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BLACKBERRY FARM 401K SAVINGS PLAN 401k Plan overview

Plan NameBLACKBERRY FARM 401K SAVINGS PLAN
Plan identification number 001

BLACKBERRY FARM 401K SAVINGS 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BLACKBERRY FARM, LLC has sponsored the creation of one or more 401k plans.

Company Name:BLACKBERRY FARM, LLC
Employer identification number (EIN):900421055
NAIC Classification:721191
NAIC Description:Bed-and-Breakfast Inns

Additional information about BLACKBERRY FARM, LLC

Jurisdiction of Incorporation: Tennessee Secretary of State Division of Business Services
Incorporation Date:
Company Identification Number: 000588144

More information about BLACKBERRY FARM, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLACKBERRY FARM 401K SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01REBECCA MARTIN2023-10-04
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01NICK DIBARTOLOMEO
0012016-01-01NICK DIBARTOLOMEO
0012015-01-01NICK DIBARTOLOMEO
0012015-01-01NICK DIBARTOLOMEO

Plan Statistics for BLACKBERRY FARM 401K SAVINGS PLAN

401k plan membership statisitcs for BLACKBERRY FARM 401K SAVINGS PLAN

Measure Date Value
2022: BLACKBERRY FARM 401K SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01986
Total number of active participants reported on line 7a of the Form 55002022-01-01906
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-01137
Total of all active and inactive participants2022-01-011,044
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,044
Number of participants with account balances2022-01-01549
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0144
2021: BLACKBERRY FARM 401K SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01744
Total number of active participants reported on line 7a of the Form 55002021-01-01765
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-01100
Total of all active and inactive participants2021-01-01866
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01866
Number of participants with account balances2021-01-01466
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0132
2020: BLACKBERRY FARM 401K SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01683
Total number of active participants reported on line 7a of the Form 55002020-01-01657
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-0161
Total of all active and inactive participants2020-01-01720
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01720
Number of participants with account balances2020-01-01359
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0116
2019: BLACKBERRY FARM 401K SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01555
Total number of active participants reported on line 7a of the Form 55002019-01-01582
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0152
Total of all active and inactive participants2019-01-01635
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01635
Number of participants with account balances2019-01-01278
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0112
2018: BLACKBERRY FARM 401K SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01460
Total number of active participants reported on line 7a of the Form 55002018-01-01459
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-0147
Total of all active and inactive participants2018-01-01507
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01507
Number of participants with account balances2018-01-01216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0111
2017: BLACKBERRY FARM 401K SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01428
Total number of active participants reported on line 7a of the Form 55002017-01-01383
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0132
Total of all active and inactive participants2017-01-01415
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01415
Number of participants with account balances2017-01-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-018
2016: BLACKBERRY FARM 401K SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01344
Total number of active participants reported on line 7a of the Form 55002016-01-01356
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0130
Total of all active and inactive participants2016-01-01386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01386
Number of participants with account balances2016-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0111
2015: BLACKBERRY FARM 401K SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01285
Total number of active participants reported on line 7a of the Form 55002015-01-01289
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0116
Total of all active and inactive participants2015-01-01306
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01306
Number of participants with account balances2015-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012

