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C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 401k Plan overview

Plan NameC.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN
Plan identification number 505

C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

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

Company Name:C.C. CLARK, INC.
Employer identification number (EIN):640315032
NAIC Classification:312110
NAIC Description: Soft Drink and Ice Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052022-01-01
5052021-01-01
5052020-01-01
5052019-01-01
5052018-01-01
5052017-01-01DALLAS CLARK DALLAS CLARK2018-10-15

Plan Statistics for C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN

401k plan membership statisitcs for C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01645
Total number of active participants reported on line 7a of the Form 55002022-01-01721
Number of retired or separated participants receiving benefits2022-01-0110
Total of all active and inactive participants2022-01-01731
2021: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01733
Total number of active participants reported on line 7a of the Form 55002021-01-01633
Number of retired or separated participants receiving benefits2021-01-0112
Total of all active and inactive participants2021-01-01645
2020: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01755
Total number of active participants reported on line 7a of the Form 55002020-01-01724
Number of retired or separated participants receiving benefits2020-01-019
Total of all active and inactive participants2020-01-01733
2019: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01725
Total number of active participants reported on line 7a of the Form 55002019-01-01744
Number of retired or separated participants receiving benefits2019-01-0111
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01755
2018: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01744
Total number of active participants reported on line 7a of the Form 55002018-01-01714
Number of retired or separated participants receiving benefits2018-01-0111
Total of all active and inactive participants2018-01-01725
2017: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01954
Total number of active participants reported on line 7a of the Form 55002017-01-01734
Number of retired or separated participants receiving benefits2017-01-0110
Total of all active and inactive participants2017-01-01744

