Filing

Crown Linen Life Plan

Crown Linen Services Inc. • EIN 02-0272632 • Plan year 2005

Company Profile Source Archive

Filing Insights

Participants

118 → 122

4 • 3.39%

Assets

No comparison

- → -

No earlier value available.

Investment Management Fee

Admin expenses - • Total expenses -

Filing Details

Context

No event flags were generated for this filing.

Status Flags

Fidelity bond in place

Not reported

Limited-scope audit performed

Not reported

Contributions transmitted on time

Not reported

Participant loans in default

Not reported

Leases in default

Not reported

Reportable party-in-interest issues

Not reported

Loss discovered during year

Not reported

Assets with undetermined value

Not reported

Non-cash contributions

Not reported

Assets held for investment

Not reported

5% transactions reported

Not reported

All plan assets distributed

Not reported

Benefits paid when due

Not reported

Plan blackout period

Not reported

Plan termination resolution adopted

Not reported

Counterparties

Company Timeline

This filing is highlighted inside the broader sponsor history.

Year / Filing	Filings	Participants	Assets	Contributions	Contrib./Participant
2024	1	142	$0	$0	-
Crown Linen Life Plan	-	142	-	-	-
2023	1	144	$0	$0	-
Crown Linen Life Plan	-	144	-	-	-
2022	1	153	$0	$0	-
Crown Linen Life Plan	-	153	-	-	-
2021	1	131	$0	$0	-
Crown Linen Life Plan	-	131	-	-	-
2020	1	124	$0	$0	-
Crown Linen Life Plan	-	124	-	-	-
2019	1	115	$0	$0	-
Crown Linen Life Plan	-	115	-	-	-
2018	1	115	$0	$0	-
Crown Linen Life Plan	-	115	-	-	-
2017	1	114	$0	$0	-
Crown Linen Life Plan	-	114	-	-	-
2016	1	110	$0	$0	-
Crown Linen Life Plan	-	110	-	-	-
2015	1	136	$0	$0	-
Crown Linen Life Plan	-	136	-	-	-
2014	1	136	$0	$0	-
Crown Linen Life Plan	-	136	-	-	-
2013	1	136	$0	$0	-
Crown Linen Life Plan	-	136	-	-	-
2012	1	141	$0	$0	-
Crown Linen Life Plan	-	141	-	-	-
2011	1	132	$0	$0	-
Crown Linen Life Plan	-	132	-	-	-
2010	1	130	$0	$0	-
Crown Linen Life Plan	-	130	-	-	-
2009	1	104	$0	$0	-
Crown Linen Life Plan	-	104	-	-	-
2008	1	156	$0	$0	-
Crown Linen Life Plan	-	156	-	-	-
2007	1	131	$0	$0	-
Crown Linen Life Plan	-	131	-	-	-
2006	1	125	$0	$0	-
Crown Linen Life Plan	-	125	-	-	-
2005	1	122	$0	$0	-
Crown Linen Life Plan	Current	122	-	-	-
2004	1	118	$0	$0	-
Crown Linen Life Plan	-	118	-	-	-
2003	1	121	$0	$0	-
Crown Linen Life Plan	-	121	-	-	-
2002	1	123	$0	$0	-
Crown Linen Life Plan	-	123	-	-	-
2001	1	119	$0	$0	-
Crown Linen Life Plan	-	119	-	-	-
2000	1	124	$0	$0	-
Crown Linen Life Plan	-	124	-	-	-
1999	1	111	$0	$0	-
Crown Linen Life Plan	-	111	-	-	-

Schedule Details

Schedule A

Row 1
Filing Id: 84037206355296
Form Id: 69601782
Page Id: 2
Page Seq: 0
Page Row Num: 1
Row Num: 0
Image Form Id: 5020376206355040004
Ins Broker 01 Name: USI INSURANCE SERVICES
Ins Broker 01 Street Addr: 12 GILL STREET SUITE 5500
Ins Broker 01 City: WOBURN
Ins Broker 01 State: MA
Ins Broker 01 ZIP Code: 01801
Ins Broker Comm Pd 01 Amount: $4,401
Ins Broker Fees Pd 01 Amount: $0
Ins Broker 01 Code: 3

