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CLUB ONE INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameCLUB ONE INC. PROFIT SHARING PLAN
Plan identification number 002

CLUB ONE INC. PROFIT SHARING PLAN 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
  • 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

CLUB ONE, INC. has sponsored the creation of one or more 401k plans.

Company Name:CLUB ONE, INC.
Employer identification number (EIN):251539155
NAIC Classification:713900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLUB ONE INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022020-01-01JONATHAN UNICO2021-06-04 JONATHAN UNICO2021-06-04
0022019-01-01JAMES ROSENBLOOM2020-05-04
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01
0022013-01-01
0022012-01-01JAMES ROSENBLOOM
0022011-01-01JAMES ROSENBLOOM
0022010-01-01JAMES ROSENBLOOM
0022009-01-01JAMES ROSENBLOOM

Plan Statistics for CLUB ONE INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CLUB ONE INC. PROFIT SHARING PLAN

Measure Date Value
2020: CLUB ONE INC. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CLUB ONE INC. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0115
Total number of active participants reported on line 7a of the Form 55002019-01-0114
Total of all active and inactive participants2019-01-0114
Total participants2019-01-0114
Number of participants with account balances2019-01-0114
2018: CLUB ONE INC. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Total of all active and inactive participants2018-01-0115
Total participants2018-01-0115
Number of participants with account balances2018-01-0115
2017: CLUB ONE INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117
Total number of active participants reported on line 7a of the Form 55002017-01-0116
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 participants2017-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0116
Number of participants with account balances2017-01-0116
2016: CLUB ONE INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0117
Total number of active participants reported on line 7a of the Form 55002016-01-0117
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 participants2016-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0117
Number of participants with account balances2016-01-0117
2015: CLUB ONE INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0118
Total number of active participants reported on line 7a of the Form 55002015-01-0117
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 participants2015-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0117
Number of participants with account balances2015-01-0117
2014: CLUB ONE INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0118
Total number of active participants reported on line 7a of the Form 55002014-01-0118
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 participants2014-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0118
Number of participants with account balances2014-01-0118
2013: CLUB ONE INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0117
Total number of active participants reported on line 7a of the Form 55002013-01-0118
Total of all active and inactive participants2013-01-0118
Total participants2013-01-0118
Number of participants with account balances2013-01-0118
2012: CLUB ONE INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0118
Total number of active participants reported on line 7a of the Form 55002012-01-0117
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 participants2012-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0117
Number of participants with account balances2012-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CLUB ONE INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-0118
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 participants2011-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0118
Number of participants with account balances2011-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CLUB ONE INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0119
Total number of active participants reported on line 7a of the Form 55002010-01-0119
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0119
Number of participants with account balances2010-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: CLUB ONE INC. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0118
Total number of active participants reported on line 7a of the Form 55002009-01-0119
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 participants2009-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0119
Number of participants with account balances2009-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CLUB ONE INC. PROFIT SHARING PLAN

