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EMPLOYEE BENEFIT PLAN OF SBLM PC 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF SBLM PC
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF SBLM PC Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

SBLM ARCHITECTS, P.C. has sponsored the creation of one or more 401k plans.

Company Name:SBLM ARCHITECTS, P.C.
Employer identification number (EIN):133723374
NAIC Classification:541310
NAIC Description:Architectural Services

Additional information about SBLM ARCHITECTS, P.C.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1993-06-17
Company Identification Number: 1735478
Legal Registered Office Address: 545 WEST 45TH STREET
4TH FLOOR
NEW YORK
United States of America (USA)
10036

More information about SBLM ARCHITECTS, P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF SBLM PC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01FRANCOIS DEPARDON2020-07-08
0012018-01-01FRANCOIS DEPARDON2019-06-17
0012018-01-01
0012017-01-01FRANCOIS DEPARDON
0012017-01-01FRANCOIS DEPARDON2018-04-23
0012016-01-01FRANCOIS DEPARDON2017-05-31 FRANCOIS DEPARDON2017-05-31
0012015-01-01FRANCOIS DEPARDON2016-07-20 FRANCOIS DEPARDON2016-07-20
0012014-01-01AMELA DJOKOVIC2015-06-12
0012013-01-01LORA JONES2014-07-18
0012012-01-01SILVIA VEGA2015-09-08
0012011-01-01JOSHUA BURDICK2012-06-22
0012010-01-01JOSHUA BURDICK2011-07-20

Plan Statistics for EMPLOYEE BENEFIT PLAN OF SBLM PC

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF SBLM PC

Measure Date Value
2022: EMPLOYEE BENEFIT PLAN OF SBLM PC 2022 401k membership
Total participants, beginning-of-year2022-01-0192
Total number of active participants reported on line 7a of the Form 55002022-01-0186
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0122
Total of all active and inactive participants2022-01-01108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01108
Number of participants with account balances2022-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-017
2021: EMPLOYEE BENEFIT PLAN OF SBLM PC 2021 401k membership
Total participants, beginning-of-year2021-01-01102
Total number of active participants reported on line 7a of the Form 55002021-01-0173
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0119
Total of all active and inactive participants2021-01-0192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0192
Number of participants with account balances2021-01-0171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-014
2020: EMPLOYEE BENEFIT PLAN OF SBLM PC 2020 401k membership
Total participants, beginning-of-year2020-01-01119
Total number of active participants reported on line 7a of the Form 55002020-01-0174
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0128
Total of all active and inactive participants2020-01-01102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01102
Number of participants with account balances2020-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2018: EMPLOYEE BENEFIT PLAN OF SBLM PC 2018 401k membership
Total participants, beginning-of-year2018-01-01113
Total number of active participants reported on line 7a of the Form 55002018-01-0187
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0127
Total of all active and inactive participants2018-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01114
Number of participants with account balances2018-01-0186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0111
2017: EMPLOYEE BENEFIT PLAN OF SBLM PC 2017 401k membership
Total participants, beginning-of-year2017-01-01116
Total number of active participants reported on line 7a of the Form 55002017-01-0192
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0121
Total of all active and inactive participants2017-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01113
Number of participants with account balances2017-01-0186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-016

