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TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 401k Plan overview

Plan NameTRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN
Plan identification number 501

TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN Benefits

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

401k Sponsoring company profile

TRI-STARR MGMT SVCS D/B/A LEGACY SUPPLY CHAIN SVCS has sponsored the creation of one or more 401k plans.

Company Name:TRI-STARR MGMT SVCS D/B/A LEGACY SUPPLY CHAIN SVCS
Employer identification number (EIN):742616688
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012015-04-01NANCY CANNONE
5012014-04-01NANCY CANNONE
5012014-01-01NANCY CANNONE
5012013-01-01NANCY CANNONE
5012012-01-01NANCY CANNONE
5012011-01-01NANCY CANNONE
5012010-01-01NANCY CANNONE NANCY CANNONE2011-10-13
5012009-01-01NANCY CANNONE NANCY CANNONE2010-10-15

Plan Statistics for TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN

401k plan membership statisitcs for TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN

Measure Date Value
2015: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-011,155
Total number of active participants reported on line 7a of the Form 55002015-04-01953
Number of retired or separated participants receiving benefits2015-04-017
Total of all active and inactive participants2015-04-01960
2014: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01772
Total number of active participants reported on line 7a of the Form 55002014-04-011,152
Number of retired or separated participants receiving benefits2014-04-013
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-011,155
Total participants, beginning-of-year2014-01-01771
Total number of active participants reported on line 7a of the Form 55002014-01-01769
Number of retired or separated participants receiving benefits2014-01-013
Total of all active and inactive participants2014-01-01772
2013: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01806
Total number of active participants reported on line 7a of the Form 55002013-01-01766
Number of retired or separated participants receiving benefits2013-01-015
Total of all active and inactive participants2013-01-01771
2012: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01898
Total number of active participants reported on line 7a of the Form 55002012-01-01801
Number of retired or separated participants receiving benefits2012-01-015
Total of all active and inactive participants2012-01-01806
2011: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01817
Total number of active participants reported on line 7a of the Form 55002011-01-01893
Number of retired or separated participants receiving benefits2011-01-015
Total of all active and inactive participants2011-01-01898
2010: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01845
Total number of active participants reported on line 7a of the Form 55002010-01-01811
Number of retired or separated participants receiving benefits2010-01-016
Total of all active and inactive participants2010-01-01817
2009: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01910
Total number of active participants reported on line 7a of the Form 55002009-01-01845
Total of all active and inactive participants2009-01-01845

