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SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameSEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

SEUBERT EXCAVATORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:SEUBERT EXCAVATORS, INC.
Employer identification number (EIN):826005673
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-06-01
5012021-06-01
5012020-06-01
5012019-06-01
5012018-06-01
5012017-06-01THOMAS RIENER
5012016-06-01THOMAS RIENER
5012015-06-01THOMAS RIENER THOMAS RIENER2016-10-04
5012014-06-01THOMAS RIENER
5012013-06-01THOMAS RIENER
5012012-06-01THOMAS RIENER
5012011-06-01THOMAS RIENER
5012009-06-01THOMAS RIENER

Plan Statistics for SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-0142
Total number of active participants reported on line 7a of the Form 55002022-06-0153
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-0153
2021: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-0143
Total number of active participants reported on line 7a of the Form 55002021-06-0142
Total of all active and inactive participants2021-06-0142
2020: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-0147
Total number of active participants reported on line 7a of the Form 55002020-06-0143
Total of all active and inactive participants2020-06-0143
2019: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-06-0148
Total number of active participants reported on line 7a of the Form 55002019-06-0147
Total of all active and inactive participants2019-06-0147
2018: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-06-0152
Total number of active participants reported on line 7a of the Form 55002018-06-0148
Total of all active and inactive participants2018-06-0148
2017: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-06-0147
Total number of active participants reported on line 7a of the Form 55002017-06-0152
Total of all active and inactive participants2017-06-0152
2016: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-06-0143
Total number of active participants reported on line 7a of the Form 55002016-06-0147
Total of all active and inactive participants2016-06-0147
2015: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-06-0158
Total number of active participants reported on line 7a of the Form 55002015-06-0143
Total of all active and inactive participants2015-06-0143
2014: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-06-0161
Total number of active participants reported on line 7a of the Form 55002014-06-0158
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-0158
2013: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-06-0163
Total number of active participants reported on line 7a of the Form 55002013-06-0161
Total of all active and inactive participants2013-06-0161
2012: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-06-0158
Total number of active participants reported on line 7a of the Form 55002012-06-0163
Total of all active and inactive participants2012-06-0163
Total participants2012-06-0163
2011: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-06-0166
Total number of active participants reported on line 7a of the Form 55002011-06-0158
Total of all active and inactive participants2011-06-0158
Total participants2011-06-0158
2009: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-06-0181
Total number of active participants reported on line 7a of the Form 55002009-06-0183
Number of retired or separated participants receiving benefits2009-06-010
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-0183
Total participants2009-06-0183

