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AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 401k Plan overview

Plan NameAFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN
Plan identification number 501

AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN has sponsored the creation of one or more 401k plans.

Company Name:AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN
Employer identification number (EIN):996008823
NAIC Classification:721110
NAIC Description:Hotels (except Casino Hotels) and Motels

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01ERIC GILL JULIE WALKER2018-10-10
5012016-01-01ROSARIO BANIAGA JULIE WALKER2017-10-11
5012015-01-01ERIC GILL JULIE WALKER2016-10-12
5012014-01-01ERIC GILL JULIE WALKER2015-10-13
5012013-01-01ERIC GILL JULIE WALKER2014-10-14
5012012-01-01ERIC GILL ERNEST NISHIZAKI2013-10-10
5012011-01-01ERIC GILL NONA TAMAHANA2012-10-12
5012010-01-01ERIC GILL NONA TAMAHANA2011-10-12
5012009-01-01ERIC GILL GAYLYNNE SAKUDA2010-10-13

Plan Statistics for AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN

401k plan membership statisitcs for AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN

Measure Date Value
2022: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0110,295
Total number of active participants reported on line 7a of the Form 55002022-01-018,851
Number of retired or separated participants receiving benefits2022-01-013,557
Total of all active and inactive participants2022-01-0112,408
Number of employers contributing to the scheme2022-01-0125
2021: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-017,800
Total number of active participants reported on line 7a of the Form 55002021-01-016,900
Number of retired or separated participants receiving benefits2021-01-013,395
Total of all active and inactive participants2021-01-0110,295
Number of employers contributing to the scheme2021-01-0124
2020: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0111,771
Total number of active participants reported on line 7a of the Form 55002020-01-014,551
Number of retired or separated participants receiving benefits2020-01-013,249
Total of all active and inactive participants2020-01-017,800
Number of employers contributing to the scheme2020-01-0124
2019: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0111,866
Total number of active participants reported on line 7a of the Form 55002019-01-018,565
Number of retired or separated participants receiving benefits2019-01-013,206
Total of all active and inactive participants2019-01-0111,771
Number of employers contributing to the scheme2019-01-0123
2018: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0111,777
Total number of active participants reported on line 7a of the Form 55002018-01-018,645
Number of retired or separated participants receiving benefits2018-01-013,221
Total of all active and inactive participants2018-01-0111,866
Number of employers contributing to the scheme2018-01-0122
2017: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0111,777
Total number of active participants reported on line 7a of the Form 55002017-01-018,655
Number of retired or separated participants receiving benefits2017-01-013,122
Total of all active and inactive participants2017-01-0111,777
2016: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0111,378
Total number of active participants reported on line 7a of the Form 55002016-01-018,399
Number of retired or separated participants receiving benefits2016-01-013,040
Total of all active and inactive participants2016-01-0111,439
Number of employers contributing to the scheme2016-01-0122
2015: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0112,099
Total number of active participants reported on line 7a of the Form 55002015-01-018,352
Number of retired or separated participants receiving benefits2015-01-013,026
Total of all active and inactive participants2015-01-0111,378
Number of employers contributing to the scheme2015-01-0120
2014: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0111,810
Total number of active participants reported on line 7a of the Form 55002014-01-018,294
Number of retired or separated participants receiving benefits2014-01-013,805
Total of all active and inactive participants2014-01-0112,099
Number of employers contributing to the scheme2014-01-0122
2013: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0111,682
Total number of active participants reported on line 7a of the Form 55002013-01-018,183
Number of retired or separated participants receiving benefits2013-01-013,627
Total of all active and inactive participants2013-01-0111,810
2012: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111,655
Total number of active participants reported on line 7a of the Form 55002012-01-018,231
Number of retired or separated participants receiving benefits2012-01-013,451
Total of all active and inactive participants2012-01-0111,682
Number of employers contributing to the scheme2012-01-0122
2011: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0111,412
Total number of active participants reported on line 7a of the Form 55002011-01-018,374
Number of retired or separated participants receiving benefits2011-01-013,281
Total of all active and inactive participants2011-01-0111,655
Number of employers contributing to the scheme2011-01-0123
2010: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0111,325
Total number of active participants reported on line 7a of the Form 55002010-01-018,283
Number of retired or separated participants receiving benefits2010-01-013,129
Total of all active and inactive participants2010-01-0111,412
Number of employers contributing to the scheme2010-01-0123
2009: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0111,302
Total number of active participants reported on line 7a of the Form 55002009-01-018,377
Number of retired or separated participants receiving benefits2009-01-012,948
Total of all active and inactive participants2009-01-0111,325
Number of employers contributing to the scheme2009-01-0123

Financial Data on AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN

Measure Date Value
2022 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-2,655,711
Total unrealized appreciation/depreciation of assets2022-12-31$-2,655,711
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$13,906,423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$8,461,167
Total income from all sources (including contributions)2022-12-31$124,387,490
Total loss/gain on sale of assets2022-12-31$-276,078
Total of all expenses incurred2022-12-31$108,407,852
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$104,427,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$128,354,609
Value of total assets at end of year2022-12-31$124,317,337
Value of total assets at beginning of year2022-12-31$102,892,443
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,980,051
Total interest from all sources2022-12-31$2,001,336
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$257,284
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$257,284
Administrative expenses professional fees incurred2022-12-31$477,207