Measure Date Value
2020 : CLUB ONE INC. PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$-39,804
Expenses. Total of all expenses incurred2020-12-31$1,094,284
Benefits paid (including direct rollovers)2020-12-31$1,091,855
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$1,134,088
Total contributions received or receivable from participants2020-12-31$2,297
Expenses. Other expenses not covered elsewhere2020-12-31$2,429
Other income received2020-12-31$-43,008
Net income (gross income less expenses)2020-12-31$-1,134,088
Net plan assets at end of year (total assets less liabilities)2020-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,134,088
Total contributions received or receivable from employer(s)2020-12-31$907
2019 : CLUB ONE INC. PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$280,405
Expenses. Total of all expenses incurred2019-12-31$87,476
Benefits paid (including direct rollovers)2019-12-31$74,778
Total plan assets at end of year2019-12-31$1,134,088
Total plan assets at beginning of year2019-12-31$941,159
Value of fidelity bond covering the plan2019-12-31$5,000
Total contributions received or receivable from participants2019-12-31$32,350
Expenses. Other expenses not covered elsewhere2019-12-31$12,698
Other income received2019-12-31$225,854
Net income (gross income less expenses)2019-12-31$192,929
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,134,088
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$941,159
Total contributions received or receivable from employer(s)2019-12-31$22,201
2018 : CLUB ONE INC. PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-106,979
Expenses. Total of all expenses incurred2018-12-31$1,120,294
Benefits paid (including direct rollovers)2018-12-31$1,096,175
Total plan assets at end of year2018-12-31$941,159
Total plan assets at beginning of year2018-12-31$2,168,432
Value of fidelity bond covering the plan2018-12-31$5,000
Total contributions received or receivable from participants2018-12-31$54,327
Expenses. Other expenses not covered elsewhere2018-12-31$24,119
Other income received2018-12-31$-188,937
Net income (gross income less expenses)2018-12-31$-1,227,273
Net plan assets at end of year (total assets less liabilities)2018-12-31$941,159
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,168,432
Total contributions received or receivable from employer(s)2018-12-31$27,631
2017 : CLUB ONE INC. PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$395,598
Expenses. Total of all expenses incurred2017-12-31$122,670
Benefits paid (including direct rollovers)2017-12-31$98,746
Total plan assets at end of year2017-12-31$2,168,432
Total plan assets at beginning of year2017-12-31$1,895,504
Value of fidelity bond covering the plan2017-12-31$5,000
Total contributions received or receivable from participants2017-12-31$59,660
Expenses. Other expenses not covered elsewhere2017-12-31$23,924
Other income received2017-12-31$308,669
Net income (gross income less expenses)2017-12-31$272,928
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,168,432
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,895,504
Total contributions received or receivable from employer(s)2017-12-31$27,269
2016 : CLUB ONE INC. PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$305,561
Expenses. Total of all expenses incurred2016-12-31$32,565
Benefits paid (including direct rollovers)2016-12-31$12,000
Total plan assets at end of year2016-12-31$1,895,504
Total plan assets at beginning of year2016-12-31$1,622,508
Value of fidelity bond covering the plan2016-12-31$5,000
Total contributions received or receivable from participants2016-12-31$69,975
Expenses. Other expenses not covered elsewhere2016-12-31$20,565
Other income received2016-12-31$204,101
Net income (gross income less expenses)2016-12-31$272,996
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,895,504
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,622,508
Total contributions received or receivable from employer(s)2016-12-31$31,485
2015 : CLUB ONE INC. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$33,891
Expenses. Total of all expenses incurred2015-12-31$50,275
Benefits paid (including direct rollovers)2015-12-31$30,656
Total plan assets at end of year2015-12-31$1,622,508
Total plan assets at beginning of year2015-12-31$1,638,892
Value of fidelity bond covering the plan2015-12-31$5,000
Total contributions received or receivable from participants2015-12-31$74,977
Expenses. Other expenses not covered elsewhere2015-12-31$19,619
Other income received2015-12-31$-73,771
Net income (gross income less expenses)2015-12-31$-16,384
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,622,508
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,638,892
Total contributions received or receivable from employer(s)2015-12-31$32,685
2014 : CLUB ONE INC. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$182,265
Expenses. Total of all expenses incurred2014-12-31$191,847
Benefits paid (including direct rollovers)2014-12-31$171,820
Total plan assets at end of year2014-12-31$1,638,892
Total plan assets at beginning of year2014-12-31$1,648,474
Value of fidelity bond covering the plan2014-12-31$5,000
Total contributions received or receivable from participants2014-12-31$72,624
Expenses. Other expenses not covered elsewhere2014-12-31$20,027
Other income received2014-12-31$77,309
Net income (gross income less expenses)2014-12-31$-9,582
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,638,892
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,648,474
Total contributions received or receivable from employer(s)2014-12-31$32,332
2013 : CLUB ONE INC. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$440,672
Expenses. Total of all expenses incurred2013-12-31$17,137
Total plan assets at end of year2013-12-31$1,648,474
Total plan assets at beginning of year2013-12-31$1,224,939
Value of fidelity bond covering the plan2013-12-31$5,000
Total contributions received or receivable from participants2013-12-31$81,193
Expenses. Other expenses not covered elsewhere2013-12-31$17,137
Other income received2013-12-31$327,562
Net income (gross income less expenses)2013-12-31$423,535
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,648,474
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,224,939
Total contributions received or receivable from employer(s)2013-12-31$31,917
2012 : CLUB ONE INC. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$257,361
Expenses. Total of all expenses incurred2012-12-31$14,287
Benefits paid (including direct rollovers)2012-12-31$895
Total plan assets at end of year2012-12-31$1,224,939
Total plan assets at beginning of year2012-12-31$981,865
Value of fidelity bond covering the plan2012-12-31$5,000
Total contributions received or receivable from participants2012-12-31$70,332
Expenses. Other expenses not covered elsewhere2012-12-31$13,392
Other income received2012-12-31$156,708
Net income (gross income less expenses)2012-12-31$243,074
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,224,939
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$981,865
Total contributions received or receivable from employer(s)2012-12-31$30,321
2011 : CLUB ONE INC. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$44,385
Expenses. Total of all expenses incurred2011-12-31$45,252
Benefits paid (including direct rollovers)2011-12-31$33,221
Total plan assets at end of year2011-12-31$981,865
Total plan assets at beginning of year2011-12-31$982,732
Value of fidelity bond covering the plan2011-12-31$5,000
Total contributions received or receivable from participants2011-12-31$67,217
Expenses. Other expenses not covered elsewhere2011-12-31$12,031
Contributions received from other sources (not participants or employers)2011-12-31$4,996
Other income received2011-12-31$-52,822
Net income (gross income less expenses)2011-12-31$-867
Net plan assets at end of year (total assets less liabilities)2011-12-31$981,865
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$982,732
Total contributions received or receivable from employer(s)2011-12-31$24,994
2010 : CLUB ONE INC. PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$253,934
Expenses. Total of all expenses incurred2010-12-31$11,283
Benefits paid (including direct rollovers)2010-12-31$1,499
Total plan assets at end of year2010-12-31$982,732
Total plan assets at beginning of year2010-12-31$740,081
Value of fidelity bond covering the plan2010-12-31$5,000
Total contributions received or receivable from participants2010-12-31$66,063
Expenses. Other expenses not covered elsewhere2010-12-31$9,784
Other income received2010-12-31$158,908
Net income (gross income less expenses)2010-12-31$242,651
Net plan assets at end of year (total assets less liabilities)2010-12-31$982,732
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$740,081
Total contributions received or receivable from employer(s)2010-12-31$28,963
2009 : CLUB ONE INC. PROFIT SHARING PLAN 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

