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TRUE LEAF FARMS, LLC 401(K) PLAN 401k Plan overview

Plan NameTRUE LEAF FARMS, LLC 401(K) PLAN
Plan identification number 001

TRUE LEAF FARMS, LLC 401(K) 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.

401k Sponsoring company profile

TRUE LEAF FARMS, LLC has sponsored the creation of one or more 401k plans.

Company Name:TRUE LEAF FARMS, LLC
Employer identification number (EIN):820573623
NAIC Classification:111900
NAIC Description:Other Crop Farming

Additional information about TRUE LEAF FARMS, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2018-03-22
Company Identification Number: 0802970031
Legal Registered Office Address: PO BOX 879

SN JUN BATSTA
United States of America (USA)
95045

More information about TRUE LEAF FARMS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRUE LEAF FARMS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01JAY BROWN2019-10-27 JAY BROWN2019-10-27
0012018-01-01JAY BROWN2019-10-08 JAY BROWN2019-10-08
0012017-01-01
0012016-01-01
0012015-01-01JAY BROWN

Plan Statistics for TRUE LEAF FARMS, LLC 401(K) PLAN

401k plan membership statisitcs for TRUE LEAF FARMS, LLC 401(K) PLAN

Measure Date Value
2019: TRUE LEAF FARMS, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01713
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: TRUE LEAF FARMS, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01744
Total number of active participants reported on line 7a of the Form 55002018-01-01669
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0144
Total of all active and inactive participants2018-01-01713
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01713
Number of participants with account balances2018-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: TRUE LEAF FARMS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01737
Total number of active participants reported on line 7a of the Form 55002017-01-01295
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0159
Total of all active and inactive participants2017-01-01354
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01354
Number of participants with account balances2017-01-01148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: TRUE LEAF FARMS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01659
Total number of active participants reported on line 7a of the Form 55002016-01-01552
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0146
Total of all active and inactive participants2016-01-01598
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01598
Number of participants with account balances2016-01-01150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: TRUE LEAF FARMS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01620
Total number of active participants reported on line 7a of the Form 55002015-01-01345
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 participants2015-01-01394
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01394
Number of participants with account balances2015-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-016