Financial Data on C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN

Measure Date Value
2022 : C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$185,371
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$170,783
Total income from all sources (including contributions)2022-12-31$7,201,552
Total of all expenses incurred2022-12-31$7,460,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$6,845,671
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$7,201,092
Value of total assets at end of year2022-12-31$196,682
Value of total assets at beginning of year2022-12-31$441,300
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$615,087
Total interest from all sources2022-12-31$460
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$24,670
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,579,208
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$16,479
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$6,845,671
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$159,789
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$441,300
Administrative expenses (other) incurred2022-12-31$2,013
Liabilities. Value of operating payables at end of year2022-12-31$185,371
Liabilities. Value of operating payables at beginning of year2022-12-31$170,783
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-259,206
Value of net assets at end of year (total assets less liabilities)2022-12-31$11,311
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$270,517
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$36,893
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$460
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$4,605,405
Contract administrator fees2022-12-31$588,404
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 name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$170,783
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$205,633
Total income from all sources (including contributions)2021-12-31$5,993,234
Total of all expenses incurred2021-12-31$6,093,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,486,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$5,992,858
Value of total assets at end of year2021-12-31$441,300
Value of total assets at beginning of year2021-12-31$576,710
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$607,303
Total interest from all sources2021-12-31$376
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$23,552
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,472,117
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$50,196
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$5,486,491
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$441,300
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$267,771
Administrative expenses (other) incurred2021-12-31$2,090
Liabilities. Value of operating payables at end of year2021-12-31$170,783
Liabilities. Value of operating payables at beginning of year2021-12-31$205,633
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-100,560
Value of net assets at end of year (total assets less liabilities)2021-12-31$270,517
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$371,077
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$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$308,939
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$308,939
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$376
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$3,470,545
Contract administrator fees2021-12-31$581,661
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 name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$205,633
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$246,408
Total income from all sources (including contributions)2020-12-31$5,981,472
Total of all expenses incurred2020-12-31$6,276,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$5,572,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$5,980,653
Value of total assets at end of year2020-12-31$576,710
Value of total assets at beginning of year2020-12-31$912,839
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$704,303
Total interest from all sources2020-12-31$819
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$25,634
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,688,492
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$35,573
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$5,572,523
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$267,771
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$520,004
Administrative expenses (other) incurred2020-12-31$2,756
Liabilities. Value of operating payables at end of year2020-12-31$205,633
Liabilities. Value of operating payables at beginning of year2020-12-31$246,408
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-295,354
Value of net assets at end of year (total assets less liabilities)2020-12-31$371,077
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$666,431
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$308,939
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$392,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$392,835
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$819
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$3,256,588
Contract administrator fees2020-12-31$675,913
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 name2020-12-31BKD, LLP
Accountancy firm EIN2020-12-31440160260
2019 : C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$246,408
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$120,774
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$120,774
Total income from all sources (including contributions)2019-12-31$6,195,565
Total income from all sources (including contributions)2019-12-31$6,195,565
Total of all expenses incurred2019-12-31$6,382,981
Total of all expenses incurred2019-12-31$6,382,981
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,645,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,645,586
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$6,188,557
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$6,188,557
Value of total assets at end of year2019-12-31$912,839
Value of total assets at end of year2019-12-31$912,839
Value of total assets at beginning of year2019-12-31$974,621
Value of total assets at beginning of year2019-12-31$974,621
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$737,395
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$737,395
Total interest from all sources2019-12-31$7,008
Total interest from all sources2019-12-31$7,008
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
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$21,492
Administrative expenses professional fees incurred2019-12-31$21,492
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$2,793,299
Contributions received from participants2019-12-31$2,793,299
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$20,558
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$20,558
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$5,645,586
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$5,645,586
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$520,004
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$263,946
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$263,946
Administrative expenses (other) incurred2019-12-31$2,485
Administrative expenses (other) incurred2019-12-31$2,485
Liabilities. Value of operating payables at end of year2019-12-31$246,408
Liabilities. Value of operating payables at end of year2019-12-31$246,408
Liabilities. Value of operating payables at beginning of year2019-12-31$120,774
Liabilities. Value of operating payables at beginning of year2019-12-31$120,774
Total non interest bearing cash at beginning of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-187,416
Value of net income/loss2019-12-31$-187,416
Value of net assets at end of year (total assets less liabilities)2019-12-31$666,431
Value of net assets at end of year (total assets less liabilities)2019-12-31$666,431
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$853,847
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$853,847
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$392,835
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$392,835
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$710,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$710,675
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$710,675
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$710,675
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$7,008
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$7,008
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$3,374,700
Contributions received in cash from employer2019-12-31$3,374,700
Contract administrator fees2019-12-31$713,418
Contract administrator fees2019-12-31$713,418
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
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)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm name2019-12-31BKD, LLP
Accountancy firm EIN2019-12-31440160260
Accountancy firm EIN2019-12-31440160260
2018 : C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$120,774
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$146,041
Total income from all sources (including contributions)2018-12-31$5,330,262
Total of all expenses incurred2018-12-31$6,194,864
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$5,603,889
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$5,322,808
Value of total assets at end of year2018-12-31$974,621
Value of total assets at beginning of year2018-12-31$1,864,490
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$590,975
Total interest from all sources2018-12-31$7,454
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$26,441
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$2,777,128
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$11,828
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$5,603,889
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$263,946
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$145,546
Administrative expenses (other) incurred2018-12-31$3,027
Liabilities. Value of operating payables at end of year2018-12-31$120,774
Liabilities. Value of operating payables at beginning of year2018-12-31$146,041
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$1,718,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-864,602
Value of net assets at end of year (total assets less liabilities)2018-12-31$853,847
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,718,449
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$710,675
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$7,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$2,533,852
Contract administrator fees2018-12-31$561,507
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
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)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31BKD, LLP
Accountancy firm EIN2018-12-31440160260
2017 : C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$146,041
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$137,470
Total income from all sources (including contributions)2017-12-31$6,024,285
Total of all expenses incurred2017-12-31$5,496,802
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,875,841
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$6,024,285
Value of total assets at end of year2017-12-31$1,864,490
Value of total assets at beginning of year2017-12-31$1,328,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$620,961
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$14,586
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$3,105,961
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$30,901
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$4,875,841
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$145,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$200,386
Administrative expenses (other) incurred2017-12-31$3,234
Liabilities. Value of operating payables at end of year2017-12-31$146,041
Liabilities. Value of operating payables at beginning of year2017-12-31$137,470
Total non interest bearing cash at end of year2017-12-31$1,718,944
Total non interest bearing cash at beginning of year2017-12-31$1,128,050
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$527,483
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,718,449
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,190,966
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
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 contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$2,887,423
Contract administrator fees2017-12-31$603,141
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
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)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31BKD, LLP
Accountancy firm EIN2017-12-31440160260

Form 5500 Responses for C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT PLAN

2022: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT 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 – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT 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 – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT 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 funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT 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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: C.C. CLARK, INC. HEALTH AND WELFARE BENEFIT 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan 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 number949850
Policy instance 1
Insurance contract or identification number949850
Number of Individuals Covered566
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,787
Welfare Benefit Premiums Paid to CarrierUSD $192,624
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7787
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number417002413927
Policy instance 1
Insurance contract or identification number417002413927
Number of Individuals Covered690
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $177,258
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number417002413927
Policy instance 1
Insurance contract or identification number417002413927
Number of Individuals Covered748
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Welfare Benefit Premiums Paid to CarrierUSD $122,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533868
Policy instance 2
Insurance contract or identification number00533868
Number of Individuals Covered781
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,195
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3195
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533868
Policy instance 1
Insurance contract or identification number00533868
Number of Individuals Covered849
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $410
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,109
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees410
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533868
Policy instance 1
Insurance contract or identification number00533868
Number of Individuals Covered766
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,678
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $41,644
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2678
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number00533868
Policy instance 1
Insurance contract or identification number00533868
Number of Individuals Covered755
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,639
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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