Form 5500 Responses for CLUB ONE INC. PROFIT SHARING PLAN

2020: CLUB ONE INC. PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CLUB ONE INC. PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CLUB ONE INC. PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: CLUB ONE INC. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: CLUB ONE INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: CLUB ONE INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: CLUB ONE INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: CLUB ONE INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: CLUB ONE INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: CLUB ONE INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: CLUB ONE INC. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: CLUB ONE INC. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $64
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $64
Additional information about fees paid to insurance brokerCOMMISSION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered14
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,196
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered15
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,534
Commission paid to Insurance BrokerUSD $1,534
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered16
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,739
Commission paid to Insurance BrokerUSD $1,739
Insurance broker nameROBERT J. SPAGIARE SR.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered17
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $2,029
Commission paid to Insurance BrokerUSD $2,029
Insurance broker nameROBERT J. SPAGIARE SR.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered17
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,312
Commission paid to Insurance BrokerUSD $2,312
Insurance broker nameROBERT J. SPAGIARE SR.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered18
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,940
Commission paid to Insurance BrokerUSD $1,940
Insurance broker nameROBERT J. SPAGIARE SR.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered18
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,402
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $2,402
Insurance broker nameROBERT J. SPAGIARE SR.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered17
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,873
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $1,873
Insurance broker nameROBERT J. SPAGIARE SR.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered18
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,113
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number86025
Policy instance 1
Insurance contract or identification number86025
Number of Individuals Covered19
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,842
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $1,842
Insurance broker nameROBERT J. SPAGIARE SR.

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