Was this plan covered by a fidelity bond2022-12-31No
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$534,960
Assets. Other investments not covered elsewhere at end of year2022-12-31$3,048,987
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$3,082,027
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$3,076,948
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$4,173,101
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$2,170,423
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$589,598
Other income not declared elsewhere2022-12-31$11,675
Administrative expenses (other) incurred2022-12-31$154,796
Total non interest bearing cash at end of year2022-12-31$31,505
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$15,979,638
Value of net assets at end of year (total assets less liabilities)2022-12-31$110,410,914
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$94,431,276
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$171,924
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$7,995,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$9,585,273
Interest earned on other investments2022-12-31$240,423
Income. Interest from US Government securities2022-12-31$520,597
Income. Interest from corporate debt instruments2022-12-31$669,942
Value of interest in common/collective trusts at end of year2022-12-31$8,757,152
Value of interest in common/collective trusts at beginning of year2022-12-31$10,127,625
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$43,008,254
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$32,930,519
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$32,930,519
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$570,374
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$49,336,165
Asset value of US Government securities at end of year2022-12-31$28,600,698
Asset value of US Government securities at beginning of year2022-12-31$17,233,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,846,826
Net investment gain or loss from common/collective trusts2022-12-31$-1,458,799
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$127,819,649
Employer contributions (assets) at end of year2022-12-31$10,916,615
Employer contributions (assets) at beginning of year2022-12-31$9,328,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$55,091,636
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$18,881,447
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$16,432,196
Contract administrator fees2022-12-31$3,176,124
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Liabilities. Value of benefit claims payable at end of year2022-12-31$11,736,000
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$7,871,569
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
Aggregate proceeds on sale of assets2022-12-31$15,421,372
Aggregate carrying amount (costs) on sale of assets2022-12-31$15,697,450
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31LEMKE, CHINEN & TANAKA CPA, INC.
Accountancy firm EIN2022-12-31990155373
2021 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-1,200,289
Total unrealized appreciation/depreciation of assets2021-12-31$-1,200,289
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,461,167
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$7,753,787
Total income from all sources (including contributions)2021-12-31$99,746,359
Total loss/gain on sale of assets2021-12-31$183,521
Total of all expenses incurred2021-12-31$87,407,351
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$83,999,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$95,077,691
Value of total assets at end of year2021-12-31$102,892,443
Value of total assets at beginning of year2021-12-31$89,846,055
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,408,328
Total interest from all sources2021-12-31$1,087,701
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$147,108
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$147,108
Administrative expenses professional fees incurred2021-12-31$340,234
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,241,278
Participant contributions at beginning of year2021-12-31$293,241
Assets. Other investments not covered elsewhere at end of year2021-12-31$3,082,027
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$5,370,658
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$4,173,101
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2,203,394
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$589,598
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$849,132
Other income not declared elsewhere2021-12-31$2,936,042
Administrative expenses (other) incurred2021-12-31$195,765
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$12,339,008
Value of net assets at end of year (total assets less liabilities)2021-12-31$94,431,276
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$82,092,268
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
Investment advisory and management fees2021-12-31$164,613
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,585,273
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,674,278
Interest earned on other investments2021-12-31$297,419
Income. Interest from US Government securities2021-12-31$283,999
Income. Interest from corporate debt instruments2021-12-31$499,605
Value of interest in common/collective trusts at end of year2021-12-31$10,127,625
Value of interest in common/collective trusts at beginning of year2021-12-31$14,793,701
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$32,930,519
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$28,385,300
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$28,385,300
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$6,678
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$44,618,886
Asset value of US Government securities at end of year2021-12-31$17,233,091
Asset value of US Government securities at beginning of year2021-12-31$15,160,249
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-236,113
Net investment gain or loss from common/collective trusts2021-12-31$1,750,698
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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$92,836,413
Employer contributions (assets) at end of year2021-12-31$9,328,611
Employer contributions (assets) at beginning of year2021-12-31$5,295,040
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$39,380,137
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$16,432,196
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$12,670,194
Contract administrator fees2021-12-31$2,707,716
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31No
Liabilities. Value of benefit claims payable at end of year2021-12-31$7,871,569
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$6,904,655
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
Aggregate proceeds on sale of assets2021-12-31$31,430,279
Aggregate carrying amount (costs) on sale of assets2021-12-31$31,246,758
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31LEMKE, CHINEN & TANAKA CPA, INC.
