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LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN 401k Plan overview

Plan NameLSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN
Plan identification number 507

LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

LSI CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:LSI CORPORATION
Employer identification number (EIN):942712976
NAIC Classification:334410

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5072022-01-01

Plan Statistics for LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

401k plan membership statisitcs for LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

Measure Date Value
2022: LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,824
Total number of active participants reported on line 7a of the Form 55002022-01-0171
Number of retired or separated participants receiving benefits2022-01-013,692
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-013,763

Financial Data on LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

Measure Date Value
2022 : LSI CORPORATION RETIREE GROUP LIFE INSURANCE 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$74,706
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$4,493,170
Total income from all sources (including contributions)2022-12-31$-10,782,811
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$-1,960,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,356,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$0
Value of total assets at end of year2022-12-31$71,690,639
Value of total assets at beginning of year2022-12-31$84,931,794
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$-4,316,476
Total interest from all sources2022-12-31$0
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
Administrative expenses professional fees incurred2022-12-31$103,312
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$15,000,000
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
Assets. Other investments not covered elsewhere at end of year2022-12-31$70,646,473
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$783,157
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$602,929
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$74,706
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$4,493,170
Administrative expenses (other) incurred2022-12-31$-4,419,788
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$-8,822,691
Value of net assets at end of year (total assets less liabilities)2022-12-31$71,615,933
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$80,438,624
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$261,009
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$257,112
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$84,071,753
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,356,356
Net investment gain/loss from pooled separate accounts2022-12-31$-10,782,811
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
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 name2022-12-31MOSS ADAMS LLP
Accountancy firm EIN2022-12-31910189318

Form 5500 Responses for LSI CORPORATION RETIREE GROUP LIFE INSURANCE PLAN

2022: LSI CORPORATION RETIREE GROUP LIFE INSURANCE 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 planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0105655
Policy instance 1
Insurance contract or identification number0105655
Number of Individuals Covered3676
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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?Yes
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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