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VESTIS RETAIL GROUP, LLC 401k Plan overview

Plan NameVESTIS RETAIL GROUP, LLC
Plan identification number 001

VESTIS RETAIL GROUP, LLC 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

BOBS STORES has sponsored the creation of one or more 401k plans.

Company Name:BOBS STORES
Employer identification number (EIN):830374675
NAIC Classification:448140
NAIC Description:Family Clothing Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VESTIS RETAIL GROUP, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-01-01CAY DICKINSON
0012014-01-01CAY DICKINSON
0012013-01-01DANIEL BLISS
0012012-01-01PRUDENTIAL CAY DICKINSON2017-10-02

Plan Statistics for VESTIS RETAIL GROUP, LLC

401k plan membership statisitcs for VESTIS RETAIL GROUP, LLC

Measure Date Value
2015: VESTIS RETAIL GROUP, LLC 2015 401k membership
Total participants, beginning-of-year2015-01-011,026
Total number of active participants reported on line 7a of the Form 55002015-01-011,503
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01106
Total of all active and inactive participants2015-01-011,609
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,609
Number of participants with account balances2015-01-01550
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2014: VESTIS RETAIL GROUP, LLC 2014 401k membership
Total participants, beginning-of-year2014-01-01982
Total number of active participants reported on line 7a of the Form 55002014-01-01884
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0142
Total of all active and inactive participants2014-01-01926
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01926
Number of participants with account balances2014-01-01372
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-015
2013: VESTIS RETAIL GROUP, LLC 2013 401k membership
Total participants, beginning-of-year2013-01-01840
Total number of active participants reported on line 7a of the Form 55002013-01-01863
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0135
Total of all active and inactive participants2013-01-01898
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01898
Number of participants with account balances2013-01-01357
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-014
2012: VESTIS RETAIL GROUP, LLC 2012 401k membership
Total participants, beginning-of-year2012-01-011,215
Total number of active participants reported on line 7a of the Form 55002012-01-01781
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0141
Total of all active and inactive participants2012-01-01822
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01822
Number of participants with account balances2012-01-01378
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011