Accountancy firm EIN2021-12-31990155373
2020 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$-205,453
Total unrealized appreciation/depreciation of assets2020-12-31$-205,453
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$7,753,787
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$11,692,052
Total income from all sources (including contributions)2020-12-31$75,003,915
Total loss/gain on sale of assets2020-12-31$1,064,604
Total of all expenses incurred2020-12-31$113,623,016
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$109,832,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$68,267,627
Value of total assets at end of year2020-12-31$89,846,055
Value of total assets at beginning of year2020-12-31$132,403,421
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,790,830
Total interest from all sources2020-12-31$1,452,022
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$722,860
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$722,860
Administrative expenses professional fees incurred2020-12-31$372,706
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$1,494,198
Participant contributions at end of year2020-12-31$293,241
Assets. Other investments not covered elsewhere at end of year2020-12-31$5,370,658
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$5,267,307
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2,203,394
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$2,278,785
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$849,132
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$2,663,862
Other income not declared elsewhere2020-12-31$67,193
Administrative expenses (other) incurred2020-12-31$163,911
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-38,619,101
Value of net assets at end of year (total assets less liabilities)2020-12-31$82,092,268
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$120,711,369
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
Investment advisory and management fees2020-12-31$193,256
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,674,278
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$34,099,935
Interest earned on other investments2020-12-31$441,804
Income. Interest from US Government securities2020-12-31$349,152
Income. Interest from corporate debt instruments2020-12-31$559,754
Value of interest in common/collective trusts at end of year2020-12-31$14,793,701
Value of interest in common/collective trusts at beginning of year2020-12-31$17,772,404
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$28,385,300
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$21,981,947
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$21,981,947
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$101,312
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$48,905,218
Asset value of US Government securities at end of year2020-12-31$15,160,249
Asset value of US Government securities at beginning of year2020-12-31$19,566,298
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,814,648
Net investment gain or loss from common/collective trusts2020-12-31$1,820,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$66,773,429
Employer contributions (assets) at end of year2020-12-31$5,295,040
Employer contributions (assets) at beginning of year2020-12-31$10,929,351
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$60,926,968
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$12,670,194
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$20,507,394
Contract administrator fees2020-12-31$3,060,957
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Liabilities. Value of benefit claims payable at end of year2020-12-31$6,904,655
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$9,028,190
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
Aggregate proceeds on sale of assets2020-12-31$39,423,061
Aggregate carrying amount (costs) on sale of assets2020-12-31$38,358,457
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2020-12-31990155373
2019 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$618,255
Total unrealized appreciation/depreciation of assets2019-12-31$618,255
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,692,052
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$8,815,809
Total income from all sources (including contributions)2019-12-31$132,437,856
Total loss/gain on sale of assets2019-12-31$309,619
Total of all expenses incurred2019-12-31$118,540,967
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$114,601,674
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$124,251,584
Value of total assets at end of year2019-12-31$132,403,421
Value of total assets at beginning of year2019-12-31$115,630,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,939,293
Total interest from all sources2019-12-31$1,819,237
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,386,991
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$1,386,991
Administrative expenses professional fees incurred2019-12-31$378,175
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
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
Contributions received from participants2019-12-31$338,917
Assets. Other investments not covered elsewhere at end of year2019-12-31$5,267,307
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$4,845,905
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$2,278,785
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$2,397,985
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$2,663,862
Other income not declared elsewhere2019-12-31$87,417
Administrative expenses (other) incurred2019-12-31$187,758
Total non interest bearing cash at beginning of year2019-12-31$37,027
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$13,896,889
Value of net assets at end of year (total assets less liabilities)2019-12-31$120,711,369
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$106,814,480
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
Investment advisory and management fees2019-12-31$186,808
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$34,099,935
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$36,721,355
Interest earned on other investments2019-12-31$375,402
Income. Interest from US Government securities2019-12-31$386,276
Income. Interest from corporate debt instruments2019-12-31$579,533
Value of interest in common/collective trusts at end of year2019-12-31$17,772,404
Value of interest in common/collective trusts at beginning of year2019-12-31$9,591,107
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$21,981,947
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$13,533,745
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$13,533,745
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$478,026
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$47,807,955
Asset value of US Government securities at end of year2019-12-31$19,566,298
Asset value of US Government securities at beginning of year2019-12-31$21,516,886
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$991,589
Net investment gain or loss from common/collective trusts2019-12-31$2,973,164
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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$123,912,667
Employer contributions (assets) at end of year2019-12-31$10,929,351
Employer contributions (assets) at beginning of year2019-12-31$10,020,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$66,793,719
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$20,507,394
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$16,966,108
Contract administrator fees2019-12-31$3,186,552
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Liabilities. Value of benefit claims payable at end of year2019-12-31$9,028,190
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$8,815,809
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
Aggregate proceeds on sale of assets2019-12-31$36,109,578
Aggregate carrying amount (costs) on sale of assets2019-12-31$35,799,959
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31LEMKE, CHINEN & TANAKA, CPA, INC.
