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UFCW LOCAL 2013 ANNUITY FUND 401k Plan overview

Plan NameUFCW LOCAL 2013 ANNUITY FUND
Plan identification number 001

UFCW LOCAL 2013 ANNUITY FUND Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • 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

BOARD OF TRUSTEES UFCW LOCAL 2013 ANNUITY FUND has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES UFCW LOCAL 2013 ANNUITY FUND
Employer identification number (EIN):112457157
NAIC Classification:722300
NAIC Description: Special Food Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW LOCAL 2013 ANNUITY FUND

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01LOUIS M. CAROTENUTO2023-06-21 STANLEY FLEISHMAN2023-06-21
0012021-01-01LOUIS M. CAROTENUTO2022-07-19 STANLEY FLEISHMAN2022-07-27
0012020-01-01LOUIS MARK CAROTENUTO2021-07-19 STANLEY FLEISHMAN2021-07-19
0012019-01-01LOUIS MARK CAROTENUTO2020-07-22 STANLEY FLEISHMAN2020-07-22
0012018-01-01LOUIS MARK CAROTENUTO2019-07-24 STANLEY FLEISHMAN2019-07-24
0012017-01-01
0012016-01-01CAROL WESTFALL
0012015-01-01CAROL WESTFALL
0012014-01-01CAROL WESTFALL
0012013-01-01CAROL WESTFALL
0012012-01-01CAROL WESTFALL
0012011-01-01CAROL WESTFALL
0012009-01-01JOHN FAZIO

Plan Statistics for UFCW LOCAL 2013 ANNUITY FUND

401k plan membership statisitcs for UFCW LOCAL 2013 ANNUITY FUND

Measure Date Value
2022: UFCW LOCAL 2013 ANNUITY FUND 2022 401k membership
Total participants, beginning-of-year2022-01-0113,015
Total number of active participants reported on line 7a of the Form 55002022-01-014,734
Number of retired or separated participants receiving benefits2022-01-015
Number of other retired or separated participants entitled to future benefits2022-01-018,117
Total of all active and inactive participants2022-01-0112,856
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-0117
Total participants2022-01-0112,873
Number of participants with account balances2022-01-0112,873
Number of employers contributing to the scheme2022-01-0169
2021: UFCW LOCAL 2013 ANNUITY FUND 2021 401k membership
Total participants, beginning-of-year2021-01-0112,399
Total number of active participants reported on line 7a of the Form 55002021-01-014,852
Number of retired or separated participants receiving benefits2021-01-017
Number of other retired or separated participants entitled to future benefits2021-01-018,138
Total of all active and inactive participants2021-01-0112,997
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-0118
Total participants2021-01-0113,015
Number of participants with account balances2021-01-0113,015
Number of employers contributing to the scheme2021-01-0169
2020: UFCW LOCAL 2013 ANNUITY FUND 2020 401k membership
Total participants, beginning-of-year2020-01-0111,888
Total number of active participants reported on line 7a of the Form 55002020-01-014,771
Number of retired or separated participants receiving benefits2020-01-018
Number of other retired or separated participants entitled to future benefits2020-01-017,600
Total of all active and inactive participants2020-01-0112,379
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-0120
Total participants2020-01-0112,399
Number of participants with account balances2020-01-0112,399
Number of employers contributing to the scheme2020-01-0166
2019: UFCW LOCAL 2013 ANNUITY FUND 2019 401k membership
Total participants, beginning-of-year2019-01-0112,569
Total number of active participants reported on line 7a of the Form 55002019-01-014,623
Number of retired or separated participants receiving benefits2019-01-014
Number of other retired or separated participants entitled to future benefits2019-01-017,244
Total of all active and inactive participants2019-01-0111,871
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0117
Total participants2019-01-0111,888
Number of participants with account balances2019-01-0111,888
Number of employers contributing to the scheme2019-01-0160
2018: UFCW LOCAL 2013 ANNUITY FUND 2018 401k membership
Total participants, beginning-of-year2018-01-0112,184
Total number of active participants reported on line 7a of the Form 55002018-01-014,982
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-017,570
Total of all active and inactive participants2018-01-0112,554
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0115
Total participants2018-01-0112,569
Number of participants with account balances2018-01-0112,569
Number of employers contributing to the scheme2018-01-0154
2017: UFCW LOCAL 2013 ANNUITY FUND 2017 401k membership
Total participants, beginning-of-year2017-01-0110,733
Total number of active participants reported on line 7a of the Form 55002017-01-015,399
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-016,774
Total of all active and inactive participants2017-01-0112,174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0110
Total participants2017-01-0112,184
Number of participants with account balances2017-01-0112,184
Number of employers contributing to the scheme2017-01-0149
2016: UFCW LOCAL 2013 ANNUITY FUND 2016 401k membership
Total participants, beginning-of-year2016-01-018,879
Total number of active participants reported on line 7a of the Form 55002016-01-015,830
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-014,897
Total of all active and inactive participants2016-01-0110,728
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-015
Total participants2016-01-0110,733
Number of participants with account balances2016-01-0110,733
Number of employers contributing to the scheme2016-01-0145
2015: UFCW LOCAL 2013 ANNUITY FUND 2015 401k membership
Total participants, beginning-of-year2015-01-017,650
Total number of active participants reported on line 7a of the Form 55002015-01-014,959
Number of other retired or separated participants entitled to future benefits2015-01-013,920
Total of all active and inactive participants2015-01-018,879
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-018,879
Number of participants with account balances2015-01-018,879
Number of employers contributing to the scheme2015-01-0143
2014: UFCW LOCAL 2013 ANNUITY FUND 2014 401k membership
Total participants, beginning-of-year2014-01-017,953
Total number of active participants reported on line 7a of the Form 55002014-01-015,183
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012,467
Total of all active and inactive participants2014-01-017,650
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-017,650
Number of participants with account balances2014-01-017,650
Number of employers contributing to the scheme2014-01-0145
2013: UFCW LOCAL 2013 ANNUITY FUND 2013 401k membership
Total participants, beginning-of-year2013-01-018,761
