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ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 401k Plan overview

Plan NameROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND
Plan identification number 003

ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

ROOFERS & SLATERS LOCAL UNION NO. 248 has sponsored the creation of one or more 401k plans.

Company Name:ROOFERS & SLATERS LOCAL UNION NO. 248
Employer identification number (EIN):042636807
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032021-12-01
0032020-12-01
0032019-12-01MITCH TERHAAR2021-08-30
0032018-12-01MITCH TERHAAR2020-09-14
0032017-12-01ERIC ELLIOTT2019-08-27
0032016-12-01
0032015-12-01
0032014-12-01
0032013-12-01ERIC ELLIOTT
0032012-12-01STEVEN KRAVITZ ERIC ELLIOTT2014-08-12
0032011-12-01STEPHEN KRAVITZ
0032009-12-01THOMAS MURPHY
0032008-12-01

Plan Statistics for ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND

401k plan membership statisitcs for ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND

Measure Date Value
2021: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2021 401k membership
Total participants, beginning-of-year2021-12-0160
Total number of active participants reported on line 7a of the Form 55002021-12-0135
Number of retired or separated participants receiving benefits2021-12-010
Number of other retired or separated participants entitled to future benefits2021-12-0128
Total of all active and inactive participants2021-12-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-12-011
Total participants2021-12-0164
Number of participants with account balances2021-12-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-12-010
Number of employers contributing to the scheme2021-12-014
2020: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2020 401k membership
Total participants, beginning-of-year2020-12-0164
Total number of active participants reported on line 7a of the Form 55002020-12-0132
Number of retired or separated participants receiving benefits2020-12-010
Number of other retired or separated participants entitled to future benefits2020-12-0127
Total of all active and inactive participants2020-12-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-12-011
Total participants2020-12-0160
Number of participants with account balances2020-12-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-12-010
Number of employers contributing to the scheme2020-12-014
2019: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2019 401k membership
Total participants, beginning-of-year2019-12-0175
Total number of active participants reported on line 7a of the Form 55002019-12-0130
Number of retired or separated participants receiving benefits2019-12-010
Number of other retired or separated participants entitled to future benefits2019-12-0133
Total of all active and inactive participants2019-12-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-12-011
Total participants2019-12-0164
Number of participants with account balances2019-12-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-12-010
Number of employers contributing to the scheme2019-12-014
2018: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2018 401k membership
Total participants, beginning-of-year2018-12-0185
Total number of active participants reported on line 7a of the Form 55002018-12-0145
Number of retired or separated participants receiving benefits2018-12-010
Number of other retired or separated participants entitled to future benefits2018-12-0129
Total of all active and inactive participants2018-12-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-12-011
Total participants2018-12-0175
Number of participants with account balances2018-12-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-12-010
Number of employers contributing to the scheme2018-12-016
2017: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2017 401k membership
Total participants, beginning-of-year2017-12-0198
Total number of active participants reported on line 7a of the Form 55002017-12-0140
Number of retired or separated participants receiving benefits2017-12-010
Number of other retired or separated participants entitled to future benefits2017-12-0144
Total of all active and inactive participants2017-12-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-12-011
Total participants2017-12-0185
Number of participants with account balances2017-12-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-12-010
Number of employers contributing to the scheme2017-12-015
2016: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2016 401k membership
Total participants, beginning-of-year2016-12-01108
Total number of active participants reported on line 7a of the Form 55002016-12-0144
Number of retired or separated participants receiving benefits2016-12-010
Number of other retired or separated participants entitled to future benefits2016-12-0153
Total of all active and inactive participants2016-12-0197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-12-011
Total participants2016-12-0198
Number of participants with account balances2016-12-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-12-010
Number of employers contributing to the scheme2016-12-017
2015: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2015 401k membership
Total participants, beginning-of-year2015-12-01119
Total number of active participants reported on line 7a of the Form 55002015-12-0153
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-0153
Total of all active and inactive participants2015-12-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-12-012
Total participants2015-12-01108
Number of participants with account balances2015-12-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-12-010
Number of employers contributing to the scheme2015-12-017
2014: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2014 401k membership
Total participants, beginning-of-year2014-12-01110
Total number of active participants reported on line 7a of the Form 55002014-12-0169
Number of retired or separated participants receiving benefits2014-12-010
Number of other retired or separated participants entitled to future benefits2014-12-0149
Total of all active and inactive participants2014-12-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-12-011
Total participants2014-12-01119
Number of participants with account balances2014-12-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-12-010
Number of employers contributing to the scheme2014-12-017
2013: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2013 401k membership
Total participants, beginning-of-year2013-12-01133
Total number of active participants reported on line 7a of the Form 55002013-12-0173
Number of retired or separated participants receiving benefits2013-12-012
Number of other retired or separated participants entitled to future benefits2013-12-0154
Total of all active and inactive participants2013-12-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-12-010
Total participants2013-12-01129
Number of participants with account balances2013-12-01120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-12-010
Number of employers contributing to the scheme2013-12-016
2012: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2012 401k membership
Total participants, beginning-of-year2012-12-01149
Total number of active participants reported on line 7a of the Form 55002012-12-0190
Number of retired or separated participants receiving benefits2012-12-012
Number of other retired or separated participants entitled to future benefits2012-12-0140
Total of all active and inactive participants2012-12-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-12-011
Total participants2012-12-01133
Number of participants with account balances2012-12-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-12-010
Number of employers contributing to the scheme2012-12-016
2011: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2011 401k membership
Total participants, beginning-of-year2011-12-01152
Total number of active participants reported on line 7a of the Form 55002011-12-0197
