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EBMS RETIREMENT PLAN 401k Plan overview

Plan NameEBMS RETIREMENT PLAN
Plan identification number 001

EBMS RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

EMPLOYEE BENEFIT MANAGEMENT SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:EMPLOYEE BENEFIT MANAGEMENT SERVICES, LLC
Employer identification number (EIN):810391256
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EBMS RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MICHAEL BURNETT2023-10-10 MICHAEL BURNETT2023-10-10
0012021-01-01MELISSA LYON2022-09-27 MELISSA LYON2022-09-27
0012020-01-01MELISSA LYON2021-10-12 MELISSA LYON2021-10-12
0012019-01-01MELISSA LYON2020-10-15 MELISSA LYON2020-10-15
0012018-01-01MELISSA LYON2019-10-14 MELISSA LYON2019-10-14
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01KIRSTEN MAILLOUX
0012011-01-01KIRSTEN MAILLOUX
0012010-01-01KIRSTEN MAILLOUX
0012009-01-01KEVIN J. LARSON

Plan Statistics for EBMS RETIREMENT PLAN

401k plan membership statisitcs for EBMS RETIREMENT PLAN

Measure Date Value
2022: EBMS RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01516
Total number of active participants reported on line 7a of the Form 55002022-01-01346
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01175
Total of all active and inactive participants2022-01-01521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01521
Number of participants with account balances2022-01-01423
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0125
2021: EBMS RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01418
Total number of active participants reported on line 7a of the Form 55002021-01-01344
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01172
Total of all active and inactive participants2021-01-01516
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01516
Number of participants with account balances2021-01-01410
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0127
2020: EBMS RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01340
Total number of active participants reported on line 7a of the Form 55002020-01-01340
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0178
Total of all active and inactive participants2020-01-01418
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01418
Number of participants with account balances2020-01-01310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0118
2019: EBMS RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01376
Total number of active participants reported on line 7a of the Form 55002019-01-01268
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0172
Total of all active and inactive participants2019-01-01340
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01340
Number of participants with account balances2019-01-01257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0116
2018: EBMS RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01348
Total number of active participants reported on line 7a of the Form 55002018-01-01300
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0176
Total of all active and inactive participants2018-01-01376
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01376
Number of participants with account balances2018-01-01252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0118
2017: EBMS RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01331
Total number of active participants reported on line 7a of the Form 55002017-01-01275
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0173
Total of all active and inactive participants2017-01-01348
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01348
Number of participants with account balances2017-01-01258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0117
2016: EBMS RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01311
Total number of active participants reported on line 7a of the Form 55002016-01-01277
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0154
Total of all active and inactive participants2016-01-01331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01331
Number of participants with account balances2016-01-01249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0113
2015: EBMS RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01331
Total number of active participants reported on line 7a of the Form 55002015-01-01262
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0149
Total of all active and inactive participants2015-01-01311
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01311
Number of participants with account balances2015-01-01242
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0113
2014: EBMS RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01335
Total number of active participants reported on line 7a of the Form 55002014-01-01285
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0146
Total of all active and inactive participants2014-01-01331
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01331
Number of participants with account balances2014-01-01248
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0110
2013: EBMS RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01338
Total number of active participants reported on line 7a of the Form 55002013-01-01267
Number of other retired or separated participants entitled to future benefits2013-01-0167
Total of all active and inactive participants2013-01-01334
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01335
Number of participants with account balances2013-01-01256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0119
2012: EBMS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01340
Total number of active participants reported on line 7a of the Form 55002012-01-01290
Number of other retired or separated participants entitled to future benefits2012-01-0148
Total of all active and inactive participants2012-01-01338
Total participants2012-01-01338
Number of participants with account balances2012-01-01256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0112
2011: EBMS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01322
Total number of active participants reported on line 7a of the Form 55002011-01-01302
Number of other retired or separated participants entitled to future benefits2011-01-0138
Total of all active and inactive participants2011-01-01340
Total participants2011-01-01340
Number of participants with account balances2011-01-01256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0116
2010: EBMS RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01353
Total number of active participants reported on line 7a of the Form 55002010-01-01283
Number of other retired or separated participants entitled to future benefits2010-01-0138
Total of all active and inactive participants2010-01-01321
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-011
Total participants2010-01-01322
Number of participants with account balances2010-01-01243
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0115
2009: EBMS RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01340
Total number of active participants reported on line 7a of the Form 55002009-01-01309
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0144
Total of all active and inactive participants2009-01-01353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01353
Number of participants with account balances2009-01-01256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0112

