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KEYSTONE/KEMLON HEALTH CARE TRUST 401k Plan overview

Plan NameKEYSTONE/KEMLON HEALTH CARE TRUST
Plan identification number 501

KEYSTONE/KEMLON HEALTH CARE TRUST Benefits

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

401k Sponsoring company profile

KEMLON PRODUCTS & DEVELOPMENT GROUP INC has sponsored the creation of one or more 401k plans.

Company Name:KEMLON PRODUCTS & DEVELOPMENT GROUP INC
Employer identification number (EIN):741477450
NAIC Classification:335900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan KEYSTONE/KEMLON HEALTH CARE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01JOHN H. RING, TRUSTEE
5012016-05-01JOHN H. RING, TRUSTEE
5012015-05-01JOHN H. RING, TRUSTEE
5012014-05-01JOHN H. RING, TRUSTEE
5012013-05-01JOHN H. RING, TRUSTEE
5012012-05-01JOHN H. RING, TRUSTEE
5012011-05-01JOHN H. RING, TRUSTEE
5012009-05-01JOHN H. RING, TRUSTEE

Plan Statistics for KEYSTONE/KEMLON HEALTH CARE TRUST

401k plan membership statisitcs for KEYSTONE/KEMLON HEALTH CARE TRUST

Measure Date Value
2022: KEYSTONE/KEMLON HEALTH CARE TRUST 2022 401k membership
Total participants, beginning-of-year2022-05-01420
Total number of active participants reported on line 7a of the Form 55002022-05-01442
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-01442
2021: KEYSTONE/KEMLON HEALTH CARE TRUST 2021 401k membership
Total participants, beginning-of-year2021-05-01576
Total number of active participants reported on line 7a of the Form 55002021-05-01420
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-01420
2020: KEYSTONE/KEMLON HEALTH CARE TRUST 2020 401k membership
Total participants, beginning-of-year2020-05-01519
Total number of active participants reported on line 7a of the Form 55002020-05-01576
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-01576
2019: KEYSTONE/KEMLON HEALTH CARE TRUST 2019 401k membership
Total participants, beginning-of-year2019-05-01501
Total number of active participants reported on line 7a of the Form 55002019-05-01519
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-01519
2018: KEYSTONE/KEMLON HEALTH CARE TRUST 2018 401k membership
Total participants, beginning-of-year2018-05-01434
Total number of active participants reported on line 7a of the Form 55002018-05-01501
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-01501
2017: KEYSTONE/KEMLON HEALTH CARE TRUST 2017 401k membership
Total participants, beginning-of-year2017-05-01447
Total number of active participants reported on line 7a of the Form 55002017-05-01434
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-01434
2016: KEYSTONE/KEMLON HEALTH CARE TRUST 2016 401k membership
Total participants, beginning-of-year2016-05-01366
Total number of active participants reported on line 7a of the Form 55002016-05-01447
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-01447
2015: KEYSTONE/KEMLON HEALTH CARE TRUST 2015 401k membership
Total participants, beginning-of-year2015-05-01544
Total number of active participants reported on line 7a of the Form 55002015-05-01366
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-01366
2014: KEYSTONE/KEMLON HEALTH CARE TRUST 2014 401k membership
Total participants, beginning-of-year2014-05-01554
Total number of active participants reported on line 7a of the Form 55002014-05-01544
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-01544
2013: KEYSTONE/KEMLON HEALTH CARE TRUST 2013 401k membership
Total participants, beginning-of-year2013-05-01565
Total number of active participants reported on line 7a of the Form 55002013-05-01554
Total of all active and inactive participants2013-05-01554
2012: KEYSTONE/KEMLON HEALTH CARE TRUST 2012 401k membership
Total participants, beginning-of-year2012-05-01555
Total number of active participants reported on line 7a of the Form 55002012-05-01565
Total of all active and inactive participants2012-05-01565
2011: KEYSTONE/KEMLON HEALTH CARE TRUST 2011 401k membership
Total participants, beginning-of-year2011-05-01623
Total number of active participants reported on line 7a of the Form 55002011-05-01555
Total of all active and inactive participants2011-05-01555
2009: KEYSTONE/KEMLON HEALTH CARE TRUST 2009 401k membership
Total participants, beginning-of-year2009-05-01593
Total number of active participants reported on line 7a of the Form 55002009-05-01561
Total of all active and inactive participants2009-05-01561

Financial Data on KEYSTONE/KEMLON HEALTH CARE TRUST

Measure Date Value
2023 : KEYSTONE/KEMLON HEALTH CARE TRUST 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-04-30$1,573
Total unrealized appreciation/depreciation of assets2023-04-30$1,573
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$2,073,367
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-30$1,640,925
Total income from all sources (including contributions)2023-04-30$2,522,559
Total of all expenses incurred2023-04-30$2,520,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-30$2,506,252
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-30$2,442,091
Value of total assets at end of year2023-04-30$2,483,370
Value of total assets at beginning of year2023-04-30$2,049,355
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-30$14,734
Total interest from all sources2023-04-30$74,374
Total dividends received (eg from common stock, registered investment company shares)2023-04-30$4,521
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-04-30$4,228
Administrative expenses professional fees incurred2023-04-30$14,734
Was this plan covered by a fidelity bond2023-04-30Yes
Value of fidelity bond cover2023-04-30$500,000
If this is an individual account plan, was there a blackout period2023-04-30No
Were there any nonexempt tranactions with any party-in-interest2023-04-30No
Contributions received from participants2023-04-30$1,188,641
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-04-30$-11,355
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-04-30$2,071,432
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-04-30$1,638,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Value of net income/loss2023-04-30$1,573
Value of net assets at end of year (total assets less liabilities)2023-04-30$410,003
Value of net assets at beginning of year (total assets less liabilities)2023-04-30$408,430
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-30No
Were any leases to which the plan was party in default or uncollectible2023-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-04-30$210,441
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-04-30$204,994
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-04-30$2,254,833
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-30$1,826,619
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-30$1,826,619
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-30$74,374
Expenses. Payments to insurance carriers foe the provision of benefits2023-04-30$2,481,643
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-30No
Was there a failure to transmit to the plan any participant contributions2023-04-30No
Has the plan failed to provide any benefit when due under the plan2023-04-30No
Contributions received in cash from employer2023-04-30$1,253,450
Income. Dividends from common stock2023-04-30$293
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-30$35,964
Assets. Corporate common stocks other than exployer securities at end of year2023-04-30$18,096
Assets. Corporate common stocks other than exployer securities at beginning of year2023-04-30$17,742
Liabilities. Value of benefit claims payable at end of year2023-04-30$1,935
Liabilities. Value of benefit claims payable at beginning of year2023-04-30$2,072
Did the plan have assets held for investment2023-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-30No
Opinion of an independent qualified public accountant for this plan2023-04-30Unqualified
Accountancy firm name2023-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2023-04-30261783184
