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MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 401k Plan overview

Plan NameMORRISON BROTHERS EMPLOYEES' 401(K) PLAN
Plan identification number 003

MORRISON BROTHERS EMPLOYEES' 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.
  • 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

MORRISON BROS. CO. has sponsored the creation of one or more 401k plans.

Company Name:MORRISON BROS. CO.
Employer identification number (EIN):420425010
NAIC Classification:423700

Additional information about MORRISON BROS. CO.

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1911-12-29
Company Identification Number: 000570
Legal Registered Office Address: 1000 MAIN STREET

DUBUQUE
United States of America (USA)
52001

More information about MORRISON BROS. CO.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MORRISON BROTHERS EMPLOYEES' 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01HEATHER STEWART2023-07-18
0032021-01-01RANDY MARTINEZ2022-05-10
0032020-01-01MARY ALICE SCHMITZ2021-05-28
0032018-01-01DONNA MCCANN2019-06-27
0032017-01-01DAVID S. CUSHMAN
0032016-01-01DAVID S. CUSHMAN
0032015-01-01DAVID S. CUSHMAN
0032014-01-01DAVID S. CUSHMAN
0032013-01-01DAVID S. CUSHMAN
0032012-01-01DAVID S. CUSHMAN
0032011-01-01DAVID S. CUSHMAN
0032009-01-01DAVID S. CUSHMAN

Plan Statistics for MORRISON BROTHERS EMPLOYEES' 401(K) PLAN

401k plan membership statisitcs for MORRISON BROTHERS EMPLOYEES' 401(K) PLAN

Measure Date Value
2017: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01107
Total number of active participants reported on line 7a of the Form 55002017-01-0188
Number of retired or separated participants receiving benefits2017-01-015
Number of other retired or separated participants entitled to future benefits2017-01-0112
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 balances2017-01-01101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01106
Total number of active participants reported on line 7a of the Form 55002016-01-0189
Number of retired or separated participants receiving benefits2016-01-015
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01106
Number of participants with account balances2016-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01107
Total number of active participants reported on line 7a of the Form 55002015-01-0192
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-0113
Total of all active and inactive participants2015-01-01107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01107
Number of participants with account balances2015-01-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0198
Total number of active participants reported on line 7a of the Form 55002014-01-0187
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-0117
Total of all active and inactive participants2014-01-01107
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01107
Number of participants with account balances2014-01-01102
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0194
Total number of active participants reported on line 7a of the Form 55002013-01-0182
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-0112
Total of all active and inactive participants2013-01-0196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0196
Number of participants with account balances2013-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0188
Total number of active participants reported on line 7a of the Form 55002012-01-0180
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 participants2012-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0194
Number of participants with account balances2012-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0189
Total number of active participants reported on line 7a of the Form 55002011-01-0180
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0188
Number of participants with account balances2011-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0193
Total number of active participants reported on line 7a of the Form 55002009-01-0177
Number of retired or separated participants receiving benefits2009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0189
Number of participants with account balances2009-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on MORRISON BROTHERS EMPLOYEES' 401(K) PLAN