Total number of active participants reported on line 7a of the Form 55002013-01-015,675
Number of other retired or separated participants entitled to future benefits2013-01-012,278
Total of all active and inactive participants2013-01-017,953
Total participants2013-01-017,953
Number of participants with account balances2013-01-017,953
Number of employers contributing to the scheme2013-01-0144
2012: UFCW LOCAL 2013 ANNUITY FUND 2012 401k membership
Total participants, beginning-of-year2012-01-018,085
Total number of active participants reported on line 7a of the Form 55002012-01-015,260
Number of other retired or separated participants entitled to future benefits2012-01-013,501
Total of all active and inactive participants2012-01-018,761
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-018,761
Number of participants with account balances2012-01-018,761
Number of employers contributing to the scheme2012-01-0143
2011: UFCW LOCAL 2013 ANNUITY FUND 2011 401k membership
Total participants, beginning-of-year2011-01-018,181
Total number of active participants reported on line 7a of the Form 55002011-01-014,795
Number of other retired or separated participants entitled to future benefits2011-01-013,290
Total of all active and inactive participants2011-01-018,085
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-018,085
Number of participants with account balances2011-01-018,085
Number of employers contributing to the scheme2011-01-0143
2009: UFCW LOCAL 2013 ANNUITY FUND 2009 401k membership
Total participants, beginning-of-year2009-01-017,605
Total number of active participants reported on line 7a of the Form 55002009-01-014,880
Total of all active and inactive participants2009-01-014,880
Total participants2009-01-014,880
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-01605
Number of employers contributing to the scheme2009-01-0137

Financial Data on UFCW LOCAL 2013 ANNUITY FUND

Measure Date Value
2022 : UFCW LOCAL 2013 ANNUITY FUND 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$60,165
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$63,790
Total income from all sources (including contributions)2022-12-31$-302,087
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,522,071
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,782,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,959,695
Value of total assets at end of year2022-12-31$26,988,607
Value of total assets at beginning of year2022-12-31$29,816,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$739,598
Total interest from all sources2022-12-31$157,110
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$938,916
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$938,916
Administrative expenses professional fees incurred2022-12-31$54,151
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$85,555
Administrative expenses (other) incurred2022-12-31$84,542
Liabilities. Value of operating payables at end of year2022-12-31$60,165
Liabilities. Value of operating payables at beginning of year2022-12-31$63,790
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,824,158
Value of net assets at end of year (total assets less liabilities)2022-12-31$26,928,442
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$29,752,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$473,859
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$18,344,678
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$20,731,785
Interest earned on other investments2022-12-31$155,140
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$98,125
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$199,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$199,264
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,970
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$8,301,804
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$8,559,786
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-4,357,808
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,959,695
Employer contributions (assets) at end of year2022-12-31$244,000
Employer contributions (assets) at beginning of year2022-12-31$240,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,782,473
Contract administrator fees2022-12-31$127,046
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2022-12-31131577780
2021 : UFCW LOCAL 2013 ANNUITY FUND 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$63,790
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$56,830
Total income from all sources (including contributions)2021-12-31$5,764,011
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,614,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,761,621
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,093,759
Value of total assets at end of year2021-12-31$29,816,390
Value of total assets at beginning of year2021-12-31$26,659,672
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$852,632
Total interest from all sources2021-12-31$161,379
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,009,476
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,009,476
Administrative expenses professional fees incurred2021-12-31$57,115
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Funding deficiency by the employer to the plan for this plan year2021-12-31$0
Minimum employer required contribution for this plan year2021-12-31$3,093,759
Amount contributed by the employer to the plan for this plan year2021-12-31$3,093,759
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$85,555
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$34,014
Administrative expenses (other) incurred2021-12-31$85,043
Liabilities. Value of operating payables at end of year2021-12-31$63,790
Liabilities. Value of operating payables at beginning of year2021-12-31$56,830
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$3,149,758
Value of net assets at end of year (total assets less liabilities)2021-12-31$29,752,600
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$26,602,842
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$583,154
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$20,731,785
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$16,842,251
Interest earned on other investments2021-12-31$160,305
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$199,264
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$352,488
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$352,488
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$1,074
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$8,559,786
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$9,168,919
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,499,397
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,093,759
