10-31Unqualified
Accountancy firm name2016-10-31CANNON WRIGHT BLOUNT PLLC
Accountancy firm EIN2016-10-31621657946
2015 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$181,488
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-10-31$102,552
Total income from all sources (including contributions)2015-10-31$2,323,705
Total loss/gain on sale of assets2015-10-31$0
Total of all expenses incurred2015-10-31$2,281,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-10-31$2,169,482
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-10-31$2,323,705
Value of total assets at end of year2015-10-31$223,615
Value of total assets at beginning of year2015-10-31$102,552
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-10-31$112,096
Total interest from all sources2015-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-10-31No
Administrative expenses professional fees incurred2015-10-31$65,021
Was this plan covered by a fidelity bond2015-10-31Yes
Value of fidelity bond cover2015-10-31$500,000
Were there any nonexempt tranactions with any party-in-interest2015-10-31No
Contributions received from participants2015-10-31$849,592
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-10-31$42,127
Administrative expenses (other) incurred2015-10-31$23,688
Liabilities. Value of operating payables at end of year2015-10-31$11,880
Liabilities. Value of operating payables at beginning of year2015-10-31$12,233
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Value of net income/loss2015-10-31$42,127
Value of net assets at end of year (total assets less liabilities)2015-10-31$42,127
Value of net assets at beginning of year (total assets less liabilities)2015-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-10-31No
Were any leases to which the plan was party in default or uncollectible2015-10-31No
Investment advisory and management fees2015-10-31$23,387
Expenses. Payments to insurance carriers foe the provision of benefits2015-10-31$304,082
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-10-31No
Was there a failure to transmit to the plan any participant contributions2015-10-31No
Has the plan failed to provide any benefit when due under the plan2015-10-31No
Contributions received in cash from employer2015-10-31$1,474,113
Employer contributions (assets) at end of year2015-10-31$181,488
Employer contributions (assets) at beginning of year2015-10-31$102,552
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-10-31$1,865,400
Liabilities. Value of benefit claims payable at end of year2015-10-31$169,608
Liabilities. Value of benefit claims payable at beginning of year2015-10-31$90,319
Did the plan have assets held for investment2015-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-10-31No
Opinion of an independent qualified public accountant for this plan2015-10-31Unqualified
Accountancy firm name2015-10-31CANNON WRIGHT BLOUNT PLLC
Accountancy firm EIN2015-10-31621657946
2014 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$102,552
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-10-31$177,237
Total income from all sources (including contributions)2014-10-31$1,829,911
Total loss/gain on sale of assets2014-10-31$0
Total of all expenses incurred2014-10-31$1,829,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-10-31$1,766,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-10-31$1,829,489
Value of total assets at end of year2014-10-31$102,552
Value of total assets at beginning of year2014-10-31$177,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-10-31$63,697
Total interest from all sources2014-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-10-31No
Administrative expenses professional fees incurred2014-10-31$60,697
Was this plan covered by a fidelity bond2014-10-31Yes
Value of fidelity bond cover2014-10-31$500,000
If this is an individual account plan, was there a blackout period2014-10-31No
Were there any nonexempt tranactions with any party-in-interest2014-10-31No
Contributions received from participants2014-10-31$754,078
Other income not declared elsewhere2014-10-31$422
Liabilities. Value of operating payables at end of year2014-10-31$12,233
Liabilities. Value of operating payables at beginning of year2014-10-31$15,015
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Value of net income/loss2014-10-31$0
Value of net assets at end of year (total assets less liabilities)2014-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2014-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-10-31No
Were any leases to which the plan was party in default or uncollectible2014-10-31No
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-10-31$482,210
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-10-31No
Was there a failure to transmit to the plan any participant contributions2014-10-31No
Has the plan failed to provide any benefit when due under the plan2014-10-31No
Contributions received in cash from employer2014-10-31$1,075,411
Employer contributions (assets) at end of year2014-10-31$102,552
Employer contributions (assets) at beginning of year2014-10-31$177,237
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-10-31$1,284,004
Contract administrator fees2014-10-31$3,000
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-10-31No
Liabilities. Value of benefit claims payable at end of year2014-10-31$90,319
Liabilities. Value of benefit claims payable at beginning of year2014-10-31$162,222
