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SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 401k Plan overview

Plan NameSOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN
Plan identification number 001

SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

SOUTHERN OREGON CARDIOLOGY LLC has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN OREGON CARDIOLOGY LLC
Employer identification number (EIN):270993855
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01KENT DAUTERMAN2023-09-19
0012021-01-01BRIAN MORRISON, MD2022-09-26
0012020-01-01BRIAN MORRISON, MD2021-03-25
0012019-01-01BRIAN MORRISON, MD2020-10-07
0012019-01-01BRIAN MORRISON, MD2021-03-25
0012018-01-01BRIAN MORRISON, MD2019-10-03
0012017-01-01
0012016-01-01
0012015-01-01
0012015-01-01
0012014-01-01TODD S. KOTLER, MD
0012013-01-01TODD S. KOTLER, MD
0012012-01-01TODD S. KOTLER, MD
0012011-01-01TODD S. KOTLER, MD
0012010-01-01TODD S. KOTLER, MD2011-09-19

Plan Statistics for SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN

401k plan membership statisitcs for SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN

Measure Date Value
2022: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01110
Total number of active participants reported on line 7a of the Form 55002022-01-0191
Number of retired or separated participants receiving benefits2022-01-018
Number of other retired or separated participants entitled to future benefits2022-01-0131
Total of all active and inactive participants2022-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01130
Number of participants with account balances2022-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0115
2021: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01133
Total number of active participants reported on line 7a of the Form 55002021-01-0177
Number of retired or separated participants receiving benefits2021-01-014
Number of other retired or separated participants entitled to future benefits2021-01-0129
Total of all active and inactive participants2021-01-01110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01110
Number of participants with account balances2021-01-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0112
2020: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01128
Total number of active participants reported on line 7a of the Form 55002020-01-0185
Number of retired or separated participants receiving benefits2020-01-018
Number of other retired or separated participants entitled to future benefits2020-01-0140
Total of all active and inactive participants2020-01-01133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01133
Number of participants with account balances2020-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0114
2019: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01120
Total number of active participants reported on line 7a of the Form 55002019-01-0198
Number of retired or separated participants receiving benefits2019-01-014
Number of other retired or separated participants entitled to future benefits2019-01-0126
Total of all active and inactive participants2019-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01128
Number of participants with account balances2019-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0114
2018: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01105
Total number of active participants reported on line 7a of the Form 55002018-01-0196
Number of retired or separated participants receiving benefits2018-01-014
Number of other retired or separated participants entitled to future benefits2018-01-0120
Total of all active and inactive participants2018-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01120
Number of participants with account balances2018-01-01120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-014
2017: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01102
Total number of active participants reported on line 7a of the Form 55002017-01-0185
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-0117
Total of all active and inactive participants2017-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01105
Number of participants with account balances2017-01-01105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-018
2016: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0191
Total number of active participants reported on line 7a of the Form 55002016-01-0186
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-0114
Total of all active and inactive participants2016-01-01102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01102
Number of participants with account balances2016-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-015
2015: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0188
Total number of active participants reported on line 7a of the Form 55002015-01-0180
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0191
Number of participants with account balances2015-01-0191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-014
2014: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0187
Total number of active participants reported on line 7a of the Form 55002014-01-0177
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-018
Total of all active and inactive participants2014-01-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0188
Number of participants with account balances2014-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0185
Total number of active participants reported on line 7a of the Form 55002013-01-0175
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0187
Number of participants with account balances2013-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0194
Total number of active participants reported on line 7a of the Form 55002012-01-0171
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0185
Number of participants with account balances2012-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-014
2011: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01111
Total number of active participants reported on line 7a of the Form 55002011-01-0174
Number of retired or separated participants receiving benefits2011-01-014
Number of other retired or separated participants entitled to future benefits2011-01-0116
Total of all active and inactive participants2011-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0194
Number of participants with account balances2011-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-017