Measure Date Value
2017 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$3,042,758
Expenses. Total of all expenses incurred2017-12-31$280,652
Benefits paid (including direct rollovers)2017-12-31$193,653
Total plan assets at end of year2017-12-31$18,176,969
Total plan assets at beginning of year2017-12-31$15,414,863
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$416,792
Other income received2017-12-31$2,338,478
Net income (gross income less expenses)2017-12-31$2,762,106
Net plan assets at end of year (total assets less liabilities)2017-12-31$18,176,969
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$15,414,863
Total contributions received or receivable from employer(s)2017-12-31$287,488
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$86,999
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,757,751
Expenses. Total of all expenses incurred2016-12-31$818,983
Benefits paid (including direct rollovers)2016-12-31$736,394
Total plan assets at end of year2016-12-31$15,414,863
Total plan assets at beginning of year2016-12-31$14,476,095
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$393,724
Other income received2016-12-31$1,079,715
Net income (gross income less expenses)2016-12-31$938,768
Net plan assets at end of year (total assets less liabilities)2016-12-31$15,414,863
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$14,476,095
Total contributions received or receivable from employer(s)2016-12-31$284,312
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$82,589
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$940,837
Expenses. Total of all expenses incurred2015-12-31$311,305
Benefits paid (including direct rollovers)2015-12-31$230,337
Total plan assets at end of year2015-12-31$14,476,095
Total plan assets at beginning of year2015-12-31$13,846,563
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$390,185
Contributions received from other sources (not participants or employers)2015-12-31$21,684
Other income received2015-12-31$252,972
Net income (gross income less expenses)2015-12-31$629,532
Net plan assets at end of year (total assets less liabilities)2015-12-31$14,476,095
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$13,846,563
Total contributions received or receivable from employer(s)2015-12-31$275,996
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$80,968
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,268,576
Expenses. Total of all expenses incurred2014-12-31$452,531
Benefits paid (including direct rollovers)2014-12-31$373,459
Total plan assets at end of year2014-12-31$13,846,563
Total plan assets at beginning of year2014-12-31$13,030,518
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$318,647
Contributions received from other sources (not participants or employers)2014-12-31$14,267
Other income received2014-12-31$764,517
Net income (gross income less expenses)2014-12-31$816,045
Net plan assets at end of year (total assets less liabilities)2014-12-31$13,846,563
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$13,030,518
Total contributions received or receivable from employer(s)2014-12-31$171,145
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$79,072
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$2,726,641
Expenses. Total of all expenses incurred2013-12-31$182,845
Benefits paid (including direct rollovers)2013-12-31$109,630
Total plan assets at end of year2013-12-31$13,030,518
Total plan assets at beginning of year2013-12-31$10,486,722
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$315,749
Contributions received from other sources (not participants or employers)2013-12-31$81,908
Other income received2013-12-31$2,158,617
Net income (gross income less expenses)2013-12-31$2,543,796
Net plan assets at end of year (total assets less liabilities)2013-12-31$13,030,518
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$10,486,722
Total contributions received or receivable from employer(s)2013-12-31$170,367
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$73,215
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,892,044
Expenses. Total of all expenses incurred2012-12-31$57,219
Total plan assets at end of year2012-12-31$10,486,722
Total plan assets at beginning of year2012-12-31$8,651,897
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$298,996
Contributions received from other sources (not participants or employers)2012-12-31$146,594
Other income received2012-12-31$1,245,916
Net income (gross income less expenses)2012-12-31$1,834,825
Net plan assets at end of year (total assets less liabilities)2012-12-31$10,486,722
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$8,651,897
Total contributions received or receivable from employer(s)2012-12-31$200,538
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$57,219
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$256,933
Expenses. Total of all expenses incurred2011-12-31$84,546
Benefits paid (including direct rollovers)2011-12-31$29,894
Total plan assets at end of year2011-12-31$8,651,897
Total plan assets at beginning of year2011-12-31$8,479,510
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$292,488
Contributions received from other sources (not participants or employers)2011-12-31$9,984
Other income received2011-12-31$-209,566
Net income (gross income less expenses)2011-12-31$172,387
Net plan assets at end of year (total assets less liabilities)2011-12-31$8,651,897
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$8,479,510
Total contributions received or receivable from employer(s)2011-12-31$164,027
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$54,652
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : MORRISON BROTHERS EMPLOYEES' 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$1,491,217
Expenses. Total of all expenses incurred2010-12-31$80,409
Benefits paid (including direct rollovers)2010-12-31$30,870
Total plan assets at end of year2010-12-31$8,479,510
Total plan assets at beginning of year2010-12-31$7,068,702
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$292,850
Other income received2010-12-31$1,038,968
Net income (gross income less expenses)2010-12-31$1,410,808
Net plan assets at end of year (total assets less liabilities)2010-12-31$8,479,510
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$7,068,702
Total contributions received or receivable from employer(s)2010-12-31$159,399
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$49,539
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : MORRISON BROTHERS EMPLOYEES' 401(K) 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 MORRISON BROTHERS EMPLOYEES' 401(K) PLAN

2017: MORRISON BROTHERS EMPLOYEES' 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: MORRISON BROTHERS EMPLOYEES' 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: MORRISON BROTHERS EMPLOYEES' 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: MORRISON BROTHERS EMPLOYEES' 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: MORRISON BROTHERS EMPLOYEES' 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: MORRISON BROTHERS EMPLOYEES' 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: MORRISON BROTHERS EMPLOYEES' 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
2009: MORRISON BROTHERS EMPLOYEES' 401(K) 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 – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Insurance broker organization code?3
Insurance broker name
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
Insurance broker organization code?3
Insurance broker name
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $525
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $315
Insurance broker organization code?3
Insurance broker nameJACQUELINE VANMETER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $525
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $315
Insurance broker organization code?3
Insurance broker nameJACQUELINE VANMETER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $525
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $315
Insurance broker organization code?3
Insurance broker nameJACQUILINE VANMETER
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $525
Total amount of fees paid to insurance companyUSD $0
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number4047081
Policy instance 1
Insurance contract or identification number4047081
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $525
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $315
Insurance broker organization code?3
Insurance broker nameJACQUILINE VANMETER

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