Did the plan have assets held for investment2014-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-10-31No
Opinion of an independent qualified public accountant for this plan2014-10-31Unqualified
Accountancy firm name2014-10-31WORLEY, STROUD & ASSOCIATES
Accountancy firm EIN2014-10-31621219041
2013 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$177,237
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-10-31$137,096
Total income from all sources (including contributions)2013-10-31$2,047,789
Total loss/gain on sale of assets2013-10-31$0
Total of all expenses incurred2013-10-31$2,047,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-10-31$1,974,831
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-10-31$1,975,194
Value of total assets at end of year2013-10-31$177,237
Value of total assets at beginning of year2013-10-31$137,096
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-10-31$72,958
Total interest from all sources2013-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-10-31No
Was this plan covered by a fidelity bond2013-10-31Yes
Value of fidelity bond cover2013-10-31$500,000
If this is an individual account plan, was there a blackout period2013-10-31No
Were there any nonexempt tranactions with any party-in-interest2013-10-31No
Contributions received from participants2013-10-31$674,507
Other income not declared elsewhere2013-10-31$72,595
Liabilities. Value of operating payables at end of year2013-10-31$15,015
Liabilities. Value of operating payables at beginning of year2013-10-31$13,049
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Value of net income/loss2013-10-31$0
Value of net assets at end of year (total assets less liabilities)2013-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2013-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-10-31No
Were any leases to which the plan was party in default or uncollectible2013-10-31No
Investment advisory and management fees2013-10-31$9,400
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-10-31$438,809
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-10-31No
Was there a failure to transmit to the plan any participant contributions2013-10-31No
Has the plan failed to provide any benefit when due under the plan2013-10-31No
Contributions received in cash from employer2013-10-31$1,300,687
Employer contributions (assets) at end of year2013-10-31$177,237
Employer contributions (assets) at beginning of year2013-10-31$137,096
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-10-31$1,536,022
Contract administrator fees2013-10-31$63,558
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-10-31No
Liabilities. Value of benefit claims payable at end of year2013-10-31$162,222
Liabilities. Value of benefit claims payable at beginning of year2013-10-31$124,047
Did the plan have assets held for investment2013-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-10-31No
Opinion of an independent qualified public accountant for this plan2013-10-31Unqualified
Accountancy firm name2013-10-31WORLEY, STROUD & ASSOCIATES
Accountancy firm EIN2013-10-31621219041
2012 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$137,096
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$154,067
Total income from all sources (including contributions)2012-10-31$2,097,440
Total loss/gain on sale of assets2012-10-31$0
Total of all expenses incurred2012-10-31$2,097,440
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$2,032,024
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$1,940,141
Value of total assets at end of year2012-10-31$137,096
Value of total assets at beginning of year2012-10-31$154,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$65,416
Total interest from all sources2012-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$500,000
If this is an individual account plan, was there a blackout period2012-10-31No
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$634,105
Other income not declared elsewhere2012-10-31$157,299
Liabilities. Value of operating payables at end of year2012-10-31$13,049
Liabilities. Value of operating payables at beginning of year2012-10-31$12,748
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$0
Value of net assets at end of year (total assets less liabilities)2012-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Investment advisory and management fees2012-10-31$8,400
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2012-10-31$380,939
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31No
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Contributions received in cash from employer2012-10-31$1,306,036
Employer contributions (assets) at end of year2012-10-31$137,096
Employer contributions (assets) at beginning of year2012-10-31$154,067
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$1,651,085
Contract administrator fees2012-10-31$57,016
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-10-31No
Liabilities. Value of benefit claims payable at end of year2012-10-31$124,047
Liabilities. Value of benefit claims payable at beginning of year2012-10-31$141,319
Did the plan have assets held for investment2012-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31No
Opinion of an independent qualified public accountant for this plan2012-10-31Unqualified
Accountancy firm name2012-10-31WORLEY, STROUD & ASSOCIATES
Accountancy firm EIN2012-10-31621219041
2011 : CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$154,067
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$129,329