Financial Data on BLACKBERRY FARM 401K SAVINGS PLAN

Measure Date Value
2022 : BLACKBERRY FARM 401K SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
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$1,209,294
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$428,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$363,189
Value of total corrective distributions2022-12-31$16,152
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,480,139
Value of total assets at end of year2022-12-31$8,030,439
Value of total assets at beginning of year2022-12-31$7,249,458
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$48,972
Total interest from all sources2022-12-31$1,144
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
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$1,236,591
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$37,851
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$906,705
Assets. Loans (other than to participants) at end of year2022-12-31$24,154
Assets. Loans (other than to participants) at beginning of year2022-12-31$28,315
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$780,981
Value of net assets at end of year (total assets less liabilities)2022-12-31$8,030,439
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$7,249,458
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
Investment advisory and management fees2022-12-31$48,972
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$7,538,643
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$86,137
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$6,815,013
Interest on participant loans2022-12-31$1,144
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$129,474
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,271,989
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$336,843
Employer contributions (assets) at end of year2022-12-31$338,168
Employer contributions (assets) at beginning of year2022-12-31$282,142
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$363,189
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 name2022-12-31LANIGAN & ASSOCIATES, PC
Accountancy firm EIN2022-12-31581304721
2021 : BLACKBERRY FARM 401K SAVINGS 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$825
Total income from all sources (including contributions)2021-12-31$2,316,874
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$143,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$125,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,575,252
Value of total assets at end of year2021-12-31$7,249,458
Value of total assets at beginning of year2021-12-31$5,076,825
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$17,936
Total interest from all sources2021-12-31$974
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
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$1,034,514
Participant contributions at end of year2021-12-31$37,851
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$260,074
Assets. Loans (other than to participants) at end of year2021-12-31$28,315
Assets. Loans (other than to participants) at beginning of year2021-12-31$24,517
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$825
Administrative expenses (other) incurred2021-12-31$17,936
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$2,173,458
Value of net assets at end of year (total assets less liabilities)2021-12-31$7,249,458
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,076,000
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$86,137
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$47,338
Value of interest in pooled separate accounts at end of year2021-12-31$6,815,013
Value of interest in pooled separate accounts at beginning of year2021-12-31$4,804,970
Interest on participant loans2021-12-31$974
Net investment gain/loss from pooled separate accounts2021-12-31$740,648
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$280,664
Employer contributions (assets) at end of year2021-12-31$282,142
Employer contributions (assets) at beginning of year2021-12-31$200,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$125,480
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 name2021-12-31LANIGAN & ASSOCIATES, PC
Accountancy firm EIN2021-12-31581304721
2020 : BLACKBERRY FARM 401K SAVINGS 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$825
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$822
Total income from all sources (including contributions)2020-12-31$1,895,151
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$309,310
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$287,840
Value of total corrective distributions2020-12-31$2,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,188,847
Value of total assets at end of year2020-12-31$5,076,825
Value of total assets at beginning of year2020-12-31$3,490,981
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$19,437
Total interest from all sources2020-12-31$1,764
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$743,046
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$245,471
Assets. Loans (other than to participants) at end of year2020-12-31$24,517
Assets. Loans (other than to participants) at beginning of year2020-12-31$31,308
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$825
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$822
Administrative expenses (other) incurred2020-12-31$19,437
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$1,585,841
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,076,000
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,490,159
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$47,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$35,424
Value of interest in pooled separate accounts at end of year2020-12-31$4,804,970
Value of interest in pooled separate accounts at beginning of year2020-12-31$3,266,640
Interest on participant loans2020-12-31$1,764
Net investment gain/loss from pooled separate accounts2020-12-31$704,540
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$200,330
Employer contributions (assets) at end of year2020-12-31$200,000
Employer contributions (assets) at beginning of year2020-12-31$157,609
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$287,840
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 name2020-12-31LANIGAN & ASSOCIATES, PC
Accountancy firm EIN2020-12-31581304721
2019 : BLACKBERRY FARM 401K SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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$822
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$822
Total liabilities at beginning 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$1,320,762
Total income from all sources (including contributions)2019-12-31$1,320,762
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$82,532
Total of all expenses incurred2019-12-31$82,532
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$63,145
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$63,145
Value of total corrective distributions2019-12-31$4,141
Value of total corrective distributions2019-12-31$4,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$796,827
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$796,827
Value of total assets at end of year2019-12-31$3,490,981
Value of total assets at end of year2019-12-31$3,490,981
Value of total assets at beginning of year2019-12-31$2,251,929
Value of total assets at beginning of year2019-12-31$2,251,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$15,246
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$15,246
Total interest from all sources2019-12-31$1,375
Total interest from all sources2019-12-31$1,375
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$600,651
Contributions received from participants2019-12-31$600,651
Participant contributions at beginning of year2019-12-31$-972
Participant contributions at beginning of year2019-12-31$-972
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$38,567
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$38,567
Assets. Loans (other than to participants) at end of year2019-12-31$31,308
Assets. Loans (other than to participants) at end of year2019-12-31$31,308
Assets. Loans (other than to participants) at beginning of year2019-12-31$22,071
Assets. Loans (other than to participants) at beginning of year2019-12-31$22,071
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$822
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$822
Administrative expenses (other) incurred2019-12-31$15,246
Administrative expenses (other) incurred2019-12-31$15,246
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
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
Income. Non cash contributions2019-12-31$0
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$1,238,230
Value of net income/loss2019-12-31$1,238,230
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,490,159