Employer contributions (assets) at end of year2021-12-31$240,000
Employer contributions (assets) at beginning of year2021-12-31$262,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,761,621
Contract administrator fees2021-12-31$127,320
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SCHULTHEIS & PANETTIERI LLP
Accountancy firm EIN2021-12-31131577780
2020 : UFCW LOCAL 2013 ANNUITY FUND 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$56,830
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$86,500
Total income from all sources (including contributions)2020-12-31$5,488,848
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,272,558
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,472,507
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,941,700
Value of total assets at end of year2020-12-31$26,659,672
Value of total assets at beginning of year2020-12-31$23,473,052
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$800,051
Total interest from all sources2020-12-31$369,940
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$177,973
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$177,973
Administrative expenses professional fees incurred2020-12-31$59,160
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Funding deficiency by the employer to the plan for this plan year2020-12-31$0
Minimum employer required contribution for this plan year2020-12-31$2,941,700
Amount contributed by the employer to the plan for this plan year2020-12-31$2,941,700
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$34,014
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$105,278
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Administrative expenses (other) incurred2020-12-31$64,175
Liabilities. Value of operating payables at end of year2020-12-31$56,830
Liabilities. Value of operating payables at beginning of year2020-12-31$86,500
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,216,290
Value of net assets at end of year (total assets less liabilities)2020-12-31$26,602,842
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$23,386,552
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$542,988
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$16,842,251
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$13,249,053
Interest earned on other investments2020-12-31$368,380
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$352,488
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$298,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$298,857
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$1,560
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$9,168,919
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$9,317,864
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,999,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,941,700
Employer contributions (assets) at end of year2020-12-31$262,000
Employer contributions (assets) at beginning of year2020-12-31$502,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,472,507
Contract administrator fees2020-12-31$133,728
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2020-12-31131577780
2019 : UFCW LOCAL 2013 ANNUITY FUND 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$86,500
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$293,448
Total income from all sources (including contributions)2019-12-31$5,263,839
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,259,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,360,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,836,907
Value of total assets at end of year2019-12-31$23,473,052
Value of total assets at beginning of year2019-12-31$21,675,459
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$898,851
Total interest from all sources2019-12-31$365,212
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$155,342
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$155,342
Administrative expenses professional fees incurred2019-12-31$52,773
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Funding deficiency by the employer to the plan for this plan year2019-12-31$0
Minimum employer required contribution for this plan year2019-12-31$2,836,907
Amount contributed by the employer to the plan for this plan year2019-12-31$2,836,907
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$105,278
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$3,458
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$240,424
Administrative expenses (other) incurred2019-12-31$75,283
Liabilities. Value of operating payables at end of year2019-12-31$86,500
Liabilities. Value of operating payables at beginning of year2019-12-31$53,024
Total non interest bearing cash at end of year2019-12-31$0
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,004,541
Value of net assets at end of year (total assets less liabilities)2019-12-31$23,386,552
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$21,382,011
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$595,170
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$13,249,053
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$10,489,203
Interest earned on other investments2019-12-31$362,439
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$298,857
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$566,161
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$566,161
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$2,773
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$9,317,864
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$10,196,637
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,906,378
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$2,836,907
Employer contributions (assets) at end of year2019-12-31$502,000
Employer contributions (assets) at beginning of year2019-12-31$420,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,360,447
Contract administrator fees2019-12-31$175,625
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2019-12-31131577780
2018 : UFCW LOCAL 2013 ANNUITY FUND 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$293,448
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$149,060
Total income from all sources (including contributions)2018-12-31$3,060,453
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$4,635,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,707,579
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,467,087
Value of total assets at end of year2018-12-31$21,675,459
Value of total assets at beginning of year2018-12-31$23,106,432
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$928,235
Total interest from all sources2018-12-31$208,285
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$454,643