Accountancy firm EIN2019-12-31990155373
2018 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-416,790
Total unrealized appreciation/depreciation of assets2018-12-31$-416,790
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$8,815,809
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$10,194,423
Total income from all sources (including contributions)2018-12-31$108,432,479
Total loss/gain on sale of assets2018-12-31$-122,949
Total of all expenses incurred2018-12-31$111,843,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$107,884,350
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$108,010,381
Value of total assets at end of year2018-12-31$115,630,289
Value of total assets at beginning of year2018-12-31$120,420,314
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,959,540
Total interest from all sources2018-12-31$1,492,351
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,413,621
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$1,413,621
Administrative expenses professional fees incurred2018-12-31$343,954
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
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$403,503
Assets. Other investments not covered elsewhere at end of year2018-12-31$4,845,905
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$2,397,985
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$2,137,547
Other income not declared elsewhere2018-12-31$16,615
Administrative expenses (other) incurred2018-12-31$167,116
Liabilities. Value of operating payables at beginning of year2018-12-31$725
Total non interest bearing cash at end of year2018-12-31$37,027
Total non interest bearing cash at beginning of year2018-12-31$44,281
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-3,411,411
Value of net assets at end of year (total assets less liabilities)2018-12-31$106,814,480
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$110,225,891
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
Investment advisory and management fees2018-12-31$160,215
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$36,721,355
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$41,499,119
Interest earned on other investments2018-12-31$230,819
Income. Interest from US Government securities2018-12-31$396,228
Income. Interest from corporate debt instruments2018-12-31$698,927
Value of interest in common/collective trusts at end of year2018-12-31$9,591,107
Value of interest in common/collective trusts at beginning of year2018-12-31$9,965,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$13,533,745
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$12,005,096
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$12,005,096
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$166,377
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$42,167,605
Asset value of US Government securities at end of year2018-12-31$21,516,886
Asset value of US Government securities at beginning of year2018-12-31$23,539,815
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,355,879
Net investment gain or loss from common/collective trusts2018-12-31$-604,871
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$107,606,878
Employer contributions (assets) at end of year2018-12-31$10,020,171
Employer contributions (assets) at beginning of year2018-12-31$9,412,196
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$65,716,745
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$16,966,108
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$21,817,100
Contract administrator fees2018-12-31$3,288,255
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$8,815,809
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$10,193,698
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
Aggregate proceeds on sale of assets2018-12-31$78,676,622
Aggregate carrying amount (costs) on sale of assets2018-12-31$78,799,571
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2018-12-31990155373
2017 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$280,204
Total unrealized appreciation/depreciation of assets2017-12-31$280,204
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$10,194,423
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$9,417,468
Total income from all sources (including contributions)2017-12-31$110,196,574
Total loss/gain on sale of assets2017-12-31$-114,855
Total of all expenses incurred2017-12-31$104,743,224
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$100,737,805
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$107,410,295
Value of total assets at end of year2017-12-31$120,420,314
Value of total assets at beginning of year2017-12-31$114,190,009
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$4,005,419
Total interest from all sources2017-12-31$1,636,380
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$926,458
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$926,458
Administrative expenses professional fees incurred2017-12-31$353,744
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
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$422,963
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$2,137,547
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$1,419,372
Other income not declared elsewhere2017-12-31$58,092
Administrative expenses (other) incurred2017-12-31$162,002
Liabilities. Value of operating payables at end of year2017-12-31$725
Liabilities. Value of operating payables at beginning of year2017-12-31$287,061
Total non interest bearing cash at end of year2017-12-31$44,281
Total non interest bearing cash at beginning of year2017-12-31$1,014
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$5,453,350
Value of net assets at end of year (total assets less liabilities)2017-12-31$110,225,891
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$104,772,541
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$213,914
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$41,499,119
Interest earned on other investments2017-12-31$63,945
Income. Interest from US Government securities2017-12-31$521,404
Income. Interest from corporate debt instruments2017-12-31$970,241
Value of interest in common/collective trusts at end of year2017-12-31$9,965,160
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$12,005,096
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$12,750,388
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$12,750,388
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$80,790
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$39,267,581
Asset value of US Government securities at end of year2017-12-31$23,539,815
Asset value of US Government securities at beginning of year2017-12-31$50,009,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$106,987,332
Employer contributions (assets) at end of year2017-12-31$9,412,196
Employer contributions (assets) at beginning of year2017-12-31$9,219,581
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$61,470,224
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$21,817,100
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$40,789,790
Contract administrator fees2017-12-31$3,275,759
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$10,193,698
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$9,130,407
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
Aggregate proceeds on sale of assets2017-12-31$362,740,220
Aggregate carrying amount (costs) on sale of assets2017-12-31$362,855,075
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2017-12-31990155373
2016 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-709,227
Total unrealized appreciation/depreciation of assets2016-12-31$-709,227
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$9,417,468
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$6,870,976
Total income from all sources (including contributions)2016-12-31$103,798,517
Total loss/gain on sale of assets2016-12-31$-13,625
Total of all expenses incurred2016-12-31$100,141,770
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$95,790,578
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$102,647,512