Row 2
Filing Id: 84037206355296
Form Id: 69601783
Page Id: 2
Page Seq: 0
Page Row Num: 1
Row Num: 0
Image Form Id: 5020376206355040005
Ins Broker 01 Name: USI CONSULTING GROUP
Ins Broker 01 Street Addr: 95 GLASTONBURY BLVD
Ins Broker 01 City: GLASTONBURY
Ins Broker 01 State: CT
Ins Broker 01 ZIP Code: 06033
Ins Broker Comm Pd 01 Amount: $20,860
Ins Broker Fees Pd 01 Amount: $0
Ins Broker 01 Code: 3

Row 3
Filing Id: 84037206355296
Form Id: 69601780
Page Id: 2
Page Seq: 0
Page Row Num: 1
Row Num: 0
Image Form Id: 5020376206355040002
Ins Broker 01 Name: LEISMAN INSURANCE AGENCY
Ins Broker Comm Pd 01 Amount: $341
Ins Broker Fees Pd 01 Amount: $0
Ins Broker 01 Code: 3

Row 4
Filing Id: 84037206355296
Form Id: 69601781
Page Id: 2
Page Seq: 0
Page Row Num: 1
Row Num: 0
Image Form Id: 5020376206355040003
Ins Broker 01 Name: EMPLOYEE BENEFITS CORP OF AMERICA
Ins Broker 01 Street Addr: P.O. BOX 10100
Ins Broker 01 City: MCLEAN
Ins Broker 01 State: VA
Ins Broker 01 ZIP Code: 22102
Ins Broker Comm Pd 01 Amount: $6,096
Ins Broker Fees Pd 01 Amount: $0
Ins Broker 01 Code: 3

Row 5: Ins Carrier Name: CARE FIRST BLUE CROSS BLUE SHIELD
Filing Id: 84037206355296
Form Id: 69601781
Schedule A EIN: 02-0272632
Schedule A Plan Num: 502
Schedule A Plan Year Begin Date: 2005-01-01
Schedule A Tax Period: 20051231
Ins Carrier Name: CARE FIRST BLUE CROSS BLUE SHIELD
Ins Carrier EIN: 53-0078070
Ins Carrier Naic Code: 53007
Ins Contract Num: UA19
Ins Prsn Covered End of year Count: 10
Ins Policy From Date: 2005-01-01
Ins Policy To Date: 2005-12-31
Ins Broker Comm Total Amount: $6,096
Ins Broker Fees Total Amount: $0
Pension End of year Gen Account Amount: $0
Pension End of year Sep Account Amount: $0
Pension Prem Paid Total Amount: $0
Pension Unpaid Premium Amount: $0
Pension Contract Cost Amount: $0
Pension End Prev Bal Amount: $0
Pension Contribution Dep Amount: $0
Pension Divnd Cr Dep Amount: $0
Pension Interest Cr Dur Yr Amount: $0
Pension Transfer From Amount: $0
Pension Other Amount: $0
Pension Total Additions Amount: $0
Pension Total Bal Addn Amount: $0
Pension Bnfts Dsbrsd Amount: $0
Pension Admin Chrg Amount: $0
Pension Transfer To Amount: $0
Pension Oth Ded Amount: $0
Pension Total Ded Amount: $0
Pension End of year Bal Amount: $0
Wlfr Type Bnft Indicator: AB
Wlfr Premium Rcvd Amount: $0
Wlfr Unpaid Due Amount: $0
Wlfr Reserve Amount: $0
Wlfr Total Earned Prem Amount: $0
Wlfr Claims Paid Amount: $0
Wlfr Incr Reserve Amount: $0
Wlfr Incurred Claim Amount: $0
Wlfr Claims Chrgd Amount: $0
Wlfr Ret Commissions Amount: $0
Wlfr Ret Admin Amount: $0
Wlfr Ret Oth Cost Amount: $0
Wlfr Ret Oth Expense Amount: $0
Wlfr Ret Taxes Amount: $0
Wlfr Ret Charges Amount: $0
Wlfr Ret Oth Chrgs Amount: $0
Wlfr Ret Total Amount: $0
Wlfr Refund Amount: $0
Wlfr Held Bnfts Amount: $0
Wlfr Claims Reserve Amount: $0
Wlfr Oth Reserve Amount: $0
Wlfr Divnds Due Amount: $0
Wlfr Total Charges Paid Amount: $145,249
Wlfr Acquis Cost Amount: $0