Financial Data on SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN

Measure Date Value
2022 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-3,759,710
Total unrealized appreciation/depreciation of assets2022-12-31$-3,759,710
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$6,876
Total income from all sources (including contributions)2022-12-31$-2,464,017
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$680,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$597,775
Expenses. Certain deemed distributions of participant loans2022-12-31$7,744
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,672,318
Value of total assets at end of year2022-12-31$21,467,385
Value of total assets at beginning of year2022-12-31$24,618,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$74,601
Total interest from all sources2022-12-31$7,427
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$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
Contributions received from participants2022-12-31$663,326
Participant contributions at end of year2022-12-31$133,208
Participant contributions at beginning of year2022-12-31$216,135
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$18,131,793
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$21,065,590
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$633
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$1,507
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$955
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$6,876
Other income not declared elsewhere2022-12-31$-384,052
Administrative expenses (other) incurred2022-12-31$74,601
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,144,137
Value of net assets at end of year (total assets less liabilities)2022-12-31$21,467,385
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$24,611,522
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,983,527
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$2,355,688
Interest on participant loans2022-12-31$6,595
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$208,991
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$231,385
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$231,385
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$832
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
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$1,008,359
Employer contributions (assets) at end of year2022-12-31$1,008,359
Employer contributions (assets) at beginning of year2022-12-31$748,645
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$597,775
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 name2022-12-31KDP CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2022-12-31930745639
2021 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 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$6,876
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$396
Total income from all sources (including contributions)2021-12-31$5,474,133
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$7,315,014
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$7,254,494
Expenses. Certain deemed distributions of participant loans2021-12-31$7,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,398,762
Value of total assets at end of year2021-12-31$24,618,398
Value of total assets at beginning of year2021-12-31$26,452,799
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$52,653
Total interest from all sources2021-12-31$10,281
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$87,609
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$51,232
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$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
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$568,488
Participant contributions at end of year2021-12-31$216,135
Participant contributions at beginning of year2021-12-31$312,895
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Assets. Other investments not covered elsewhere at end of year2021-12-31$21,065,590
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$81,630
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$955
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$955
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$6,876
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$396
Other income not declared elsewhere2021-12-31$10,060
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,840,881
Value of net assets at end of year (total assets less liabilities)2021-12-31$24,611,522
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$26,452,403
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
Assets. partnership/joint venture interests at end of year2021-12-31$0
Assets. partnership/joint venture interests at beginning of year2021-12-31$0
Investment advisory and management fees2021-12-31$39,589
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$2,355,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$21,045,519
Interest on participant loans2021-12-31$10,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$231,385
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$738,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$738,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$35
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,967,421
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$748,644
Employer contributions (assets) at end of year2021-12-31$748,645
Employer contributions (assets) at beginning of year2021-12-31$781,450
Income. Dividends from common stock2021-12-31$36,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$7,254,494
Contract administrator fees2021-12-31$13,064
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$3,573,348
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 name2021-12-31KDP CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2021-12-31930745639
2020 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 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$396
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$22,292
Total income from all sources (including contributions)2020-12-31$5,670,952
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,691,553
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,657,255
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,413,161
Value of total assets at end of year2020-12-31$26,452,799
Value of total assets at beginning of year2020-12-31$22,495,296
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$34,298
Total interest from all sources2020-12-31$19,723
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$170,605
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$154,140
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$601,536
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$609,483
Participant contributions at end of year2020-12-31$312,895
Participant contributions at beginning of year2020-12-31$324,846
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$1,000
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$955
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$402,372
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$396
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$22,292
Other income not declared elsewhere2020-12-31$31,779
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
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$3,979,399
Value of net assets at end of year (total assets less liabilities)2020-12-31$26,452,403
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$22,473,004
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
Assets. partnership/joint venture interests at end of year2020-12-31$0
Assets. partnership/joint venture interests at beginning of year2020-12-31$601,536
Investment advisory and management fees2020-12-31$32,655
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$21,045,519
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$20,633,137
Interest on participant loans2020-12-31$15,038
Interest earned on other investments2020-12-31$3,797
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$738,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$2,457
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$2,457
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$888
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$4,035,684
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$803,678
Employer contributions (assets) at end of year2020-12-31$781,450
Employer contributions (assets) at beginning of year2020-12-31$529,948
Income. Dividends from common stock2020-12-31$16,465
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,657,255
Contract administrator fees2020-12-31$1,643
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$3,573,348
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$0
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 name2020-12-31KDP CERTIFIED PUBLIC ACCOUNTANTS
Accountancy firm EIN2020-12-31930745639
2019 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$22,292
Total plan liabilities at beginning of year2019-12-31$1,020
Total income from all sources2019-12-31$6,364,172
Expenses. Total of all expenses incurred2019-12-31$1,085,502
Benefits paid (including direct rollovers)2019-12-31$1,052,190
