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JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 401k Plan overview

Plan NameJAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN
Plan identification number 501

JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

JAKOV DULCICH & SONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:JAKOV DULCICH & SONS, LLC
Employer identification number (EIN):770240758
NAIC Classification:111300
NAIC Description:Fruit and Tree Nut Farming

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-12-01MICHELLE CHANTRY2022-04-14
5012019-12-01JACOB MCCAA2021-06-14
5012018-12-01JACOB MCCAA2020-06-12
5012017-12-01DELIA HILLIARD2019-06-14
5012016-12-01
5012015-12-01
5012014-12-01
5012012-12-01JONATHAN THOMAS
5012011-12-01MARSCINIA ROBINSON
5012009-12-01DELIA HILLIARD DELIA HILLIARD2011-05-19

Financial Data on JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN

Measure Date Value
2013 : JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2013 401k financial data
Total plan liabilities at end of year2013-11-30$5,696
Total plan liabilities at beginning of year2013-11-30$16,412
Total income from all sources2013-11-30$134,448
Expenses. Total of all expenses incurred2013-11-30$134,492
Benefits paid (including direct rollovers)2013-11-30$122,380
Total plan assets at end of year2013-11-30$6,572
Total plan assets at beginning of year2013-11-30$17,332
Value of fidelity bond covering the plan2013-11-30$10,000
Net income (gross income less expenses)2013-11-30$-44
Net plan assets at end of year (total assets less liabilities)2013-11-30$876
Net plan assets at beginning of year (total assets less liabilities)2013-11-30$920
Total contributions received or receivable from employer(s)2013-11-30$134,448
Expenses. Administrative service providers (salaries,fees and commissions)2013-11-30$12,112
2012 : JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2012 401k financial data
Total plan liabilities at end of year2012-11-30$16,412
Total plan liabilities at beginning of year2012-11-30$7,960
Total income from all sources2012-11-30$93,479
Expenses. Total of all expenses incurred2012-11-30$93,479
Benefits paid (including direct rollovers)2012-11-30$82,283
Total plan assets at end of year2012-11-30$17,332
Total plan assets at beginning of year2012-11-30$8,880
Value of fidelity bond covering the plan2012-11-30$10,000
Contributions received from other sources (not participants or employers)2012-11-30$765
Net income (gross income less expenses)2012-11-30$0
Net plan assets at end of year (total assets less liabilities)2012-11-30$920
Net plan assets at beginning of year (total assets less liabilities)2012-11-30$920
Total contributions received or receivable from employer(s)2012-11-30$92,714
Expenses. Administrative service providers (salaries,fees and commissions)2012-11-30$11,196
2011 : JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2011 401k financial data
Total plan liabilities at end of year2011-11-30$7,960
Total plan liabilities at beginning of year2011-11-30$6,317
Total income from all sources2011-11-30$111,323
Expenses. Total of all expenses incurred2011-11-30$111,323
Benefits paid (including direct rollovers)2011-11-30$101,158
Total plan assets at end of year2011-11-30$8,880
Total plan assets at beginning of year2011-11-30$7,237
Value of fidelity bond covering the plan2011-11-30$10,000
Expenses. Other expenses not covered elsewhere2011-11-30$520
Contributions received from other sources (not participants or employers)2011-11-30$2,927
Net income (gross income less expenses)2011-11-30$0
Net plan assets at end of year (total assets less liabilities)2011-11-30$920
Net plan assets at beginning of year (total assets less liabilities)2011-11-30$920
Total contributions received or receivable from employer(s)2011-11-30$108,396
Expenses. Administrative service providers (salaries,fees and commissions)2011-11-30$9,645

Form 5500 Responses for JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN

2020: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-12-01Type of plan entitySingle employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planNo
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – General assets of the sponsorYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement – General assets of the sponsorYes
2019: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-12-01Type of plan entitySingle employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planNo
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – General assets of the sponsorYes
2019-12-01Plan benefit arrangement – General assets of the sponsorYes
2018: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-12-01Type of plan entitySingle employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planNo
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – General assets of the sponsorYes
2018-12-01Plan benefit arrangement – General assets of the sponsorYes
2017: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2017 form 5500 responses
2017-12-01Type of plan entitySingle employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planNo
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – General assets of the sponsorYes
2017-12-01Plan benefit arrangement – General assets of the sponsorYes
2016: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planNo
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – General assets of the sponsorYes
2016-12-01Plan benefit arrangement – General assets of the sponsorYes
2015: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planNo
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – General assets of the sponsorYes
2015-12-01Plan benefit arrangement – General assets of the sponsorYes
2014: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-12-01Type of plan entitySingle employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planNo
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – General assets of the sponsorYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement – General assets of the sponsorYes
2012: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-12-01Type of plan entitySingle employer plan
2012-12-01Submission has been amendedYes
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planNo
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-12-01Type of plan entitySingle employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planNo
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2009: JAKOV DULCICH & SONS, LLC HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-12-01Type of plan entitySingle employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planNo
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682430
Policy instance 5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682413
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100125-0
Policy instance 3
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number3615
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0092743
Policy instance 1
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number3615
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100125-0
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682413
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682430
Policy instance 5
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0092743
Policy instance 1
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682430
Policy instance 5
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682413
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100125-0
Policy instance 3
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0092743
Policy instance 1
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number3615
Policy instance 2
PREMIER ACCESS INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60237 )
Policy contract number3615
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number100125-0
Policy instance 3
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682413
Policy instance 4
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number682430
Policy instance 5
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW0092743
Policy instance 1

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