2022 : KEYSTONE/KEMLON HEALTH CARE TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-04-30$-5,835
Total unrealized appreciation/depreciation of assets2022-04-30$-5,835
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$1,640,925
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-04-30$1,265,846
Total income from all sources (including contributions)2022-04-30$2,388,957
Total of all expenses incurred2022-04-30$2,389,116
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-04-30$2,376,873
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-04-30$2,390,296
Value of total assets at end of year2022-04-30$2,049,355
Value of total assets at beginning of year2022-04-30$1,674,435
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-04-30$12,243
Total interest from all sources2022-04-30$2,790
Total dividends received (eg from common stock, registered investment company shares)2022-04-30$1,706
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-04-30$1,052
Administrative expenses professional fees incurred2022-04-30$11,870
Was this plan covered by a fidelity bond2022-04-30Yes
Value of fidelity bond cover2022-04-30$500,000
If this is an individual account plan, was there a blackout period2022-04-30No
Were there any nonexempt tranactions with any party-in-interest2022-04-30No
Contributions received from participants2022-04-30$1,148,125
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-04-30$1,638,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-04-30$1,257,306
Administrative expenses (other) incurred2022-04-30$373
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Value of net income/loss2022-04-30$-159
Value of net assets at end of year (total assets less liabilities)2022-04-30$408,430
Value of net assets at beginning of year (total assets less liabilities)2022-04-30$408,589
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-04-30No
Were any leases to which the plan was party in default or uncollectible2022-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-04-30$204,994
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-04-30$207,616
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-04-30$1,826,619
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-04-30$1,446,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-04-30$1,446,915
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-04-30$2,790
Expenses. Payments to insurance carriers foe the provision of benefits2022-04-30$2,328,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-04-30No
Was there a failure to transmit to the plan any participant contributions2022-04-30No
Has the plan failed to provide any benefit when due under the plan2022-04-30No
Contributions received in cash from employer2022-04-30$1,242,171
Income. Dividends from common stock2022-04-30$654
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-04-30$48,499
Assets. Corporate common stocks other than exployer securities at end of year2022-04-30$17,742
Assets. Corporate common stocks other than exployer securities at beginning of year2022-04-30$19,904
Liabilities. Value of benefit claims payable at end of year2022-04-30$2,072
Liabilities. Value of benefit claims payable at beginning of year2022-04-30$8,540
Did the plan have assets held for investment2022-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-04-30No
Opinion of an independent qualified public accountant for this plan2022-04-30Unqualified
Accountancy firm name2022-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2022-04-30261783184
2021 : KEYSTONE/KEMLON HEALTH CARE TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-04-30$11,923
Total unrealized appreciation/depreciation of assets2021-04-30$11,923
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$1,265,846
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-04-30$1,234,188
Total income from all sources (including contributions)2021-04-30$2,851,488
Total of all expenses incurred2021-04-30$2,857,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-04-30$2,847,662
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-04-30$2,835,205
Value of total assets at end of year2021-04-30$1,674,435
Value of total assets at beginning of year2021-04-30$1,649,101
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-04-30$10,150
Total interest from all sources2021-04-30$1,876
Total dividends received (eg from common stock, registered investment company shares)2021-04-30$2,484
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-04-30$2,140
Administrative expenses professional fees incurred2021-04-30$10,000
Was this plan covered by a fidelity bond2021-04-30Yes
Value of fidelity bond cover2021-04-30$500,000
If this is an individual account plan, was there a blackout period2021-04-30No
Were there any nonexempt tranactions with any party-in-interest2021-04-30No
Contributions received from participants2021-04-30$1,185,386
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-04-30$1,257,306
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-04-30$1,234,188
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Value of net income/loss2021-04-30$-6,324
Value of net assets at end of year (total assets less liabilities)2021-04-30$408,589
Value of net assets at beginning of year (total assets less liabilities)2021-04-30$414,913
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-04-30No
Were any leases to which the plan was party in default or uncollectible2021-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-04-30$207,616
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-04-30$201,872
Interest earned on other investments2021-04-30$4
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-04-30$1,446,915
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-04-30$1,434,554
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-04-30$1,434,554
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-04-30$1,872
Expenses. Payments to insurance carriers foe the provision of benefits2021-04-30$2,791,227
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-04-30No
Was there a failure to transmit to the plan any participant contributions2021-04-30No
Has the plan failed to provide any benefit when due under the plan2021-04-30No
Contributions received in cash from employer2021-04-30$1,649,819
Income. Dividends from common stock2021-04-30$344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-04-30$56,435
Contract administrator fees2021-04-30$150
Assets. Corporate common stocks other than exployer securities at end of year2021-04-30$19,904
Assets. Corporate common stocks other than exployer securities at beginning of year2021-04-30$12,675
Liabilities. Value of benefit claims payable at end of year2021-04-30$8,540
Did the plan have assets held for investment2021-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-04-30No
Opinion of an independent qualified public accountant for this plan2021-04-30Unqualified
Accountancy firm name2021-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2021-04-30261783184
2020 : KEYSTONE/KEMLON HEALTH CARE TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-04-30$-4,255
Total unrealized appreciation/depreciation of assets2020-04-30$-4,255
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$1,234,188
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-04-30$1,182,582
Total income from all sources (including contributions)2020-04-30$3,149,401
Total of all expenses incurred2020-04-30$3,152,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-04-30$3,142,237
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-04-30$3,124,148
Value of total assets at end of year2020-04-30$1,649,101
Value of total assets at beginning of year2020-04-30$1,600,880
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-04-30$10,549
Total interest from all sources2020-04-30$29,063
Total dividends received (eg from common stock, registered investment company shares)2020-04-30$445
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-04-30No
Administrative expenses professional fees incurred2020-04-30$9,300