Total plan assets at end of year2019-12-31$22,494,341
Total plan assets at beginning of year2019-12-31$17,194,399
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$619,969
Contributions received from other sources (not participants or employers)2019-12-31$604,141
Other income received2019-12-31$4,313,918
Net income (gross income less expenses)2019-12-31$5,278,670
Net plan assets at end of year (total assets less liabilities)2019-12-31$22,472,049
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$17,193,379
Assets. Value of participant loans2019-12-31$282,277
Assets. Value of assets in partnership/joint-venture interests2019-12-31$601,536
Total contributions received or receivable from employer(s)2019-12-31$826,144
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$33,312
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$1,020
Total plan liabilities at beginning of year2018-12-31$1,360
Total income from all sources2018-12-31$253,556
Expenses. Total of all expenses incurred2018-12-31$2,006,615
Benefits paid (including direct rollovers)2018-12-31$1,969,315
Total plan assets at end of year2018-12-31$17,194,399
Total plan assets at beginning of year2018-12-31$18,947,798
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$570,828
Contributions received from other sources (not participants or employers)2018-12-31$86,136
Other income received2018-12-31$-1,198,024
Net income (gross income less expenses)2018-12-31$-1,753,059
Net plan assets at end of year (total assets less liabilities)2018-12-31$17,193,379
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$18,946,438
Assets. Value of participant loans2018-12-31$235,516
Assets. Value of assets in partnership/joint-venture interests2018-12-31$11,003
Total contributions received or receivable from employer(s)2018-12-31$794,616
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$37,300
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$1,360
Total plan liabilities at beginning of year2017-12-31$855
Total income from all sources2017-12-31$4,225,339
Expenses. Total of all expenses incurred2017-12-31$5,109,256
Benefits paid (including direct rollovers)2017-12-31$5,071,106
Total plan assets at end of year2017-12-31$18,947,798
Total plan assets at beginning of year2017-12-31$19,831,210
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$522,617
Contributions received from other sources (not participants or employers)2017-12-31$303,292
Other income received2017-12-31$2,705,113
Net income (gross income less expenses)2017-12-31$-883,917
Net plan assets at end of year (total assets less liabilities)2017-12-31$18,946,438
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$19,830,355
Assets. Value of participant loans2017-12-31$225,080
Assets. Value of assets in partnership/joint-venture interests2017-12-31$17,806
Total contributions received or receivable from employer(s)2017-12-31$694,317
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$38,150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$855
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$2,417,491
Expenses. Total of all expenses incurred2016-12-31$560,148
Benefits paid (including direct rollovers)2016-12-31$506,779
Total plan assets at end of year2016-12-31$19,831,210
Total plan assets at beginning of year2016-12-31$17,973,012
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$545,889
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$25,813
Other income received2016-12-31$1,183,544
Net income (gross income less expenses)2016-12-31$1,857,343
Net plan assets at end of year (total assets less liabilities)2016-12-31$19,830,355
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$17,973,012
Assets. Value of participant loans2016-12-31$171,290
Assets. Value of assets in partnership/joint-venture interests2016-12-31$24,306
Total contributions received or receivable from employer(s)2016-12-31$662,245
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$53,369
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$165,546
Total income from all sources2015-12-31$875,969
Expenses. Total of all expenses incurred2015-12-31$246,047
Benefits paid (including direct rollovers)2015-12-31$201,225
Total plan assets at end of year2015-12-31$17,973,012
Total plan assets at beginning of year2015-12-31$17,177,544
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$474,059
Contributions received from other sources (not participants or employers)2015-12-31$12,312
Other income received2015-12-31$-226,919
Net income (gross income less expenses)2015-12-31$629,922
Net plan assets at end of year (total assets less liabilities)2015-12-31$17,973,012
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$17,177,544
Assets. Value of participant loans2015-12-31$199,323
Assets. Value of assets in partnership/joint-venture interests2015-12-31$30,569
Total contributions received or receivable from employer(s)2015-12-31$616,517
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$44,822
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$1,292,731
Total income from all sources2014-12-31$2,081,779
Expenses. Total of all expenses incurred2014-12-31$2,508,149
Benefits paid (including direct rollovers)2014-12-31$2,462,845
Total plan assets at end of year2014-12-31$17,177,544
Total plan assets at beginning of year2014-12-31$16,311,183
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$453,700
Expenses. Other expenses not covered elsewhere2014-12-31$176
Contributions received from other sources (not participants or employers)2014-12-31$18,601
Other income received2014-12-31$1,036,995
Net income (gross income less expenses)2014-12-31$-426,370
Net plan assets at end of year (total assets less liabilities)2014-12-31$17,177,544
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$16,311,183
Assets. Value of participant loans2014-12-31$217,308
Assets. Value of assets in partnership/joint-venture interests2014-12-31$37,928
Total contributions received or receivable from employer(s)2014-12-31$572,483
Value of corrective distributions2014-12-31$2,825
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$42,303
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$31,217
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$2,819,982
Expenses. Total of all expenses incurred2013-12-31$248,335
Benefits paid (including direct rollovers)2013-12-31$222,879
Total plan assets at end of year2013-12-31$16,311,183
Total plan assets at beginning of year2013-12-31$13,708,319
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$478,318
Other income received2013-12-31$1,846,269
Net income (gross income less expenses)2013-12-31$2,571,647
Net plan assets at end of year (total assets less liabilities)2013-12-31$16,311,183
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$13,708,319
Assets. Value of participant loans2013-12-31$254,320
Assets. Value of assets in partnership/joint-venture interests2013-12-31$49,102
Total contributions received or receivable from employer(s)2013-12-31$495,395
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$25,456
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$1,871,374
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$2,445,290
Expenses. Total of all expenses incurred2012-12-31$230,821
Benefits paid (including direct rollovers)2012-12-31$204,398
Total plan assets at end of year2012-12-31$13,708,319
Total plan assets at beginning of year2012-12-31$9,622,476
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$475,819
Expenses. Other expenses not covered elsewhere2012-12-31$159
Contributions received from other sources (not participants or employers)2012-12-31$98,876
Other income received2012-12-31$1,310,656
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$2,214,469
Net plan assets at end of year (total assets less liabilities)2012-12-31$13,708,319
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$9,622,476
Assets. Value of participant loans2012-12-31$250,550
Assets. Value of assets in partnership/joint-venture interests2012-12-31$26,859
Total contributions received or receivable from employer(s)2012-12-31$559,939
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$26,264
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$396,533
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$838,715
Expenses. Total of all expenses incurred2011-12-31$994,106
Benefits paid (including direct rollovers)2011-12-31$985,682
Total plan assets at end of year2011-12-31$9,622,476
Total plan assets at beginning of year2011-12-31$9,381,334
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$467,906
Expenses. Other expenses not covered elsewhere2011-12-31$179
Contributions received from other sources (not participants or employers)2011-12-31$16,224
Other income received2011-12-31$-137,384
Net income (gross income less expenses)2011-12-31$-155,391
Net plan assets at end of year (total assets less liabilities)2011-12-31$9,622,476
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$9,381,334
Assets. Value of participant loans2011-12-31$117,812
Assets. Value of assets in partnership/joint-venture interests2011-12-31$24,417
Total contributions received or receivable from employer(s)2011-12-31$491,969
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$8,245
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0

