401k Plan data: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES plan

APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 401k Plan overview

Plan Name	APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES
Plan identification number	540

APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover

401k Sponsoring company profile

APPLESEED OPERATIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name: APPLESEED OPERATIONS, INC.

Employer identification number (EIN): 825211425

NAIC Classification: 322200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
540 2021-01-01
540 2020-01-01
540 2019-01-01
540 2018-01-01

Plan Statistics for APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES

401k plan membership statisitcs for APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES

Measure Date Value
2021: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2021 401k membership
Total participants, beginning-of-year 2021-01-01 754
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 376
Number of retired or separated participants receiving benefits 2021-01-01 4
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 380
2020: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2020 401k membership
Total participants, beginning-of-year 2020-01-01 972
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 752
Number of retired or separated participants receiving benefits 2020-01-01 2
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 754
2019: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,099
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 970
Number of retired or separated participants receiving benefits 2019-01-01 2
Number of other retired or separated participants entitled to future benefits 2019-01-01 0
Total of all active and inactive participants 2019-01-01 972
2018: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2018 401k membership
Total participants, beginning-of-year 2018-01-01 406
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,097
Number of retired or separated participants receiving benefits 2018-01-01 2
Number of other retired or separated participants entitled to future benefits 2018-01-01 0
Total of all active and inactive participants 2018-01-01 1,099

Measure	Date	Value
2021: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2021 401k membership
Total participants, beginning-of-year	2021-01-01	754
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	376
Number of retired or separated participants receiving benefits	2021-01-01	4
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	380
2020: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2020 401k membership
Total participants, beginning-of-year	2020-01-01	972
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	752
Number of retired or separated participants receiving benefits	2020-01-01	2
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	754
2019: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,099
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	970
Number of retired or separated participants receiving benefits	2019-01-01	2
Number of other retired or separated participants entitled to future benefits	2019-01-01	0
Total of all active and inactive participants	2019-01-01	972
2018: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2018 401k membership
Total participants, beginning-of-year	2018-01-01	406
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,097
Number of retired or separated participants receiving benefits	2018-01-01	2
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	1,099

Form 5500 Responses for APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES

2021: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2020: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: APPVION, INC. DISABILITY PLAN FOR NON-BARGAINING UNIT EMPLOYEES 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

68881-9

Policy instance

Insurance contract or identification number	68881-9
Number of Individuals Covered	348
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $20,099
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $200,988
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $20,099
Insurance broker organization code?	3

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

68881-9

Policy instance

Insurance contract or identification number	68881-9
Number of Individuals Covered	766
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $33,525
Total amount of fees paid to insurance company	USD $3,741
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $335,251
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $33,525
Amount paid for insurance broker fees	3741
Additional information about fees paid to insurance broker	SUPPLEMENTAL COMPENSATION
Insurance broker organization code?	3

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

68881-9

Policy instance

Insurance contract or identification number	68881-9
Number of Individuals Covered	991
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $51,157
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $399,851
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $51,157
Insurance broker organization code?	3

RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )

Policy contract number

68881-9

Policy instance

Insurance contract or identification number	68881-9
Number of Individuals Covered	1097
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $30,977
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $293,827
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $30,977
Insurance broker organization code?	3

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Company Name:	APPLESEED OPERATIONS, INC.
Employer identification number (EIN):	825211425
NAIC Classification:	322200