Value of total assets at end of year2016-12-31$114,190,009
Value of total assets at beginning of year2016-12-31$107,986,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$4,351,192
Total interest from all sources2016-12-31$1,873,857
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$382,726
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
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$345,278
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$1,419,372
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$887,565
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$49
Administrative expenses (other) incurred2016-12-31$397,720
Liabilities. Value of operating payables at end of year2016-12-31$287,061
Liabilities. Value of operating payables at beginning of year2016-12-31$466,443
Total non interest bearing cash at end of year2016-12-31$1,014
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$3,656,747
Value of net assets at end of year (total assets less liabilities)2016-12-31$104,772,541
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$101,115,794
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
Investment advisory and management fees2016-12-31$235,949
Income. Interest from US Government securities2016-12-31$753,110
Income. Interest from corporate debt instruments2016-12-31$1,092,277
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$12,750,388
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$12,527,229
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$12,527,229
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$28,470
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$36,509,676
Asset value of US Government securities at end of year2016-12-31$50,009,864
Asset value of US Government securities at beginning of year2016-12-31$44,970,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$102,302,234
Employer contributions (assets) at end of year2016-12-31$9,219,581
Employer contributions (assets) at beginning of year2016-12-31$8,483,569
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$59,280,902
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$40,789,790
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$41,117,998
Contract administrator fees2016-12-31$3,334,797
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Liabilities. Value of benefit claims payable at end of year2016-12-31$9,130,407
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$6,404,484
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
Aggregate proceeds on sale of assets2016-12-31$210,554,863
Aggregate carrying amount (costs) on sale of assets2016-12-31$210,568,488
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2016-12-31990155373
2015 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-875,825
Total unrealized appreciation/depreciation of assets2015-12-31$-875,825
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$6,870,976
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$8,990,083
Total income from all sources (including contributions)2015-12-31$100,563,220
Total loss/gain on sale of assets2015-12-31$-143,552
Total of all expenses incurred2015-12-31$91,190,396
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$86,985,697
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$99,937,325
Value of total assets at end of year2015-12-31$107,986,770
Value of total assets at beginning of year2015-12-31$100,733,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,204,699
Total interest from all sources2015-12-31$1,644,974
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$279,799
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
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$359,629
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$887,565
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$559,499
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$49
Other income not declared elsewhere2015-12-31$298
Administrative expenses (other) incurred2015-12-31$631,202
Liabilities. Value of operating payables at end of year2015-12-31$466,443
Liabilities. Value of operating payables at beginning of year2015-12-31$622,510
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$9,244
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$9,372,824
Value of net assets at end of year (total assets less liabilities)2015-12-31$101,115,794
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$91,742,970
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
Investment advisory and management fees2015-12-31$212,088
Income. Interest from US Government securities2015-12-31$630,961
Income. Interest from corporate debt instruments2015-12-31$1,006,941
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$12,527,229
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$11,426,778
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$11,426,778
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$7,072
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$34,480,766
Asset value of US Government securities at end of year2015-12-31$44,970,409
Asset value of US Government securities at beginning of year2015-12-31$46,403,869
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$99,577,696
Employer contributions (assets) at end of year2015-12-31$8,483,569
Employer contributions (assets) at beginning of year2015-12-31$7,851,307
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$52,504,931
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$41,117,998
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$34,482,356
Contract administrator fees2015-12-31$3,081,610
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Liabilities. Value of benefit claims payable at end of year2015-12-31$6,404,484
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$8,367,573
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
Aggregate proceeds on sale of assets2015-12-31$191,478,478
Aggregate carrying amount (costs) on sale of assets2015-12-31$191,622,030
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2015-12-31990155373
2014 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-476,878
Total unrealized appreciation/depreciation of assets2014-12-31$-476,878
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$8,990,083
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$7,609,781
Total income from all sources (including contributions)2014-12-31$97,971,494
Total loss/gain on sale of assets2014-12-31$-262,969
Total of all expenses incurred2014-12-31$86,741,847
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$82,785,993
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$97,474,788
Value of total assets at end of year2014-12-31$100,733,053
Value of total assets at beginning of year2014-12-31$88,123,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,955,854
Total interest from all sources2014-12-31$1,236,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$296,890
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$395,952
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$559,499
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$656,415
Administrative expenses (other) incurred2014-12-31$759,887
Liabilities. Value of operating payables at end of year2014-12-31$622,510
Liabilities. Value of operating payables at beginning of year2014-12-31$27,683
Total non interest bearing cash at end of year2014-12-31$9,244
Total non interest bearing cash at beginning of year2014-12-31$5,251
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$11,229,647
Value of net assets at end of year (total assets less liabilities)2014-12-31$91,742,970
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$80,513,323
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
Investment advisory and management fees2014-12-31$178,824
Income. Interest from US Government securities2014-12-31$473,321
Income. Interest from corporate debt instruments2014-12-31$757,680
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$11,426,778
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$13,413,840
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$13,413,840
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$5,552