Number of retired or separated participants receiving benefits2011-12-011
Number of other retired or separated participants entitled to future benefits2011-12-0151
Total of all active and inactive participants2011-12-01149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-12-010
Total participants2011-12-01149
Number of participants with account balances2011-12-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-12-010
Number of employers contributing to the scheme2011-12-017
2009: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2009 401k membership
Total participants, beginning-of-year2009-12-01172
Total number of active participants reported on line 7a of the Form 55002009-12-0166
Number of retired or separated participants receiving benefits2009-12-016
Number of other retired or separated participants entitled to future benefits2009-12-0154
Total of all active and inactive participants2009-12-01126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-12-011
Total participants2009-12-01127
Number of participants with account balances2009-12-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-12-010
Number of employers contributing to the scheme2009-12-018

Financial Data on ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND

Measure Date Value
2022 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$8,971
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-30$9,121
Total income from all sources (including contributions)2022-11-30$-35,127
Total loss/gain on sale of assets2022-11-30$0
Total of all expenses incurred2022-11-30$253,043
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-30$144,494
Expenses. Certain deemed distributions of participant loans2022-11-30$36,972
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-30$397,377
Value of total assets at end of year2022-11-30$4,199,421
Value of total assets at beginning of year2022-11-30$4,487,741
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-30$71,577
Total interest from all sources2022-11-30$3,209
Total dividends received (eg from common stock, registered investment company shares)2022-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-30No
Administrative expenses professional fees incurred2022-11-30$11,448
Was this plan covered by a fidelity bond2022-11-30Yes
Value of fidelity bond cover2022-11-30$500,000
If this is an individual account plan, was there a blackout period2022-11-30No
Were there any nonexempt tranactions with any party-in-interest2022-11-30No
Contributions received from participants2022-11-30$13,835
Participant contributions at end of year2022-11-30$65,319
Participant contributions at beginning of year2022-11-30$98,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-11-30$8,971
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-11-30$9,121
Other income not declared elsewhere2022-11-30$51,820
Administrative expenses (other) incurred2022-11-30$30,754
Total non interest bearing cash at end of year2022-11-30$15,139
Total non interest bearing cash at beginning of year2022-11-30$19,645
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Value of net income/loss2022-11-30$-288,170
Value of net assets at end of year (total assets less liabilities)2022-11-30$4,190,450
Value of net assets at beginning of year (total assets less liabilities)2022-11-30$4,478,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-30No
Were any leases to which the plan was party in default or uncollectible2022-11-30No
Value of interest in pooled separate accounts at end of year2022-11-30$4,076,378
Value of interest in pooled separate accounts at beginning of year2022-11-30$4,342,737
Interest on participant loans2022-11-30$3,209
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-11-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-11-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-11-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-11-30$-487,533
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-30No
Was there a failure to transmit to the plan any participant contributions2022-11-30No
Has the plan failed to provide any benefit when due under the plan2022-11-30No
Contributions received in cash from employer2022-11-30$383,542
Employer contributions (assets) at end of year2022-11-30$42,585
Employer contributions (assets) at beginning of year2022-11-30$26,906
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-11-30$144,494
Contract administrator fees2022-11-30$29,375
Did the plan have assets held for investment2022-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-30No
Opinion of an independent qualified public accountant for this plan2022-11-30Disclaimer
Accountancy firm name2022-11-30LAPIER, DILLON AND ASSOCIATES, P.C.
Accountancy firm EIN2022-11-30320048525
2021 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$9,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-11-30$9,322
Total income from all sources (including contributions)2021-11-30$834,219
Total loss/gain on sale of assets2021-11-30$0
Total of all expenses incurred2021-11-30$264,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-11-30$218,779
Expenses. Certain deemed distributions of participant loans2021-11-30$16,381
Value of total corrective distributions2021-11-30$223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-11-30$309,648
Value of total assets at end of year2021-11-30$4,487,741
Value of total assets at beginning of year2021-11-30$3,918,375
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-11-30$29,269
Total interest from all sources2021-11-30$5,158
Total dividends received (eg from common stock, registered investment company shares)2021-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-11-30No
Administrative expenses professional fees incurred2021-11-30$12,446
Was this plan covered by a fidelity bond2021-11-30Yes
Value of fidelity bond cover2021-11-30$500,000
If this is an individual account plan, was there a blackout period2021-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-11-30$0
Were there any nonexempt tranactions with any party-in-interest2021-11-30No
Contributions received from participants2021-11-30$12,377
Participant contributions at end of year2021-11-30$98,453
Participant contributions at beginning of year2021-11-30$87,844
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-11-30$9,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-11-30$9,322
Other income not declared elsewhere2021-11-30$34,922
Total non interest bearing cash at end of year2021-11-30$19,645
Total non interest bearing cash at beginning of year2021-11-30$15,488
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Value of net income/loss2021-11-30$569,567
Value of net assets at end of year (total assets less liabilities)2021-11-30$4,478,620
Value of net assets at beginning of year (total assets less liabilities)2021-11-30$3,909,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-11-30No
Were any leases to which the plan was party in default or uncollectible2021-11-30No
Investment advisory and management fees2021-11-30$1,011
Value of interest in pooled separate accounts at end of year2021-11-30$4,342,737
Value of interest in pooled separate accounts at beginning of year2021-11-30$3,783,821
Interest on participant loans2021-11-30$5,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-11-30$484,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-11-30No
Was there a failure to transmit to the plan any participant contributions2021-11-30No
Has the plan failed to provide any benefit when due under the plan2021-11-30No
Contributions received in cash from employer2021-11-30$297,271
Employer contributions (assets) at end of year2021-11-30$26,906
Employer contributions (assets) at beginning of year2021-11-30$31,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-11-30$218,779
Contract administrator fees2021-11-30$15,812
Did the plan have assets held for investment2021-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-11-30No
Opinion of an independent qualified public accountant for this plan2021-11-30Disclaimer
Accountancy firm name2021-11-30LAPIER, DILLON AND ASSOCIATES, P.C.
