401k Plan data: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN plan

PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 401k Plan overview

Plan Name	PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN
Plan identification number	001

PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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
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.
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

STEVEN HILZ O.D., APC has sponsored the creation of one or more 401k plans.

Company Name: STEVEN HILZ O.D., APC

Employer identification number (EIN): 481261557

NAIC Classification: 621320
NAIC Description: Offices of Optometrists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 STEVEN HILZ 2022-04-09 STEVEN HILZ 2022-04-09
001 2020-01-01 STEVEN HILZ 2021-04-16 STEVEN HILZ 2021-04-16
001 2019-01-01 STEVEN HILZ 2020-05-08 STEVEN HILZ 2020-05-08
001 2018-01-01 STEVEN HILZ 2019-08-12 STEVEN HILZ 2019-08-12
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2015-01-01
001 2014-01-01 STEVEN HILZ
001 2013-01-01 STEVEN HILZ
001 2012-01-01 STEVEN HILZ
001 2011-01-01 STEVEN HILZ
001 2010-01-01 STEVEN HILZ
001 2009-01-01 STEVEN HILZ

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01	STEVEN HILZ	2022-04-09	STEVEN HILZ	2022-04-09
001	2020-01-01	STEVEN HILZ	2021-04-16	STEVEN HILZ	2021-04-16
001	2019-01-01	STEVEN HILZ	2020-05-08	STEVEN HILZ	2020-05-08
001	2018-01-01	STEVEN HILZ	2019-08-12	STEVEN HILZ	2019-08-12
001	2017-01-01
001	2016-01-01
001	2015-01-01
001	2015-01-01
001	2014-01-01	STEVEN HILZ
001	2013-01-01	STEVEN HILZ
001	2012-01-01	STEVEN HILZ
001	2011-01-01	STEVEN HILZ
001	2010-01-01	STEVEN HILZ
001	2009-01-01	STEVEN HILZ