Was this plan covered by a fidelity bond2020-04-30Yes
Value of fidelity bond cover2020-04-30$500,000
If this is an individual account plan, was there a blackout period2020-04-30No
Were there any nonexempt tranactions with any party-in-interest2020-04-30No
Contributions received from participants2020-04-30$1,377,745
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-04-30$12,489
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-04-30$1,234,188
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-04-30$1,181,712
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Value of net income/loss2020-04-30$-3,385
Value of net assets at end of year (total assets less liabilities)2020-04-30$414,913
Value of net assets at beginning of year (total assets less liabilities)2020-04-30$418,298
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-04-30No
Were any leases to which the plan was party in default or uncollectible2020-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-04-30$201,872
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-04-30$199,599
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-04-30$1,434,554
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-04-30$1,373,468
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-04-30$1,373,468
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-04-30$29,063
Expenses. Payments to insurance carriers foe the provision of benefits2020-04-30$3,102,784
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-04-30No
Was there a failure to transmit to the plan any participant contributions2020-04-30No
Has the plan failed to provide any benefit when due under the plan2020-04-30No
Contributions received in cash from employer2020-04-30$1,746,403
Income. Dividends from common stock2020-04-30$445
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-04-30$39,453
Contract administrator fees2020-04-30$1,249
Assets. Corporate common stocks other than exployer securities at end of year2020-04-30$12,675
Assets. Corporate common stocks other than exployer securities at beginning of year2020-04-30$15,324
Liabilities. Value of benefit claims payable at beginning of year2020-04-30$870
Did the plan have assets held for investment2020-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-04-30No
Opinion of an independent qualified public accountant for this plan2020-04-30Unqualified
Accountancy firm name2020-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2020-04-30261783184
2019 : KEYSTONE/KEMLON HEALTH CARE TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-04-30$1,460
Total unrealized appreciation/depreciation of assets2019-04-30$1,460
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$1,182,582
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$1,155,021
Total income from all sources (including contributions)2019-04-30$2,972,056
Total of all expenses incurred2019-04-30$2,970,595
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$2,960,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$2,944,496
Value of total assets at end of year2019-04-30$1,600,880
Value of total assets at beginning of year2019-04-30$1,571,858
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$10,065
Total interest from all sources2019-04-30$25,335
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$765
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30No
Administrative expenses professional fees incurred2019-04-30$9,250
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$500,000
If this is an individual account plan, was there a blackout period2019-04-30No
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Contributions received from participants2019-04-30$1,287,273
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-04-30$12,489
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-04-30$1,181,712
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-04-30$1,154,572
Administrative expenses (other) incurred2019-04-30$-30
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$1,461
Value of net assets at end of year (total assets less liabilities)2019-04-30$418,298
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$416,837
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-04-30$199,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-04-30$194,588
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-04-30$1,373,468
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-04-30$1,362,038
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-04-30$1,362,038
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$25,335
Expenses. Payments to insurance carriers foe the provision of benefits2019-04-30$2,931,576
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30No
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$1,657,223
Income. Dividends from common stock2019-04-30$765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$28,954
Contract administrator fees2019-04-30$845
Assets. Corporate common stocks other than exployer securities at end of year2019-04-30$15,324
Assets. Corporate common stocks other than exployer securities at beginning of year2019-04-30$15,232
Liabilities. Value of benefit claims payable at end of year2019-04-30$870
Liabilities. Value of benefit claims payable at beginning of year2019-04-30$449
Did the plan have assets held for investment2019-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30No
Opinion of an independent qualified public accountant for this plan2019-04-30Unqualified
Accountancy firm name2019-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2019-04-30261783184
2018 : KEYSTONE/KEMLON HEALTH CARE TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-04-30$1,623
Total unrealized appreciation/depreciation of assets2018-04-30$1,623
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$1,155,021
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-04-30$1,091,136
Total income from all sources (including contributions)2018-04-30$2,985,585
Total of all expenses incurred2018-04-30$2,983,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-04-30$2,972,423
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-04-30$2,979,861
Value of total assets at end of year2018-04-30$1,571,858
Value of total assets at beginning of year2018-04-30$1,506,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-04-30$11,539
Total interest from all sources2018-04-30$1,466
Total dividends received (eg from common stock, registered investment company shares)2018-04-30$2,635
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-04-30$2,253
Administrative expenses professional fees incurred2018-04-30$9,585
Was this plan covered by a fidelity bond2018-04-30Yes
Value of fidelity bond cover2018-04-30$500,000
If this is an individual account plan, was there a blackout period2018-04-30No
Were there any nonexempt tranactions with any party-in-interest2018-04-30No
Contributions received from participants2018-04-30$1,058,715
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-04-30$510
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-04-30$1,154,572
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-04-30$1,091,136
Administrative expenses (other) incurred2018-04-30$1,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Value of net income/loss2018-04-30$1,623
Value of net assets at end of year (total assets less liabilities)2018-04-30$416,837
Value of net assets at beginning of year (total assets less liabilities)2018-04-30$415,214
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-04-30No
Were any leases to which the plan was party in default or uncollectible2018-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-04-30$194,588
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-04-30$192,912
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-04-30$1,362,038
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-04-30$1,299,895
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-04-30$1,299,895
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-04-30$1,466
Expenses. Payments to insurance carriers foe the provision of benefits2018-04-30$2,929,015