Accountancy firm EIN2021-11-30320048525
2020 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$9,322
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$9,521
Total income from all sources (including contributions)2020-11-30$806,014
Total loss/gain on sale of assets2020-11-30$0
Total of all expenses incurred2020-11-30$349,508
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$307,370
Expenses. Certain deemed distributions of participant loans2020-11-30$12,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$331,611
Value of total assets at end of year2020-11-30$3,918,375
Value of total assets at beginning of year2020-11-30$3,462,068
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$29,148
Total interest from all sources2020-11-30$4,726
Total dividends received (eg from common stock, registered investment company shares)2020-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-11-30No
Administrative expenses professional fees incurred2020-11-30$12,961
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$500,000
If this is an individual account plan, was there a blackout period2020-11-30No
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Contributions received from participants2020-11-30$11,934
Participant contributions at end of year2020-11-30$87,844
Participant contributions at beginning of year2020-11-30$88,948
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-11-30$9,322
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-11-30$9,521
Administrative expenses (other) incurred2020-11-30$16,187
Total non interest bearing cash at end of year2020-11-30$15,488
Total non interest bearing cash at beginning of year2020-11-30$7,633
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Value of net income/loss2020-11-30$456,506
Value of net assets at end of year (total assets less liabilities)2020-11-30$3,909,053
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$3,452,547
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Value of interest in pooled separate accounts at end of year2020-11-30$3,783,821
Value of interest in pooled separate accounts at beginning of year2020-11-30$3,324,261
Interest on participant loans2020-11-30$4,726
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-11-30$469,677
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30No
Was there a failure to transmit to the plan any participant contributions2020-11-30No
Has the plan failed to provide any benefit when due under the plan2020-11-30No
Contributions received in cash from employer2020-11-30$319,677
Employer contributions (assets) at end of year2020-11-30$31,222
Employer contributions (assets) at beginning of year2020-11-30$41,226
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-11-30$307,370
Did the plan have assets held for investment2020-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-11-30Yes
Opinion of an independent qualified public accountant for this plan2020-11-30Disclaimer
Accountancy firm name2020-11-30LAPIER, DILLON AND ASSOCIATES, P.C.
Accountancy firm EIN2020-11-30320048525
2019 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$9,521
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-11-30$9,721
Total income from all sources (including contributions)2019-11-30$804,691
Total loss/gain on sale of assets2019-11-30$0
Total of all expenses incurred2019-11-30$1,227,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-11-30$1,175,325
Expenses. Certain deemed distributions of participant loans2019-11-30$9,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-11-30$391,919
Value of total assets at end of year2019-11-30$3,462,068
Value of total assets at beginning of year2019-11-30$3,884,880
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-11-30$42,648
Total interest from all sources2019-11-30$3,927
Total dividends received (eg from common stock, registered investment company shares)2019-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-11-30No
Administrative expenses professional fees incurred2019-11-30$23,830
Was this plan covered by a fidelity bond2019-11-30Yes
Value of fidelity bond cover2019-11-30$500,000
If this is an individual account plan, was there a blackout period2019-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-11-30$0
Were there any nonexempt tranactions with any party-in-interest2019-11-30No
Contributions received from participants2019-11-30$55,320
Participant contributions at end of year2019-11-30$88,948
Participant contributions at beginning of year2019-11-30$56,513
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-11-30$9,521
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-11-30$9,721
Other income not declared elsewhere2019-11-30$8,715
Administrative expenses (other) incurred2019-11-30$5,043
Total non interest bearing cash at end of year2019-11-30$7,633
Total non interest bearing cash at beginning of year2019-11-30$7,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Value of net income/loss2019-11-30$-422,612
Value of net assets at end of year (total assets less liabilities)2019-11-30$3,452,547
Value of net assets at beginning of year (total assets less liabilities)2019-11-30$3,875,159
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-11-30No
Were any leases to which the plan was party in default or uncollectible2019-11-30No
Value of interest in pooled separate accounts at end of year2019-11-30$3,324,261
Value of interest in pooled separate accounts at beginning of year2019-11-30$3,795,476
Interest on participant loans2019-11-30$3,927
Net investment gain/loss from pooled separate accounts2019-11-30$400,130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-11-30No
Was there a failure to transmit to the plan any participant contributions2019-11-30No
Has the plan failed to provide any benefit when due under the plan2019-11-30No
Contributions received in cash from employer2019-11-30$336,599
Employer contributions (assets) at end of year2019-11-30$41,226
Employer contributions (assets) at beginning of year2019-11-30$25,669
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-11-30$1,175,325
Contract administrator fees2019-11-30$13,775
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-11-30No
Did the plan have assets held for investment2019-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-11-30Yes
Opinion of an independent qualified public accountant for this plan2019-11-30Disclaimer
Accountancy firm name2019-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2019-11-30320048525
2018 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$9,721
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-11-30$9,921
Total income from all sources (including contributions)2018-11-30$352,528
Total loss/gain on sale of assets2018-11-30$0
Total of all expenses incurred2018-11-30$1,405,529
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-11-30$1,358,938
Expenses. Certain deemed distributions of participant loans2018-11-30$16,869
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-11-30$377,115
Value of total assets at end of year2018-11-30$3,884,880
Value of total assets at beginning of year2018-11-30$4,938,081
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-11-30$29,722
