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K & G ASSOCIATES, INC. 401(K) PLAN 401k Plan overview

Plan NameK & G ASSOCIATES, INC. 401(K) PLAN
Plan identification number 001

K & G ASSOCIATES, INC. 401(K) 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.
  • 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

K & G ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name:K & G ASSOCIATES, INC.
Employer identification number (EIN):463151972
NAIC Classification:332900

Additional information about K & G ASSOCIATES, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2013-07-10
Company Identification Number: 20131400136
Legal Registered Office Address: 3575 Chelton Loop S

Colorado Springs
United States of America (USA)
80909

More information about K & G ASSOCIATES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan K & G ASSOCIATES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01GARY GAULKE GARY GAULKE2019-02-18
0012017-01-01GARY GAULKE GARY GAULKE2018-02-20
0012016-01-01GARY GAULKE GARY GAULKE2017-03-06
0012015-01-01GARY GAULKE GARY GAULKE2016-03-10
0012014-01-01GARY GAULKE GARY GAULKE2015-03-16
0012013-01-01GARY GAULKE GARY GAULKE2014-07-10

Plan Statistics for K & G ASSOCIATES, INC. 401(K) PLAN

401k plan membership statisitcs for K & G ASSOCIATES, INC. 401(K) PLAN

Measure Date Value
2022: K & G ASSOCIATES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0122
Total number of active participants reported on line 7a of the Form 55002022-01-0118
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-014
Total of all active and inactive participants2022-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0122
Number of participants with account balances2022-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: K & G ASSOCIATES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0129
Total number of active participants reported on line 7a of the Form 55002021-01-0117
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0121
Number of participants with account balances2021-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: K & G ASSOCIATES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0133
Total number of active participants reported on line 7a of the Form 55002020-01-0126
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0129
Number of participants with account balances2020-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: K & G ASSOCIATES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0134
Total number of active participants reported on line 7a of the Form 55002019-01-0130
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0133
Number of participants with account balances2019-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: K & G ASSOCIATES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0131
Total number of active participants reported on line 7a of the Form 55002018-01-0131
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0134
Number of participants with account balances2018-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: K & G ASSOCIATES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0128
Total number of active participants reported on line 7a of the Form 55002017-01-0127
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0130
Number of participants with account balances2017-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: K & G ASSOCIATES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0136
Total number of active participants reported on line 7a of the Form 55002016-01-0124
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0126
Number of participants with account balances2016-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: K & G ASSOCIATES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0128
Total number of active participants reported on line 7a of the Form 55002015-01-0130
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0132
Number of participants with account balances2015-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: K & G ASSOCIATES, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0126
Total number of active participants reported on line 7a of the Form 55002014-01-0126
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0128
Number of participants with account balances2014-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: K & G ASSOCIATES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0118
Total number of active participants reported on line 7a of the Form 55002013-01-0123
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0125
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on K & G ASSOCIATES, INC. 401(K) PLAN