Financial Data on TRUE LEAF FARMS, LLC 401(K) PLAN

Measure Date Value
2018 : TRUE LEAF FARMS, LLC 401(K) 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$29
Total income from all sources (including contributions)2018-12-31$363,300
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$106,473
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$93,300
Expenses. Certain deemed distributions of participant loans2018-12-31$7,828
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$446,762
Value of total assets at end of year2018-12-31$1,363,764
Value of total assets at beginning of year2018-12-31$1,106,966
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$5,345
Total interest from all sources2018-12-31$3,309
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$150,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$351,172
Participant contributions at end of year2018-12-31$46,866
Participant contributions at beginning of year2018-12-31$45,657
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$5,099
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$7,846
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$29
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$256,827
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,363,764
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,106,937
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
Investment advisory and management fees2018-12-31$5,345
Value of interest in pooled separate accounts at end of year2018-12-31$945,271
Value of interest in pooled separate accounts at beginning of year2018-12-31$742,541
Interest on participant loans2018-12-31$3,309
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$371,627
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$312,394
Net investment gain/loss from pooled separate accounts2018-12-31$-86,771
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 contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$87,744
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$1,275
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$93,300
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 name2018-12-31JOHANSON & YAU ACCOUNTANCY CORP.
Accountancy firm EIN2018-12-31942702860
2017 : TRUE LEAF FARMS, LLC 401(K) 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$29
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$538,297
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$78,035
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$66,088
Expenses. Certain deemed distributions of participant loans2017-12-31$6,544
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$456,921
Value of total assets at end of year2017-12-31$1,106,966
Value of total assets at beginning of year2017-12-31$646,675
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,403
Total interest from all sources2017-12-31$1,912
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$5,403
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$50,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$327,349
Participant contributions at end of year2017-12-31$45,657
Participant contributions at beginning of year2017-12-31$17,373
Participant contributions at end of year2017-12-31$5,099
Participant contributions at beginning of year2017-12-31$207
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$48,918
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$29
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$460,262
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,106,937
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$646,675
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 pooled separate accounts at end of year2017-12-31$742,541
Value of interest in pooled separate accounts at beginning of year2017-12-31$444,940
Interest on participant loans2017-12-31$1,687
Interest earned on other investments2017-12-31$225
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$312,394
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$184,086
Net investment gain/loss from pooled separate accounts2017-12-31$79,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$80,654
Employer contributions (assets) at end of year2017-12-31$1,275
Employer contributions (assets) at beginning of year2017-12-31$69
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$66,088
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)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31JOHANSON & YAU ACCOUNTANCY CORP.
Accountancy firm EIN2017-12-31942702860
2016 : TRUE LEAF FARMS, LLC 401(K) 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$401,467
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$98,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$90,517
Expenses. Certain deemed distributions of participant loans2016-12-31$2,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$380,975
Value of total assets at end of year2016-12-31$646,675
Value of total assets at beginning of year2016-12-31$343,602
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$5,310
Total interest from all sources2016-12-31$706
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$50,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$281,715
Participant contributions at end of year2016-12-31$17,373
Participant contributions at beginning of year2016-12-31$6,769
Participant contributions at end of year2016-12-31$207
Participant contributions at beginning of year2016-12-31$4,630
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$28,826
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$303,073
Value of net assets at end of year (total assets less liabilities)2016-12-31$646,675
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$343,602
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
Investment advisory and management fees2016-12-31$5,310
Value of interest in pooled separate accounts at end of year2016-12-31$444,940
Value of interest in pooled separate accounts at beginning of year2016-12-31$229,600
Interest on participant loans2016-12-31$654
Interest earned on other investments2016-12-31$52
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$184,086
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$101,445
Net investment gain/loss from pooled separate accounts2016-12-31$19,786
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$70,434
Employer contributions (assets) at end of year2016-12-31$69
Employer contributions (assets) at beginning of year2016-12-31$1,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$90,517
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)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31JOHANSON & YAU ACCOUNTANCY CORP.
Accountancy firm EIN2016-12-31942702860
2015 : TRUE LEAF FARMS, LLC 401(K) 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$357,561
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$13,959
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$10,626
Expenses. Certain deemed distributions of participant loans2015-12-31$1,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$363,415
Value of total assets at end of year2015-12-31$343,602
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,148
Total interest from all sources2015-12-31$32
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$267,379
Participant contributions at end of year2015-12-31$6,769
Participant contributions at beginning of year2015-12-31$0
Participant contributions at end of year2015-12-31$4,630
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$29,215
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$343,602
Value of net assets at end of year (total assets less liabilities)2015-12-31$343,602
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
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
Investment advisory and management fees2015-12-31$2,148
Value of interest in pooled separate accounts at end of year2015-12-31$229,600
Interest on participant loans2015-12-31$32
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$101,445
Net investment gain/loss from pooled separate accounts2015-12-31$-5,886
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$66,821
Employer contributions (assets) at end of year2015-12-31$1,158
Employer contributions (assets) at beginning of year2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$10,626
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)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31JOHANSON & YAU ACCOUNTANCY CORP.
Accountancy firm EIN2015-12-31942702860

Form 5500 Responses for TRUE LEAF FARMS, LLC 401(K) PLAN

2019: TRUE LEAF FARMS, LLC 401(K) 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 filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: TRUE LEAF FARMS, LLC 401(K) 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: TRUE LEAF FARMS, LLC 401(K) 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: TRUE LEAF FARMS, LLC 401(K) 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: TRUE LEAF FARMS, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812486
Policy instance 1
Insurance contract or identification number812486
Number of Individuals Covered134
Insurance policy start date2019-01-01
Insurance policy end date2019-01-11
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $274
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
Amount paid for insurance broker fees274
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812486
Policy instance 1
Insurance contract or identification number812486
Number of Individuals Covered133
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,026
Total amount of fees paid to insurance companyUSD $2,019
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
Commission paid to Insurance BrokerUSD $3,026
Amount paid for insurance broker fees2019
Additional information about fees paid to insurance brokerTPA PARTNERSHIP & ALLIANCE PROGRAM
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812486
Policy instance 1
Insurance contract or identification number812486
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,094
Total amount of fees paid to insurance companyUSD $383
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
Commission paid to Insurance BrokerUSD $2,094
Amount paid for insurance broker fees383
Additional information about fees paid to insurance brokerTPA PARTNERSHIP & ALLIANCE PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE AND
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812486
Policy instance 1
Insurance contract or identification number812486
Number of Individuals Covered138
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $354
Total amount of fees paid to insurance companyUSD $1,637
Are there contracts with allocated funds for individual policies?No
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
Commission paid to Insurance BrokerUSD $354
Amount paid for insurance broker fees1637
Additional information about fees paid to insurance brokerTPA PARTNERSHIP & ALLIANCE PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE AND

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