Total interest from all sources2018-11-30$3,089
Total dividends received (eg from common stock, registered investment company shares)2018-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-11-30No
Administrative expenses professional fees incurred2018-11-30$6,005
Was this plan covered by a fidelity bond2018-11-30Yes
Value of fidelity bond cover2018-11-30$500,000
If this is an individual account plan, was there a blackout period2018-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-11-30$0
Were there any nonexempt tranactions with any party-in-interest2018-11-30No
Contributions received from participants2018-11-30$8,323
Participant contributions at end of year2018-11-30$56,513
Participant contributions at beginning of year2018-11-30$101,021
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-11-30$9,721
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-11-30$9,921
Other income not declared elsewhere2018-11-30$1,285
Administrative expenses (other) incurred2018-11-30$6,499
Total non interest bearing cash at end of year2018-11-30$7,222
Total non interest bearing cash at beginning of year2018-11-30$1,714
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Value of net income/loss2018-11-30$-1,053,001
Value of net assets at end of year (total assets less liabilities)2018-11-30$3,875,159
Value of net assets at beginning of year (total assets less liabilities)2018-11-30$4,928,160
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-11-30No
Were any leases to which the plan was party in default or uncollectible2018-11-30No
Value of interest in pooled separate accounts at end of year2018-11-30$3,795,476
Value of interest in pooled separate accounts at beginning of year2018-11-30$4,799,883
Interest on participant loans2018-11-30$3,089
Net investment gain/loss from pooled separate accounts2018-11-30$-28,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-11-30No
Was there a failure to transmit to the plan any participant contributions2018-11-30No
Has the plan failed to provide any benefit when due under the plan2018-11-30No
Contributions received in cash from employer2018-11-30$368,792
Employer contributions (assets) at end of year2018-11-30$25,669
Employer contributions (assets) at beginning of year2018-11-30$35,463
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-11-30$1,358,938
Contract administrator fees2018-11-30$17,218
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-11-30No
Did the plan have assets held for investment2018-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-11-30Yes
Opinion of an independent qualified public accountant for this plan2018-11-30Disclaimer
Accountancy firm name2018-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2018-11-30320048525
2017 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$9,921
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-30$10,121
Total income from all sources (including contributions)2017-11-30$978,046
Total loss/gain on sale of assets2017-11-30$0
Total of all expenses incurred2017-11-30$1,026,673
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-30$933,594
Expenses. Certain deemed distributions of participant loans2017-11-30$58,031
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-30$478,696
Value of total assets at end of year2017-11-30$4,938,081
Value of total assets at beginning of year2017-11-30$4,986,908
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-30$35,048
Total interest from all sources2017-11-30$5,414
Total dividends received (eg from common stock, registered investment company shares)2017-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-30No
Was this plan covered by a fidelity bond2017-11-30Yes
Value of fidelity bond cover2017-11-30$500,000
If this is an individual account plan, was there a blackout period2017-11-30No
Were there any nonexempt tranactions with any party-in-interest2017-11-30No
Participant contributions at end of year2017-11-30$101,021
Participant contributions at beginning of year2017-11-30$160,928
Income. Received or receivable in cash from other sources (including rollovers)2017-11-30$97,001
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-11-30$9,921
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-11-30$10,121
Other income not declared elsewhere2017-11-30$1,423
Administrative expenses (other) incurred2017-11-30$35,048
Total non interest bearing cash at end of year2017-11-30$1,714
Total non interest bearing cash at beginning of year2017-11-30$4,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Value of net income/loss2017-11-30$-48,627
Value of net assets at end of year (total assets less liabilities)2017-11-30$4,928,160
Value of net assets at beginning of year (total assets less liabilities)2017-11-30$4,976,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-30No
Were any leases to which the plan was party in default or uncollectible2017-11-30No
Value of interest in pooled separate accounts at end of year2017-11-30$4,799,883
Value of interest in pooled separate accounts at beginning of year2017-11-30$4,781,901
Interest on participant loans2017-11-30$5,414
Net investment gain/loss from pooled separate accounts2017-11-30$492,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-30No
Was there a failure to transmit to the plan any participant contributions2017-11-30No
Has the plan failed to provide any benefit when due under the plan2017-11-30No
Contributions received in cash from employer2017-11-30$381,695
Employer contributions (assets) at end of year2017-11-30$35,463
Employer contributions (assets) at beginning of year2017-11-30$39,640
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-30$933,594
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-11-30No
Did the plan have assets held for investment2017-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-30Yes
Opinion of an independent qualified public accountant for this plan2017-11-30Disclaimer
Accountancy firm name2017-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2017-11-30320048525
2016 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$10,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-11-30$4,814
Total income from all sources (including contributions)2016-11-30$526,357
Total loss/gain on sale of assets2016-11-30$0
Total of all expenses incurred2016-11-30$893,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-11-30$835,431
Expenses. Certain deemed distributions of participant loans2016-11-30$23,950
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-11-30$366,813
Value of total assets at end of year2016-11-30$4,986,908
Value of total assets at beginning of year2016-11-30$5,349,056
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-11-30$34,431
Total interest from all sources2016-11-30$7,587
Total dividends received (eg from common stock, registered investment company shares)2016-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-11-30No
Administrative expenses professional fees incurred2016-11-30$10,052
Was this plan covered by a fidelity bond2016-11-30Yes
Value of fidelity bond cover2016-11-30$500,000
If this is an individual account plan, was there a blackout period2016-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-11-30$0