Financial Data on EBMS RETIREMENT PLAN

Measure Date Value
2022 : EBMS RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-804,774
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,505,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,444,653
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,882,758
Value of total assets at end of year2022-12-31$14,805,806
Value of total assets at beginning of year2022-12-31$17,116,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$61,337
Total interest from all sources2022-12-31$9,331
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$682,266
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$682,266
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,165,769
Participant contributions at end of year2022-12-31$192,093
Participant contributions at beginning of year2022-12-31$118,167
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$298,518
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,310,764
Value of net assets at end of year (total assets less liabilities)2022-12-31$14,805,806
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$17,116,570
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$14,228,185
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$16,631,782
Interest on participant loans2022-12-31$9,331
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$385,528
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$366,621
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,379,129
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$418,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,444,653
Contract administrator fees2022-12-31$61,337
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31RSM US LLP
Accountancy firm EIN2022-12-31420714325
2021 : EBMS RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,949,175
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,925,549
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,868,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,593,960
Value of total assets at end of year2021-12-31$17,116,570
Value of total assets at beginning of year2021-12-31$15,092,944
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$56,577
Total interest from all sources2021-12-31$6,852
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$963,983
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$963,983
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,113,807
Participant contributions at end of year2021-12-31$118,167
Participant contributions at beginning of year2021-12-31$123,053
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$80,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,023,626
Value of net assets at end of year (total assets less liabilities)2021-12-31$17,116,570
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$15,092,944
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$16,631,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$14,615,794
Interest on participant loans2021-12-31$6,852
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$366,621
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$335,033
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,384,380
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$399,244
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$19,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,868,972
Contract administrator fees2021-12-31$56,577
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31RSM US LLP
Accountancy firm EIN2021-12-31420714325
2020 : EBMS RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,542,911
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,125,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,071,132
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,332,380
Value of total assets at end of year2020-12-31$15,092,944
Value of total assets at beginning of year2020-12-31$12,675,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$54,361
Total interest from all sources2020-12-31$7,874
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$494,766
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$494,766
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$930,059
Participant contributions at end of year2020-12-31$123,053
Participant contributions at beginning of year2020-12-31$138,706
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$2,314
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$70,901
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,417,418
Value of net assets at end of year (total assets less liabilities)2020-12-31$15,092,944
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$12,675,526
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$14,615,794
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$12,304,004
Interest on participant loans2020-12-31$7,874
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$335,033
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$208,671
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,707,891
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$331,420
Employer contributions (assets) at end of year2020-12-31$19,064
Employer contributions (assets) at beginning of year2020-12-31$21,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,071,132
Contract administrator fees2020-12-31$54,361
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31RSM US LLP
Accountancy firm EIN2020-12-31420714325
2019 : EBMS RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$3,498,604
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,536,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,458,937
Expenses. Certain deemed distributions of participant loans2019-12-31$18,687
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,179,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,179,880
Value of total assets at end of year2019-12-31$12,675,526
Value of total assets at end of year2019-12-31$12,675,526
Value of total assets at beginning of year2019-12-31$10,713,787
Value of total assets at beginning of year2019-12-31$10,713,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$59,241
Total interest from all sources2019-12-31$9,590
Total interest from all sources2019-12-31$9,590
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$558,767
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$558,767
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$558,767
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$558,767
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$891,349
Contributions received from participants2019-12-31$891,349
Participant contributions at end of year2019-12-31$138,706
Participant contributions at end of year2019-12-31$138,706
Participant contributions at beginning of year2019-12-31$143,256
Participant contributions at beginning of year2019-12-31$143,256
Participant contributions at end of year2019-12-31$2,314
Participant contributions at beginning of year2019-12-31$324
Participant contributions at beginning of year2019-12-31$324
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$9,889
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$9,889
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,961,739
Value of net assets at end of year (total assets less liabilities)2019-12-31$12,675,526
Value of net assets at end of year (total assets less liabilities)2019-12-31$12,675,526
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,713,787
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,713,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$12,304,004
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$12,304,004
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$10,278,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$10,278,096
Interest on participant loans2019-12-31$9,590
Interest on participant loans2019-12-31$9,590
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$208,671
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$208,671
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$264,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$264,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,750,367
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,750,367
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$278,642
Contributions received in cash from employer2019-12-31$278,642
Employer contributions (assets) at end of year2019-12-31$21,831
Employer contributions (assets) at end of year2019-12-31$21,831
Employer contributions (assets) at beginning of year2019-12-31$27,765
Employer contributions (assets) at beginning of year2019-12-31$27,765
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,458,937
Contract administrator fees2019-12-31$59,241
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CROWE LLP
Accountancy firm name2019-12-31CROWE LLP
Accountancy firm EIN2019-12-31350921680
Accountancy firm EIN2019-12-31350921680
2018 : EBMS RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$943,580
