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THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 401k Plan overview

Plan NameTHE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN
Plan identification number 001

THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

REDGLAZE GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name:REDGLAZE GROUP, LLC
Employer identification number (EIN):452633067
NAIC Classification:327100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01ELIZABETH DUDZIK
0012015-01-01ELIZABETH DUDZIK
0012015-01-01
0012014-01-01ELIZABETH DUDZIK
0012013-01-01ELIZABETH DUDZIK
0012012-01-01ELIZABETH A. DUDZIK2013-10-10
0012011-01-01ELIZABETH A. DUDZIK2012-10-09

Plan Statistics for THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN

401k plan membership statisitcs for THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN

Measure Date Value
2016: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01226
Total number of active participants reported on line 7a of the Form 55002016-01-01205
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0119
Total of all active and inactive participants2016-01-01224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01224
Number of participants with account balances2016-01-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01182
Total number of active participants reported on line 7a of the Form 55002015-01-01167
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0116
Total of all active and inactive participants2015-01-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01183
Number of participants with account balances2015-01-01167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01150
Total number of active participants reported on line 7a of the Form 55002014-01-01130
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0117
Total of all active and inactive participants2014-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01147
Number of participants with account balances2014-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01138
Total number of active participants reported on line 7a of the Form 55002013-01-01127
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0112
Total of all active and inactive participants2013-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01139
Number of participants with account balances2013-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN

Measure Date Value
2016 : THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,565,132
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$218,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$88,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,763,149
Value of total assets at end of year2016-12-31$10,231,201
Value of total assets at beginning of year2016-12-31$7,884,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$129,765
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$179,550
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$179,550
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$988,068
Participant contributions at beginning of year2016-12-31$5,833
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$306,032
Administrative expenses (other) incurred2016-12-31$95,564
Total non interest bearing cash at end of year2016-12-31$14,942
Total non interest bearing cash at beginning of year2016-12-31$8,855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,346,492
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,231,201
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,884,709
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$30,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$10,040,757
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,569,056
Value of interest in common/collective trusts at end of year2016-12-31$175,345
Value of interest in common/collective trusts at beginning of year2016-12-31$295,991
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$1,261
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$1,261
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$622,438
Net investment gain or loss from common/collective trusts2016-12-31$-5
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$469,049
Employer contributions (assets) at beginning of year2016-12-31$3,713
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$88,875
Contract administrator fees2016-12-31$4,201
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31LUTZ & COMPANY
Accountancy firm EIN2016-12-31470625816
2015 : THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,143,661
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$339,175
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$225,017
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,205,946
Value of total assets at end of year2015-12-31$7,884,709
Value of total assets at beginning of year2015-12-31$7,080,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$114,158
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$139,478
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$139,478
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$741,276
Participant contributions at end of year2015-12-31$5,833
Participant contributions at beginning of year2015-12-31$1,490
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$122,961
Administrative expenses (other) incurred2015-12-31$80,975
Total non interest bearing cash at end of year2015-12-31$8,855
Total non interest bearing cash at beginning of year2015-12-31$9,145
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$804,486
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,884,709
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,080,223
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$29,496
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$7,569,056
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,951,824
Value of interest in common/collective trusts at end of year2015-12-31$295,991
Value of interest in common/collective trusts at beginning of year2015-12-31$116,964
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,261
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-203,574
Net investment gain or loss from common/collective trusts2015-12-31$1,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$341,709
Employer contributions (assets) at end of year2015-12-31$3,713
Employer contributions (assets) at beginning of year2015-12-31$800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$225,017
Contract administrator fees2015-12-31$3,687
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31LUTZ & COMPANY
Accountancy firm EIN2015-12-31470625816
2014 : THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,343,509
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$312,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$215,567
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$848,008
Value of total assets at end of year2014-12-31$7,080,223
Value of total assets at beginning of year2014-12-31$6,049,040
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$96,759
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$136,380
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$136,380
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$568,095
Participant contributions at end of year2014-12-31$1,490
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$3,667
Administrative expenses (other) incurred2014-12-31$72,326
Total non interest bearing cash at end of year2014-12-31$9,145
Total non interest bearing cash at beginning of year2014-12-31$927
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,031,183
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,080,223
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,049,040
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$21,942
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$6,951,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,954,103
Value of interest in common/collective trusts at end of year2014-12-31$116,964
Value of interest in common/collective trusts at beginning of year2014-12-31$94,010
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$359,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$276,246
Employer contributions (assets) at end of year2014-12-31$800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$215,567
Contract administrator fees2014-12-31$2,491
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31LUTZ & COMPANY
Accountancy firm EIN2014-12-31470625816
2013 : THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,776,380
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$299,926
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$274,756
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$689,517
Value of total assets at end of year2013-12-31$6,049,040
Value of total assets at beginning of year2013-12-31$4,572,586
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$25,170
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$60,236
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$60,236
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$437,734
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$33,800
Total non interest bearing cash at end of year2013-12-31$927
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,476,454
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,049,040
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,572,586
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$24,545
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,954,103
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,572,586
Value of interest in common/collective trusts at end of year2013-12-31$94,010
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$68,050
Net investment gain/loss from pooled separate accounts2013-12-31$958,577
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$217,983
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$274,756
Contract administrator fees2013-12-31$625
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31LUTZ & COMPANY
Accountancy firm EIN2013-12-31470625816

Form 5500 Responses for THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN

2016: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulitple employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulitple employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2014 form 5500 responses
2014-01-01Type of plan entityMulitple 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THE REDGLAZE GROUP MULTIPLE EMPLOYER PLAN 2013 form 5500 responses
2013-01-01Type of plan entityMulitple 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 - 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 number35536
Policy instance 1
Insurance contract or identification number35536
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-02
Total amount of commissions paid to insurance brokerUSD $18,911
Total amount of fees paid to insurance companyUSD $3,002
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
Commission paid to Insurance BrokerUSD $18,911
Insurance broker organization code?4
Amount paid for insurance broker fees3002
Additional information about fees paid to insurance brokerEXPENSE ALLOWANCE
Insurance broker nameBENEFIT PLANS, INC.

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