Were there any nonexempt tranactions with any party-in-interest2016-11-30No
Participant contributions at end of year2016-11-30$160,928
Participant contributions at beginning of year2016-11-30$191,823
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-11-30$10,121
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-11-30$4,814
Other income not declared elsewhere2016-11-30$1,467
Administrative expenses (other) incurred2016-11-30$24,379
Total non interest bearing cash at end of year2016-11-30$4,439
Total non interest bearing cash at beginning of year2016-11-30$3,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Value of net income/loss2016-11-30$-367,455
Value of net assets at end of year (total assets less liabilities)2016-11-30$4,976,787
Value of net assets at beginning of year (total assets less liabilities)2016-11-30$5,344,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-11-30No
Were any leases to which the plan was party in default or uncollectible2016-11-30No
Value of interest in pooled separate accounts at end of year2016-11-30$4,781,901
Value of interest in pooled separate accounts at beginning of year2016-11-30$5,071,290
Interest on participant loans2016-11-30$7,587
Net investment gain/loss from pooled separate accounts2016-11-30$150,490
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-11-30No
Was there a failure to transmit to the plan any participant contributions2016-11-30No
Has the plan failed to provide any benefit when due under the plan2016-11-30No
Contributions received in cash from employer2016-11-30$366,813
Employer contributions (assets) at end of year2016-11-30$39,640
Employer contributions (assets) at beginning of year2016-11-30$82,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-11-30$835,431
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-11-30No
Did the plan have assets held for investment2016-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-11-30Yes
Opinion of an independent qualified public accountant for this plan2016-11-30Disclaimer
Accountancy firm name2016-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2016-11-30320048525
2015 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$4,814
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-11-30$5,714
Total income from all sources (including contributions)2015-11-30$415,390
Total loss/gain on sale of assets2015-11-30$0
Total of all expenses incurred2015-11-30$709,131
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-11-30$635,426
Expenses. Certain deemed distributions of participant loans2015-11-30$29,231
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-11-30$376,475
Value of total assets at end of year2015-11-30$5,349,056
Value of total assets at beginning of year2015-11-30$5,643,697
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-11-30$44,474
Total interest from all sources2015-11-30$8,466
Total dividends received (eg from common stock, registered investment company shares)2015-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-11-30No
Administrative expenses professional fees incurred2015-11-30$11,920
Was this plan covered by a fidelity bond2015-11-30Yes
Value of fidelity bond cover2015-11-30$500,000
If this is an individual account plan, was there a blackout period2015-11-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-11-30$0
Were there any nonexempt tranactions with any party-in-interest2015-11-30No
Participant contributions at end of year2015-11-30$191,823
Participant contributions at beginning of year2015-11-30$151,951
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-11-30$4,814
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-11-30$5,714
Administrative expenses (other) incurred2015-11-30$27,654
Total non interest bearing cash at end of year2015-11-30$3,461
Total non interest bearing cash at beginning of year2015-11-30$2,369
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Value of net income/loss2015-11-30$-293,741
Value of net assets at end of year (total assets less liabilities)2015-11-30$5,344,242
Value of net assets at beginning of year (total assets less liabilities)2015-11-30$5,637,983
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-11-30No
Were any leases to which the plan was party in default or uncollectible2015-11-30No
Investment advisory and management fees2015-11-30$4,900
Value of interest in pooled separate accounts at end of year2015-11-30$5,071,290
Value of interest in pooled separate accounts at beginning of year2015-11-30$5,454,873
Interest on participant loans2015-11-30$8,466
Net investment gain/loss from pooled separate accounts2015-11-30$30,449
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-11-30Yes
Was there a failure to transmit to the plan any participant contributions2015-11-30No
Has the plan failed to provide any benefit when due under the plan2015-11-30No
Contributions received in cash from employer2015-11-30$376,475
Employer contributions (assets) at end of year2015-11-30$82,482
Employer contributions (assets) at beginning of year2015-11-30$34,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-11-30$635,426
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-11-30Yes
Did the plan have assets held for investment2015-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-11-30Yes
Opinion of an independent qualified public accountant for this plan2015-11-30Disclaimer
Accountancy firm name2015-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2015-11-30320048525
2014 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$5,714
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-11-30$9,714
Total income from all sources (including contributions)2014-11-30$631,636
Total loss/gain on sale of assets2014-11-30$0
Total of all expenses incurred2014-11-30$677,729
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-11-30$629,525
Expenses. Certain deemed distributions of participant loans2014-11-30$9,968
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-11-30$393,699
Value of total assets at end of year2014-11-30$5,643,697
Value of total assets at beginning of year2014-11-30$5,693,790
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-11-30$38,236
Total interest from all sources2014-11-30$7,386
Total dividends received (eg from common stock, registered investment company shares)2014-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-11-30No
Administrative expenses professional fees incurred2014-11-30$12,182
Was this plan covered by a fidelity bond2014-11-30Yes
Value of fidelity bond cover2014-11-30$500,000
If this is an individual account plan, was there a blackout period2014-11-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-11-30$0
Were there any nonexempt tranactions with any party-in-interest2014-11-30No
Participant contributions at end of year2014-11-30$151,951
Participant contributions at beginning of year2014-11-30$205,090
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-11-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-11-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-11-30$5,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-11-30$9,714