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-04-30No
Was there a failure to transmit to the plan any participant contributions2018-04-30No
Has the plan failed to provide any benefit when due under the plan2018-04-30No
Contributions received in cash from employer2018-04-30$1,921,146
Income. Dividends from common stock2018-04-30$382
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-04-30$43,408
Contract administrator fees2018-04-30$558
Assets. Corporate common stocks other than exployer securities at end of year2018-04-30$15,232
Assets. Corporate common stocks other than exployer securities at beginning of year2018-04-30$13,033
Liabilities. Value of benefit claims payable at end of year2018-04-30$449
Did the plan have assets held for investment2018-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-04-30No
Opinion of an independent qualified public accountant for this plan2018-04-30Unqualified
Accountancy firm name2018-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2018-04-30261783184
2017 : KEYSTONE/KEMLON HEALTH CARE TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-04-30$787
Total unrealized appreciation/depreciation of assets2017-04-30$787
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$1,091,136
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-04-30$729,292
Total income from all sources (including contributions)2017-04-30$2,760,781
Total of all expenses incurred2017-04-30$3,148,635
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-04-30$3,096,748
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-04-30$2,756,795
Value of total assets at end of year2017-04-30$1,506,350
Value of total assets at beginning of year2017-04-30$1,532,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-04-30$51,887
Total interest from all sources2017-04-30$1,968
Total dividends received (eg from common stock, registered investment company shares)2017-04-30$1,231
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-04-30$882
Administrative expenses professional fees incurred2017-04-30$7,819
Was this plan covered by a fidelity bond2017-04-30Yes
Value of fidelity bond cover2017-04-30$500,000
If this is an individual account plan, was there a blackout period2017-04-30No
Were there any nonexempt tranactions with any party-in-interest2017-04-30No
Contributions received from participants2017-04-30$1,054,617
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-04-30$510
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-04-30$533,469
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-04-30$1,091,136
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-04-30$729,292
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Value of net income/loss2017-04-30$-387,854
Value of net assets at end of year (total assets less liabilities)2017-04-30$415,214
Value of net assets at beginning of year (total assets less liabilities)2017-04-30$803,068
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-04-30No
Were any leases to which the plan was party in default or uncollectible2017-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-04-30$192,912
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-04-30$190,988
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-04-30$1,299,895
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-04-30$795,320
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-04-30$795,320
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-04-30$1,968
Expenses. Payments to insurance carriers foe the provision of benefits2017-04-30$2,672,138
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-04-30No
Was there a failure to transmit to the plan any participant contributions2017-04-30No
Has the plan failed to provide any benefit when due under the plan2017-04-30No
Contributions received in cash from employer2017-04-30$1,702,178
Income. Dividends from common stock2017-04-30$349
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-04-30$424,610
Contract administrator fees2017-04-30$44,068
Assets. Corporate common stocks other than exployer securities at end of year2017-04-30$13,033
Assets. Corporate common stocks other than exployer securities at beginning of year2017-04-30$12,583
Did the plan have assets held for investment2017-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-04-30No
Opinion of an independent qualified public accountant for this plan2017-04-30Unqualified
Accountancy firm name2017-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2017-04-30261783184
2016 : KEYSTONE/KEMLON HEALTH CARE TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-04-30$456
Total unrealized appreciation/depreciation of assets2016-04-30$456
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$729,292
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-04-30$198,764
Total income from all sources (including contributions)2016-04-30$2,674,899
Total of all expenses incurred2016-04-30$2,978,582
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-04-30$2,734,005
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-04-30$2,671,248
Value of total assets at end of year2016-04-30$1,532,360
Value of total assets at beginning of year2016-04-30$1,305,515
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-04-30$244,577
Total interest from all sources2016-04-30$2,228
Total dividends received (eg from common stock, registered investment company shares)2016-04-30$967
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-04-30No
Administrative expenses professional fees incurred2016-04-30$10,469
Was this plan covered by a fidelity bond2016-04-30Yes
Value of fidelity bond cover2016-04-30$500,000
If this is an individual account plan, was there a blackout period2016-04-30No
Were there any nonexempt tranactions with any party-in-interest2016-04-30No
Contributions received from participants2016-04-30$1,293,046
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-04-30$533,469
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-04-30$25,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-04-30$729,292
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-04-30$198,764
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Value of net income/loss2016-04-30$-303,683
Value of net assets at end of year (total assets less liabilities)2016-04-30$803,068
Value of net assets at beginning of year (total assets less liabilities)2016-04-30$1,106,751
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-04-30No
Were any leases to which the plan was party in default or uncollectible2016-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-04-30$190,988
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-04-30$189,982
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-04-30$795,320
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-04-30$1,077,785
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-04-30$1,077,785
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-04-30$2,228
Expenses. Payments to insurance carriers foe the provision of benefits2016-04-30$626,282
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-04-30No
Was there a failure to transmit to the plan any participant contributions2016-04-30No
Has the plan failed to provide any benefit when due under the plan2016-04-30No
Contributions received in cash from employer2016-04-30$1,378,202
Income. Dividends from common stock2016-04-30$967
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-04-30$2,107,723
Contract administrator fees2016-04-30$234,108
Assets. Corporate common stocks other than exployer securities at end of year2016-04-30$12,583
Assets. Corporate common stocks other than exployer securities at beginning of year2016-04-30$11,819
Did the plan have assets held for investment2016-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-04-30No
Opinion of an independent qualified public accountant for this plan2016-04-30Unqualified
Accountancy firm name2016-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2016-04-30261783184
