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DBSI, INC. 401K PLAN 401k Plan overview

Plan NameDBSI, INC. 401K PLAN
Plan identification number 001

DBSI, INC. 401K 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

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

Company Name:DBSI, INC.
Employer identification number (EIN):860904666
NAIC Classification:812990
NAIC Description:All Other Personal Services

Additional information about DBSI, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 1987-06-30
Company Identification Number: 19871732908
Legal Registered Office Address: 36123 COUNTY ROAD 17

Elizabeth
United States of America (USA)
80107

More information about DBSI, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DBSI, INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01GINNY BRUNI2023-10-11 GINNY BRUNI2023-10-11
0012021-01-01GINNY BRUNI2022-07-24 GINNY BRUNI2022-07-24
0012020-01-01TODD BROWN2021-09-14 TODD BROWN2021-09-14
0012019-01-01
0012018-01-01
0012017-01-01TODD BROWN TODD BROWN2018-10-11
0012016-01-01TODD BROWN TODD BROWN2017-10-09
0012015-01-01
0012014-01-01DEBRA DILLON
0012013-01-01DEBRA DILLON2014-03-11
0012012-01-01DEBRA DILLON2013-06-11
0012011-11-01DEBRA DILLON2012-06-07

Plan Statistics for DBSI, INC. 401K PLAN

401k plan membership statisitcs for DBSI, INC. 401K PLAN

Measure Date Value
2022: DBSI, INC. 401K PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01219
Total number of active participants reported on line 7a of the Form 55002022-01-01131
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0142
Total of all active and inactive participants2022-01-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01174
Number of participants with account balances2022-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0112
2021: DBSI, INC. 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01227
Total number of active participants reported on line 7a of the Form 55002021-01-01184
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0142
Total of all active and inactive participants2021-01-01227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01227
Number of participants with account balances2021-01-01189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0122
2020: DBSI, INC. 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01244
Total number of active participants reported on line 7a of the Form 55002020-01-01180
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-0146
Total of all active and inactive participants2020-01-01227
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01227
Number of participants with account balances2020-01-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0135
2019: DBSI, INC. 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01198
Total number of active participants reported on line 7a of the Form 55002019-01-01209
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0134
Total of all active and inactive participants2019-01-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01244
Number of participants with account balances2019-01-01228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0122
2018: DBSI, INC. 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01174
Total number of active participants reported on line 7a of the Form 55002018-01-01161
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0133
Total of all active and inactive participants2018-01-01194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01194
Number of participants with account balances2018-01-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0121
2017: DBSI, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01155
Total number of active participants reported on line 7a of the Form 55002017-01-01144
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0124
Total of all active and inactive participants2017-01-01168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01169
Number of participants with account balances2017-01-01158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0115
2016: DBSI, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01118
Total number of active participants reported on line 7a of the Form 55002016-01-01131
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-0121
Total of all active and inactive participants2016-01-01153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01153
Number of participants with account balances2016-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-016
2015: DBSI, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01169
Total number of active participants reported on line 7a of the Form 55002015-01-01120
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0155
Total of all active and inactive participants2015-01-01176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01176
Number of participants with account balances2015-01-01141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: DBSI, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01128
Total number of active participants reported on line 7a of the Form 55002014-01-0198
Number of retired or separated participants receiving benefits2014-01-0144
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01143
Number of participants with account balances2014-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011