Administrative expenses (other) incurred2014-11-30$26,054
Total non interest bearing cash at end of year2014-11-30$2,369
Total non interest bearing cash at beginning of year2014-11-30$5,461
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Value of net income/loss2014-11-30$-46,093
Value of net assets at end of year (total assets less liabilities)2014-11-30$5,637,983
Value of net assets at beginning of year (total assets less liabilities)2014-11-30$5,684,076
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-11-30No
Were any leases to which the plan was party in default or uncollectible2014-11-30No
Value of interest in pooled separate accounts at end of year2014-11-30$5,454,873
Value of interest in pooled separate accounts at beginning of year2014-11-30$5,426,259
Interest on participant loans2014-11-30$7,386
Interest earned on other investments2014-11-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-11-30$0
Net investment gain/loss from pooled separate accounts2014-11-30$230,551
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-11-30Yes
Was there a failure to transmit to the plan any participant contributions2014-11-30No
Has the plan failed to provide any benefit when due under the plan2014-11-30No
Contributions received in cash from employer2014-11-30$393,699
Employer contributions (assets) at end of year2014-11-30$34,504
Employer contributions (assets) at beginning of year2014-11-30$56,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-11-30$629,525
Contract administrator fees2014-11-30$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-11-30Yes
Did the plan have assets held for investment2014-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-11-30Yes
Opinion of an independent qualified public accountant for this plan2014-11-30Disclaimer
Accountancy firm name2014-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2014-11-30320048525
2013 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$9,714
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-11-30$15,714
Total income from all sources (including contributions)2013-11-30$907,115
Total loss/gain on sale of assets2013-11-30$0
Total of all expenses incurred2013-11-30$1,552,951
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-11-30$1,437,791
Expenses. Certain deemed distributions of participant loans2013-11-30$84,684
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-11-30$440,014
Value of total assets at end of year2013-11-30$5,693,790
Value of total assets at beginning of year2013-11-30$6,345,626
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-11-30$30,476
Total interest from all sources2013-11-30$6,398
Total dividends received (eg from common stock, registered investment company shares)2013-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-11-30No
Administrative expenses professional fees incurred2013-11-30$14,039
Was this plan covered by a fidelity bond2013-11-30Yes
Value of fidelity bond cover2013-11-30$1,000,000
If this is an individual account plan, was there a blackout period2013-11-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-11-30$0
Were there any nonexempt tranactions with any party-in-interest2013-11-30No
Participant contributions at end of year2013-11-30$205,090
Participant contributions at beginning of year2013-11-30$231,659
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-11-30$9,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-11-30$15,714
Administrative expenses (other) incurred2013-11-30$16,437
Total non interest bearing cash at end of year2013-11-30$5,461
Total non interest bearing cash at beginning of year2013-11-30$5,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Value of net income/loss2013-11-30$-645,836
Value of net assets at end of year (total assets less liabilities)2013-11-30$5,684,076
Value of net assets at beginning of year (total assets less liabilities)2013-11-30$6,329,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-11-30No
Were any leases to which the plan was party in default or uncollectible2013-11-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-11-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-11-30$0
Value of interest in pooled separate accounts at end of year2013-11-30$5,426,259
Value of interest in pooled separate accounts at beginning of year2013-11-30$6,068,237
Interest on participant loans2013-11-30$6,398
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-11-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-11-30$0
Net investment gain/loss from pooled separate accounts2013-11-30$460,703
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-11-30Yes
Was there a failure to transmit to the plan any participant contributions2013-11-30No
Has the plan failed to provide any benefit when due under the plan2013-11-30No
Contributions received in cash from employer2013-11-30$440,014
Employer contributions (assets) at end of year2013-11-30$56,980
Employer contributions (assets) at beginning of year2013-11-30$40,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-11-30$1,437,791
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-11-30Yes
Did the plan have assets held for investment2013-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-11-30Yes
Opinion of an independent qualified public accountant for this plan2013-11-30Disclaimer
Accountancy firm name2013-11-30NICHOLAS LAPIER CPA PC
Accountancy firm EIN2013-11-30320048525
2012 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$15,714
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-11-30$31,715
Total income from all sources (including contributions)2012-11-30$940,258
Total loss/gain on sale of assets2012-11-30$0
Total of all expenses incurred2012-11-30$599,342
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-11-30$522,609
Value of total corrective distributions2012-11-30$22,690
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-11-30$496,064
Value of total assets at end of year2012-11-30$6,345,626
Value of total assets at beginning of year2012-11-30$6,020,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-11-30$54,043
Total interest from all sources2012-11-30$8,810
Total dividends received (eg from common stock, registered investment company shares)2012-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-11-30No
Administrative expenses professional fees incurred2012-11-30$11,724
Was this plan covered by a fidelity bond2012-11-30Yes
Value of fidelity bond cover2012-11-30$1,000,000
If this is an individual account plan, was there a blackout period2012-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-11-30$0
Were there any nonexempt tranactions with any party-in-interest2012-11-30No
Participant contributions at end of year2012-11-30$231,659
Participant contributions at beginning of year2012-11-30$205,990
Income. Received or receivable in cash from other sources (including rollovers)2012-11-30$363
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-11-30$15,714
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-11-30$31,715
Administrative expenses (other) incurred2012-11-30$18,796
Total non interest bearing cash at end of year2012-11-30$5,099
Total non interest bearing cash at beginning of year2012-11-30$3,692