2015 : KEYSTONE/KEMLON HEALTH CARE TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-04-30$-1,599
Total unrealized appreciation/depreciation of assets2015-04-30$-1,599
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$198,764
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-04-30$9,001
Total income from all sources (including contributions)2015-04-30$3,522,582
Total of all expenses incurred2015-04-30$3,791,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-04-30$3,489,134
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-04-30$3,521,840
Value of total assets at end of year2015-04-30$1,305,515
Value of total assets at beginning of year2015-04-30$1,384,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-04-30$302,102
Total interest from all sources2015-04-30$1,382
Total dividends received (eg from common stock, registered investment company shares)2015-04-30$959
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-04-30No
Administrative expenses professional fees incurred2015-04-30$7,851
Was this plan covered by a fidelity bond2015-04-30Yes
Value of fidelity bond cover2015-04-30$500,000
If this is an individual account plan, was there a blackout period2015-04-30No
Were there any nonexempt tranactions with any party-in-interest2015-04-30No
Contributions received from participants2015-04-30$1,198,843
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-04-30$25,929
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-04-30$145,073
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-04-30$198,764
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-04-30$9,001
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Value of net income/loss2015-04-30$-268,654
Value of net assets at end of year (total assets less liabilities)2015-04-30$1,106,751
Value of net assets at beginning of year (total assets less liabilities)2015-04-30$1,375,405
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-04-30No
Were any leases to which the plan was party in default or uncollectible2015-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-04-30$189,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-04-30$189,774
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-04-30$1,077,785
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-04-30$1,037,072
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-04-30$1,037,072
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-04-30$1,382
Expenses. Payments to insurance carriers foe the provision of benefits2015-04-30$381,659
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-04-30No
Was there a failure to transmit to the plan any participant contributions2015-04-30No
Has the plan failed to provide any benefit when due under the plan2015-04-30No
Contributions received in cash from employer2015-04-30$2,322,997
Income. Dividends from common stock2015-04-30$959
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-04-30$3,107,475
Contract administrator fees2015-04-30$294,251
Assets. Corporate common stocks other than exployer securities at end of year2015-04-30$11,819
Assets. Corporate common stocks other than exployer securities at beginning of year2015-04-30$12,487
Did the plan have assets held for investment2015-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-04-30No
Opinion of an independent qualified public accountant for this plan2015-04-30Unqualified
Accountancy firm name2015-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2015-04-30261783184
2014 : KEYSTONE/KEMLON HEALTH CARE TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-04-30$1,830
Total unrealized appreciation/depreciation of assets2014-04-30$1,830
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$9,001
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-04-30$7,500
Total income from all sources (including contributions)2014-04-30$3,366,990
Total of all expenses incurred2014-04-30$3,170,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-04-30$2,885,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-04-30$3,363,127
Value of total assets at end of year2014-04-30$1,384,406
Value of total assets at beginning of year2014-04-30$1,186,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-04-30$285,552
Total interest from all sources2014-04-30$1,610
Total dividends received (eg from common stock, registered investment company shares)2014-04-30$423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-04-30No
Administrative expenses professional fees incurred2014-04-30$7,819
Was this plan covered by a fidelity bond2014-04-30Yes
Value of fidelity bond cover2014-04-30$500,000
If this is an individual account plan, was there a blackout period2014-04-30No
Were there any nonexempt tranactions with any party-in-interest2014-04-30No
Contributions received from participants2014-04-30$1,013,500
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-04-30$145,073
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-04-30$105,602
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-04-30$9,001
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-04-30$7,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Value of net income/loss2014-04-30$196,059
Value of net assets at end of year (total assets less liabilities)2014-04-30$1,375,405
Value of net assets at beginning of year (total assets less liabilities)2014-04-30$1,179,346
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-04-30No
Were any leases to which the plan was party in default or uncollectible2014-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-04-30$189,774
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-04-30$189,044
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-04-30$1,037,072
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-04-30$462,856
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-04-30$462,856
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-04-30$1,610
Expenses. Payments to insurance carriers foe the provision of benefits2014-04-30$442,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-04-30No
Was there a failure to transmit to the plan any participant contributions2014-04-30No
Has the plan failed to provide any benefit when due under the plan2014-04-30No
Contributions received in cash from employer2014-04-30$2,349,627
Employer contributions (assets) at beginning of year2014-04-30$419,056
Income. Dividends from common stock2014-04-30$423
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-04-30$2,443,027
Contract administrator fees2014-04-30$277,733
Assets. Corporate common stocks other than exployer securities at end of year2014-04-30$12,487
Assets. Corporate common stocks other than exployer securities at beginning of year2014-04-30$10,288
Did the plan have assets held for investment2014-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-04-30No
Opinion of an independent qualified public accountant for this plan2014-04-30Unqualified
Accountancy firm name2014-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2014-04-30261783184
2013 : KEYSTONE/KEMLON HEALTH CARE TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-04-30$1,766
Total unrealized appreciation/depreciation of assets2013-04-30$1,766
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$7,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-04-30$256,931
Total income from all sources (including contributions)2013-04-30$3,555,372
Total of all expenses incurred2013-04-30$3,147,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-04-30$2,853,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-04-30$3,550,870
Value of total assets at end of year2013-04-30$1,186,846
Value of total assets at beginning of year2013-04-30$1,028,512
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-04-30$294,575
Total interest from all sources2013-04-30$2,289
Total dividends received (eg from common stock, registered investment company shares)2013-04-30$447
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-04-30No
Administrative expenses professional fees incurred2013-04-30$7,664
Was this plan covered by a fidelity bond2013-04-30Yes