Total income from all sources (including contributions)2011-10-31$1,887,087
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$1,887,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$1,810,270
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$1,791,575
Value of total assets at end of year2011-10-31$154,067
Value of total assets at beginning of year2011-10-31$129,329
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$76,817
Total interest from all sources2011-10-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$500,000
If this is an individual account plan, was there a blackout period2011-10-31No
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$664,303
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-10-31$53,284
Other income not declared elsewhere2011-10-31$95,512
Administrative expenses (other) incurred2011-10-31$14,717
Liabilities. Value of operating payables at end of year2011-10-31$12,748
Liabilities. Value of operating payables at beginning of year2011-10-31$6,354
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$0
Value of net assets at end of year (total assets less liabilities)2011-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Investment advisory and management fees2011-10-31$20,691
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-10-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2011-10-31$437,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Contributions received in cash from employer2011-10-31$1,127,272
Employer contributions (assets) at end of year2011-10-31$154,067
Employer contributions (assets) at beginning of year2011-10-31$76,045
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$1,372,441
Contract administrator fees2011-10-31$41,409
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-10-31No
Liabilities. Value of benefit claims payable at end of year2011-10-31$141,319
Liabilities. Value of benefit claims payable at beginning of year2011-10-31$122,975
Did the plan have assets held for investment2011-10-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31No
Opinion of an independent qualified public accountant for this plan2011-10-31Unqualified
Accountancy firm name2011-10-31WORLEY, STROUD & ASSOCIATES
Accountancy firm EIN2011-10-31621219041

Form 5500 Responses for CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN

2017: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingYes
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan funding arrangement – General assets of the sponsorYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2017-11-01Plan benefit arrangement – General assets of the sponsorYes
2016: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan funding arrangement – General assets of the sponsorYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2016-11-01Plan benefit arrangement – General assets of the sponsorYes
2015: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan funding arrangement – General assets of the sponsorYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2015-11-01Plan benefit arrangement – General assets of the sponsorYes
2014: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan funding arrangement – General assets of the sponsorYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2014-11-01Plan benefit arrangement – General assets of the sponsorYes
2013: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan funding arrangement – General assets of the sponsorYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2013-11-01Plan benefit arrangement – General assets of the sponsorYes
2012: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan funding arrangement – General assets of the sponsorYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2012-11-01Plan benefit arrangement – General assets of the sponsorYes
2011: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan funding arrangement – General assets of the sponsorYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2011-11-01Plan benefit arrangement – General assets of the sponsorYes
2010: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – InsuranceYes
2010-11-01Plan funding arrangement – TrustYes
2010-11-01Plan funding arrangement – General assets of the sponsorYes
2010-11-01Plan benefit arrangement – InsuranceYes
2010-11-01Plan benefit arrangement - TrustYes
2010-11-01Plan benefit arrangement – General assets of the sponsorYes
2009: CENTURY MANAGEMENT, LLC, ITS SUCCESSORS AND ASSIGNS EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number93727
Policy instance 2
Insurance contract or identification number93727
Number of Individuals Covered301
Insurance policy start date2017-11-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $34,902
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 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 $71,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 )
Policy contract numberV3985
Policy instance 1
Insurance contract or identification numberV3985
Number of Individuals Covered21
Insurance policy start date2017-11-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $3,955
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 BenefitYes
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, HOSPITAL INDEMNITY, CRITICAL ILLNESS
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 $27,228
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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