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$454,643
Administrative expenses professional fees incurred2018-12-31$60,832
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Funding deficiency by the employer to the plan for this plan year2018-12-31$0
Minimum employer required contribution for this plan year2018-12-31$3,467,087
Amount contributed by the employer to the plan for this plan year2018-12-31$3,467,087
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$3,458
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$3,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$240,424
Administrative expenses (other) incurred2018-12-31$72,289
Liabilities. Value of operating payables at end of year2018-12-31$53,024
Liabilities. Value of operating payables at beginning of year2018-12-31$149,060
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$39,178
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,575,361
Value of net assets at end of year (total assets less liabilities)2018-12-31$21,382,011
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$22,957,372
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$591,577
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$10,489,203
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$9,294,456
Interest earned on other investments2018-12-31$203,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$566,161
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$1,248,925
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$1,248,925
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$4,714
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$10,196,637
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$11,880,197
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,069,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$3,467,087
Employer contributions (assets) at end of year2018-12-31$420,000
Employer contributions (assets) at beginning of year2018-12-31$640,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,707,579
Contract administrator fees2018-12-31$203,537
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2018-12-31131577780
2017 : UFCW LOCAL 2013 ANNUITY FUND 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$149,060
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$135,121
Total income from all sources (including contributions)2017-12-31$5,798,033
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$3,099,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,190,194
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$4,345,660
Value of total assets at end of year2017-12-31$23,106,432
Value of total assets at beginning of year2017-12-31$20,393,754
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$909,100
Total interest from all sources2017-12-31$225,687
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$221,609
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$221,609
Administrative expenses professional fees incurred2017-12-31$64,313
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Funding deficiency by the employer to the plan for this plan year2017-12-31$0
Minimum employer required contribution for this plan year2017-12-31$4,345,660
Amount contributed by the employer to the plan for this plan year2017-12-31$4,345,660
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$3,676
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$183,266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$78,295
Administrative expenses (other) incurred2017-12-31$68,386
Liabilities. Value of operating payables at end of year2017-12-31$149,060
Liabilities. Value of operating payables at beginning of year2017-12-31$56,826
Total non interest bearing cash at end of year2017-12-31$39,178
Total non interest bearing cash at beginning of year2017-12-31$489,944
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,698,739
Value of net assets at end of year (total assets less liabilities)2017-12-31$22,957,372
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$20,258,633
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$574,714
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$9,294,456
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,369,391
Interest earned on other investments2017-12-31$225,687
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$1,248,925
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$639,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$639,170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$11,880,197
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$13,174,983
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,005,077
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,345,660
Employer contributions (assets) at end of year2017-12-31$640,000
Employer contributions (assets) at beginning of year2017-12-31$537,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,190,194
Contract administrator fees2017-12-31$201,687
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2017-12-31131577780
2016 : UFCW LOCAL 2013 ANNUITY FUND 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$135,121
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$111,661
Total income from all sources (including contributions)2016-12-31$4,595,752
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,981,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,326,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$4,098,730
Value of total assets at end of year2016-12-31$20,393,754
Value of total assets at beginning of year2016-12-31$17,756,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$655,140
Total interest from all sources2016-12-31$254,651
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$172,920
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$172,920
Administrative expenses professional fees incurred2016-12-31$64,285
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Funding deficiency by the employer to the plan for this plan year2016-12-31$0
Minimum employer required contribution for this plan year2016-12-31$4,098,730
Amount contributed by the employer to the plan for this plan year2016-12-31$4,098,730
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$183,266
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$78,295
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$53,507
Administrative expenses (other) incurred2016-12-31$264,213
Liabilities. Value of operating payables at end of year2016-12-31$56,826
Liabilities. Value of operating payables at beginning of year2016-12-31$58,154
Total non interest bearing cash at end of year2016-12-31$489,944
Total non interest bearing cash at beginning of year2016-12-31$683,125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,614,172