Measure Date Value
2022 : K & G ASSOCIATES, INC. 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$-44,916
Total plan assets at end of year2022-12-31$255,480
Total plan assets at beginning of year2022-12-31$300,396
Value of fidelity bond covering the plan2022-12-31$25,548
Total contributions received or receivable from participants2022-12-31$11,870
Other income received2022-12-31$-56,786
Net income (gross income less expenses)2022-12-31$-44,916
Net plan assets at end of year (total assets less liabilities)2022-12-31$255,480
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$300,396
2021 : K & G ASSOCIATES, INC. 401(K) PLAN 2021 401k financial data
Total income from all sources2021-12-31$82,471
Expenses. Total of all expenses incurred2021-12-31$259,534
Benefits paid (including direct rollovers)2021-12-31$259,534
Total plan assets at end of year2021-12-31$300,396
Total plan assets at beginning of year2021-12-31$477,459
Value of fidelity bond covering the plan2021-12-31$30,039
Total contributions received or receivable from participants2021-12-31$11,470
Other income received2021-12-31$71,001
Net income (gross income less expenses)2021-12-31$-177,063
Net plan assets at end of year (total assets less liabilities)2021-12-31$300,396
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$477,459
2020 : K & G ASSOCIATES, INC. 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$72,853
Expenses. Total of all expenses incurred2020-12-31$33,610
Benefits paid (including direct rollovers)2020-12-31$31,598
Total plan assets at end of year2020-12-31$477,459
Total plan assets at beginning of year2020-12-31$438,216
Value of fidelity bond covering the plan2020-12-31$47,746
Total contributions received or receivable from participants2020-12-31$11,320
Other income received2020-12-31$61,533
Net income (gross income less expenses)2020-12-31$39,243
Net plan assets at end of year (total assets less liabilities)2020-12-31$477,459
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$438,216
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$2,012
2019 : K & G ASSOCIATES, INC. 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$92,924
Expenses. Total of all expenses incurred2019-12-31$1,458
Total plan assets at end of year2019-12-31$438,216
Total plan assets at beginning of year2019-12-31$346,750
Value of fidelity bond covering the plan2019-12-31$43,822
Total contributions received or receivable from participants2019-12-31$14,084
Other income received2019-12-31$78,840
Net income (gross income less expenses)2019-12-31$91,466
Net plan assets at end of year (total assets less liabilities)2019-12-31$438,216
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$346,750
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$1,458
2018 : K & G ASSOCIATES, INC. 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$-15,572
Expenses. Total of all expenses incurred2018-12-31$5,429
Benefits paid (including direct rollovers)2018-12-31$3,567
Total plan assets at end of year2018-12-31$346,750
Total plan assets at beginning of year2018-12-31$367,751
Value of fidelity bond covering the plan2018-12-31$34,675
Total contributions received or receivable from participants2018-12-31$13,858
Other income received2018-12-31$-29,430
Net income (gross income less expenses)2018-12-31$-21,001
Net plan assets at end of year (total assets less liabilities)2018-12-31$346,750
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$367,751
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$1,862
2017 : K & G ASSOCIATES, INC. 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$70,699
Expenses. Total of all expenses incurred2017-12-31$1,317
Total plan assets at end of year2017-12-31$367,751
Total plan assets at beginning of year2017-12-31$298,369
Value of fidelity bond covering the plan2017-12-31$36,775
Total contributions received or receivable from participants2017-12-31$14,127
Contributions received from other sources (not participants or employers)2017-12-31$1,508
Other income received2017-12-31$55,064
Net income (gross income less expenses)2017-12-31$69,382
Net plan assets at end of year (total assets less liabilities)2017-12-31$367,751
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$298,369
Assets. Value of participant loans2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,317
2016 : K & G ASSOCIATES, INC. 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$31,132
Expenses. Total of all expenses incurred2016-12-31$1,498
Total plan assets at end of year2016-12-31$298,369
Total plan assets at beginning of year2016-12-31$268,735
Value of fidelity bond covering the plan2016-12-31$29,837
Total contributions received or receivable from participants2016-12-31$10,485
Other income received2016-12-31$20,647
Net income (gross income less expenses)2016-12-31$29,634
Net plan assets at end of year (total assets less liabilities)2016-12-31$298,369
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$268,735
Assets. Value of participant loans2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$1,498
2015 : K & G ASSOCIATES, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$5,308
Expenses. Total of all expenses incurred2015-12-31$1,476
Total plan assets at end of year2015-12-31$268,735
Total plan assets at beginning of year2015-12-31$264,903
Value of fidelity bond covering the plan2015-12-31$26,873
Total contributions received or receivable from participants2015-12-31$9,375
Other income received2015-12-31$-4,067
Net income (gross income less expenses)2015-12-31$3,832
Net plan assets at end of year (total assets less liabilities)2015-12-31$268,735
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$264,903
Assets. Value of participant loans2015-12-31$265
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,476
2014 : K & G ASSOCIATES, INC. 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$20,733
Expenses. Total of all expenses incurred2014-12-31$1,428
Total plan assets at end of year2014-12-31$264,903
Total plan assets at beginning of year2014-12-31$245,598
Value of fidelity bond covering the plan2014-12-31$26,490
Total contributions received or receivable from participants2014-12-31$7,045
Other income received2014-12-31$13,688
Net income (gross income less expenses)2014-12-31$19,305
Net plan assets at end of year (total assets less liabilities)2014-12-31$264,903
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$245,598
Assets. Value of participant loans2014-12-31$2,871
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,428
2013 : K & G ASSOCIATES, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$245,598
Total plan assets at end of year2013-12-31$245,598
Total plan assets at beginning of year2013-12-31$0
Value of fidelity bond covering the plan2013-12-31$25,000
Total contributions received or receivable from participants2013-12-31$1,815
Contributions received from other sources (not participants or employers)2013-12-31$238,508
Other income received2013-12-31$5,275
Net income (gross income less expenses)2013-12-31$245,598
Net plan assets at end of year (total assets less liabilities)2013-12-31$245,598
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$0
Assets. Value of participant loans2013-12-31$3,500

Form 5500 Responses for K & G ASSOCIATES, INC. 401(K) PLAN

2022: K & G ASSOCIATES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: K & G ASSOCIATES, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: K & G ASSOCIATES, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: K & G ASSOCIATES, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: K & G ASSOCIATES, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: K & G ASSOCIATES, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: K & G ASSOCIATES, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: K & G ASSOCIATES, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: K & G ASSOCIATES, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: K & G ASSOCIATES, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
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 number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $987
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $987
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,471
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1451
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,498
Total amount of fees paid to insurance companyUSD $203
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,498
Insurance broker organization code?3
Amount paid for insurance broker fees203
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered9
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,458
Total amount of fees paid to insurance companyUSD $183
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,458
Amount paid for insurance broker fees183
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered9
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,383
Total amount of fees paid to insurance companyUSD $22
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,383
Amount paid for insurance broker fees22
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered9
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,225
Total amount of fees paid to insurance companyUSD $92
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,225
Amount paid for insurance broker fees92
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $1,017
Total amount of fees paid to insurance companyUSD $134
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,017
Amount paid for insurance broker fees134
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,102
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,102
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,041
Total amount of fees paid to insurance companyUSD $400
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,041
Insurance broker organization code?3
Amount paid for insurance broker fees400
Insurance broker nameERICKSON, BROWN & KLOSTER, P.C.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number113131
Policy instance 1
Insurance contract or identification number113131
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SERVICES

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