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Value of net income/loss2012-11-30$340,916
Value of net assets at end of year (total assets less liabilities)2012-11-30$6,329,912
Value of net assets at beginning of year (total assets less liabilities)2012-11-30$5,988,996
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-11-30No
Were any leases to which the plan was party in default or uncollectible2012-11-30No
Value of interest in pooled separate accounts at end of year2012-11-30$6,068,237
Value of interest in pooled separate accounts at beginning of year2012-11-30$5,713,479
Interest on participant loans2012-11-30$8,810
Net investment gain/loss from pooled separate accounts2012-11-30$435,384
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-11-30No
Was there a failure to transmit to the plan any participant contributions2012-11-30No
Has the plan failed to provide any benefit when due under the plan2012-11-30No
Contributions received in cash from employer2012-11-30$495,701
Employer contributions (assets) at end of year2012-11-30$40,631
Employer contributions (assets) at beginning of year2012-11-30$97,550
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-11-30$522,609
Contract administrator fees2012-11-30$23,523
Did the plan have assets held for investment2012-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-11-30Yes
Opinion of an independent qualified public accountant for this plan2012-11-30Disclaimer
Accountancy firm name2012-11-30NICHOLAS LAPIER PL CPA
Accountancy firm EIN2012-11-30320048525
2011 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-11-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$31,715
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-11-30$42,014
Total income from all sources (including contributions)2011-11-30$735,170
Total loss/gain on sale of assets2011-11-30$0
Total of all expenses incurred2011-11-30$654,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-11-30$601,750
Expenses. Certain deemed distributions of participant loans2011-11-30$25,196
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-11-30$588,094
Value of total assets at end of year2011-11-30$6,020,711
Value of total assets at beginning of year2011-11-30$5,950,578
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-11-30$27,792
Total interest from all sources2011-11-30$18,018
Total dividends received (eg from common stock, registered investment company shares)2011-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-11-30No
Administrative expenses professional fees incurred2011-11-30$8,280
Was this plan covered by a fidelity bond2011-11-30Yes
Value of fidelity bond cover2011-11-30$1,000,000
If this is an individual account plan, was there a blackout period2011-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-11-30$0
Were there any nonexempt tranactions with any party-in-interest2011-11-30No
Participant contributions at end of year2011-11-30$205,990
Participant contributions at beginning of year2011-11-30$211,904
Income. Received or receivable in cash from other sources (including rollovers)2011-11-30$27,400
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-11-30$31,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-11-30$42,014
Administrative expenses (other) incurred2011-11-30$2,541
Total non interest bearing cash at end of year2011-11-30$3,692
Total non interest bearing cash at beginning of year2011-11-30$3,845
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Value of net income/loss2011-11-30$80,432
Value of net assets at end of year (total assets less liabilities)2011-11-30$5,988,996
Value of net assets at beginning of year (total assets less liabilities)2011-11-30$5,908,564
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-11-30No
Were any leases to which the plan was party in default or uncollectible2011-11-30No
Investment advisory and management fees2011-11-30$16,971
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-11-30$5,713,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-11-30$5,692,986
Interest on participant loans2011-11-30$10,737
Interest earned on other investments2011-11-30$7,281
Net investment gain/loss from pooled separate accounts2011-11-30$129,058
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-11-30No
Was there a failure to transmit to the plan any participant contributions2011-11-30No
Has the plan failed to provide any benefit when due under the plan2011-11-30No
Contributions received in cash from employer2011-11-30$560,694
Employer contributions (assets) at end of year2011-11-30$97,550
Employer contributions (assets) at beginning of year2011-11-30$41,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-11-30$601,750
Did the plan have assets held for investment2011-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-11-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-11-30Yes
Opinion of an independent qualified public accountant for this plan2011-11-30Disclaimer
Accountancy firm name2011-11-30NICHOLAS LAPIER CPA P.C.
Accountancy firm EIN2011-11-30320048525
2010 : ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-11-30$0

Form 5500 Responses for ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND

2021: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2021 form 5500 responses
2021-12-01Type of plan entityMulti-employer plan
2021-12-01Submission has been amendedNo
2021-12-01This submission is the final filingNo
2021-12-01This return/report is a short plan year return/report (less than 12 months)No
2021-12-01Plan is a collectively bargained planYes
2021-12-01Plan funding arrangement – InsuranceYes
2021-12-01Plan funding arrangement – TrustYes
2021-12-01Plan benefit arrangement – InsuranceYes
2021-12-01Plan benefit arrangement - TrustYes
2020: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2020 form 5500 responses
2020-12-01Type of plan entityMulti-employer plan
2020-12-01Submission has been amendedNo
2020-12-01This submission is the final filingNo
2020-12-01This return/report is a short plan year return/report (less than 12 months)No
2020-12-01Plan is a collectively bargained planYes
2020-12-01Plan funding arrangement – InsuranceYes
2020-12-01Plan funding arrangement – TrustYes
2020-12-01Plan benefit arrangement – InsuranceYes
2020-12-01Plan benefit arrangement - TrustYes
2019: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2019 form 5500 responses
2019-12-01Type of plan entityMulti-employer plan
2019-12-01Submission has been amendedNo
2019-12-01This submission is the final filingNo
2019-12-01This return/report is a short plan year return/report (less than 12 months)No
2019-12-01Plan is a collectively bargained planYes
2019-12-01Plan funding arrangement – InsuranceYes
2019-12-01Plan funding arrangement – TrustYes
2019-12-01Plan benefit arrangement – InsuranceYes
2019-12-01Plan benefit arrangement - TrustYes
2018: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2018 form 5500 responses
2018-12-01Type of plan entityMulti-employer plan
2018-12-01Submission has been amendedNo
2018-12-01This submission is the final filingNo
2018-12-01This return/report is a short plan year return/report (less than 12 months)No