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$36,695,122
Asset value of US Government securities at end of year2014-12-31$46,403,869
Asset value of US Government securities at beginning of year2014-12-31$36,306,924
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$97,078,836
Employer contributions (assets) at end of year2014-12-31$7,851,307
Employer contributions (assets) at beginning of year2014-12-31$7,923,704
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$46,090,871
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$34,482,356
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$29,816,970
Contract administrator fees2014-12-31$2,720,253
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$8,367,573
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$7,582,098
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
Aggregate proceeds on sale of assets2014-12-31$175,618,285
Aggregate carrying amount (costs) on sale of assets2014-12-31$175,881,254
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31LEMKE, CHINENE & TANAKA, CPA, INC
Accountancy firm EIN2014-12-31990155373
2013 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-348,669
Total unrealized appreciation/depreciation of assets2013-12-31$-348,669
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$7,609,781
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$6,883,006
Total income from all sources (including contributions)2013-12-31$95,578,865
Total loss/gain on sale of assets2013-12-31$-321,685
Total of all expenses incurred2013-12-31$85,927,161
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$82,560,558
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$95,150,176
Value of total assets at end of year2013-12-31$88,123,104
Value of total assets at beginning of year2013-12-31$77,744,625
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,366,603
Total interest from all sources2013-12-31$1,099,043
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$295,160
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$356,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$656,415
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$625,117
Administrative expenses (other) incurred2013-12-31$189,832
Liabilities. Value of operating payables at end of year2013-12-31$27,683
Liabilities. Value of operating payables at beginning of year2013-12-31$36,672
Total non interest bearing cash at end of year2013-12-31$5,251
Total non interest bearing cash at beginning of year2013-12-31$124,702
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$9,651,704
Value of net assets at end of year (total assets less liabilities)2013-12-31$80,513,323
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$70,861,619
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$167,087
Income. Interest from US Government securities2013-12-31$496,407
Income. Interest from corporate debt instruments2013-12-31$594,344
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$13,413,840
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$15,008,662
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$15,008,662
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$8,292
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$36,515,945
Asset value of US Government securities at end of year2013-12-31$36,306,924
Asset value of US Government securities at beginning of year2013-12-31$39,695,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$94,793,971
Employer contributions (assets) at end of year2013-12-31$7,923,704
Employer contributions (assets) at beginning of year2013-12-31$8,346,149
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$46,044,613
Asset. Corporate debt instrument debt (other) at end of year2013-12-31$29,816,970
Asset. Corporate debt instrument debt (other) at beginning of year2013-12-31$13,944,295
Contract administrator fees2013-12-31$2,714,524
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$7,582,098
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$6,846,334
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$164,789,828
Aggregate carrying amount (costs) on sale of assets2013-12-31$165,111,513
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Qualified
Accountancy firm name2013-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2013-12-31990155373
2012 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-400,879
Total unrealized appreciation/depreciation of assets2012-12-31$-400,879
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$6,883,006
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$8,447,799
Total income from all sources (including contributions)2012-12-31$90,173,682
Total loss/gain on sale of assets2012-12-31$-238,329
Total of all expenses incurred2012-12-31$78,776,470
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$75,339,774
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$89,686,211
Value of total assets at end of year2012-12-31$77,744,625
Value of total assets at beginning of year2012-12-31$67,912,206
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,436,696
Total interest from all sources2012-12-31$1,126,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$420,520
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$383,061
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$625,117
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$977,562
Administrative expenses (other) incurred2012-12-31$101,038
Liabilities. Value of operating payables at end of year2012-12-31$36,672
Liabilities. Value of operating payables at beginning of year2012-12-31$75,597
Total non interest bearing cash at end of year2012-12-31$124,702
Total non interest bearing cash at beginning of year2012-12-31$43,809
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$11,397,212
Value of net assets at end of year (total assets less liabilities)2012-12-31$70,861,619
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$59,464,407
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$136,727
Income. Interest from US Government securities2012-12-31$755,998
Income. Interest from corporate debt instruments2012-12-31$354,750
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$15,008,662
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$12,289,858
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$12,289,858
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$15,931
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$34,712,747
Asset value of US Government securities at end of year2012-12-31$39,695,700
Asset value of US Government securities at beginning of year2012-12-31$38,718,592
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$89,303,150
Employer contributions (assets) at end of year2012-12-31$8,346,149
Employer contributions (assets) at beginning of year2012-12-31$7,653,485
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$40,627,027
Asset. Corporate debt instrument debt (other) at end of year2012-12-31$13,944,295
Asset. Corporate debt instrument debt (other) at beginning of year2012-12-31$8,228,900
Contract administrator fees2012-12-31$2,778,411
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$6,846,334
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$8,372,202
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$131,551,271
Aggregate carrying amount (costs) on sale of assets2012-12-31$131,789,600
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2012-12-31990155373
2011 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-313,215
Total unrealized appreciation/depreciation of assets2011-12-31$-313,215
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$8,447,799
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,650,352
Total income from all sources (including contributions)2011-12-31$84,459,220
Total loss/gain on sale of assets2011-12-31$-362,148
Total of all expenses incurred2011-12-31$80,184,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$77,063,117
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$83,569,649
Value of total assets at end of year2011-12-31$67,912,206
Value of total assets at beginning of year2011-12-31$62,839,646