Value of net assets at end of year (total assets less liabilities)2016-12-31$20,258,633
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$17,644,461
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$326,642
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,369,391
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$1,476,293
Interest earned on other investments2016-12-31$254,651
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$639,170
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$634,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$634,844
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$13,174,983
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$14,211,860
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$69,451
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$4,098,730
Employer contributions (assets) at end of year2016-12-31$537,000
Employer contributions (assets) at beginning of year2016-12-31$750,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,326,440
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2016-12-31131577780
2015 : UFCW LOCAL 2013 ANNUITY FUND 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$111,661
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$135,208
Total income from all sources (including contributions)2015-12-31$4,603,074
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,228,993
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$871,598
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,369,285
Value of total assets at end of year2015-12-31$17,756,122
Value of total assets at beginning of year2015-12-31$14,405,588
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$357,395
Total interest from all sources2015-12-31$140,233
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$140,655
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$140,655
Administrative expenses professional fees incurred2015-12-31$61,710
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,500,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$4,369,285
Amount contributed by the employer to the plan for this plan year2015-12-31$4,369,285
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$53,507
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$86,194
Administrative expenses (other) incurred2015-12-31$293,354
Liabilities. Value of operating payables at end of year2015-12-31$58,154
Liabilities. Value of operating payables at beginning of year2015-12-31$49,014
Total non interest bearing cash at end of year2015-12-31$683,125
Total non interest bearing cash at beginning of year2015-12-31$844,006
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,374,081
Value of net assets at end of year (total assets less liabilities)2015-12-31$17,644,461
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$14,270,380
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$2,331
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$1,476,293
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$7,573,019
Interest earned on other investments2015-12-31$140,233
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$634,844
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,871,319
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,871,319
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$14,211,860
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$2,799,244
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-47,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$4,369,285
Employer contributions (assets) at end of year2015-12-31$750,000
Employer contributions (assets) at beginning of year2015-12-31$1,318,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$871,598
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2015-12-31131577780
2014 : UFCW LOCAL 2013 ANNUITY FUND 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$135,208
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$204,356
Total income from all sources (including contributions)2014-12-31$4,230,382
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$835,676
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$509,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,959,551
Value of total assets at end of year2014-12-31$14,405,588
Value of total assets at beginning of year2014-12-31$11,080,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$325,801
Total interest from all sources2014-12-31$84,676
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$108,003
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$108,003
Administrative expenses professional fees incurred2014-12-31$56,778
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$3,959,551
Amount contributed by the employer to the plan for this plan year2014-12-31$3,959,551
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$45,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$86,194
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$161,275
Administrative expenses (other) incurred2014-12-31$265,027
Liabilities. Value of operating payables at end of year2014-12-31$49,014
Liabilities. Value of operating payables at beginning of year2014-12-31$43,081
Total non interest bearing cash at end of year2014-12-31$844,006
Total non interest bearing cash at beginning of year2014-12-31$255,889
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$3,394,706
Value of net assets at end of year (total assets less liabilities)2014-12-31$14,270,380
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$10,875,674
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$3,996
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$7,573,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,656,981
Interest earned on other investments2014-12-31$84,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,871,319
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$2,086,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$2,086,457
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$2,799,244
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,717,924
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$78,152
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$3,959,551
Employer contributions (assets) at end of year2014-12-31$1,318,000
Employer contributions (assets) at beginning of year2014-12-31$317,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$509,875
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2014-12-31131577780
2013 : UFCW LOCAL 2013 ANNUITY FUND 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$204,356
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$168,864
Total income from all sources (including contributions)2013-12-31$2,127,457