Financial Data on EMPLOYEE BENEFIT PLAN OF SBLM PC

Measure Date Value
2022 : EMPLOYEE BENEFIT PLAN OF SBLM PC 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,360,257
Expenses. Total of all expenses incurred2022-12-31$836,967
Benefits paid (including direct rollovers)2022-12-31$796,124
Total plan assets at end of year2022-12-31$7,717,565
Total plan assets at beginning of year2022-12-31$9,914,789
Value of fidelity bond covering the plan2022-12-31$5,500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$405,695
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-1,845,055
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-2,197,224
Net plan assets at end of year (total assets less liabilities)2022-12-31$7,717,565
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$9,914,789
Assets. Value of participant loans2022-12-31$73,359
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$79,103
Value of certain deemed distributions of participant loans2022-12-31$2,088
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$38,755
2021 : EMPLOYEE BENEFIT PLAN OF SBLM PC 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,714,463
Expenses. Total of all expenses incurred2021-12-31$2,102,290
Benefits paid (including direct rollovers)2021-12-31$2,024,175
Total plan assets at end of year2021-12-31$9,914,789
Total plan assets at beginning of year2021-12-31$10,302,616
Value of fidelity bond covering the plan2021-12-31$5,500,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$413,725
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$3,347
Other income received2021-12-31$1,215,486
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$-387,827
Net plan assets at end of year (total assets less liabilities)2021-12-31$9,914,789
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$10,302,616
Assets. Value of participant loans2021-12-31$52,005
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$81,905
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$35,781
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$42,334
2020 : EMPLOYEE BENEFIT PLAN OF SBLM PC 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$1,974,862
Expenses. Total of all expenses incurred2020-12-31$1,091,289
Benefits paid (including direct rollovers)2020-12-31$1,089,899
Total plan assets at end of year2020-12-31$10,302,616
Total plan assets at beginning of year2020-12-31$9,419,043
Value of fidelity bond covering the plan2020-12-31$5,500,000
Total contributions received or receivable from participants2020-12-31$430,371
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$1,463,311
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$883,573
Net plan assets at end of year (total assets less liabilities)2020-12-31$10,302,616
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$9,419,043
Assets. Value of participant loans2020-12-31$83,084
Total contributions received or receivable from employer(s)2020-12-31$81,180
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$1,390
2018 : EMPLOYEE BENEFIT PLAN OF SBLM PC 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$388,772
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$235,380
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$229,628
Expenses. Certain deemed distributions of participant loans2018-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$881,545
Value of total assets at end of year2018-12-31$7,521,103
Value of total assets at beginning of year2018-12-31$7,367,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$5,752
Total interest from all sources2018-12-31$7,243
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$395,657
Participant contributions at end of year2018-12-31$40,133
Participant contributions at beginning of year2018-12-31$95,449
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$400,282
Other income not declared elsewhere2018-12-31$0
Administrative expenses (other) incurred2018-12-31$5,752
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$153,392
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,521,103
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,367,711
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$7,094,474
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$6,867,416
Interest on participant loans2018-12-31$3,263
Interest earned on other investments2018-12-31$3,980
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$386,496
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$404,846
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from pooled separate accounts2018-12-31$-500,016
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$85,606
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$229,628
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)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
2017 : EMPLOYEE BENEFIT PLAN OF SBLM PC 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,449,807
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$152,730
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$105,400
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$506,677
Value of total assets at end of year2017-12-31$7,367,711
Value of total assets at beginning of year2017-12-31$6,070,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$47,330
Total interest from all sources2017-12-31$7,916
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$406,893
Participant contributions at end of year2017-12-31$95,449
Participant contributions at beginning of year2017-12-31$122,949
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$75
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$47,330
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$1,297,077
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,367,711
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,070,634
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$6,867,416
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,753,309
Interest on participant loans2017-12-31$4,288
Interest earned on other investments2017-12-31$3,628
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$404,846
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$194,376
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$935,214
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$99,709
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$105,400
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)2017-12-31Yes

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF SBLM PC

2022: EMPLOYEE BENEFIT PLAN OF SBLM PC 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE BENEFIT PLAN OF SBLM PC 2021 form 5500 responses
2021-01-01Type of plan entitySingle 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 planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE BENEFIT PLAN OF SBLM PC 2020 form 5500 responses
2020-01-01Type of plan entitySingle 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 planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE BENEFIT PLAN OF SBLM PC 2018 form 5500 responses
2018-01-01Type of plan entitySingle 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 planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: EMPLOYEE BENEFIT PLAN OF SBLM PC 2017 form 5500 responses
2017-01-01Type of plan entitySingle 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 planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089062 E
Policy instance 1
Insurance contract or identification number089062 E
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-10-14
Total amount of fees paid to insurance companyUSD $1,028
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1028
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089062E
Policy instance 1
Insurance contract or identification number089062E
Number of Individuals Covered114
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,623
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $0
Amount paid for insurance broker fees1623
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089062E
Policy instance 1
Insurance contract or identification number089062E
Number of Individuals Covered113
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 $1,567
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $0
Amount paid for insurance broker fees1567
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameNEW YORK CITY REGIONAL OFFICE

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