Financial Data on TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN

Measure Date Value
2016 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$622,429
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$1,259,712
Total income from all sources (including contributions)2016-03-31$8,113,751
Total of all expenses incurred2016-03-31$7,843,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$7,109,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$8,113,751
Value of total assets at end of year2016-03-31$569,700
Value of total assets at beginning of year2016-03-31$937,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$733,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
If this is an individual account plan, was there a blackout period2016-03-31No
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Contributions received from participants2016-03-31$3,191,701
Participant contributions at end of year2016-03-31$64,141
Participant contributions at beginning of year2016-03-31$59,909
Income. Received or receivable in cash from other sources (including rollovers)2016-03-31$420,445
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-03-31$23,268
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-03-31$148,312
Administrative expenses (other) incurred2016-03-31$90,073
Liabilities. Value of operating payables at end of year2016-03-31$8,635
Liabilities. Value of operating payables at beginning of year2016-03-31$154,665
Total non interest bearing cash at end of year2016-03-31$36,030
Total non interest bearing cash at beginning of year2016-03-31$80,589
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$269,888
Value of net assets at end of year (total assets less liabilities)2016-03-31$-52,729
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$-322,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Investment advisory and management fees2016-03-31$120,243
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$1,217,855
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Contributions received in cash from employer2016-03-31$4,501,605
Employer contributions (assets) at end of year2016-03-31$446,261
Employer contributions (assets) at beginning of year2016-03-31$648,285
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$5,892,035
Contract administrator fees2016-03-31$523,657
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-03-31No
Liabilities. Value of benefit claims payable at end of year2016-03-31$613,794
Liabilities. Value of benefit claims payable at beginning of year2016-03-31$1,105,047
Did the plan have assets held for investment2016-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31No
Opinion of an independent qualified public accountant for this plan2016-03-31Unqualified
Accountancy firm name2016-03-31ENNIS, PELLUM & ASSOCIATES, CPAS
Accountancy firm EIN2016-03-31591843700
2015 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$1,259,712
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$715,282
Total income from all sources (including contributions)2015-03-31$9,788,323
Total of all expenses incurred2015-03-31$9,834,523
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$9,022,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$9,788,323
Value of total assets at end of year2015-03-31$937,095
Value of total assets at beginning of year2015-03-31$438,865
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$812,300
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$500,000
If this is an individual account plan, was there a blackout period2015-03-31No
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$3,404,865
Participant contributions at end of year2015-03-31$59,909
Participant contributions at beginning of year2015-03-31$41,350
Income. Received or receivable in cash from other sources (including rollovers)2015-03-31$459,995
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-03-31$148,312
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-03-31$123,039
Administrative expenses (other) incurred2015-03-31$104,154
Liabilities. Value of operating payables at end of year2015-03-31$154,665
Liabilities. Value of operating payables at beginning of year2015-03-31$106,571
Total non interest bearing cash at end of year2015-03-31$80,589
Total non interest bearing cash at beginning of year2015-03-31$14,706
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Value of net income/loss2015-03-31$-46,200
Value of net assets at end of year (total assets less liabilities)2015-03-31$-322,617
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$-276,417
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Investment advisory and management fees2015-03-31$127,861
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$1,666,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Contributions received in cash from employer2015-03-31$5,923,463
Employer contributions (assets) at end of year2015-03-31$648,285
Employer contributions (assets) at beginning of year2015-03-31$259,770
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$7,355,688
Contract administrator fees2015-03-31$580,285
Liabilities. Value of benefit claims payable at end of year2015-03-31$1,105,047
Liabilities. Value of benefit claims payable at beginning of year2015-03-31$608,711
Did the plan have assets held for investment2015-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31No
Opinion of an independent qualified public accountant for this plan2015-03-31Unqualified
Accountancy firm name2015-03-31ENNIS, PELLUM & ASSOCIATES, CPA'S
Accountancy firm EIN2015-03-31591843700
2014 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$715,282
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$572,079
Total income from all sources (including contributions)2014-03-31$1,778,890
Total of all expenses incurred2014-03-31$2,110,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$1,986,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$1,778,890
Value of total assets at end of year2014-03-31$438,865
Value of total assets at beginning of year2014-03-31$627,335
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$124,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$564,525
Participant contributions at end of year2014-03-31$41,350
Participant contributions at beginning of year2014-03-31$38,895
Income. Received or receivable in cash from other sources (including rollovers)2014-03-31$16,803
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-03-31$123,039
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-03-31$149,713
Liabilities. Value of operating payables at end of year2014-03-31$106,571
Liabilities. Value of operating payables at beginning of year2014-03-31$105,105
Total non interest bearing cash at end of year2014-03-31$14,706
Total non interest bearing cash at beginning of year2014-03-31$30,541
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Value of net income/loss2014-03-31$-331,673
Value of net assets at end of year (total assets less liabilities)2014-03-31$-276,417
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$55,256
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Investment advisory and management fees2014-03-31$22,895
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$472,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Contributions received in cash from employer2014-03-31$1,197,562
Employer contributions (assets) at end of year2014-03-31$259,770
Employer contributions (assets) at beginning of year2014-03-31$408,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$1,514,155
Contract administrator fees2014-03-31$101,490
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-03-31No
Liabilities. Value of benefit claims payable at end of year2014-03-31$608,711
Liabilities. Value of benefit claims payable at beginning of year2014-03-31$466,974
Did the plan have assets held for investment2014-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
2013 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$572,079
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$592,493
Total income from all sources (including contributions)2013-12-31$6,958,084
Total of all expenses incurred2013-12-31$6,824,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$6,296,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$6,958,084
Value of total assets at end of year2013-12-31$627,335
Value of total assets at beginning of year2013-12-31$514,243
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$527,893
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$24,511
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,236,899
Participant contributions at end of year2013-12-31$38,895
Participant contributions at beginning of year2013-12-31$36,675
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$319,995
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$149,713
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$332,527
Liabilities. Value of operating payables at end of year2013-12-31$105,105
Liabilities. Value of operating payables at beginning of year2013-12-31$114,136
Total non interest bearing cash at end of year2013-12-31$30,541
Total non interest bearing cash at beginning of year2013-12-31$7,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$133,506
Value of net assets at end of year (total assets less liabilities)2013-12-31$55,256
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-78,250
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$90,766
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,126,798
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,401,190
Employer contributions (assets) at end of year2013-12-31$408,186
Employer contributions (assets) at beginning of year2013-12-31$137,845
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$5,169,887
Contract administrator fees2013-12-31$412,616
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$466,974
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$478,357
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ENNIS, PELLUM & ASSOCIATES, CPAS
Accountancy firm EIN2013-12-31591843700
2012 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$592,493
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$300,097
Total income from all sources (including contributions)2012-12-31$6,713,338
Total of all expenses incurred2012-12-31$6,891,856
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$6,382,685
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,713,338
Value of total assets at end of year2012-12-31$514,243
Value of total assets at beginning of year2012-12-31$400,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$509,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$16,227
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,112,321
Participant contributions at end of year2012-12-31$36,675
Participant contributions at beginning of year2012-12-31$35,526
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$332,527
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$332,527
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$42,740
Liabilities. Value of operating payables at end of year2012-12-31$114,136
Liabilities. Value of operating payables at beginning of year2012-12-31$6,135
Total non interest bearing cash at end of year2012-12-31$7,196
Total non interest bearing cash at beginning of year2012-12-31$1,161
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-178,518
Value of net assets at end of year (total assets less liabilities)2012-12-31$-78,250
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$100,268
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$92,263
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$1,140,625
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$4,268,490
Employer contributions (assets) at end of year2012-12-31$137,845
Employer contributions (assets) at beginning of year2012-12-31$320,938
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$5,242,060
Contract administrator fees2012-12-31$400,681
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$478,357
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$293,962
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ENNIS, PELLUM & ASSOCIATES, CPAS
Accountancy firm EIN2012-12-31591843700
2011 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$300,097
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$371,846
Total income from all sources (including contributions)2011-12-31$6,393,738
Total of all expenses incurred2011-12-31$6,544,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$6,084,047
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$6,393,738
Value of total assets at end of year2011-12-31$400,365
Value of total assets at beginning of year2011-12-31$623,074
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$460,651
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$19,450
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,063,978
Participant contributions at end of year2011-12-31$35,526
Participant contributions at beginning of year2011-12-31$30,413
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$185,283
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$42,740
Administrative expenses (other) incurred2011-12-31$1,772
Liabilities. Value of operating payables at end of year2011-12-31$6,135
Liabilities. Value of operating payables at beginning of year2011-12-31$82,803
Total non interest bearing cash at end of year2011-12-31$1,161
Total non interest bearing cash at beginning of year2011-12-31$6,550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-150,960
Value of net assets at end of year (total assets less liabilities)2011-12-31$100,268
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$251,228
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$78,358
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,370,344
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$4,144,477
Employer contributions (assets) at end of year2011-12-31$320,938
Employer contributions (assets) at beginning of year2011-12-31$586,111
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,713,703
Contract administrator fees2011-12-31$361,071
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$293,962
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$289,043
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ENNIS, PELLUM & ASSOCIATES, CPAS
Accountancy firm EIN2011-12-31591843700
2010 : TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$371,846
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$555,571
Total income from all sources (including contributions)2010-12-31$6,523,316
Total of all expenses incurred2010-12-31$6,234,327
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,859,280
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$6,523,316
Value of total assets at end of year2010-12-31$623,074
Value of total assets at beginning of year2010-12-31$517,810
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$375,047
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,767,192
Participant contributions at end of year2010-12-31$30,413
Participant contributions at beginning of year2010-12-31$30,708
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$241,267
Administrative expenses (other) incurred2010-12-31$1,069
Liabilities. Value of operating payables at end of year2010-12-31$82,803
Liabilities. Value of operating payables at beginning of year2010-12-31$109,092
Total non interest bearing cash at end of year2010-12-31$6,550
Total non interest bearing cash at beginning of year2010-12-31$600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$288,989
Value of net assets at end of year (total assets less liabilities)2010-12-31$251,228
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-37,761
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$69,607
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,492,108
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$4,514,857
Employer contributions (assets) at end of year2010-12-31$586,111
Employer contributions (assets) at beginning of year2010-12-31$486,502
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,367,172
Contract administrator fees2010-12-31$304,371
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$289,043
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$446,479
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31ENNIS, PELLUM & ASSOCIATES, CPAS
Accountancy firm EIN2010-12-31591843700

