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R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameR. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

R. C. CONSTRUCTION SERVICES, INC. 401(K) 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
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ROBERT CLAPPER CONSTRUCTION SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROBERT CLAPPER CONSTRUCTION SERVICES, INC.
Employer identification number (EIN):330681039
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01BRIANNE BRISSETTE2023-05-23
0012021-01-01BRIANNE BRISSETTE2022-05-27
0012020-01-01ROBERT CLAPPER2021-04-15
0012019-01-01ROBERT CLAPPER2020-06-30
0012018-01-01ROBERT CLAPPER2019-07-02
0012018-01-01ROBERT CLAPPER2019-08-21
0012017-01-01ROBERT CLAPPER2018-05-16
0012016-01-01ROBERT CLAPPER2017-08-08
0012015-01-01ROBERT CLAPPER2016-08-01
0012014-01-01ROBERT CLAPPER2015-06-23
0012013-01-01ROBERT CLAPPER2014-07-29 ROBERT CLAPPER2014-07-29
0012012-01-01ROBERT CLAPPER ROBERT CLAPPER2013-10-15
0012011-01-01ROBERT CLAPPER ROBERT CLAPPER2012-10-15
0012010-01-01ROBERT CLAPPER ROBERT CLAPPER2011-10-13
0012009-01-01ROBERT CLAPPER ROBERT CLAPPER2010-10-08

Plan Statistics for R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01164
Total number of active participants reported on line 7a of the Form 55002012-01-0150
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0136
Total of all active and inactive participants2012-01-0186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0186
Number of participants with account balances2012-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01239
Total number of active participants reported on line 7a of the Form 55002011-01-0187
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0177
Total of all active and inactive participants2011-01-01164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01164
Number of participants with account balances2011-01-01160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01192
Total number of active participants reported on line 7a of the Form 55002010-01-01159
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0180
Total of all active and inactive participants2010-01-01239
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01239
Number of participants with account balances2010-01-01228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01202
Total number of active participants reported on line 7a of the Form 55002009-01-01129
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0163
Total of all active and inactive participants2009-01-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01192
Number of participants with account balances2009-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-013

Financial Data on R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2012 : R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,010
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,607
Total income from all sources (including contributions)2012-12-31$1,043,658
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,538,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,477,838
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$529,309
Value of total assets at end of year2012-12-31$4,420,049
Value of total assets at beginning of year2012-12-31$4,919,594
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$60,768
Total interest from all sources2012-12-31$4,338
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$81,372
Participant contributions at end of year2012-12-31$81,334
Participant contributions at beginning of year2012-12-31$109,144
Other income not declared elsewhere2012-12-31$946
Liabilities. Value of operating payables at end of year2012-12-31$3,010
Liabilities. Value of operating payables at beginning of year2012-12-31$7,607
Total non interest bearing cash at end of year2012-12-31$3,089
Total non interest bearing cash at beginning of year2012-12-31$8,721
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-494,948
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,417,039
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,911,987
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$49,550
Value of interest in pooled separate accounts at end of year2012-12-31$4,335,626
Value of interest in pooled separate accounts at beginning of year2012-12-31$4,801,729
Interest on participant loans2012-12-31$4,338
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$509,065
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$447,937
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,477,838
Contract administrator fees2012-12-31$11,218
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31OSBORNE RINCON CPA'S
Accountancy firm EIN2012-12-31330783299
2011 : R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,607
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,620
Total income from all sources (including contributions)2011-12-31$1,154,112
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$1,572,941
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$1,496,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,328,040
Value of total assets at end of year2011-12-31$4,919,594
Value of total assets at beginning of year2011-12-31$5,338,436
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$76,665
Total interest from all sources2011-12-31$5,770
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$178,981
Participant contributions at end of year2011-12-31$109,144
Participant contributions at beginning of year2011-12-31$93,015
Liabilities. Value of operating payables at end of year2011-12-31$7,607
Liabilities. Value of operating payables at beginning of year2011-12-31$7,620
Total non interest bearing cash at end of year2011-12-31$8,721
Total non interest bearing cash at beginning of year2011-12-31$7,406
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-418,829
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,911,987
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$5,330,816
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$62,756
Value of interest in pooled separate accounts at end of year2011-12-31$4,801,729
Value of interest in pooled separate accounts at beginning of year2011-12-31$5,206,433
Interest on participant loans2011-12-31$5,531
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$239
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$29,672
Net investment gain/loss from pooled separate accounts2011-12-31$-179,698
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,149,059
Employer contributions (assets) at beginning of year2011-12-31$1,910
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,496,276
Contract administrator fees2011-12-31$13,909
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31OSBORNE RINCON CPA'S
Accountancy firm EIN2011-12-31330783299
2010 : R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,620
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$6,653
Total income from all sources (including contributions)2010-12-31$2,002,499
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$283,451
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$221,643
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,509,620
Value of total assets at end of year2010-12-31$5,338,436
Value of total assets at beginning of year2010-12-31$3,618,421
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$61,808
Total interest from all sources2010-12-31$3,918
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$254,027
Participant contributions at end of year2010-12-31$93,015
Participant contributions at beginning of year2010-12-31$61,700
Other income not declared elsewhere2010-12-31$243
Liabilities. Value of operating payables at end of year2010-12-31$7,620
Liabilities. Value of operating payables at beginning of year2010-12-31$6,653
Total non interest bearing cash at end of year2010-12-31$7,406
Total non interest bearing cash at beginning of year2010-12-31$3,875
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,719,048
Value of net assets at end of year (total assets less liabilities)2010-12-31$5,330,816
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,611,768
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$50,546
Value of interest in pooled separate accounts at end of year2010-12-31$5,206,433
Value of interest in pooled separate accounts at beginning of year2010-12-31$3,527,860
Interest on participant loans2010-12-31$3,441
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$477
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$29,672
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$24,986
Net investment gain/loss from pooled separate accounts2010-12-31$488,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,255,593
Employer contributions (assets) at end of year2010-12-31$1,910
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$221,643
Contract administrator fees2010-12-31$11,262
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31OSBORNE RINCON CPA'S
Accountancy firm EIN2010-12-31330783299
2009 : R. C. CONSTRUCTION SERVICES, INC. 401(K) 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 R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN

2012: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING 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 - TrustYes
2011: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING 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 - TrustYes
2010: R. C. CONSTRUCTION SERVICES, INC. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: R. C. CONSTRUCTION SERVICES, INC. 401(K) 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number16481
Policy instance 1
Insurance contract or identification number16481
Number of Individuals Covered90
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $44,513
Total amount of fees paid to insurance companyUSD $13,504
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $44,513
Insurance broker organization code?3
Amount paid for insurance broker fees11218
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameCOMPENSATION CONSULTANTS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number16481
Policy instance 1
Insurance contract or identification number16481
Number of Individuals Covered160
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $55,343
Total amount of fees paid to insurance companyUSD $16,665
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number16481
Policy instance 1
Insurance contract or identification number16481
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $42,088
Total amount of fees paid to insurance companyUSD $12,944
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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