Form 5500 Responses for SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN

2022: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle 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 planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 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 – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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 – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SOUTHERN OREGON CARDIOLOGY LLC 401(K) 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle 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 planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle 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 planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle 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 planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: SOUTHERN OREGON CARDIOLOGY LLC 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle 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 planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan 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 number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered0
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 $9,046
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planYes
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY
Amount paid for insurance broker fees9046
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered125
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 $9,123
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planYes
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY
Amount paid for insurance broker fees9123
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered122
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 $7,658
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 planYes
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
Amount paid for insurance broker fees7658
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered110
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 $7,269
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 planYes
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
Amount paid for insurance broker fees7269
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered103
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $10,361
Total amount of fees paid to insurance companyUSD $7,106
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 planYes
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 $10,361
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNORTHWEST RETIREMENT PLANS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered89
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $16,527
Total amount of fees paid to insurance companyUSD $5,280
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 planYes
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 $16,527
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNORTHWEST RETIREMENT PLANS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered83
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $15,486
Total amount of fees paid to insurance companyUSD $4,313
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 planYes
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 $15,486
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNORTHWEST RETIREMENT PLANS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered82
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13,091
Total amount of fees paid to insurance companyUSD $4,630
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 planYes
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 $13,091
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameNORTHWEST RETIREMENT PLANS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered83
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,290
Total amount of fees paid to insurance companyUSD $4,384
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 planYes
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 $11,290
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameVANGUARD GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number94755
Policy instance 1
Insurance contract or identification number94755
Number of Individuals Covered89
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,106
Total amount of fees paid to insurance companyUSD $5,864
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?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

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