Value of fidelity bond cover2013-04-30$500,000
If this is an individual account plan, was there a blackout period2013-04-30No
Were there any nonexempt tranactions with any party-in-interest2013-04-30No
Contributions received from participants2013-04-30$890,249
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-04-30$2,076,594
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-04-30$105,602
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-04-30$7,500
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-04-30$256,931
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Value of net income/loss2013-04-30$407,765
Value of net assets at end of year (total assets less liabilities)2013-04-30$1,179,346
Value of net assets at beginning of year (total assets less liabilities)2013-04-30$771,581
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-04-30No
Were any leases to which the plan was party in default or uncollectible2013-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-04-30$189,044
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-04-30$187,349
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-04-30$462,856
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-04-30$832,274
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-04-30$832,274
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-04-30$2,289
Expenses. Payments to insurance carriers foe the provision of benefits2013-04-30$754,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-04-30No
Was there a failure to transmit to the plan any participant contributions2013-04-30No
Has the plan failed to provide any benefit when due under the plan2013-04-30No
Contributions received in cash from employer2013-04-30$2,660,621
Employer contributions (assets) at end of year2013-04-30$419,056
Income. Dividends from common stock2013-04-30$447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-04-30$21,582
Contract administrator fees2013-04-30$286,911
Assets. Corporate common stocks other than exployer securities at end of year2013-04-30$10,288
Assets. Corporate common stocks other than exployer securities at beginning of year2013-04-30$8,889
Did the plan have assets held for investment2013-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-04-30No
Opinion of an independent qualified public accountant for this plan2013-04-30Unqualified
Accountancy firm name2013-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2013-04-30261783184
2012 : KEYSTONE/KEMLON HEALTH CARE TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-04-30$7,800
Total unrealized appreciation/depreciation of assets2012-04-30$7,800
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$256,931
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-04-30$43,311
Total income from all sources (including contributions)2012-04-30$3,086,444
Total of all expenses incurred2012-04-30$2,718,644
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-04-30$2,382,878
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-04-30$3,075,752
Value of total assets at end of year2012-04-30$1,028,512
Value of total assets at beginning of year2012-04-30$447,092
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-04-30$335,766
Total interest from all sources2012-04-30$2,601
Total dividends received (eg from common stock, registered investment company shares)2012-04-30$291
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-04-30No
Administrative expenses professional fees incurred2012-04-30$9,000
Was this plan covered by a fidelity bond2012-04-30Yes
Value of fidelity bond cover2012-04-30$500,000
If this is an individual account plan, was there a blackout period2012-04-30No
Were there any nonexempt tranactions with any party-in-interest2012-04-30No
Contributions received from participants2012-04-30$839,079
Assets. Other investments not covered elsewhere at beginning of year2012-04-30$44,875
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-04-30$1,641,593
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-04-30$256,931
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-04-30$43,311
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Value of net income/loss2012-04-30$367,800
Value of net assets at end of year (total assets less liabilities)2012-04-30$771,581
Value of net assets at beginning of year (total assets less liabilities)2012-04-30$403,781
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-04-30No
Were any leases to which the plan was party in default or uncollectible2012-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-04-30$187,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-04-30$186,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-04-30$832,274
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-04-30$215,972
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-04-30$215,972
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-04-30$2,601
Expenses. Payments to insurance carriers foe the provision of benefits2012-04-30$705,664
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-04-30No
Was there a failure to transmit to the plan any participant contributions2012-04-30No
Has the plan failed to provide any benefit when due under the plan2012-04-30No
Contributions received in cash from employer2012-04-30$2,236,673
Income. Dividends from common stock2012-04-30$291
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-04-30$35,621
Contract administrator fees2012-04-30$326,766
Assets. Corporate common stocks other than exployer securities at end of year2012-04-30$8,889
Did the plan have assets held for investment2012-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-04-30No
Opinion of an independent qualified public accountant for this plan2012-04-30Unqualified
Accountancy firm name2012-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2012-04-30261783184
2011 : KEYSTONE/KEMLON HEALTH CARE TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-04-30$1,423
Total unrealized appreciation/depreciation of assets2011-04-30$1,423
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$43,311
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-04-30$151,662
Total income from all sources (including contributions)2011-04-30$2,136,950
Total of all expenses incurred2011-04-30$2,137,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-04-30$2,130,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-04-30$2,132,204
Value of total assets at end of year2011-04-30$447,092
Value of total assets at beginning of year2011-04-30$555,822
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-04-30$7,200
Total interest from all sources2011-04-30$3,135
Total dividends received (eg from common stock, registered investment company shares)2011-04-30$188
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-04-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-04-30$188
Administrative expenses professional fees incurred2011-04-30$7,200
Was this plan covered by a fidelity bond2011-04-30Yes
Value of fidelity bond cover2011-04-30$500,000
If this is an individual account plan, was there a blackout period2011-04-30No
Were there any nonexempt tranactions with any party-in-interest2011-04-30No
Contributions received from participants2011-04-30$639,181
Assets. Other investments not covered elsewhere at end of year2011-04-30$44,875
Assets. Other investments not covered elsewhere at beginning of year2011-04-30$161,288
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-04-30$43,311
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-04-30$151,662
Total non interest bearing cash at beginning of year2011-04-30$28,462
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Value of net income/loss2011-04-30$-379
Value of net assets at end of year (total assets less liabilities)2011-04-30$403,781
Value of net assets at beginning of year (total assets less liabilities)2011-04-30$404,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-04-30No
Were any leases to which the plan was party in default or uncollectible2011-04-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-04-30$186,245