Financial Data on PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN

Measure	Date	Value
2021 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources	2021-12-31	$685,303
Expenses. Total of all expenses incurred	2021-12-31	$91,034
Benefits paid (including direct rollovers)	2021-12-31	$73,624
Total plan assets at end of year	2021-12-31	$3,833,225
Total plan assets at beginning of year	2021-12-31	$3,238,956
Value of fidelity bond covering the plan	2021-12-31	$400,000
Other income received	2021-12-31	$498,355
Net income (gross income less expenses)	2021-12-31	$594,269
Net plan assets at end of year (total assets less liabilities)	2021-12-31	$3,833,225
Net plan assets at beginning of year (total assets less liabilities)	2021-12-31	$3,238,956
Assets. Value of real-estate (other than employer real property)	2021-12-31	$46,677
Total contributions received or receivable from employer(s)	2021-12-31	$186,948
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-31	$17,410
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2021-12-31	$0
2020 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources	2020-12-31	$547,639
Expenses. Total of all expenses incurred	2020-12-31	$48,393
Benefits paid (including direct rollovers)	2020-12-31	$34,437
Total plan assets at end of year	2020-12-31	$3,238,956
Total plan assets at beginning of year	2020-12-31	$2,739,710
Value of fidelity bond covering the plan	2020-12-31	$350,000
Other income received	2020-12-31	$356,735
Net income (gross income less expenses)	2020-12-31	$499,246
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$3,238,956
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$2,739,710
Assets. Value of real-estate (other than employer real property)	2020-12-31	$49,969
Total contributions received or receivable from employer(s)	2020-12-31	$190,904
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$13,956
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2020-12-31	$0
2019 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources	2019-12-31	$675,430
Expenses. Total of all expenses incurred	2019-12-31	$65,092
Benefits paid (including direct rollovers)	2019-12-31	$52,366
Total plan assets at end of year	2019-12-31	$2,739,710
Total plan assets at beginning of year	2019-12-31	$2,129,372
Value of fidelity bond covering the plan	2019-12-31	$350,000
Other income received	2019-12-31	$511,609
Net income (gross income less expenses)	2019-12-31	$610,338
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$2,739,710
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$2,129,372
Assets. Value of real-estate (other than employer real property)	2019-12-31	$53,659
Total contributions received or receivable from employer(s)	2019-12-31	$163,821
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$12,726
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-12-31	$0
2018 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources	2018-12-31	$-176,372
Expenses. Total of all expenses incurred	2018-12-31	$33,319
Benefits paid (including direct rollovers)	2018-12-31	$21,437
Total plan assets at end of year	2018-12-31	$2,129,372
Total plan assets at beginning of year	2018-12-31	$2,339,063
Value of fidelity bond covering the plan	2018-12-31	$350,000
Contributions received from other sources (not participants or employers)	2018-12-31	$1,184
Other income received	2018-12-31	$-202,556
Net income (gross income less expenses)	2018-12-31	$-209,691
Net plan assets at end of year (total assets less liabilities)	2018-12-31	$2,129,372
Net plan assets at beginning of year (total assets less liabilities)	2018-12-31	$2,339,063
Assets. Value of real-estate (other than employer real property)	2018-12-31	$106,120
Total contributions received or receivable from employer(s)	2018-12-31	$25,000
Expenses. Administrative service providers (salaries,fees and commissions)	2018-12-31	$11,882
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
2017 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources	2017-12-31	$325,884
Expenses. Total of all expenses incurred	2017-12-31	$93,650
Benefits paid (including direct rollovers)	2017-12-31	$81,524
Total plan assets at end of year	2017-12-31	$2,339,063
Total plan assets at beginning of year	2017-12-31	$2,106,829
Value of fidelity bond covering the plan	2017-12-31	$300,000
Other income received	2017-12-31	$300,884
Net income (gross income less expenses)	2017-12-31	$232,234
Net plan assets at end of year (total assets less liabilities)	2017-12-31	$2,339,063
Net plan assets at beginning of year (total assets less liabilities)	2017-12-31	$2,106,829
Assets. Value of real-estate (other than employer real property)	2017-12-31	$115,061
Total contributions received or receivable from employer(s)	2017-12-31	$25,000
Expenses. Administrative service providers (salaries,fees and commissions)	2017-12-31	$12,126
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
2016 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$336,754
Expenses. Total of all expenses incurred	2016-12-31	$36,419
Benefits paid (including direct rollovers)	2016-12-31	$20,695
Total plan assets at end of year	2016-12-31	$2,106,829
Total plan assets at beginning of year	2016-12-31	$1,806,494
Value of fidelity bond covering the plan	2016-12-31	$300,000
Other income received	2016-12-31	$196,971
Net income (gross income less expenses)	2016-12-31	$300,335
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$2,106,829
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$1,806,494
Assets. Value of real-estate (other than employer real property)	2016-12-31	$104,938
Total contributions received or receivable from employer(s)	2016-12-31	$139,783
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$15,724
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
2015 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$118,554
Expenses. Total of all expenses incurred	2015-12-31	$140,987
Benefits paid (including direct rollovers)	2015-12-31	$129,837
Total plan assets at end of year	2015-12-31	$1,806,494
Total plan assets at beginning of year	2015-12-31	$1,828,927
Value of fidelity bond covering the plan	2015-12-31	$300,000
Other income received	2015-12-31	$-52,923
Net income (gross income less expenses)	2015-12-31	$-22,433
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$1,806,494
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$1,828,927
Assets. Value of real-estate (other than employer real property)	2015-12-31	$92,230
Total contributions received or receivable from employer(s)	2015-12-31	$171,477
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$11,150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$197,788
Expenses. Total of all expenses incurred	2014-12-31	$30,020
Benefits paid (including direct rollovers)	2014-12-31	$20,719
Total plan assets at end of year	2014-12-31	$1,828,927
Total plan assets at beginning of year	2014-12-31	$1,661,159
Value of fidelity bond covering the plan	2014-12-31	$300,000
Other income received	2014-12-31	$70,172
Net income (gross income less expenses)	2014-12-31	$167,768
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,828,927
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,661,159
Assets. Value of real-estate (other than employer real property)	2014-12-31	$106,702
Total contributions received or receivable from employer(s)	2014-12-31	$127,616
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$9,301
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$396,332
Expenses. Total of all expenses incurred	2013-12-31	$932
Benefits paid (including direct rollovers)	2013-12-31	$932
Total plan assets at end of year	2013-12-31	$1,661,159
Total plan assets at beginning of year	2013-12-31	$1,265,759
Value of fidelity bond covering the plan	2013-12-31	$300,000
Other income received	2013-12-31	$225,172
Net income (gross income less expenses)	2013-12-31	$395,400
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,661,159
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,265,759
Assets. Value of real-estate (other than employer real property)	2013-12-31	$104,652
Total contributions received or receivable from employer(s)	2013-12-31	$171,160
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$262,469
Expenses. Total of all expenses incurred	2012-12-31	$31,938
Benefits paid (including direct rollovers)	2012-12-31	$21,508
Total plan assets at end of year	2012-12-31	$1,265,759
Total plan assets at beginning of year	2012-12-31	$1,035,228
Value of fidelity bond covering the plan	2012-12-31	$150,000
Other income received	2012-12-31	$121,971
Net income (gross income less expenses)	2012-12-31	$230,531
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,265,759
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,035,228
Assets. Value of real-estate (other than employer real property)	2012-12-31	$97,388
Total contributions received or receivable from employer(s)	2012-12-31	$140,498
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$10,430
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$34,474
Expenses. Total of all expenses incurred	2011-12-31	$23,782
Benefits paid (including direct rollovers)	2011-12-31	$23,782
Total plan assets at end of year	2011-12-31	$1,035,228
Total plan assets at beginning of year	2011-12-31	$1,024,536
Value of fidelity bond covering the plan	2011-12-31	$150,000
Other income received	2011-12-31	$-40,014
Net income (gross income less expenses)	2011-12-31	$10,692
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,035,228
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,024,536
Assets. Value of real-estate (other than employer real property)	2011-12-31	$88,992
Total contributions received or receivable from employer(s)	2011-12-31	$74,488
2010 : PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$178,749
Expenses. Total of all expenses incurred	2010-12-31	$41,697
Benefits paid (including direct rollovers)	2010-12-31	$27,458
Total plan assets at end of year	2010-12-31	$1,024,536
Total plan assets at beginning of year	2010-12-31	$887,484
Value of fidelity bond covering the plan	2010-12-31	$150,000
Other income received	2010-12-31	$65,402
Net income (gross income less expenses)	2010-12-31	$137,052
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,024,536
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$887,484
Assets. Value of real-estate (other than employer real property)	2010-12-31	$98,976
Total contributions received or receivable from employer(s)	2010-12-31	$113,347
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$14,239

Form 5500 Responses for PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN

2021: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2010: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Submission has been amended	No
2010-01-01	This submission is the final filing	No
2010-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-01-01	Plan is a collectively bargained plan	No
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan funding arrangement – Trust	Yes
2010-01-01	Plan benefit arrangement - Trust	Yes
2009: PERRIS VALLEY VISION CENTER PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number	62120
Policy instance	1

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Company Name:	STEVEN HILZ O.D., APC
Employer identification number (EIN):	481261557
NAIC Classification:	621320
NAIC Description:	Offices of Optometrists