Value of net assets at end of year (total assets less liabilities)2019-12-31$3,490,159
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,251,929
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$2,251,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
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$35,424
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$35,424
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,095,413
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$2,095,413
Value of interest in pooled separate accounts at end of year2019-12-31$3,266,640
Value of interest in pooled separate accounts at end of year2019-12-31$3,266,640
Interest on participant loans2019-12-31$1,375
Interest on participant loans2019-12-31$1,375
Net investment gain/loss from pooled separate accounts2019-12-31$522,560
Net investment gain/loss from pooled separate accounts2019-12-31$522,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$157,609
Contributions received in cash from employer2019-12-31$157,609
Employer contributions (assets) at end of year2019-12-31$157,609
Employer contributions (assets) at end of year2019-12-31$157,609
Employer contributions (assets) at beginning of year2019-12-31$135,417
Employer contributions (assets) at beginning of year2019-12-31$135,417
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$63,145
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$63,145
Did the plan have assets held for investment2019-12-31Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31LANIGAN & ASSOCIATES, PC
Accountancy firm name2019-12-31LANIGAN & ASSOCIATES, PC
Accountancy firm EIN2019-12-31581304721
Accountancy firm EIN2019-12-31581304721
2018 : BLACKBERRY FARM 401K SAVINGS 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$418,490
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$45,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$36,747
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$582,676
Value of total assets at end of year2018-12-31$2,251,929
Value of total assets at beginning of year2018-12-31$1,879,336
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$9,150
Total interest from all sources2018-12-31$947
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$55
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$440,607
Participant contributions at end of year2018-12-31$-972
Participant contributions at beginning of year2018-12-31$-904
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$6,652
Assets. Loans (other than to participants) at end of year2018-12-31$22,071
Assets. Loans (other than to participants) at beginning of year2018-12-31$14,054
Administrative expenses (other) incurred2018-12-31$9,150
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
Income. Non cash contributions2018-12-31$0
Value of net income/loss2018-12-31$372,593
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,251,929
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,879,336
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$2,095,413
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$1,755,066
Interest on participant loans2018-12-31$947
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-165,188
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$135,417
Employer contributions (assets) at end of year2018-12-31$135,417
Employer contributions (assets) at beginning of year2018-12-31$111,120
Income. Dividends from common stock2018-12-31$55
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$36,747
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 name2018-12-31LANIGAN & ASSOCIATES, PC
Accountancy firm EIN2018-12-31581304721
2017 : BLACKBERRY FARM 401K SAVINGS 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$704,672
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$43,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$33,411
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$500,823
Value of total assets at end of year2017-12-31$1,879,336
Value of total assets at beginning of year2017-12-31$1,217,671
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$9,596
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$375,147
Participant contributions at end of year2017-12-31$-904
Participant contributions at beginning of year2017-12-31$50
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$14,556
Assets. Loans (other than to participants) at end of year2017-12-31$14,054
Assets. Loans (other than to participants) at beginning of year2017-12-31$6,291
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$661,665
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,879,336
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,217,671
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
Investment advisory and management fees2017-12-31$9,596
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$1,755,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,133,852
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$203,849
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$111,120
Employer contributions (assets) at end of year2017-12-31$111,120
Employer contributions (assets) at beginning of year2017-12-31$77,478
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$33,411
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 name2017-12-31LANIGAN & ASSOCIATES PC
Accountancy firm EIN2017-12-31581304721
2016 : BLACKBERRY FARM 401K SAVINGS 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$322
Total income from all sources (including contributions)2016-12-31$444,749
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$42,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$37,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$373,947
Value of total assets at end of year2016-12-31$1,217,671
Value of total assets at beginning of year2016-12-31$815,413
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$4,809
Total interest from all sources2016-12-31$181
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$265,735
Participant contributions at beginning of year2016-12-31$0
Participant contributions at end of year2016-12-31$50
Participant contributions at beginning of year2016-12-31$37
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$30,734
Assets. Loans (other than to participants) at end of year2016-12-31$6,291
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$322
Administrative expenses (other) incurred2016-12-31$4,809
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$402,580
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,217,671
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$815,091
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$1,133,852
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$752,122
Income. Interest from loans (other than to participants)2016-12-31$181
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$70,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$77,478
Employer contributions (assets) at end of year2016-12-31$77,478
Employer contributions (assets) at beginning of year2016-12-31$63,254
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$37,360
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 name2016-12-31LANIGAN & ASSOCIATES PC
Accountancy firm EIN2016-12-31581304721
2015 : BLACKBERRY FARM 401K SAVINGS 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$322
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$223,236
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$66,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$62,043
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$244,982
Value of total assets at end of year2015-12-31$815,413
Value of total assets at beginning of year2015-12-31$658,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,754
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$550,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$181,728
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Participant contributions at end of year2015-12-31$37
Participant contributions at beginning of year2015-12-31$28
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$322
Administrative expenses (other) incurred2015-12-31$4,754
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$156,439
Value of net assets at end of year (total assets less liabilities)2015-12-31$815,091
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$658,652
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$752,122
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$622,305
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-21,746
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$63,254
Employer contributions (assets) at end of year2015-12-31$63,254
Employer contributions (assets) at beginning of year2015-12-31$36,319
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$62,043
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 name2015-12-31LANIGAN & ASSOCIATES PC
Accountancy firm EIN2015-12-31581304721