Row 6: Ins Carrier Name: RELIANCE STANDARD
Filing Id: 84037206355296
Form Id: 69601780
Schedule A EIN: 02-0272632
Schedule A Plan Num: 502
Schedule A Plan Year Begin Date: 2005-01-01
Schedule A Tax Period: 20051231
Ins Carrier Name: RELIANCE STANDARD
Ins Carrier EIN: 36-0883760
Ins Carrier Naic Code: 68381
Ins Contract Num: GL 025001
Ins Prsn Covered End of year Count: 122
Ins Policy From Date: 2005-01-01
Ins Policy To Date: 2005-12-31
Ins Broker Comm Total Amount: $341
Ins Broker Fees Total Amount: $0
Pension End of year Gen Account Amount: $0
Pension End of year Sep Account Amount: $0
Pension Prem Paid Total Amount: $0
Pension Unpaid Premium Amount: $0
Pension Contract Cost Amount: $0
Pension End Prev Bal Amount: $0
Pension Contribution Dep Amount: $0
Pension Divnd Cr Dep Amount: $0
Pension Interest Cr Dur Yr Amount: $0
Pension Transfer From Amount: $0
Pension Other Amount: $0
Pension Total Additions Amount: $0
Pension Total Bal Addn Amount: $0
Pension Bnfts Dsbrsd Amount: $0
Pension Admin Chrg Amount: $0
Pension Transfer To Amount: $0
Pension Oth Ded Amount: $0
Pension Total Ded Amount: $0
Pension End of year Bal Amount: $0
Wlfr Type Bnft Indicator: DM
Wlfr Type Bnft Oth Text: AD&D
Wlfr Premium Rcvd Amount: $0
Wlfr Unpaid Due Amount: $0
Wlfr Reserve Amount: $0
Wlfr Total Earned Prem Amount: $0
Wlfr Claims Paid Amount: $0
Wlfr Incr Reserve Amount: $0
Wlfr Incurred Claim Amount: $0
Wlfr Claims Chrgd Amount: $0
Wlfr Ret Commissions Amount: $0
Wlfr Ret Admin Amount: $0
Wlfr Ret Oth Cost Amount: $0
Wlfr Ret Oth Expense Amount: $0
Wlfr Ret Taxes Amount: $0
Wlfr Ret Charges Amount: $0
Wlfr Ret Oth Chrgs Amount: $0
Wlfr Ret Total Amount: $0
Wlfr Refund Amount: $0
Wlfr Held Bnfts Amount: $0
Wlfr Claims Reserve Amount: $0
Wlfr Oth Reserve Amount: $0
Wlfr Divnds Due Amount: $0
Wlfr Total Charges Paid Amount: $5,507
Wlfr Acquis Cost Amount: $0