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$817,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$581,888
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,960,551
Value of total assets at end of year2013-12-31$11,080,030
Value of total assets at beginning of year2013-12-31$9,734,155
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$235,186
Total interest from all sources2013-12-31$164,704
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$62,031
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$62,031
Administrative expenses professional fees incurred2013-12-31$43,000
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$1,960,551
Amount contributed by the employer to the plan for this plan year2013-12-31$1,960,551
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$45,779
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$161,275
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$117,797
Administrative expenses (other) incurred2013-12-31$188,190
Liabilities. Value of operating payables at end of year2013-12-31$43,081
Liabilities. Value of operating payables at beginning of year2013-12-31$51,067
Total non interest bearing cash at end of year2013-12-31$255,889
Total non interest bearing cash at beginning of year2013-12-31$1,472,926
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,310,383
Value of net assets at end of year (total assets less liabilities)2013-12-31$10,875,674
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$9,565,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$3,996
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,656,981
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,654,778
Interest earned on other investments2013-12-31$164,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$2,086,457
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$75,035
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$75,035
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,717,924
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$4,283,416
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-59,829
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,960,551
Employer contributions (assets) at end of year2013-12-31$317,000
Employer contributions (assets) at beginning of year2013-12-31$248,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$581,888
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2013-12-31131577780
2012 : UFCW LOCAL 2013 ANNUITY FUND 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$168,864
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$94,453
Total income from all sources (including contributions)2012-12-31$2,080,859
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$771,814
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$598,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,799,867
Value of total assets at end of year2012-12-31$9,734,155
Value of total assets at beginning of year2012-12-31$8,350,699
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$172,931
Total interest from all sources2012-12-31$258,461
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$31,585
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$31,585
Administrative expenses professional fees incurred2012-12-31$77,029
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$1,799,867
Amount contributed by the employer to the plan for this plan year2012-12-31$1,799,867
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$35,052
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$117,797
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$34,393
Administrative expenses (other) incurred2012-12-31$92,572
Liabilities. Value of operating payables at end of year2012-12-31$51,067
Liabilities. Value of operating payables at beginning of year2012-12-31$60,060
Total non interest bearing cash at end of year2012-12-31$1,472,926
Total non interest bearing cash at beginning of year2012-12-31$432,412
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,309,045
Value of net assets at end of year (total assets less liabilities)2012-12-31$9,565,291
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$8,256,246
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$3,330
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,654,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$815,689
Interest earned on other investments2012-12-31$258,461
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$75,035
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$4,283,416
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$6,841,546
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$-9,054
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,799,867
Employer contributions (assets) at end of year2012-12-31$248,000
Employer contributions (assets) at beginning of year2012-12-31$226,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$598,883
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$2,816,558
Aggregate carrying amount (costs) on sale of assets2012-12-31$2,816,558
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31SHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2012-12-31131577780
2011 : UFCW LOCAL 2013 ANNUITY FUND 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$94,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$151,423
Total income from all sources (including contributions)2011-12-31$2,054,206
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$937,815
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$668,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,737,750
Value of total assets at end of year2011-12-31$8,350,699
Value of total assets at beginning of year2011-12-31$7,291,278
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$269,030
Total interest from all sources2011-12-31$292,055
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$19,797
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$19,797
Administrative expenses professional fees incurred2011-12-31$135,845
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$1,737,750
Amount contributed by the employer to the plan for this plan year2011-12-31$1,737,750
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$35,052
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,723
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$34,393
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$50,851
Other income not declared elsewhere2011-12-31$100
Administrative expenses (other) incurred2011-12-31$128,523
Liabilities. Value of operating payables at end of year2011-12-31$60,060
Liabilities. Value of operating payables at beginning of year2011-12-31$100,572
Total non interest bearing cash at end of year2011-12-31$432,412
