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HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 401k Plan overview

Plan NameHOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B)
Plan identification number 002

HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

HOSPICE OF WAKE COUNTY, INC. DBA TRANSITIONS LIFECARE has sponsored the creation of one or more 401k plans.

Company Name:HOSPICE OF WAKE COUNTY, INC. DBA TRANSITIONS LIFECARE
Employer identification number (EIN):561228779
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about HOSPICE OF WAKE COUNTY, INC. DBA TRANSITIONS LIFECARE

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0071376

More information about HOSPICE OF WAKE COUNTY, INC. DBA TRANSITIONS LIFECARE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-01-01
0022018-01-01TONI MESSLER2019-09-16
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01
0022014-01-01
0022013-01-01
0022011-01-01TONI MESSLER
0022009-01-01TONI MESSLER

Plan Statistics for HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B)

401k plan membership statisitcs for HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B)

Measure Date Value
2019: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2019 401k membership
Total participants, beginning-of-year2019-01-01753
Total number of active participants reported on line 7a of the Form 55002019-01-01567
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01250
Total of all active and inactive participants2019-01-01817
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01817
Number of participants with account balances2019-01-01727
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0129
2018: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2018 401k membership
Total participants, beginning-of-year2018-01-01593
Total number of active participants reported on line 7a of the Form 55002018-01-01660
Total of all active and inactive participants2018-01-01660
Total participants2018-01-01660
Number of participants with account balances2018-01-01660
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0116
2017: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2017 401k membership
Total participants, beginning-of-year2017-01-01512
Total number of active participants reported on line 7a of the Form 55002017-01-01593
Total of all active and inactive participants2017-01-01593
Total participants2017-01-01593
Number of participants with account balances2017-01-01593
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0112
2016: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2016 401k membership
Total participants, beginning-of-year2016-01-01428
Total number of active participants reported on line 7a of the Form 55002016-01-01512
Total of all active and inactive participants2016-01-01512
Total participants2016-01-01512
Number of participants with account balances2016-01-01512
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2015 401k membership
Total participants, beginning-of-year2015-01-01378
Total number of active participants reported on line 7a of the Form 55002015-01-01428
Total of all active and inactive participants2015-01-01428
Total participants2015-01-01428
Number of participants with account balances2015-01-01428
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0115
2014: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2014 401k membership
Total participants, beginning-of-year2014-01-01343
Total number of active participants reported on line 7a of the Form 55002014-01-01378
Total of all active and inactive participants2014-01-01378
Total participants2014-01-01378
Number of participants with account balances2014-01-01378
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0110
2013: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2013 401k membership
Total participants, beginning-of-year2013-01-01330
Total number of active participants reported on line 7a of the Form 55002013-01-01343
Total of all active and inactive participants2013-01-01343
Total participants2013-01-01343
Number of participants with account balances2013-01-01343
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0113
2011: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2011 401k membership
Total participants, beginning-of-year2011-01-01242
Total number of active participants reported on line 7a of the Form 55002011-01-01318
Total of all active and inactive participants2011-01-01318
Total participants2011-01-01318
Number of participants with account balances2011-01-01318
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013
2009: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2009 401k membership
Total participants, beginning-of-year2009-01-01183
Total number of active participants reported on line 7a of the Form 55002009-01-01195
Total of all active and inactive participants2009-01-01195
Total participants2009-01-01195
Number of participants with account balances2009-01-01195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0120

Financial Data on HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B)