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,120,990
Total interest from all sources2011-12-31$1,378,056
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$420,161
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$353,346
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$977,562
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$574,859
Other income not declared elsewhere2011-12-31$186,878
Administrative expenses (other) incurred2011-12-31$112,025
Liabilities. Value of operating payables at end of year2011-12-31$75,597
Liabilities. Value of operating payables at beginning of year2011-12-31$81,416
Total non interest bearing cash at end of year2011-12-31$43,809
Total non interest bearing cash at beginning of year2011-12-31$1,042
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$4,275,113
Value of net assets at end of year (total assets less liabilities)2011-12-31$59,464,407
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$55,189,294
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$120,239
Income. Interest from US Government securities2011-12-31$924,705
Income. Interest from corporate debt instruments2011-12-31$443,741
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$12,289,858
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$10,913,814
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$10,913,814
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$9,610
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$33,627,947
Asset value of US Government securities at end of year2011-12-31$38,718,592
Asset value of US Government securities at beginning of year2011-12-31$35,262,080
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$83,216,303
Employer contributions (assets) at end of year2011-12-31$7,653,485
Employer contributions (assets) at beginning of year2011-12-31$8,007,475
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$43,435,170
Asset. Corporate debt instrument debt (other) at end of year2011-12-31$8,228,900
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$8,080,376
Contract administrator fees2011-12-31$2,468,565
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$8,372,202
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$7,568,936
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$147,888,334
Aggregate carrying amount (costs) on sale of assets2011-12-31$148,250,482
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31LEMKE, CHINEN & TANAKA CPA, INC.
Accountancy firm EIN2011-12-31990155373
2010 : AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-317,461
Total unrealized appreciation/depreciation of assets2010-12-31$-317,461
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,650,352
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,633,794
Total income from all sources (including contributions)2010-12-31$81,030,003
Total loss/gain on sale of assets2010-12-31$-158,791
Total of all expenses incurred2010-12-31$80,003,242
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$76,918,408
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$80,107,403
Value of total assets at end of year2010-12-31$62,839,646
Value of total assets at beginning of year2010-12-31$54,229,853
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$3,084,834
Total interest from all sources2010-12-31$1,288,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$347,334
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$439,704
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$574,859
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$360,955
Other income not declared elsewhere2010-12-31$110,426
Administrative expenses (other) incurred2010-12-31$70,497
Liabilities. Value of operating payables at end of year2010-12-31$81,416
Liabilities. Value of operating payables at beginning of year2010-12-31$67,320
Total non interest bearing cash at end of year2010-12-31$1,042
Total non interest bearing cash at beginning of year2010-12-31$306,008
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,026,761
Value of net assets at end of year (total assets less liabilities)2010-12-31$55,189,294
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$46,596,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$124,949
Income. Interest from US Government securities2010-12-31$862,711
Income. Interest from corporate debt instruments2010-12-31$407,156
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$10,913,814
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$15,472,478
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$15,472,478
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$18,559
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$31,245,264
Asset value of US Government securities at end of year2010-12-31$35,262,080
Asset value of US Government securities at beginning of year2010-12-31$20,409,539
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$79,667,699
Employer contributions (assets) at end of year2010-12-31$8,007,475
Employer contributions (assets) at beginning of year2010-12-31$7,305,774
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$45,673,144
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$8,080,376
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$10,375,099
Contract administrator fees2010-12-31$2,542,054
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$7,568,936
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$7,566,474
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$125,317,528
Aggregate carrying amount (costs) on sale of assets2010-12-31$125,476,319
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31LEMKE, CHINEN & TANAKA, CPA, INC
Accountancy firm EIN2010-12-31990155373

Form 5500 Responses for AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN

2022: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entityMulti-employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: AFL HOTEL & RESTAURANT WORKERS HEALTH & WELFARE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number108098
Policy instance 4
Insurance contract or identification number108098
Number of Individuals Covered13
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,960
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number10406
Policy instance 3
Insurance contract or identification number10406
Number of Individuals Covered34
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $44,800
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 2
Insurance contract or identification number52
Number of Individuals Covered6799
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $40,609,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 1
Insurance contract or identification number2706
Number of Individuals Covered5834
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,413,724
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number98623
Policy instance 5
Insurance contract or identification number98623
Number of Individuals Covered2659
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,499,092
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number108098
Policy instance 5
Insurance contract or identification number108098
Number of Individuals Covered14
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $42,087
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 2
Insurance contract or identification number2706
Number of Individuals Covered4271
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,355,944
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 3
Insurance contract or identification number52
Number of Individuals Covered6440
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $36,691,019
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number10406
Policy instance 4
Insurance contract or identification number10406
Number of Individuals Covered42
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $39,936
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number98623
Policy instance 6
Insurance contract or identification number98623
Number of Individuals Covered2630
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,971,229
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 1
