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FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 401k Plan overview

Plan NameFULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN
Plan identification number 001

FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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

FUL HOUSE EQUIPEMENT RENTALS has sponsored the creation of one or more 401k plans.

Company Name:FUL HOUSE EQUIPEMENT RENTALS
Employer identification number (EIN):473675417
NAIC Classification:532400
NAIC Description: Commercial and Industrial Machinery and Equipment Rental and Leasing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 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
0012018-01-01
0012017-01-01GERALD DOBBS GERALD DOBBS2018-09-14
0012016-01-01GERALD DOBBS GERALD DOBBS2017-10-05
0012015-04-01EDWARD DOBBS EDWARD DOBBS2016-03-15

Plan Statistics for FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN

401k plan membership statisitcs for FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN

Measure Date Value
2022: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0117
Total number of active participants reported on line 7a of the Form 55002022-01-0112
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-017
Total of all active and inactive participants2022-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0119
Number of participants with account balances2022-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0114
Total number of active participants reported on line 7a of the Form 55002021-01-0111
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-016
Total of all active and inactive participants2021-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0117
Number of participants with account balances2021-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-019
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-015
Total of all active and inactive participants2020-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0114
Number of participants with account balances2020-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0112
Total number of active participants reported on line 7a of the Form 55002019-01-019
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-015
Total of all active and inactive participants2019-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0114
Number of participants with account balances2019-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0111
Total number of active participants reported on line 7a of the Form 55002018-01-018
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 participants2018-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-0112
Number of participants with account balances2018-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0110
Total number of active participants reported on line 7a of the Form 55002017-01-018
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 participants2017-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0111
Number of participants with account balances2017-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-019
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0110
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0112
Total number of active participants reported on line 7a of the Form 55002015-04-0111
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-011
Total of all active and inactive participants2015-04-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0112
Number of participants with account balances2015-04-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010

Financial Data on FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN

Measure Date Value
2022 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2022 401k financial data
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-82,489
Expenses. Total of all expenses incurred2022-12-31$15,022
Benefits paid (including direct rollovers)2022-12-31$469
Total plan assets at end of year2022-12-31$2,512,494
Total plan assets at beginning of year2022-12-31$2,610,005
Value of fidelity bond covering the plan2022-12-31$200,000
Total contributions received or receivable from participants2022-12-31$44,332
Other income received2022-12-31$-238,907
Net income (gross income less expenses)2022-12-31$-97,511
Net plan assets at end of year (total assets less liabilities)2022-12-31$2,512,494
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,610,005
Assets. Value of participant loans2022-12-31$23,090
Total contributions received or receivable from employer(s)2022-12-31$112,086
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$14,553
2021 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$516,896
Expenses. Total of all expenses incurred2021-12-31$17,617
Benefits paid (including direct rollovers)2021-12-31$5,442
Total plan assets at end of year2021-12-31$2,610,005
Total plan assets at beginning of year2021-12-31$2,110,726
Value of fidelity bond covering the plan2021-12-31$200,000
Total contributions received or receivable from participants2021-12-31$53,415
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$352,006
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$499,279
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,610,005
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,110,726
Assets. Value of participant loans2021-12-31$26,625
Total contributions received or receivable from employer(s)2021-12-31$111,475
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$12,175
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$463,903
Expenses. Total of all expenses incurred2020-12-31$17,757
Benefits paid (including direct rollovers)2020-12-31$6,068
Total plan assets at end of year2020-12-31$2,110,726
Total plan assets at beginning of year2020-12-31$1,664,580
Value of fidelity bond covering the plan2020-12-31$200,000
Total contributions received or receivable from participants2020-12-31$50,083
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$315,462
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$446,146
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,110,726
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,664,580
Assets. Value of participant loans2020-12-31$30,909
Total contributions received or receivable from employer(s)2020-12-31$98,358
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$11,689
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$480,143
Expenses. Total of all expenses incurred2019-12-31$29,861
Benefits paid (including direct rollovers)2019-12-31$20,886
Total plan assets at end of year2019-12-31$1,664,580
Total plan assets at beginning of year2019-12-31$1,214,298
Value of fidelity bond covering the plan2019-12-31$200,000
Total contributions received or receivable from participants2019-12-31$30,889
Expenses. Other expenses not covered elsewhere2019-12-31$0
Other income received2019-12-31$361,909
Net income (gross income less expenses)2019-12-31$450,282
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,664,580
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,214,298
Assets. Value of participant loans2019-12-31$34,064
Total contributions received or receivable from employer(s)2019-12-31$87,345
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$8,975
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-111,604
Expenses. Total of all expenses incurred2018-12-31$1,229,569
Benefits paid (including direct rollovers)2018-12-31$1,226,450
Total plan assets at end of year2018-12-31$1,214,298
Total plan assets at beginning of year2018-12-31$2,555,471
Value of fidelity bond covering the plan2018-12-31$200,000
Total contributions received or receivable from participants2018-12-31$54,274
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-227,927
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-1,341,173
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,214,298
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,555,471
Assets. Value of participant loans2018-12-31$37,350
Total contributions received or receivable from employer(s)2018-12-31$62,049
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$3,119
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$222,941
Expenses. Total of all expenses incurred2017-12-31$754
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$2,555,471
Total plan assets at beginning of year2017-12-31$2,333,284
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$26,550
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$113,518
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$222,187
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,555,471
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,333,284
Assets. Value of participant loans2017-12-31$39,515
Total contributions received or receivable from employer(s)2017-12-31$82,873
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$754
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$557,075
Expenses. Total of all expenses incurred2016-12-31$29,834
Benefits paid (including direct rollovers)2016-12-31$29,684
Total plan assets at end of year2016-12-31$2,333,284
Total plan assets at beginning of year2016-12-31$1,806,043
Value of fidelity bond covering the plan2016-12-31$200,000
Total contributions received or receivable from participants2016-12-31$35,090
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$394,255
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$527,241
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,333,284
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,806,043
Assets. Value of participant loans2016-12-31$41,849
Total contributions received or receivable from employer(s)2016-12-31$127,730
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$1,806,193
Expenses. Total of all expenses incurred2015-12-31$150
Benefits paid (including direct rollovers)2015-12-31$0
Total plan assets at end of year2015-12-31$1,806,043
Total plan assets at beginning of year2015-12-31$0
Value of fidelity bond covering the plan2015-12-31$200,000
Total contributions received or receivable from participants2015-12-31$16,878
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$1,628,607
Other income received2015-12-31$104,832
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$1,806,043
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,806,043
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Assets. Value of participant loans2015-12-31$44,548
Total contributions received or receivable from employer(s)2015-12-31$55,876
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$150

Form 5500 Responses for FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN

2022: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 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: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 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: FULL HOUSE EQUIPMENT RENTALS PROFIT SHARING 401(K) PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01First time form 5500 has been submittedYes
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan 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 number119432
Policy instance 1
Insurance contract or identification number119432
Number of Individuals Covered12
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Insurance broker organization code?6
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119432
Policy instance 1
Insurance contract or identification number119432
Number of Individuals Covered12
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 $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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Insurance broker organization code?6
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119432
Policy instance 1
Insurance contract or identification number119432
Number of Individuals Covered11
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Insurance broker organization code?6
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119432
Policy instance 1
Insurance contract or identification number119432
Number of Individuals Covered11
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $876
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $876
Insurance broker organization code?6
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number119432
Policy instance 1
Insurance contract or identification number119432
Number of Individuals Covered11
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $684
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $684
Insurance broker organization code?6
Insurance broker nameMERRILL LYNCH LIFE AGENCY

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