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D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameD & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN
Plan identification number 001

D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(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.
  • 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.

401k Sponsoring company profile

D & S ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name:D & S ENTERPRISES, INC.
Employer identification number (EIN):205226466
NAIC Classification:811110
NAIC Description: Automotive Mechanical and Electrical Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DOUGLAS VLASTUIN2023-08-17
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01DOUGLAS VLASTUIN DOUGLAS VLASTUIN2019-06-02
0012017-01-01DOUGLAS VLASTUIN
0012016-01-01DOUGLAS VLASTUIN
0012015-01-01DOUGLAS VLASTUIN
0012014-01-01DOUGLAS VLASTUIN
0012013-01-01DOUGLAS VLASTUIN
0012012-01-01DOUGLAS VLASTUIN
0012011-01-01DOUGLAS VLASTUIN
0012009-01-01DOUGLAS VLASTUIN DOUGLAS VLASTUIN2010-10-08
0012009-01-01DOUGLAS VLASTUIN DOUGLAS VLASTUIN2010-12-16

Plan Statistics for D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2021: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-018
Total number of active participants reported on line 7a of the Form 55002021-01-017
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-017
Number of participants with account balances2021-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-017
Total number of active participants reported on line 7a of the Form 55002020-01-019
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0110
Number of participants with account balances2020-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-016
Total number of active participants reported on line 7a of the Form 55002019-01-017
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-017
Number of participants with account balances2019-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-016
Total number of active participants reported on line 7a of the Form 55002018-01-016
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-016
Number of participants with account balances2018-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-015
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-015
Number of participants with account balances2017-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-013
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-013
Number of participants with account balances2016-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-015
Total number of active participants reported on line 7a of the Form 55002015-01-014
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014
Number of participants with account balances2015-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012
Total number of active participants reported on line 7a of the Form 55002014-01-013
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-013
Number of participants with account balances2014-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012
Total number of active participants reported on line 7a of the Form 55002013-01-012
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-012
Number of participants with account balances2013-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012
Total number of active participants reported on line 7a of the Form 55002012-01-012
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-012
Number of participants with account balances2012-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012
Total number of active participants reported on line 7a of the Form 55002011-01-012
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-012
Number of participants with account balances2011-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012
Total number of active participants reported on line 7a of the Form 55002009-01-012
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-012
Number of participants with account balances2009-01-012