Form 5500 Responses for TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN

2015: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan funding arrangement – General assets of the sponsorYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2015-04-01Plan benefit arrangement – General assets of the sponsorYes
2014: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan funding arrangement – General assets of the sponsorYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2014-04-01Plan benefit arrangement – General assets of the sponsorYes
2014-01-01Type of plan entitySingle employer plan
2014-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: TRI-STARR MANAGEMENT SERVICES, INC. SEC 125 WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberGROUP HI/GAP
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 3
BLUE CROSS BLUE SHIELD OF FLORIDA (National Association of Insurance Commissioners NAIC id number: 98167 )
Policy contract number405523-0010
Policy instance 2
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404060-0010
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 6
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberGROUP HI/GAP
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 2
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404060-0010
Policy instance 5
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404060-0010
Policy instance 6
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberGROUP HI/GAP
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 5
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number404060-0010
Policy instance 6
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberGROUP HI/GAP
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 2
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberGROUP HI/GAP
Policy instance 2
GENWORTH LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 63401 )
Policy contract numberD0000456
Policy instance 3
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 4
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 6
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberEXL-30120
Policy instance 1
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 7
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK964153
Policy instance 7
BCS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 38245 )
Policy contract numberEXL-30126
Policy instance 1
AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )
Policy contract numberG-908B
Policy instance 2
GOLDEN WEST HEALTH PLAN, INC. (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberNP9535
Policy instance 3
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberH53902
Policy instance 4
GENWORTH LIFE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 63401 )
Policy contract numberD0000456
Policy instance 5
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberFLX962520
Policy instance 9
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK750577
Policy instance 8
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberLK961850
Policy instance 6

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