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-04-30$182,485
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-04-30$215,972
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-04-30$180,945
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-04-30$180,945
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-04-30$3,135
Expenses. Payments to insurance carriers foe the provision of benefits2011-04-30$2,105,327
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-04-30No
Was there a failure to transmit to the plan any participant contributions2011-04-30No
Has the plan failed to provide any benefit when due under the plan2011-04-30No
Contributions received in cash from employer2011-04-30$1,493,023
Employer contributions (assets) at beginning of year2011-04-30$2,642
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-04-30$24,802
Did the plan have assets held for investment2011-04-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-04-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-04-30No
Opinion of an independent qualified public accountant for this plan2011-04-30Unqualified
Accountancy firm name2011-04-30EYRING, LEAVITT AND DRANEY, PLLC
Accountancy firm EIN2011-04-30261783184

Form 5500 Responses for KEYSTONE/KEMLON HEALTH CARE TRUST

2022: KEYSTONE/KEMLON HEALTH CARE TRUST 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: KEYSTONE/KEMLON HEALTH CARE TRUST 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – General assets of the sponsorYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: KEYSTONE/KEMLON HEALTH CARE TRUST 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – General assets of the sponsorYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: KEYSTONE/KEMLON HEALTH CARE TRUST 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – General assets of the sponsorYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: KEYSTONE/KEMLON HEALTH CARE TRUST 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – General assets of the sponsorYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: KEYSTONE/KEMLON HEALTH CARE TRUST 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: KEYSTONE/KEMLON HEALTH CARE TRUST 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: KEYSTONE/KEMLON HEALTH CARE TRUST 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: KEYSTONE/KEMLON HEALTH CARE TRUST 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – General assets of the sponsorYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: KEYSTONE/KEMLON HEALTH CARE TRUST 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: KEYSTONE/KEMLON HEALTH CARE TRUST 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – General assets of the sponsorYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – General assets of the sponsorYes
2011: KEYSTONE/KEMLON HEALTH CARE TRUST 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – General assets of the sponsorYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – General assets of the sponsorYes
2009: KEYSTONE/KEMLON HEALTH CARE TRUST 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – General assets of the sponsorYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF026609
Policy instance 2
Insurance contract or identification numberVF026609
Number of Individuals Covered379
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $7,753
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $108,905
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,753
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number320264
Policy instance 1
Insurance contract or identification number320264
Number of Individuals Covered442
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
Total amount of commissions paid to insurance brokerUSD $80,810
Total amount of fees paid to insurance companyUSD $9,958
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,480,880
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $80,810
Amount paid for insurance broker fees9958
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberVF026609
Policy instance 2
Insurance contract or identification numberVF026609
Number of Individuals Covered359
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $7,025
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $99,146
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,025
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number320264
Policy instance 1
Insurance contract or identification number320264
Number of Individuals Covered420
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
Total amount of commissions paid to insurance brokerUSD $79,801
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,324,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,801
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number307934
Policy instance 4
Insurance contract or identification number307934
Number of Individuals Covered367
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $2,508
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $78,021
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,508
Insurance broker organization code?3
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number921600
Policy instance 3
Insurance contract or identification number921600
Number of Individuals Covered576
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $12,298
Total amount of fees paid to insurance companyUSD $61,611
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,611,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,298
Amount paid for insurance broker fees61611
Additional information about fees paid to insurance brokerSERVICE FEE AGREEMENT
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022625
Policy instance 2
Insurance contract or identification numberF022625
Number of Individuals Covered430
Insurance policy start date2020-05-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $512
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $8,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $512
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number186918
Policy instance 1
Insurance contract or identification number186918
Number of Individuals Covered522
Insurance policy start date2020-05-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $7,079
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $258,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,079
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number186918
Policy instance 1
Insurance contract or identification number186918
Number of Individuals Covered519
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $83,574
Total amount of fees paid to insurance companyUSD $1,817
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,040,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83,574
Amount paid for insurance broker fees1817
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022625
Policy instance 2
Insurance contract or identification numberF022625
Number of Individuals Covered427
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $5,769
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $96,029
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,769
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF022625
Policy instance 2
Insurance contract or identification numberF022625
Number of Individuals Covered414
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $5,328
Total amount of fees paid to insurance companyUSD $4,217
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $88,893
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,328
Amount paid for insurance broker fees4217
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number186918
Policy instance 1
Insurance contract or identification number186918
Number of Individuals Covered501
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Total amount of commissions paid to insurance brokerUSD $79,001
Total amount of fees paid to insurance companyUSD $3,924