Row 7: Ins Carrier Name: BLUE CROSS & BLUE SHIELD OF MA
Filing Id: 84037206355296
Form Id: 69601782
Schedule A EIN: 02-0272632
Schedule A Plan Num: 502
Schedule A Plan Year Begin Date: 2005-01-01
Schedule A Tax Period: 20051231
Ins Carrier Name: BLUE CROSS & BLUE SHIELD OF MA
Ins Carrier EIN: 04-1045815
Ins Carrier Naic Code: 53228
Ins Contract Num: 4012977
Ins Prsn Covered End of year Count: 78
Ins Policy From Date: 2005-01-01
Ins Policy To Date: 2005-12-31
Ins Broker Comm Total Amount: $4,401
Ins Broker Fees Total Amount: $0
Pension End of year Gen Account Amount: $0
Pension End of year Sep Account Amount: $0
Pension Prem Paid Total Amount: $0
Pension Unpaid Premium Amount: $0
Pension Contract Cost Amount: $0
Pension End Prev Bal Amount: $0
Pension Contribution Dep Amount: $0
Pension Divnd Cr Dep Amount: $0
Pension Interest Cr Dur Yr Amount: $0
Pension Transfer From Amount: $0
Pension Other Amount: $0
Pension Total Additions Amount: $0
Pension Total Bal Addn Amount: $0
Pension Bnfts Dsbrsd Amount: $0
Pension Admin Chrg Amount: $0
Pension Transfer To Amount: $0
Pension Oth Ded Amount: $0
Pension Total Ded Amount: $0
Pension End of year Bal Amount: $0
Wlfr Type Bnft Indicator: B
Wlfr Premium Rcvd Amount: $0
Wlfr Unpaid Due Amount: $0
Wlfr Reserve Amount: $0
Wlfr Total Earned Prem Amount: $0
Wlfr Claims Paid Amount: $0
Wlfr Incr Reserve Amount: $0
Wlfr Incurred Claim Amount: $0
Wlfr Claims Chrgd Amount: $0
Wlfr Ret Commissions Amount: $0
Wlfr Ret Admin Amount: $0
Wlfr Ret Oth Cost Amount: $0
Wlfr Ret Oth Expense Amount: $0
Wlfr Ret Taxes Amount: $0
Wlfr Ret Charges Amount: $0
Wlfr Ret Oth Chrgs Amount: $0
Wlfr Ret Total Amount: $0
Wlfr Refund Amount: $0
Wlfr Held Bnfts Amount: $0
Wlfr Claims Reserve Amount: $0
Wlfr Oth Reserve Amount: $0
Wlfr Divnds Due Amount: $0
Wlfr Total Charges Paid Amount: $65,676
Wlfr Acquis Cost Amount: $0

Row 8: Ins Carrier Name: UNITED HEALTHCARE
Filing Id: 84037206355296
Form Id: 69601783
Schedule A EIN: 02-0272632
Schedule A Plan Num: 502
Schedule A Plan Year Begin Date: 2005-01-01
Schedule A Tax Period: 20051231
Ins Carrier Name: UNITED HEALTHCARE
Ins Carrier EIN: 36-2739571
Ins Carrier Naic Code: 79413
Ins Contract Num: 468362
Ins Prsn Covered End of year Count: 79
Ins Policy From Date: 2005-01-01
Ins Policy To Date: 2005-12-31
Ins Broker Comm Total Amount: $20,860
Ins Broker Fees Total Amount: $0
Pension End of year Gen Account Amount: $0
Pension End of year Sep Account Amount: $0
Pension Prem Paid Total Amount: $0
Pension Unpaid Premium Amount: $0
Pension Contract Cost Amount: $0
Pension End Prev Bal Amount: $0
Pension Contribution Dep Amount: $0
Pension Divnd Cr Dep Amount: $0
Pension Interest Cr Dur Yr Amount: $0
Pension Transfer From Amount: $0
Pension Other Amount: $0
Pension Total Additions Amount: $0
Pension Total Bal Addn Amount: $0
Pension Bnfts Dsbrsd Amount: $0
Pension Admin Chrg Amount: $0
Pension Transfer To Amount: $0
Pension Oth Ded Amount: $0
Pension Total Ded Amount: $0
Pension End of year Bal Amount: $0
Wlfr Type Bnft Indicator: A
Wlfr Premium Rcvd Amount: $0
Wlfr Unpaid Due Amount: $0
Wlfr Reserve Amount: $0
Wlfr Total Earned Prem Amount: $0
Wlfr Claims Paid Amount: $0
Wlfr Incr Reserve Amount: $0
Wlfr Incurred Claim Amount: $0
Wlfr Claims Chrgd Amount: $0
Wlfr Ret Commissions Amount: $0
Wlfr Ret Admin Amount: $0
Wlfr Ret Oth Cost Amount: $0
Wlfr Ret Oth Expense Amount: $0
Wlfr Ret Taxes Amount: $0
Wlfr Ret Charges Amount: $0
Wlfr Ret Oth Chrgs Amount: $0
Wlfr Ret Total Amount: $0
Wlfr Refund Amount: $0
Wlfr Held Bnfts Amount: $0
Wlfr Claims Reserve Amount: $0
Wlfr Oth Reserve Amount: $0
Wlfr Divnds Due Amount: $0
Wlfr Total Charges Paid Amount: $734,382
Wlfr Acquis Cost Amount: $0