Financial Data on SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2023 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2023 401k financial data
Total income from all sources2023-05-31$972,633
Expenses. Total of all expenses incurred2023-05-31$972,633
Benefits paid (including direct rollovers)2023-05-31$925,583
Contributions received from other sources (not participants or employers)2023-05-31$89,436
Net income (gross income less expenses)2023-05-31$0
Net plan assets at end of year (total assets less liabilities)2023-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2023-05-31$0
Total contributions received or receivable from employer(s)2023-05-31$883,197
Expenses. Administrative service providers (salaries,fees and commissions)2023-05-31$47,050
2022 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total income from all sources2022-05-31$981,312
Expenses. Total of all expenses incurred2022-05-31$981,312
Benefits paid (including direct rollovers)2022-05-31$948,747
Contributions received from other sources (not participants or employers)2022-05-31$282,901
Net income (gross income less expenses)2022-05-31$0
Net plan assets at end of year (total assets less liabilities)2022-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-05-31$0
Total contributions received or receivable from employer(s)2022-05-31$698,411
Expenses. Administrative service providers (salaries,fees and commissions)2022-05-31$32,565
2021 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total income from all sources2021-05-31$770,801
Expenses. Total of all expenses incurred2021-05-31$770,801
Benefits paid (including direct rollovers)2021-05-31$732,878
Contributions received from other sources (not participants or employers)2021-05-31$16,338
Net income (gross income less expenses)2021-05-31$0
Net plan assets at end of year (total assets less liabilities)2021-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$0
Total contributions received or receivable from employer(s)2021-05-31$754,463
Expenses. Administrative service providers (salaries,fees and commissions)2021-05-31$37,923
2020 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total income from all sources2020-05-31$731,362
Expenses. Total of all expenses incurred2020-05-31$731,362
Benefits paid (including direct rollovers)2020-05-31$688,818
Contributions received from other sources (not participants or employers)2020-05-31$49,096
Net income (gross income less expenses)2020-05-31$0
Net plan assets at end of year (total assets less liabilities)2020-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-05-31$0
Total contributions received or receivable from employer(s)2020-05-31$682,266
Expenses. Administrative service providers (salaries,fees and commissions)2020-05-31$42,544
2018 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-05-31$0
Total plan liabilities at beginning of year2018-05-31$0
Total income from all sources2018-05-31$565,226
Expenses. Total of all expenses incurred2018-05-31$565,226
Benefits paid (including direct rollovers)2018-05-31$520,625
Total plan assets at end of year2018-05-31$0
Total plan assets at beginning of year2018-05-31$0
Net income (gross income less expenses)2018-05-31$0
Net plan assets at end of year (total assets less liabilities)2018-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-05-31$0
Total contributions received or receivable from employer(s)2018-05-31$565,226
Expenses. Administrative service providers (salaries,fees and commissions)2018-05-31$44,601
2017 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-05-31$0
Total income from all sources2017-05-31$782,434
Expenses. Total of all expenses incurred2017-05-31$782,434
Benefits paid (including direct rollovers)2017-05-31$743,608
Total plan assets at beginning of year2017-05-31$0
Contributions received from other sources (not participants or employers)2017-05-31$408,816
Net income (gross income less expenses)2017-05-31$0
Net plan assets at end of year (total assets less liabilities)2017-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-05-31$0
Total contributions received or receivable from employer(s)2017-05-31$373,618
Expenses. Administrative service providers (salaries,fees and commissions)2017-05-31$38,826
2016 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-05-31$0
Total plan liabilities at beginning of year2016-05-31$0
Total income from all sources2016-05-31$511,247
Expenses. Total of all expenses incurred2016-05-31$511,247
Benefits paid (including direct rollovers)2016-05-31$474,952
Total plan assets at end of year2016-05-31$0
Total plan assets at beginning of year2016-05-31$0
Contributions received from other sources (not participants or employers)2016-05-31$67,475
Net income (gross income less expenses)2016-05-31$0
Net plan assets at end of year (total assets less liabilities)2016-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-05-31$0
Total contributions received or receivable from employer(s)2016-05-31$443,772
Expenses. Administrative service providers (salaries,fees and commissions)2016-05-31$36,295
2015 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-05-31$0
Total plan liabilities at beginning of year2015-05-31$0
Total income from all sources2015-05-31$1,105,340
Expenses. Total of all expenses incurred2015-05-31$1,105,340
Benefits paid (including direct rollovers)2015-05-31$1,059,900
Total plan assets at end of year2015-05-31$0
Total plan assets at beginning of year2015-05-31$0
Contributions received from other sources (not participants or employers)2015-05-31$434,492
Net income (gross income less expenses)2015-05-31$0
Net plan assets at end of year (total assets less liabilities)2015-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-05-31$0
Total contributions received or receivable from employer(s)2015-05-31$670,848
Expenses. Administrative service providers (salaries,fees and commissions)2015-05-31$45,440
2014 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at beginning of year2014-05-31$0
Total income from all sources2014-05-31$1,008,177
Expenses. Total of all expenses incurred2014-05-31$1,008,177
Benefits paid (including direct rollovers)2014-05-31$960,767
Total plan assets at beginning of year2014-05-31$0
Contributions received from other sources (not participants or employers)2014-05-31$352,246
Net income (gross income less expenses)2014-05-31$0
Net plan assets at end of year (total assets less liabilities)2014-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-05-31$0
Total contributions received or receivable from employer(s)2014-05-31$655,931
Expenses. Administrative service providers (salaries,fees and commissions)2014-05-31$47,410
2013 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2013 401k financial data
Transfers to/from the plan2013-05-31$0
Total plan liabilities at end of year2013-05-31$0
Total plan liabilities at beginning of year2013-05-31$0
Total income from all sources2013-05-31$521,855
Expenses. Total of all expenses incurred2013-05-31$521,855
Benefits paid (including direct rollovers)2013-05-31$498,745
Total plan assets at end of year2013-05-31$0
Total plan assets at beginning of year2013-05-31$0
Total contributions received or receivable from participants2013-05-31$0
Expenses. Other expenses not covered elsewhere2013-05-31$0
Contributions received from other sources (not participants or employers)2013-05-31$35,548
Other income received2013-05-31$0
Noncash contributions received2013-05-31$0
Net income (gross income less expenses)2013-05-31$0
Net plan assets at end of year (total assets less liabilities)2013-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-05-31$0
Total contributions received or receivable from employer(s)2013-05-31$486,307
Value of certain deemed distributions of participant loans2013-05-31$0
Value of corrective distributions2013-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-05-31$23,110
2012 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2012 401k financial data
Transfers to/from the plan2012-05-31$0
Total plan liabilities at end of year2012-05-31$0
Total plan liabilities at beginning of year2012-05-31$0
Total income from all sources2012-05-31$495,445
Expenses. Total of all expenses incurred2012-05-31$495,445
Benefits paid (including direct rollovers)2012-05-31$477,623
Total plan assets at end of year2012-05-31$0
Total plan assets at beginning of year2012-05-31$0
Total contributions received or receivable from participants2012-05-31$0
Expenses. Other expenses not covered elsewhere2012-05-31$0
Contributions received from other sources (not participants or employers)2012-05-31$77,073
Other income received2012-05-31$0
Noncash contributions received2012-05-31$0
Net income (gross income less expenses)2012-05-31$0
Net plan assets at end of year (total assets less liabilities)2012-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-05-31$0
Total contributions received or receivable from employer(s)2012-05-31$418,372
Value of certain deemed distributions of participant loans2012-05-31$0
Value of corrective distributions2012-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-05-31$17,822
2011 : SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2011 401k financial data
Transfers to/from the plan2011-05-31$0
Total plan liabilities at end of year2011-05-31$0
Total plan liabilities at beginning of year2011-05-31$0
Total income from all sources2011-05-31$580,409
Expenses. Total of all expenses incurred2011-05-31$580,409
Benefits paid (including direct rollovers)2011-05-31$561,596
Total plan assets at end of year2011-05-31$0
Total plan assets at beginning of year2011-05-31$0
Total contributions received or receivable from participants2011-05-31$0
Contributions received from other sources (not participants or employers)2011-05-31$21,701
Other income received2011-05-31$0
Noncash contributions received2011-05-31$0
Net income (gross income less expenses)2011-05-31$0
Net plan assets at end of year (total assets less liabilities)2011-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2011-05-31$0
Total contributions received or receivable from employer(s)2011-05-31$558,708
Value of certain deemed distributions of participant loans2011-05-31$0
Value of corrective distributions2011-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-05-31$18,813