Measure Date Value
2019 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$5,546,719
Total of all expenses incurred2019-12-31$1,038,868
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,013,920
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,475,027
Value of total assets at end of year2019-12-31$20,496,316
Value of total assets at beginning of year2019-12-31$15,988,465
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$24,948
Total interest from all sources2019-12-31$97,823
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$159,532
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$159,532
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,509,523
Participant contributions at end of year2019-12-31$555,416
Participant contributions at beginning of year2019-12-31$517,109
Participant contributions at beginning of year2019-12-31$90,287
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$135,303
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$4,507,851
Value of net assets at end of year (total assets less liabilities)2019-12-31$20,496,316
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$15,988,465
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$16,519,724
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$11,444,678
Interest on participant loans2019-12-31$742
Interest earned on other investments2019-12-31$97,081
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$3,421,176
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,885,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,814,337
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$830,201
Employer contributions (assets) at beginning of year2019-12-31$51,382
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,013,920
Contract administrator fees2019-12-31$24,948
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31KOONCE, WOOTEN & HAYWOOD, LLP
Accountancy firm EIN2019-12-31560517823
2018 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-805,620
Total unrealized appreciation/depreciation of assets2018-12-31$-805,620
Total income from all sources (including contributions)2018-12-31$2,120,395
Total of all expenses incurred2018-12-31$598,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$588,960
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,836,098
Value of total assets at end of year2018-12-31$15,988,465
Value of total assets at beginning of year2018-12-31$14,466,442
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$9,412
Total interest from all sources2018-12-31$89,917
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,326,497
Participant contributions at end of year2018-12-31$517,109
Participant contributions at beginning of year2018-12-31$344,332
Participant contributions at end of year2018-12-31$90,287
Participant contributions at beginning of year2018-12-31$63,513
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$708,119
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,522,023
Value of net assets at end of year (total assets less liabilities)2018-12-31$15,988,465
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$14,466,442
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$11,444,678
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,765,014
Interest on participant loans2018-12-31$16,544
Interest earned on other investments2018-12-31$73,373
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,885,009
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$3,252,348
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$801,482
Employer contributions (assets) at end of year2018-12-31$51,382
Employer contributions (assets) at beginning of year2018-12-31$41,235
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$588,960
Contract administrator fees2018-12-31$9,412
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31KOONCE, WOOTEN & HAYWOOD, LLP
Accountancy firm EIN2018-12-31560517823
2017 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,639,585
Total unrealized appreciation/depreciation of assets2017-12-31$1,639,585
Total income from all sources (including contributions)2017-12-31$3,844,171
Total of all expenses incurred2017-12-31$566,216
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$561,473
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,122,890
Value of total assets at end of year2017-12-31$14,466,442
Value of total assets at beginning of year2017-12-31$11,188,487
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$4,743
Total interest from all sources2017-12-31$81,696
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,032,896
Participant contributions at end of year2017-12-31$344,332
Participant contributions at beginning of year2017-12-31$359,426
Participant contributions at end of year2017-12-31$63,513
Participant contributions at beginning of year2017-12-31$53,822
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$397,614
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,277,955
Value of net assets at end of year (total assets less liabilities)2017-12-31$14,466,442
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$11,188,487
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,765,014
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$7,832,393
Interest on participant loans2017-12-31$12,860
Interest earned on other investments2017-12-31$68,836
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$3,252,348
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,903,669
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$692,380
Employer contributions (assets) at end of year2017-12-31$41,235
Employer contributions (assets) at beginning of year2017-12-31$39,177
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$561,473
Contract administrator fees2017-12-31$4,743
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31KOONCE,WOOTEN & HAYWOOD, LLP
Accountancy firm EIN2017-12-31560517823
2016 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$307,346
Total unrealized appreciation/depreciation of assets2016-12-31$307,346
Total income from all sources (including contributions)2016-12-31$1,817,798
Total of all expenses incurred2016-12-31$556,441
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$553,402
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,439,550
Value of total assets at end of year2016-12-31$11,188,487
Value of total assets at beginning of year2016-12-31$9,927,130
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,039
Total interest from all sources2016-12-31$70,902
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$771,858
Participant contributions at end of year2016-12-31$359,426
Participant contributions at beginning of year2016-12-31$251,955
Participant contributions at end of year2016-12-31$53,822
Participant contributions at beginning of year2016-12-31$37,511
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$131,968
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$1,261,357
Value of net assets at end of year (total assets less liabilities)2016-12-31$11,188,487
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$9,927,130
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$7,832,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,195,957
Interest on participant loans2016-12-31$11,840
Interest earned on other investments2016-12-31$59,062
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,903,669
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$2,414,532
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$535,724
Employer contributions (assets) at end of year2016-12-31$39,177
Employer contributions (assets) at beginning of year2016-12-31$27,175
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$553,402
Contract administrator fees2016-12-31$3,039
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
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 name2016-12-31KOONCE, WOOTEN, & HAYWOOD, LLP
Accountancy firm EIN2016-12-31560517823
2015 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$65,112
Total unrealized appreciation/depreciation of assets2015-12-31$65,112
Total income from all sources (including contributions)2015-12-31$1,519,612
Total of all expenses incurred2015-12-31$969,627
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$966,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,387,265
Value of total assets at end of year2015-12-31$9,927,130
Value of total assets at beginning of year2015-12-31$9,377,145
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,683
Total interest from all sources2015-12-31$67,235
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$646,221
Participant contributions at end of year2015-12-31$251,955
Participant contributions at beginning of year2015-12-31$191,371
Participant contributions at end of year2015-12-31$37,511
Participant contributions at beginning of year2015-12-31$56,767
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$281,780
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$549,985
Value of net assets at end of year (total assets less liabilities)2015-12-31$9,927,130
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$9,377,145
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$7,195,957
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,540,349
Interest on participant loans2015-12-31$9,150
Interest earned on other investments2015-12-31$58,085
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$2,414,532
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$2,549,177
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$459,264
Employer contributions (assets) at end of year2015-12-31$27,175
Employer contributions (assets) at beginning of year2015-12-31$39,481
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$966,944
Contract administrator fees2015-12-31$2,683