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$3,507,862
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,467,362
Expenses. Certain deemed distributions of participant loans2018-12-31$13,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,548,072
Value of total assets at end of year2018-12-31$10,713,787
Value of total assets at beginning of year2018-12-31$13,278,069
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$27,246
Total interest from all sources2018-12-31$8,900
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$647,878
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$647,878
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$774,372
Participant contributions at end of year2018-12-31$143,256
Participant contributions at beginning of year2018-12-31$159,614
Participant contributions at end of year2018-12-31$324
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$514,024
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-2,564,282
Value of net assets at end of year (total assets less liabilities)2018-12-31$10,713,787
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$13,278,069
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$10,278,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,847,613
Interest on participant loans2018-12-31$8,900
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$264,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$243,974
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,261,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$259,676
Employer contributions (assets) at end of year2018-12-31$27,765
Employer contributions (assets) at beginning of year2018-12-31$26,868
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,467,362
Contract administrator fees2018-12-31$27,246
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CROWE LLP
Accountancy firm EIN2018-12-31350921680
2017 : EBMS RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,150,546
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$585,398
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$580,183
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,071,048
Value of total assets at end of year2017-12-31$13,278,069
Value of total assets at beginning of year2017-12-31$10,712,921
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,215
Total interest from all sources2017-12-31$7,316
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$568,523
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$568,523
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$764,012
Participant contributions at end of year2017-12-31$159,614
Participant contributions at beginning of year2017-12-31$147,481
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$53,236
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,565,148
Value of net assets at end of year (total assets less liabilities)2017-12-31$13,278,069
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,712,921
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$12,847,613
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$10,538,814
Interest on participant loans2017-12-31$7,316
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$243,974
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,503,659
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$253,800
Employer contributions (assets) at end of year2017-12-31$26,868
Employer contributions (assets) at beginning of year2017-12-31$26,626
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$580,183
Contract administrator fees2017-12-31$5,215
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31Yes
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31CROWE LLP
Accountancy firm EIN2017-12-31350921680
2016 : EBMS RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,741,149
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,409,619
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,403,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,047,775
Value of total assets at end of year2016-12-31$10,712,921
Value of total assets at beginning of year2016-12-31$10,381,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,575
Total interest from all sources2016-12-31$6,577
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$365,725
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$365,725
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$743,950
Participant contributions at end of year2016-12-31$147,481
Participant contributions at beginning of year2016-12-31$161,040
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$74,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$331,530
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,712,921
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,381,391
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,538,814
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$10,194,361
Interest on participant loans2016-12-31$6,577
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$321,072
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$229,756
Employer contributions (assets) at end of year2016-12-31$26,626
Employer contributions (assets) at beginning of year2016-12-31$25,990
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,403,044
Contract administrator fees2016-12-31$6,575
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31EIDE BAILLY
Accountancy firm EIN2016-12-31450250958
2015 : EBMS RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,010,848
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,109,001
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,087,344
Expenses. Certain deemed distributions of participant loans2015-12-31$8,162
Value of total corrective distributions2015-12-31$5,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$985,842
Value of total assets at end of year2015-12-31$10,381,391
Value of total assets at beginning of year2015-12-31$10,479,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$7,655
Total interest from all sources2015-12-31$6,842
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$492,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$492,274
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$729,066
Participant contributions at end of year2015-12-31$161,040
Participant contributions at beginning of year2015-12-31$116,692
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$57,825
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-98,153
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,381,391
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,479,544
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$10,194,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$10,345,890
Interest on participant loans2015-12-31$6,842
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-474,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$198,951
Employer contributions (assets) at end of year2015-12-31$25,990
Employer contributions (assets) at beginning of year2015-12-31$16,962
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,087,344
Contract administrator fees2015-12-31$7,655
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31EIDE BAILLY
Accountancy firm EIN2015-12-31450250958
2014 : EBMS RETIREMENT PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$1,677,459
Total of all expenses incurred2014-12-31$1,177,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,161,378
Expenses. Certain deemed distributions of participant loans2014-12-31$7,103
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,111,399
Value of total assets at end of year2014-12-31$10,479,544
Value of total assets at beginning of year2014-12-31$9,979,421
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$8,855
Total interest from all sources2014-12-31$6,426
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$457,493
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$457,493
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$691,412
Participant contributions at end of year2014-12-31$116,692
Participant contributions at beginning of year2014-12-31$113,519
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$191,307
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$500,123
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,479,544
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$9,979,421
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$10,345,890
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$9,865,902
Interest on participant loans2014-12-31$6,426
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$102,141
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$228,680
Employer contributions (assets) at end of year2014-12-31$16,962
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,161,378
Contract administrator fees2014-12-31$8,855
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31EIDE BAILLY
Accountancy firm EIN2014-12-31450250958