Total non interest bearing cash at beginning of year2011-12-31$553,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,116,391
Value of net assets at end of year (total assets less liabilities)2011-12-31$8,256,246
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$7,139,855
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$4,662
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$815,689
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$791,388
Interest earned on other investments2011-12-31$292,055
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$6,841,546
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$5,799,491
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$4,504
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,737,750
Employer contributions (assets) at end of year2011-12-31$226,000
Employer contributions (assets) at beginning of year2011-12-31$144,814
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$668,785
Asset. Corporate debt instrument preferred debt at beginning of year2011-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31SCHULTHEIS & PANETTIERI, LLP
Accountancy firm EIN2011-12-31131577780
2010 : UFCW LOCAL 2013 ANNUITY FUND 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$12,512
Total unrealized appreciation/depreciation of assets2010-12-31$12,512
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$151,424
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$148,924
Total income from all sources (including contributions)2010-12-31$1,879,811
Total loss/gain on sale of assets2010-12-31$-14,011
Total of all expenses incurred2010-12-31$874,890
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$505,341
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,594,201
Value of total assets at end of year2010-12-31$7,291,278
Value of total assets at beginning of year2010-12-31$6,283,857
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$369,549
Total interest from all sources2010-12-31$267,276
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$7,307
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$7,307
Administrative expenses professional fees incurred2010-12-31$218,466
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$1,594,201
Amount contributed by the employer to the plan for this plan year2010-12-31$1,594,201
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,723
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$10,729
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$50,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$75,357
Other income not declared elsewhere2010-12-31$12,526
Administrative expenses (other) incurred2010-12-31$147,753
Liabilities. Value of operating payables at end of year2010-12-31$100,572
Liabilities. Value of operating payables at beginning of year2010-12-31$73,567
Total non interest bearing cash at end of year2010-12-31$553,862
Total non interest bearing cash at beginning of year2010-12-31$232,592
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,004,921
Value of net assets at end of year (total assets less liabilities)2010-12-31$7,139,854
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$6,134,933
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$3,330
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$791,388
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$66,850
Interest earned on other investments2010-12-31$265,708
Income. Interest from corporate debt instruments2010-12-31$354
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$116,458
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$116,458
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$1,214
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$5,799,491
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$5,235,507
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,594,201
Employer contributions (assets) at end of year2010-12-31$144,814
Employer contributions (assets) at beginning of year2010-12-31$69,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$505,341
Asset. Corporate debt instrument preferred debt at end of year2010-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2010-12-31$360,163
Asset. Corporate debt instrument debt (other) at end of year2010-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2010-12-31$192,455
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$632,131
Aggregate carrying amount (costs) on sale of assets2010-12-31$646,142
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31BUCHBINDER TUNICK & CO., LLP
Accountancy firm EIN2010-12-31131578842
2009 : UFCW LOCAL 2013 ANNUITY FUND 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$1,507,716
Amount contributed by the employer to the plan for this plan year2009-12-31$1,507,716

Form 5500 Responses for UFCW LOCAL 2013 ANNUITY FUND

2022: UFCW LOCAL 2013 ANNUITY FUND 2022 form 5500 responses
2022-01-01Type of plan entityMulti-employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UFCW LOCAL 2013 ANNUITY FUND 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UFCW LOCAL 2013 ANNUITY FUND 2020 form 5500 responses
2020-01-01Type of plan entityMulti-employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UFCW LOCAL 2013 ANNUITY FUND 2019 form 5500 responses
2019-01-01Type of plan entityMulti-employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UFCW LOCAL 2013 ANNUITY FUND 2018 form 5500 responses
2018-01-01Type of plan entityMulti-employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UFCW LOCAL 2013 ANNUITY FUND 2017 form 5500 responses
2017-01-01Type of plan entityMulti-employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: UFCW LOCAL 2013 ANNUITY FUND 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: UFCW LOCAL 2013 ANNUITY FUND 2015 form 5500 responses
2015-01-01Type of plan entityMulti-employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: UFCW LOCAL 2013 ANNUITY FUND 2014 form 5500 responses
2014-01-01Type of plan entityMulti-employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: UFCW LOCAL 2013 ANNUITY FUND 2013 form 5500 responses
2013-01-01Type of plan entityMulti-employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: UFCW LOCAL 2013 ANNUITY FUND 2012 form 5500 responses
2012-01-01Type of plan entityMulti-employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: UFCW LOCAL 2013 ANNUITY FUND 2011 form 5500 responses
2011-01-01Type of plan entityMulti-employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: UFCW LOCAL 2013 ANNUITY FUND 2009 form 5500 responses
2009-01-01Type of plan entityMulti-employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28246
Policy instance 1
Insurance contract or identification numberGA28246