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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 name2015-12-31KOONCE, WOOTEN & HAYWOOD, LLP
Accountancy firm EIN2015-12-31560517823
2014 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$598,629
Total unrealized appreciation/depreciation of assets2014-12-31$598,629
Total income from all sources (including contributions)2014-12-31$1,741,295
Total of all expenses incurred2014-12-31$914,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$911,615
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,074,406
Value of total assets at end of year2014-12-31$9,377,145
Value of total assets at beginning of year2014-12-31$8,549,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,404
Total interest from all sources2014-12-31$68,260
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$641,684
Participant contributions at end of year2014-12-31$191,371
Participant contributions at beginning of year2014-12-31$173,556
Participant contributions at end of year2014-12-31$56,767
Participant contributions at beginning of year2014-12-31$21,975
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$2,156
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$827,276
Value of net assets at end of year (total assets less liabilities)2014-12-31$9,377,145
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$8,549,869
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$6,540,349
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,758,398
Interest on participant loans2014-12-31$7,106
Interest earned on other investments2014-12-31$61,154
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$2,549,177
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,580,446
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$430,566
Employer contributions (assets) at end of year2014-12-31$39,481
Employer contributions (assets) at beginning of year2014-12-31$15,494
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$911,615
Contract administrator fees2014-12-31$2,404
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
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 name2014-12-31KOONCE, WOOTEN & HAYWOOD, LLP
Accountancy firm EIN2014-12-31560517823
2013 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$1,315,417
Total unrealized appreciation/depreciation of assets2013-12-31$1,315,417
Total income from all sources (including contributions)2013-12-31$2,385,472
Total of all expenses incurred2013-12-31$363,067
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$361,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,006,976
Value of total assets at end of year2013-12-31$8,549,869
Value of total assets at beginning of year2013-12-31$6,527,464
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,906
Total interest from all sources2013-12-31$63,079
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
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 period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$563,774
Participant contributions at end of year2013-12-31$173,556
Participant contributions at beginning of year2013-12-31$139,698
Participant contributions at end of year2013-12-31$21,975
Participant contributions at beginning of year2013-12-31$20,230
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$53,079
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$2,022,405
Value of net assets at end of year (total assets less liabilities)2013-12-31$8,549,869
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,527,464
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,758,398
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,045,172
Interest on participant loans2013-12-31$6,004
Interest earned on other investments2013-12-31$57,075
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,580,446
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$2,307,401
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$390,123
Employer contributions (assets) at end of year2013-12-31$15,494
Employer contributions (assets) at beginning of year2013-12-31$14,963
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$361,161
Contract administrator fees2013-12-31$1,906
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31KOONCE, WOOTEN & HAYWOOD, LLP
Accountancy firm EIN2013-12-31560517823
2011 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-80,604
Total unrealized appreciation/depreciation of assets2011-12-31$-80,604
Total income from all sources (including contributions)2011-12-31$890,179
Total of all expenses incurred2011-12-31$437,758
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$436,330
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$913,200
Value of total assets at end of year2011-12-31$5,218,930
Value of total assets at beginning of year2011-12-31$4,766,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,428
Total interest from all sources2011-12-31$57,583
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$484,097
Participant contributions at end of year2011-12-31$158,449
Participant contributions at beginning of year2011-12-31$146,791
Participant contributions at end of year2011-12-31$19,090
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$75,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$452,421
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,218,930
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,766,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,180,893
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,090,918
Interest on participant loans2011-12-31$5,797
Interest earned on other investments2011-12-31$51,786
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$1,846,492
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$1,528,800
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$353,740
Employer contributions (assets) at end of year2011-12-31$14,006
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$436,330
Contract administrator fees2011-12-31$1,428
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31KOONCE, WOOTEN & HAYWOOD
Accountancy firm EIN2011-12-31560517823
2010 : HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$384,021
Total unrealized appreciation/depreciation of assets2010-12-31$384,021
Total income from all sources (including contributions)2010-12-31$1,411,986
Total of all expenses incurred2010-12-31$478,904
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$477,648
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$975,619
Value of total assets at end of year2010-12-31$4,766,509
Value of total assets at beginning of year2010-12-31$3,783,171
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,256
Total interest from all sources2010-12-31$52,346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$395,783
Participant contributions at end of year2010-12-31$146,791
Participant contributions at beginning of year2010-12-31$168,467
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$318,299
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$933,082
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,766,509
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,783,171
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,090,918
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,425,099
Interest on participant loans2010-12-31$5,773
Interest earned on other investments2010-12-31$46,573
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$1,528,800
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$1,189,605
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$261,537
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$477,648
Contract administrator fees2010-12-31$1,256
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BOYCE, FURR & COMPANY, LLP
Accountancy firm EIN2010-12-31562195600

Form 5500 Responses for HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B)

2019: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2011: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: HOSPICE OF WAKE COUNTY, INC. RETIREMENT SAVINGS PL 403(B) 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered560
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $23,076
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,920
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered593
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $39,647
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $36,116
Insurance broker organization code?3
Insurance broker nameLAUREN I. JOHNSON
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered428
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $23,114
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees17428
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
Insurance broker nameLAUREN I. JOHNSON
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered378
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $12,013
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10840
Insurance broker organization code?3
Insurance broker nameLAUREN I. JOHNSON
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered343
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $11,182
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees10045
Insurance broker organization code?3
Insurance broker nameMICHAEL B. SHEFFLER
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered318
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $14,615
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number60905
Policy instance 1
Insurance contract or identification number60905
Number of Individuals Covered242
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $15,414
Total amount of fees paid to insurance companyUSD $15,414
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,940
Amount paid for insurance broker fees13940
Insurance broker organization code?3
Insurance broker nameFRED N. LILES, JR.

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