2013 : EBMS RETIREMENT PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$2,753,164
Total of all expenses incurred2013-12-31$925,966
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$904,160
Expenses. Certain deemed distributions of participant loans2013-12-31$15,296
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$983,401
Value of total assets at end of year2013-12-31$9,979,421
Value of total assets at beginning of year2013-12-31$8,152,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$6,510
Total interest from all sources2013-12-31$6,294
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$288,371
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$288,371
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
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$739,111
Participant contributions at end of year2013-12-31$113,519
Participant contributions at beginning of year2013-12-31$143,381
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$12,351
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$1,827,198
Value of net assets at end of year (total assets less liabilities)2013-12-31$9,979,421
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$8,152,223
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$9,865,902
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$8,008,842
Interest on participant loans2013-12-31$6,294
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,475,098
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$231,939
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$904,160
Contract administrator fees2013-12-31$6,510
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
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2013-12-31EIDE BAILLY
Accountancy firm EIN2013-12-31450250958
2012 : EBMS RETIREMENT PLAN 2012 401k financial data
Total income from all sources (including contributions)2012-12-31$2,075,742
Total of all expenses incurred2012-12-31$761,494
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$749,913
Expenses. Certain deemed distributions of participant loans2012-12-31$4,716
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,071,623
Value of total assets at end of year2012-12-31$8,152,223
Value of total assets at beginning of year2012-12-31$6,837,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$6,865
Total interest from all sources2012-12-31$7,881
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$193,636
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$193,636
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
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$739,255
Participant contributions at end of year2012-12-31$143,381
Participant contributions at beginning of year2012-12-31$139,659
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$110,440
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$1,314,248
Value of net assets at end of year (total assets less liabilities)2012-12-31$8,152,223
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$6,837,975
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$8,008,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$6,698,316
Interest on participant loans2012-12-31$7,881
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$802,602
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$221,928
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$749,913
Contract administrator fees2012-12-31$6,865
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
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2012-12-31EIDE BAILLY LLP
Accountancy firm EIN2012-12-31450250958
2011 : EBMS RETIREMENT PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$906,275
Total of all expenses incurred2011-12-31$584,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$580,576
Value of total corrective distributions2011-12-31$1,946
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,055,446
Value of total assets at end of year2011-12-31$6,837,975
Value of total assets at beginning of year2011-12-31$6,515,752
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,530
Total interest from all sources2011-12-31$6,582
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$163,058
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$163,058
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$755,384
Participant contributions at end of year2011-12-31$139,659
Participant contributions at beginning of year2011-12-31$96,871
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$69,979
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$322,223
Value of net assets at end of year (total assets less liabilities)2011-12-31$6,837,975
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$6,515,752
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$6,698,316
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$6,418,547
Interest on participant loans2011-12-31$6,582
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-318,811
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$230,083
Employer contributions (assets) at beginning of year2011-12-31$334
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$580,576
Contract administrator fees2011-12-31$1,530
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
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2011-12-31EIDE BAILLY LLP
Accountancy firm EIN2011-12-31450250958
2010 : EBMS RETIREMENT PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$1,523,761
Total of all expenses incurred2010-12-31$204,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$200,922
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$901,877
Value of total assets at end of year2010-12-31$6,515,752
Value of total assets at beginning of year2010-12-31$5,196,248
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,335
Total interest from all sources2010-12-31$6,345
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$147,153
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$147,153
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$690,764
Participant contributions at end of year2010-12-31$96,871
Participant contributions at beginning of year2010-12-31$92,854
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$1,319,504
Value of net assets at end of year (total assets less liabilities)2010-12-31$6,515,752
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,196,248
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$6,418,547
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$5,103,394
Interest on participant loans2010-12-31$6,345
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$468,386
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$211,113
Employer contributions (assets) at end of year2010-12-31$334
Employer contributions (assets) at beginning of year2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$200,922
Contract administrator fees2010-12-31$3,335
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
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31EIDE BAILLY LLP
Accountancy firm EIN2010-12-31450250958
2009 : EBMS RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for EBMS RETIREMENT PLAN

2022: EBMS RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EBMS RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EBMS RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EBMS RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EBMS RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EBMS RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EBMS RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EBMS RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EBMS RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EBMS RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EBMS RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EBMS RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EBMS RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: EBMS RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260263-01
Policy instance 1
Insurance contract or identification number1260263-01
Number of Individuals Covered14
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260263-01
Policy instance 1
Insurance contract or identification number1260263-01
Number of Individuals Covered16
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260263-01
Policy instance 1
Insurance contract or identification number1260263-01
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260263-01
Policy instance 1
Insurance contract or identification number1260263-01
Number of Individuals Covered12
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260263-01
Policy instance 1
Insurance contract or identification number1260263-01
Number of Individuals Covered16
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260263-01
Policy instance 1
Insurance contract or identification number1260263-01
Number of Individuals Covered19
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH

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