Financial Data on DBSI, INC. 401K PLAN

Measure Date Value
2022 : DBSI, INC. 401K PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets from this plan2022-12-31$3,696,179
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-858,321
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$171,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$128,427
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$646,315
Value of total assets at end of year2022-12-31$5,893,080
Value of total assets at beginning of year2022-12-31$10,618,984
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$42,977
Total interest from all sources2022-12-31$2,394
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$84,251
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$84,251
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$433,718
Participant contributions at end of year2022-12-31$53,367
Participant contributions at beginning of year2022-12-31$57,381
Participant contributions at beginning of year2022-12-31$28,963
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$61,355
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,029,725
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,893,080
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,618,984
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,811,292
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,152,042
Interest on participant loans2022-12-31$2,394
Value of interest in common/collective trusts at end of year2022-12-31$1,028,421
Value of interest in common/collective trusts at beginning of year2022-12-31$1,370,159
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,402,314
Net investment gain or loss from common/collective trusts2022-12-31$-188,967
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$151,242
Employer contributions (assets) at beginning of year2022-12-31$10,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$128,427
Contract administrator fees2022-12-31$42,977
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2022-12-31431947695
2021 : DBSI, INC. 401K PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,563,464
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$822,466
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$765,030
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,205,100
Value of total assets at end of year2021-12-31$10,618,984
Value of total assets at beginning of year2021-12-31$8,877,986
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$57,436
Total interest from all sources2021-12-31$3,419
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$131,420
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$131,420
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$894,466
Participant contributions at end of year2021-12-31$57,381
Participant contributions at beginning of year2021-12-31$77,875
Participant contributions at end of year2021-12-31$28,963
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$3,916
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,740,998
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,618,984
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,877,986
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,152,042
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,729,337
Interest on participant loans2021-12-31$3,419
Value of interest in common/collective trusts at end of year2021-12-31$1,370,159
Value of interest in common/collective trusts at beginning of year2021-12-31$1,070,774
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,052,380
Net investment gain or loss from common/collective trusts2021-12-31$171,145
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$306,718
Employer contributions (assets) at end of year2021-12-31$10,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$765,030
Contract administrator fees2021-12-31$57,436
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2021-12-31431947695
2020 : DBSI, INC. 401K PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,177,950
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$769,371
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$724,157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,031,131
Value of total assets at end of year2020-12-31$8,877,986
Value of total assets at beginning of year2020-12-31$7,469,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$45,214
Total interest from all sources2020-12-31$3,829
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$108,944
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$108,944
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$778,019
Participant contributions at end of year2020-12-31$77,875
Participant contributions at beginning of year2020-12-31$57,561
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,408,579
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,877,986
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,469,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$7,729,337
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$6,419,068
Interest on participant loans2020-12-31$3,829
Value of interest in common/collective trusts at end of year2020-12-31$1,070,774
Value of interest in common/collective trusts at beginning of year2020-12-31$992,778
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$849,728
Net investment gain or loss from common/collective trusts2020-12-31$184,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$253,112
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$724,157
Contract administrator fees2020-12-31$45,214
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2020-12-31431947695
2019 : DBSI, INC. 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,530,464
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$353,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$289,261
Expenses. Certain deemed distributions of participant loans2019-12-31$9,637
Value of total corrective distributions2019-12-31$15,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,148,262
Value of total assets at end of year2019-12-31$7,469,407
Value of total assets at beginning of year2019-12-31$5,292,216
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$38,792
Total interest from all sources2019-12-31$2,127
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$120,136
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$120,136
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$768,973
Participant contributions at end of year2019-12-31$57,561
Participant contributions at beginning of year2019-12-31$46,679
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$121,443
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$12,231
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,177,191
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,469,407
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,292,216
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,419,068
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$4,512,541
Interest on participant loans2019-12-31$2,127
Value of interest in common/collective trusts at end of year2019-12-31$992,778
Value of interest in common/collective trusts at beginning of year2019-12-31$720,765
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,117,626
Net investment gain or loss from common/collective trusts2019-12-31$142,313
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$257,846
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$289,261
Contract administrator fees2019-12-31$38,792
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MAYER HOFFMAN MCCANN, P.C.
Accountancy firm EIN2019-12-31431947695
2018 : DBSI, INC. 401K PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$515,197
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$167,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$134,570
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$909,093
Value of total assets at end of year2018-12-31$5,292,216
Value of total assets at beginning of year2018-12-31$4,944,945
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$33,356
Total interest from all sources2018-12-31$2,531
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$135,648
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$135,648
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$672,535
Participant contributions at end of year2018-12-31$46,679
Participant contributions at beginning of year2018-12-31$52,744
Participant contributions at beginning of year2018-12-31$6,826
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$6,816
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$12,231
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$5,650
Total non interest bearing cash at beginning of year2018-12-31$1,479
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$347,271
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,292,216
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,944,945
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$4,512,541
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,143,494
Interest on participant loans2018-12-31$2,531
Value of interest in common/collective trusts at end of year2018-12-31$720,765
Value of interest in common/collective trusts at beginning of year2018-12-31$732,443
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-486,072
Net investment gain or loss from common/collective trusts2018-12-31$-46,003
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$229,742
Employer contributions (assets) at beginning of year2018-12-31$2,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$134,570