2018-12-01Plan is a collectively bargained planYes
2018-12-01Plan funding arrangement – InsuranceYes
2018-12-01Plan funding arrangement – TrustYes
2018-12-01Plan benefit arrangement – InsuranceYes
2018-12-01Plan benefit arrangement - TrustYes
2017: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2017 form 5500 responses
2017-12-01Type of plan entityMulti-employer plan
2017-12-01Submission has been amendedNo
2017-12-01This submission is the final filingNo
2017-12-01This return/report is a short plan year return/report (less than 12 months)No
2017-12-01Plan is a collectively bargained planYes
2017-12-01Plan funding arrangement – InsuranceYes
2017-12-01Plan funding arrangement – TrustYes
2017-12-01Plan benefit arrangement – InsuranceYes
2017-12-01Plan benefit arrangement - TrustYes
2016: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2016 form 5500 responses
2016-12-01Type of plan entityMulti-employer plan
2016-12-01Submission has been amendedNo
2016-12-01This submission is the final filingNo
2016-12-01This return/report is a short plan year return/report (less than 12 months)No
2016-12-01Plan is a collectively bargained planYes
2016-12-01Plan funding arrangement – InsuranceYes
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement – InsuranceYes
2016-12-01Plan benefit arrangement - TrustYes
2015: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2015 form 5500 responses
2015-12-01Type of plan entityMulti-employer plan
2015-12-01Submission has been amendedNo
2015-12-01This submission is the final filingNo
2015-12-01This return/report is a short plan year return/report (less than 12 months)No
2015-12-01Plan is a collectively bargained planYes
2015-12-01Plan funding arrangement – InsuranceYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement – InsuranceYes
2015-12-01Plan benefit arrangement - TrustYes
2014: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2014 form 5500 responses
2014-12-01Type of plan entityMulti-employer plan
2014-12-01Submission has been amendedNo
2014-12-01This submission is the final filingNo
2014-12-01This return/report is a short plan year return/report (less than 12 months)No
2014-12-01Plan is a collectively bargained planYes
2014-12-01Plan funding arrangement – InsuranceYes
2014-12-01Plan funding arrangement – TrustYes
2014-12-01Plan benefit arrangement – InsuranceYes
2014-12-01Plan benefit arrangement - TrustYes
2013: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2013 form 5500 responses
2013-12-01Type of plan entityMulti-employer plan
2013-12-01Submission has been amendedNo
2013-12-01This submission is the final filingNo
2013-12-01This return/report is a short plan year return/report (less than 12 months)No
2013-12-01Plan is a collectively bargained planYes
2013-12-01Plan funding arrangement – InsuranceYes
2013-12-01Plan funding arrangement – TrustYes
2013-12-01Plan benefit arrangement – InsuranceYes
2013-12-01Plan benefit arrangement - TrustYes
2012: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2012 form 5500 responses
2012-12-01Type of plan entityMulti-employer plan
2012-12-01Submission has been amendedNo
2012-12-01This submission is the final filingNo
2012-12-01This return/report is a short plan year return/report (less than 12 months)No
2012-12-01Plan is a collectively bargained planYes
2012-12-01Plan funding arrangement – InsuranceYes
2012-12-01Plan funding arrangement – TrustYes
2012-12-01Plan benefit arrangement – InsuranceYes
2012-12-01Plan benefit arrangement - TrustYes
2011: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2011 form 5500 responses
2011-12-01Type of plan entityMulti-employer plan
2011-12-01Submission has been amendedNo
2011-12-01This submission is the final filingNo
2011-12-01This return/report is a short plan year return/report (less than 12 months)No
2011-12-01Plan is a collectively bargained planYes
2011-12-01Plan funding arrangement – InsuranceYes
2011-12-01Plan funding arrangement – TrustYes
2011-12-01Plan benefit arrangement – InsuranceYes
2011-12-01Plan benefit arrangement - TrustYes
2009: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2009 form 5500 responses
2009-12-01Type of plan entityMulti-employer plan
2009-12-01Submission has been amendedNo
2009-12-01This submission is the final filingNo
2009-12-01This return/report is a short plan year return/report (less than 12 months)No
2009-12-01Plan is a collectively bargained planYes
2009-12-01Plan funding arrangement – InsuranceYes
2009-12-01Plan funding arrangement – TrustYes
2009-12-01Plan benefit arrangement – InsuranceYes
2009-12-01Plan benefit arrangement - TrustYes
2008: ROOFERS & SLATERS LOCAL UNION NO. 248 ANNUITY FUND 2008 form 5500 responses
2008-12-01Type of plan entityMulti-employer plan
2008-12-01Submission has been amendedNo
2008-12-01This submission is the final filingNo
2008-12-01This return/report is a short plan year return/report (less than 12 months)No
2008-12-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57796
Policy instance 1
Insurance contract or identification number57796
Number of Individuals Covered63
Insurance policy start date2021-12-01
Insurance policy end date2022-11-30
Total amount of commissions paid to insurance brokerUSD $14,372
Total amount of fees paid to insurance companyUSD $3,818
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,278
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINSURANCE AGENT OR BROKER
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57796
Policy instance 1
Insurance contract or identification number57796
Number of Individuals Covered60
Insurance policy start date2020-12-01
Insurance policy end date2021-11-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,509
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12544
Additional information about fees paid to insurance brokerINSURANCE AGENT OR BROKER
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57796
Policy instance 1
Insurance contract or identification number57796
Number of Individuals Covered64
Insurance policy start date2019-12-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $1,870
Total amount of fees paid to insurance companyUSD $13,313
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57796
Policy instance 1
Insurance contract or identification number57796
Number of Individuals Covered71
Insurance policy start date2018-12-01
Insurance policy end date2019-11-30
Total amount of commissions paid to insurance brokerUSD $7,819
Total amount of fees paid to insurance companyUSD $4,038
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4038
Additional information about fees paid to insurance brokerTPA ADMINISTRATOR ALLOWANCE
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $7,819
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57796
Policy instance 1
Insurance contract or identification number57796
Number of Individuals Covered84
Insurance policy start date2017-12-01
Insurance policy end date2018-11-30
Total amount of commissions paid to insurance brokerUSD $5,421
Total amount of fees paid to insurance companyUSD $2,221
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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