Form 5500 Responses for BLACKBERRY FARM 401K SAVINGS PLAN

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

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number816872
Policy instance 1
Insurance contract or identification number816872
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number515165-01
Policy instance 2
Insurance contract or identification number515165-01
Number of Individuals Covered33
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number816872
Policy instance 1
Insurance contract or identification number816872
Number of Individuals Covered445
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,569
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Commission paid to Insurance BrokerUSD $8,569
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number816872
Policy instance 1
Insurance contract or identification number816872
Number of Individuals Covered358
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $9,611
Total amount of fees paid to insurance companyUSD $1,807
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,611
Insurance broker organization code?3
Amount paid for insurance broker fees1807
Additional information about fees paid to insurance brokerFEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number816872
Policy instance 1
Insurance contract or identification number816872
Number of Individuals Covered276
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,772
Total amount of fees paid to insurance companyUSD $1,276
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,772
Insurance broker organization code?3
Amount paid for insurance broker fees1276
Additional information about fees paid to insurance brokerFEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number816872
Policy instance 1
Insurance contract or identification number816872
Number of Individuals Covered216
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $5,109
Total amount of fees paid to insurance companyUSD $1,185
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,109
Insurance broker organization code?3
Amount paid for insurance broker fees1185
Additional information about fees paid to insurance brokerFEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number816872
Policy instance 1
Insurance contract or identification number816872
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,332
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $3,332
Insurance broker organization code?3
Amount paid for insurance broker fees0
Insurance broker nameERISA SERVICES, INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number824442
Policy instance 1
Insurance contract or identification number824442
Number of Individuals Covered102
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,649
Total amount of fees paid to insurance companyUSD $331
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

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