Contract administrator fees2018-12-31$33,356
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 name2018-12-31MAYER HOFFMAN MCCANN, P.C.
Accountancy firm EIN2018-12-31431947695
2017 : DBSI, INC. 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,459,909
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$290,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$239,766
Value of total corrective distributions2017-12-31$22,651
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$720,359
Value of total assets at end of year2017-12-31$4,944,945
Value of total assets at beginning of year2017-12-31$3,775,242
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$27,789
Total interest from all sources2017-12-31$1,847
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$99,411
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$99,411
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$400,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$535,079
Participant contributions at end of year2017-12-31$52,744
Participant contributions at beginning of year2017-12-31$25,606
Participant contributions at end of year2017-12-31$6,826
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$5,650
Total non interest bearing cash at end of year2017-12-31$1,479
Total non interest bearing cash at beginning of year2017-12-31$7,059
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$1,169,703
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,944,945
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,775,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,143,494
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$3,074,795
Interest on participant loans2017-12-31$1,847
Value of interest in common/collective trusts at end of year2017-12-31$732,443
Value of interest in common/collective trusts at beginning of year2017-12-31$667,782
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$540,478
Net investment gain or loss from common/collective trusts2017-12-31$97,814
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$185,280
Employer contributions (assets) at end of year2017-12-31$2,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$239,766
Contract administrator fees2017-12-31$27,789
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 name2017-12-31MAYER HOFFMAN MCCANN, P.C.
Accountancy firm EIN2017-12-31431947695
2016 : DBSI, INC. 401K 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$848,235
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$154,709
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$136,040
Expenses. Certain deemed distributions of participant loans2016-12-31$5,136
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$625,377
Value of total assets at end of year2016-12-31$3,775,242
Value of total assets at beginning of year2016-12-31$3,081,716
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$13,533
Total interest from all sources2016-12-31$801
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$43,788
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$43,788
Administrative expenses professional fees incurred2016-12-31$13,533
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$458,091
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$26,691
Assets. Loans (other than to participants) at end of year2016-12-31$25,606
Assets. Loans (other than to participants) at beginning of year2016-12-31$30,969
Total non interest bearing cash at end of year2016-12-31$7,059
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$693,526
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,775,242
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,081,716
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,074,795
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,940,096
Interest on participant loans2016-12-31$801
Value of interest in common/collective trusts at end of year2016-12-31$667,782
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$110,651
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$146,504
Net investment gain or loss from common/collective trusts2016-12-31$31,765
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$140,595
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$136,040
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 name2016-12-31MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN2016-12-31431947695
2015 : DBSI, INC. 401K 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$500,573
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$320,632
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$316,541
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$561,619
Value of total assets at end of year2015-12-31$3,081,716
Value of total assets at beginning of year2015-12-31$2,901,775
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,091
Total interest from all sources2015-12-31$994
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$245,206
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$245,206
Administrative expenses professional fees incurred2015-12-31$4,091
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$400,000
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$392,552
Participant contributions at end of year2015-12-31$30,969
Participant contributions at beginning of year2015-12-31$16,847
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$38,854
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$179,941
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,081,716
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,901,775
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$2,940,096
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,767,291
Interest on participant loans2015-12-31$994
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$110,651
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$117,637
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-307,246
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$130,213
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$316,541
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 name2015-12-31MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN2015-12-31431947695
2014 : DBSI, INC. 401K PLAN 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$598,529
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$57,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$54,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$532,760
Value of total assets at end of year2014-12-31$2,901,775
Value of total assets at beginning of year2014-12-31$2,360,538
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,228
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$270,999
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$270,999
Administrative expenses professional fees incurred2014-12-31$3,228
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$400,000
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$363,131
Participant contributions at end of year2014-12-31$16,847
Participant contributions at beginning of year2014-12-31$5,541
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$42,711
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$541,237
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,901,775
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,360,538
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$2,767,291
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,275,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$117,637
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$79,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-205,230
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 contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$126,918
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$54,064
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 name2014-12-31MAYER HOFFMAN MCCANN P.C.
Accountancy firm EIN2014-12-31431947695

Form 5500 Responses for DBSI, INC. 401K PLAN

2022: DBSI, INC. 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: DBSI, INC. 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: DBSI, INC. 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: DBSI, INC. 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: DBSI, INC. 401K 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: DBSI, INC. 401K 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DBSI, INC. 401K 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: DBSI, INC. 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: DBSI, INC. 401K PLAN 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

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827488
Policy instance 1
Insurance contract or identification numberGA-827488
Number of Individuals Covered141
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $16,212
Total amount of fees paid to insurance companyUSD $0
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,738
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker nameDYATECH, LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-827488
Policy instance 1
Insurance contract or identification numberGA-827488
Number of Individuals Covered131
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,444
Total amount of fees paid to insurance companyUSD $1,244
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,444
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?5
Amount paid for insurance broker fees1244
Insurance broker nameDYATECH, LLC

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