Financial Data on VESTIS RETAIL GROUP, LLC

Measure Date Value
2015 : VESTIS RETAIL GROUP, LLC 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$11,195,514
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$1,119,865
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,770,211
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,671,100
Expenses. Certain deemed distributions of participant loans2015-12-31$38,827
Value of total corrective distributions2015-12-31$51,885
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,676,500
Value of total assets at end of year2015-12-31$38,586,441
Value of total assets at beginning of year2015-12-31$29,041,273
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,399
Total interest from all sources2015-12-31$125,817
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$253,269
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$253,269
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$3,000,000
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$1,503,729
Participant contributions at end of year2015-12-31$701,486
Participant contributions at beginning of year2015-12-31$673,375
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$172,771
Other income not declared elsewhere2015-12-31$19,471
Administrative expenses (other) incurred2015-12-31$8,399
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,650,346
Value of net assets at end of year (total assets less liabilities)2015-12-31$38,586,441
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$29,041,273
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$24,505,434
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$16,603,842
Value of interest in pooled separate accounts at end of year2015-12-31$7,528,343
Value of interest in pooled separate accounts at beginning of year2015-12-31$6,993,684
Interest on participant loans2015-12-31$34,610
Interest earned on other investments2015-12-31$91,207
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$5,851,178
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$4,770,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-753,253
Net investment gain/loss from pooled separate accounts2015-12-31$-201,939
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,671,100
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 name2015-12-31BERRY, DUNN, MCNEIL & PARKER
Accountancy firm EIN2015-12-31010523282
2014 : VESTIS RETAIL GROUP, LLC 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$3,237,842
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,796,908
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,689,234
Expenses. Certain deemed distributions of participant loans2014-12-31$1,526
Value of total corrective distributions2014-12-31$81,736
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,580,360
Value of total assets at end of year2014-12-31$29,041,273
Value of total assets at beginning of year2014-12-31$27,600,339
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$24,412
Total interest from all sources2014-12-31$119,090
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$119,332
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$119,332
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$3,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,143,099
Participant contributions at end of year2014-12-31$673,375
Participant contributions at beginning of year2014-12-31$627,299
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$329,874
Other income not declared elsewhere2014-12-31$46,171
Administrative expenses (other) incurred2014-12-31$24,412
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$1,440,934
Value of net assets at end of year (total assets less liabilities)2014-12-31$29,041,273
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$27,600,339
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$16,603,842
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$15,489,567
Value of interest in pooled separate accounts at end of year2014-12-31$6,993,684
Value of interest in pooled separate accounts at beginning of year2014-12-31$6,692,127
Interest on participant loans2014-12-31$29,852
Interest earned on other investments2014-12-31$89,238
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$4,770,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$4,791,346
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$944,355
Net investment gain/loss from pooled separate accounts2014-12-31$428,534
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$107,387
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,689,234
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)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31KPMG LLP
Accountancy firm EIN2014-12-31135565207
2013 : VESTIS RETAIL GROUP, LLC 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$6,156,821
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,885,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,807,869
Value of total corrective distributions2013-12-31$54,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,295,938
Value of total assets at end of year2013-12-31$27,600,339
Value of total assets at beginning of year2013-12-31$24,329,216
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$22,857
Total interest from all sources2013-12-31$124,083
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$81,650
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$81,650
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$3,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,150,418
Participant contributions at end of year2013-12-31$627,299
Participant contributions at beginning of year2013-12-31$732,174
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$38,916
Other income not declared elsewhere2013-12-31$36,791
Administrative expenses (other) incurred2013-12-31$22,857
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$3,271,123
Value of net assets at end of year (total assets less liabilities)2013-12-31$27,600,339
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$24,329,216
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$15,489,567
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$12,770,525
Value of interest in pooled separate accounts at end of year2013-12-31$6,692,127
Value of interest in pooled separate accounts at beginning of year2013-12-31$6,267,182
Interest on participant loans2013-12-31$27,873
Interest earned on other investments2013-12-31$96,210
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$4,791,346
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$4,559,335
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,768,804
Net investment gain/loss from pooled separate accounts2013-12-31$849,555
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$106,604
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,807,869
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)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KPMG LLP
Accountancy firm EIN2013-12-31135565207
2012 : VESTIS RETAIL GROUP, LLC 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,004,367
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$791,260
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$706,408
Expenses. Certain deemed distributions of participant loans2012-12-31$20,943
Value of total corrective distributions2012-12-31$42,880
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,380,019
Value of total assets at end of year2012-12-31$24,329,216
Value of total assets at beginning of year2012-12-31$21,116,109
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$21,029
Total interest from all sources2012-12-31$131,558
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$130,527
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$130,527
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$3,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,244,431
Participant contributions at end of year2012-12-31$732,174
Participant contributions at beginning of year2012-12-31$734,342
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$17,485
Other income not declared elsewhere2012-12-31$34,665
Administrative expenses (other) incurred2012-12-31$21,029
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$3,213,107
Value of net assets at end of year (total assets less liabilities)2012-12-31$24,329,216
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$21,116,109
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$12,770,525
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$10,907,162
Value of interest in pooled separate accounts at end of year2012-12-31$6,267,182
Value of interest in pooled separate accounts at beginning of year2012-12-31$5,148,654
Interest on participant loans2012-12-31$24,349
Interest earned on other investments2012-12-31$107,209
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$4,559,335
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$4,325,951
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,634,730
Net investment gain/loss from pooled separate accounts2012-12-31$692,868
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$118,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$706,408
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)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31KPMG LLP
Accountancy firm EIN2012-12-31135565207

Form 5500 Responses for VESTIS RETAIL GROUP, LLC

2015: VESTIS RETAIL GROUP, LLC 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: VESTIS RETAIL GROUP, LLC 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: VESTIS RETAIL GROUP, LLC 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: VESTIS RETAIL GROUP, LLC 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number041162
Policy instance 1
Insurance contract or identification number041162
Number of Individuals Covered1609
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $21,865
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees21865
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameMARSH INSURANCE AND INVESTMENT CORP
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number041162
Policy instance 1
Insurance contract or identification number041162
Number of Individuals Covered926
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $20,158
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees20158
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameMARSH INSURANCE AND INVESTMENT CORP
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number041162
Policy instance 1
Insurance contract or identification number041162
Number of Individuals Covered898
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $19,286
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19286
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameMARSH INSURANCE AND INVESTMENT CORP
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number041162
Policy instance 1
Insurance contract or identification number041162
Number of Individuals Covered822
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $17,426
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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