Form 5500 Responses for SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN

2022: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)No
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes
2021: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – General assets of the sponsorYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement – General assets of the sponsorYes
2020: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingNo
2020-06-01This return/report is a short plan year return/report (less than 12 months)No
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – General assets of the sponsorYes
2020-06-01Plan benefit arrangement – InsuranceYes
2020-06-01Plan benefit arrangement – General assets of the sponsorYes
2019: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-06-01Type of plan entitySingle employer plan
2019-06-01Submission has been amendedNo
2019-06-01This submission is the final filingNo
2019-06-01This return/report is a short plan year return/report (less than 12 months)No
2019-06-01Plan is a collectively bargained planNo
2019-06-01Plan funding arrangement – InsuranceYes
2019-06-01Plan funding arrangement – General assets of the sponsorYes
2019-06-01Plan benefit arrangement – InsuranceYes
2019-06-01Plan benefit arrangement – General assets of the sponsorYes
2018: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – General assets of the sponsorYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement – General assets of the sponsorYes
2017: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – General assets of the sponsorYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement – General assets of the sponsorYes
2016: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – General assets of the sponsorYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement – General assets of the sponsorYes
2015: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – General assets of the sponsorYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement – General assets of the sponsorYes
2014: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – General assets of the sponsorYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement – General assets of the sponsorYes
2013: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – General assets of the sponsorYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement – General assets of the sponsorYes
2012: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – General assets of the sponsorYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement – General assets of the sponsorYes
2011: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – General assets of the sponsorYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement – General assets of the sponsorYes
2009: SEUBERT EXCAVATORS, INC. EMPLOYEE BENEFIT PLAN 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – General assets of the sponsorYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1573324
Policy instance 1
Insurance contract or identification numberUS1573324
Number of Individuals Covered53
Insurance policy start date2022-06-01
Insurance policy end date2023-05-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $335,299
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
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181614
Policy instance 1
Insurance contract or identification numberUS1181614
Number of Individuals Covered42
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $230,485
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees0
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181468
Policy instance 1
Insurance contract or identification numberUS1181468
Number of Individuals Covered43
Insurance policy start date2020-06-01
Insurance policy end date2021-05-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $280,264
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS1181288
Policy instance 1
Insurance contract or identification numberUS1181288
Number of Individuals Covered47
Insurance policy start date2019-06-01
Insurance policy end date2020-05-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $265,710
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
US FIRE (National Association of Insurance Commissioners NAIC id number: 21113 )
Policy contract numberUS952524
Policy instance 1
Insurance contract or identification numberUS952524
Number of Individuals Covered48
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $235,697
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
QBE A&H (National Association of Insurance Commissioners NAIC id number: 10219 )
Policy contract numberLGS01524-17
Policy instance 1
Insurance contract or identification numberLGS01524-17
Number of Individuals Covered50
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
Total amount of commissions paid to insurance brokerUSD $2,137
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?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $215,585
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,137
Insurance broker organization code?3
Insurance broker nameMST INSURANCE AGENCY

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