Insurance contract or identification number859
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 1
Insurance contract or identification number859
Number of Individuals Covered437
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $164,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 2
Insurance contract or identification number2706
Number of Individuals Covered4292
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,296,193
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 3
Insurance contract or identification number52
Number of Individuals Covered5540
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,929,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 4
Number of Individuals Covered2558
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,603,979
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 1
Insurance contract or identification number859
Number of Individuals Covered494
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $193,158
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 2
Insurance contract or identification number2706
Number of Individuals Covered4329
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 3
Insurance contract or identification number52
Number of Individuals Covered7126
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $38,727,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 4
Number of Individuals Covered2467
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,462,338
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 4
Number of Individuals Covered2399
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $7,833,249
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 3
Insurance contract or identification number52
Number of Individuals Covered6887
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,039,481
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 2
Insurance contract or identification number2706
Number of Individuals Covered4130
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 1
Insurance contract or identification number859
Number of Individuals Covered562
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $223,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 4
Number of Individuals Covered2266
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $6,030,477
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 1
Insurance contract or identification number859
Number of Individuals Covered679
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $264,165
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 2
Insurance contract or identification number2706
Number of Individuals Covered3992
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 3
Insurance contract or identification number52
Number of Individuals Covered6794
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $27,492,895
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 3
Insurance contract or identification number859
Number of Individuals Covered739
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $289,097
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1883
Policy instance 1
Insurance contract or identification number1883
Number of Individuals Covered2923
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number60
Policy instance 2
Insurance contract or identification number60
Number of Individuals Covered14285
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 4
Insurance contract or identification number2706
Number of Individuals Covered3813
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 5
Insurance contract or identification number52
Number of Individuals Covered6664
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $28,002,505
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 6
Number of Individuals Covered2247
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,016,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 6
Number of Individuals Covered2221
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,535,894
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 4
Insurance contract or identification number2706
Number of Individuals Covered3800
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 3
Insurance contract or identification number859
Number of Individuals Covered802
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $315,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number60
Policy instance 2
Insurance contract or identification number60
Number of Individuals Covered14007
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1883
Policy instance 1
Insurance contract or identification number1883
Number of Individuals Covered2855
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 5
Insurance contract or identification number52
Number of Individuals Covered6549
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $24,130,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 6
Number of Individuals Covered2177
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,206,879
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 5
Insurance contract or identification number52
Number of Individuals Covered6565
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $23,044,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 4
Insurance contract or identification number2706
Number of Individuals Covered3801
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 3
Insurance contract or identification number859
Number of Individuals Covered822
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $306,899
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1883
Policy instance 1
Insurance contract or identification number1883
Number of Individuals Covered2832
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number60
Policy instance 2
Insurance contract or identification number60
Number of Individuals Covered13541
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 6
Number of Individuals Covered2173
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $4,373,265
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number859
Policy instance 3
Insurance contract or identification number859
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $323,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1883
Policy instance 1
Insurance contract or identification number1883
Number of Individuals Covered2771
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 5
Insurance contract or identification number52
Number of Individuals Covered6250
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $21,741,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number60
Policy instance 2
Insurance contract or identification number60
Number of Individuals Covered13181
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 4
Insurance contract or identification number2706
Number of Individuals Covered3527
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number1883
Policy instance 1
Insurance contract or identification number1883
Number of Individuals Covered2718
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number2706
Policy instance 4
Insurance contract or identification number2706
Number of Individuals Covered3251
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII DENTAL SERVICE (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number60
Policy instance 2
Insurance contract or identification number60
Number of Individuals Covered12548
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number
Policy instance 6
Number of Individuals Covered2106
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $5,889,273
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number52
Policy instance 5
Insurance contract or identification number52
Number of Individuals Covered5931
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $18,379,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GENTLE DENTAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number
Policy instance 3
Number of Individuals Covered880
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $329,576
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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