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,835,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $79,338
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees3924
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number186918
Policy instance 3
Insurance contract or identification number186918
Number of Individuals Covered434
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $76,591
Total amount of fees paid to insurance companyUSD $6,479
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,755,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number650137
Policy instance 2
Insurance contract or identification number650137
Number of Individuals Covered190
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $7,180
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $127,388
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5918416
Policy instance 1
Insurance contract or identification number5918416
Number of Individuals Covered316
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,933
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $35,980
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5918416
Policy instance 1
Insurance contract or identification number5918416
Number of Individuals Covered361
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $6,046
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $41,441
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,046
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJOHN PETERSON
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003410955
Policy instance 3
Insurance contract or identification number417003410955
Number of Individuals Covered366
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Welfare Benefit Premiums Paid to CarrierUSD $324,605
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number650137
Policy instance 2
Insurance contract or identification number650137
Number of Individuals Covered220
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $9,848
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $169,679
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,848
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker name
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number5918416
Policy instance 1
Insurance contract or identification number5918416
Number of Individuals Covered487
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $7,172
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $47,154
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,172
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJOHN PETERSON
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number650137
Policy instance 2
Insurance contract or identification number650137
Number of Individuals Covered181
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $13,625
Total amount of fees paid to insurance companyUSD $10,050
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $211,761
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,327
Amount paid for insurance broker fees10050
Insurance broker organization code?3
Insurance broker name
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003410955
Policy instance 3
Insurance contract or identification number417003410955
Number of Individuals Covered544
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Welfare Benefit Premiums Paid to CarrierUSD $405,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number755042
Policy instance 4
Insurance contract or identification number755042
Number of Individuals Covered563
Insurance policy start date2014-05-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $222
Life Insurance Welfare BenefitYes
Other welfare benefits providedOTHER (AD&D)
Welfare Benefit Premiums Paid to CarrierUSD $2,215
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $222
Insurance broker organization code?3
Insurance broker nameJOHN D PETERSON
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract number417003410955
Policy instance 3
Insurance contract or identification number417003410955
Number of Individuals Covered554
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Welfare Benefit Premiums Paid to CarrierUSD $429,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05984174
Policy instance 1
Insurance contract or identification numberKM05984174
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $699
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $11,680
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $699
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJOHN PETERSON
HUMANA (National Association of Insurance Commissioners NAIC id number: 70580 )
Policy contract number650137
Policy instance 2
Insurance contract or identification number650137
Number of Individuals Covered306
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $8,696
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $144,937
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,696
Insurance broker organization code?3
Insurance broker name
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number801120
Policy instance 1
Insurance contract or identification number801120
Number of Individuals Covered565
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $1,309
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $13,110
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $548
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker nameJOHN DRENNAN PETERSON
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67385-4 EXRK
Policy instance 3
Insurance contract or identification number67385-4 EXRK
Number of Individuals Covered758
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of fees paid to insurance companyUSD $17,027
Welfare Benefit Premiums Paid to CarrierUSD $585,367
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17027
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker nameUMR INC
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05984174
Policy instance 2
Insurance contract or identification numberKM05984174
Number of Individuals Covered590
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $9,835
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $156,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,745
Additional information about fees paid to insurance brokerBASE COMMISSIONS
Insurance broker organization code?3
Insurance broker nameJOHN PETERSON
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67385-4 EXRK
Policy instance 3
Insurance contract or identification number67385-4 EXRK
Number of Individuals Covered556
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of fees paid to insurance companyUSD $16,121
Welfare Benefit Premiums Paid to CarrierUSD $554,185
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number801120
Policy instance 1
Insurance contract or identification number801120
Number of Individuals Covered555
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $9,658
Life Insurance Welfare BenefitYes
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $16,414
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberKM05984174
Policy instance 2
Insurance contract or identification numberKM05984174
Number of Individuals Covered568
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $12,733
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $138,644
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 numberGX743
Policy instance 2
Insurance contract or identification numberGX743
Number of Individuals Covered251
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $13,910
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $139,096
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number801120
Policy instance 1
Insurance contract or identification number801120
Number of Individuals Covered623
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $90,190
Total amount of fees paid to insurance companyUSD $72
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,960,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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