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28246
Policy instance 1
Insurance contract or identification numberGA28246
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28246
Policy instance 1
Insurance contract or identification numberGA28246
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28246
Policy instance 1
Insurance contract or identification numberGA28246
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28246
Policy instance 1
Insurance contract or identification numberGA28246
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberODP48012085
Policy instance 2
Insurance contract or identification numberODP48012085
Insurance policy start date2014-03-01
Insurance policy end date2015-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberFX26001886
Policy instance 1
Insurance contract or identification numberFX26001886
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28246
Policy instance 3
Insurance contract or identification numberGA28246
Insurance policy start date2015-08-03
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number00DA06453
Policy instance 4
Insurance contract or identification number00DA06453
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number00DA06453
Policy instance 3
Insurance contract or identification number00DA06453
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberODP48012085
Policy instance 2
Insurance contract or identification numberODP48012085
Insurance policy start date2013-03-01
Insurance policy end date2014-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberFX26001886
Policy instance 1
Insurance contract or identification numberFX26001886
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberODP48012085
Policy instance 2
Insurance contract or identification numberODP48012085
Insurance policy start date2012-03-01
Insurance policy end date2013-02-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number8100645750
Policy instance 4
Insurance contract or identification number8100645750
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract number00DA06453
Policy instance 5
Insurance contract or identification number00DA06453
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberFX26001886
Policy instance 1
Insurance contract or identification numberFX26001886
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number8100593281
Policy instance 3
Insurance contract or identification number8100593281
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number712545638
Policy instance 1
Insurance contract or identification number712545638
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract numberDA06453
Policy instance 7
Insurance contract or identification numberDA06453
Number of Individuals Covered8761
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number8100593281
Policy instance 5
Insurance contract or identification number8100593281
Number of Individuals Covered8761
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberODP48012085
Policy instance 4
Insurance contract or identification numberODP48012085
Number of Individuals Covered8761
Insurance policy start date2011-03-01
Insurance policy end date2012-02-28
Total amount of commissions paid to insurance brokerUSD $20,000
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,000
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTOWER SQUARE SECURITIES, INC
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract numberFX26001886
Policy instance 3
Insurance contract or identification numberFX26001886
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number712561475
Policy instance 2
Insurance contract or identification number712561475
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number8100645750
Policy instance 6
Insurance contract or identification number8100645750
Number of Individuals Covered8761
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract numberDA06453
Policy instance 7
Insurance contract or identification numberDA06453
Number of Individuals Covered8085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60992 )
Policy contract number8100645750
Policy instance 6
Insurance contract or identification number8100645750
Number of Individuals Covered8085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METLIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60992 )
Policy contract number8100593281
Policy instance 5
Insurance contract or identification number8100593281
Number of Individuals Covered8085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberODP48012085
Policy instance 4
Insurance contract or identification numberODP48012085
Number of Individuals Covered8085
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $32,500
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 23160 )
Policy contract numberFX26001886
Policy instance 3
Insurance contract or identification numberFX26001886
Number of Individuals Covered8085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number712561475
Policy instance 2
Insurance contract or identification number712561475
Number of Individuals Covered8085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number712545638
Policy instance 1
Insurance contract or identification number712545638
Number of Individuals Covered8085
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60992 )
Policy contract number8100645750
Policy instance 7
Insurance contract or identification number8100645750
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY MUTUAL LIFE INSURANCE COMPANY OF NY (National Association of Insurance Commissioners NAIC id number: 68772 )
Policy contract numberDA06453
Policy instance 6
Insurance contract or identification numberDA06453
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberODP48012085
Policy instance 5
Insurance contract or identification numberODP48012085
Number of Individuals Covered1
Insurance policy start date2010-03-01
Insurance policy end date2011-02-28
Total amount of commissions paid to insurance brokerUSD $32,500
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 23160 )
Policy contract numberFX26001886
Policy instance 4
Insurance contract or identification numberFX26001886
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60992 )
Policy contract number8100593281
Policy instance 3
Insurance contract or identification number8100593281
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number712561475
Policy instance 2
Insurance contract or identification number712561475
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number712545638
Policy instance 1
Insurance contract or identification number712545638
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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