Financial Data on D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2021 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$59,682
Expenses. Total of all expenses incurred2021-12-31$19,499
Benefits paid (including direct rollovers)2021-12-31$16,832
Total plan assets at end of year2021-12-31$311,478
Total plan assets at beginning of year2021-12-31$271,295
Value of fidelity bond covering the plan2021-12-31$25,000
Total contributions received or receivable from participants2021-12-31$23,741
Other income received2021-12-31$19,403
Net income (gross income less expenses)2021-12-31$40,183
Net plan assets at end of year (total assets less liabilities)2021-12-31$311,478
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$271,295
Assets. Value of employer securities2021-12-31$5,000
Total contributions received or receivable from employer(s)2021-12-31$16,538
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$2,667
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$177,844
Expenses. Total of all expenses incurred2020-12-31$0
Total plan assets at end of year2020-12-31$271,295
Total plan assets at beginning of year2020-12-31$93,451
Value of fidelity bond covering the plan2020-12-31$25,000
Total contributions received or receivable from participants2020-12-31$16,637
Other income received2020-12-31$148,375
Net income (gross income less expenses)2020-12-31$177,844
Net plan assets at end of year (total assets less liabilities)2020-12-31$271,295
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$93,451
Assets. Value of employer securities2020-12-31$162,004
Total contributions received or receivable from employer(s)2020-12-31$12,832
2019 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$45,043
Expenses. Total of all expenses incurred2019-12-31$0
Total plan assets at end of year2019-12-31$93,451
Total plan assets at beginning of year2019-12-31$48,408
Value of fidelity bond covering the plan2019-12-31$25,000
Total contributions received or receivable from participants2019-12-31$11,145
Other income received2019-12-31$24,193
Net income (gross income less expenses)2019-12-31$45,043
Net plan assets at end of year (total assets less liabilities)2019-12-31$93,451
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$48,408
Assets. Value of employer securities2019-12-31$25,991
Total contributions received or receivable from employer(s)2019-12-31$9,705
2018 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$-59,538
Expenses. Total of all expenses incurred2018-12-31$11,724
Benefits paid (including direct rollovers)2018-12-31$11,724
Total plan assets at end of year2018-12-31$48,408
Total plan assets at beginning of year2018-12-31$119,670
Value of fidelity bond covering the plan2018-12-31$25,000
Total contributions received or receivable from participants2018-12-31$4,877
Other income received2018-12-31$-67,881
Net income (gross income less expenses)2018-12-31$-71,262
Net plan assets at end of year (total assets less liabilities)2018-12-31$48,408
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$119,670
Assets. Value of employer securities2018-12-31$10,964
Total contributions received or receivable from employer(s)2018-12-31$3,466
2017 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$-32,165
Expenses. Total of all expenses incurred2017-12-31$756
Total plan assets at end of year2017-12-31$119,670
Total plan assets at beginning of year2017-12-31$152,591
Value of fidelity bond covering the plan2017-12-31$25,000
Total contributions received or receivable from participants2017-12-31$6,417
Other income received2017-12-31$-46,145
Net income (gross income less expenses)2017-12-31$-32,921
Net plan assets at end of year (total assets less liabilities)2017-12-31$119,670
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$152,591
Assets. Value of employer securities2017-12-31$74,983
Total contributions received or receivable from employer(s)2017-12-31$7,563
Value of corrective distributions2017-12-31$756
2016 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$23,547
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$152,591
Total plan assets at beginning of year2016-12-31$129,044
Value of fidelity bond covering the plan2016-12-31$25,000
Total contributions received or receivable from participants2016-12-31$4,800
Other income received2016-12-31$13,947
Net income (gross income less expenses)2016-12-31$23,547
Net plan assets at end of year (total assets less liabilities)2016-12-31$152,591
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$129,044
Assets. Value of employer securities2016-12-31$125,969
Total contributions received or receivable from employer(s)2016-12-31$4,800
2015 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$69,732
Expenses. Total of all expenses incurred2015-12-31$0
Total plan assets at end of year2015-12-31$129,044
Total plan assets at beginning of year2015-12-31$59,312
Value of fidelity bond covering the plan2015-12-31$25,000
Total contributions received or receivable from participants2015-12-31$2,125
Other income received2015-12-31$65,482
Net income (gross income less expenses)2015-12-31$69,732
Net plan assets at end of year (total assets less liabilities)2015-12-31$129,044
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$59,312
Assets. Value of participant loans2015-12-31$90
Assets. Value of employer securities2015-12-31$113,012
Total contributions received or receivable from employer(s)2015-12-31$2,125
2014 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$5,622
Total plan assets at end of year2014-12-31$59,312
Total plan assets at beginning of year2014-12-31$53,690
Total contributions received or receivable from participants2014-12-31$2,225
Other income received2014-12-31$3,397
Net income (gross income less expenses)2014-12-31$5,622
Net plan assets at end of year (total assets less liabilities)2014-12-31$59,312
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$53,690
Assets. Value of participant loans2014-12-31$923
Assets. Value of employer securities2014-12-31$46,999
2013 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$5,373
Total plan assets at end of year2013-12-31$53,690
Total plan assets at beginning of year2013-12-31$48,317
Total contributions received or receivable from participants2013-12-31$150
Other income received2013-12-31$5,223
Net income (gross income less expenses)2013-12-31$5,373
Net plan assets at end of year (total assets less liabilities)2013-12-31$53,690
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$48,317
Assets. Value of participant loans2013-12-31$923
Assets. Value of employer securities2013-12-31$44,009
2012 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$8,736
Total plan assets at end of year2012-12-31$48,317
Total plan assets at beginning of year2012-12-31$39,581
Total contributions received or receivable from participants2012-12-31$600
Other income received2012-12-31$8,136
Net income (gross income less expenses)2012-12-31$8,736
Net plan assets at end of year (total assets less liabilities)2012-12-31$48,317
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$39,581
Assets. Value of participant loans2012-12-31$590
Assets. Value of employer securities2012-12-31$38,795
2011 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$-15,390
Total plan assets at end of year2011-12-31$39,581
Total plan assets at beginning of year2011-12-31$54,971
Total contributions received or receivable from participants2011-12-31$700
Other income received2011-12-31$-16,090
Net income (gross income less expenses)2011-12-31$-15,390
Net plan assets at end of year (total assets less liabilities)2011-12-31$39,581
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$54,971
Assets. Value of participant loans2011-12-31$590
Assets. Value of employer securities2011-12-31$30,668
2010 : D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$39,652
Total plan assets at end of year2010-12-31$54,971
Total plan assets at beginning of year2010-12-31$15,319
Other income received2010-12-31$39,652
Net income (gross income less expenses)2010-12-31$39,652
Net plan assets at end of year (total assets less liabilities)2010-12-31$54,971
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$15,319
Assets. Value of participant loans2010-12-31$590
Assets. Value of employer securities2010-12-31$46,769

Form 5500 Responses for D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN

2021: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle 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 planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle 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 planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle 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 planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: D & S ENTERPRISES, INC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number123320
Policy instance 1
Insurance contract or identification number123320
Number of Individuals Covered9
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $68
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 fees68
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5

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