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EYE CARE PROFESSIONALS 401K PLAN 401k Plan overview

Plan NameEYE CARE PROFESSIONALS 401K PLAN
Plan identification number 001

EYE CARE PROFESSIONALS 401K PLAN Benefits

401k Plan TypeDefined 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.
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.

401k Sponsoring company profile

MATTHEW B. MILLS, MD, LTD. has sponsored the creation of one or more 401k plans.

Company Name:MATTHEW B. MILLS, MD, LTD.
Employer identification number (EIN):562350282
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EYE CARE PROFESSIONALS 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01MATTHEW MILLS, MD2022-08-15 MATTHEW MILLS, MD2022-08-15
0012020-01-01MATTHEW MILLS, MD2021-06-28 MATTHEW MILLS, MD2021-06-28
0012019-01-01MATTHEW MILLS, MD2020-05-18 MATTHEW MILLS, MD2020-05-18
0012019-01-01MATTHEW MILLS, MD2020-08-26 MATTHEW MILLS, MD2020-08-26
0012018-01-01MATTHEW B MILLS, MD2019-05-22 MATTHEW B MILLS, MD2019-05-22
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01MATTHEW MILLS, MD2014-05-22 MATTHEW MILLS, MD2014-05-22
0012012-01-01MATTHEW MILLS, MD2013-07-26 MATTHEW MILLS, MD2013-07-26
0012011-01-01MATTHEW B. MILLS, MD MATTHEW B. MILLS, MD2012-06-22
0012010-01-01MATTHEW B. MILLS, MD MATTHEW B. MILLS, MD2011-05-20
0012009-01-01MATTHEW B. MILLS, MD MATTHEW B. MILLS, MD2010-07-29
0012007-01-01MATTHEW B. MILLS, MD MATTHEW B. MILLS, MD2010-08-24

Plan Statistics for EYE CARE PROFESSIONALS 401K PLAN

401k plan membership statisitcs for EYE CARE PROFESSIONALS 401K PLAN

Measure Date Value
2021: EYE CARE PROFESSIONALS 401K PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0123
Total number of active participants reported on line 7a of the Form 55002021-01-019
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0113
Total of all active and inactive participants2021-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0122
Number of participants with account balances2021-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: EYE CARE PROFESSIONALS 401K PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0122
Total number of active participants reported on line 7a of the Form 55002020-01-015
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0116
Total of all active and inactive participants2020-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0121
Number of participants with account balances2020-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-012
2019: EYE CARE PROFESSIONALS 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0124
Total number of active participants reported on line 7a of the Form 55002019-01-0112
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-018
Total of all active and inactive participants2019-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0120
Number of participants with account balances2019-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: EYE CARE PROFESSIONALS 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0121
Total number of active participants reported on line 7a of the Form 55002018-01-0111
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0111
Total of all active and inactive participants2018-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0122
Number of participants with account balances2018-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
2017: EYE CARE PROFESSIONALS 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0122
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-018
Total of all active and inactive participants2017-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0120
Number of participants with account balances2017-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: EYE CARE PROFESSIONALS 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0123
Total number of active participants reported on line 7a of the Form 55002016-01-0112
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0115
Total of all active and inactive participants2016-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0127
Number of participants with account balances2016-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: EYE CARE PROFESSIONALS 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0122
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0115
Total of all active and inactive participants2015-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0122
Number of participants with account balances2015-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-013
2011: EYE CARE PROFESSIONALS 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0120
Total number of active participants reported on line 7a of the Form 55002011-01-0114
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0118
Number of participants with account balances2011-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: EYE CARE PROFESSIONALS 401K PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0117
Total number of active participants reported on line 7a of the Form 55002010-01-0115
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-014
Total of all active and inactive participants2010-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0119
Number of participants with account balances2010-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-011
2009: EYE CARE PROFESSIONALS 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0118
Total number of active participants reported on line 7a of the Form 55002009-01-0112
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0115
Number of participants with account balances2009-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011
2007: EYE CARE PROFESSIONALS 401K PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0113
Total number of active participants reported on line 7a of the Form 55002007-01-0111
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-012
Total of all active and inactive participants2007-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-0113
Number of participants with account balances2007-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010

Financial Data on EYE CARE PROFESSIONALS 401K PLAN

Measure Date Value
2021 : EYE CARE PROFESSIONALS 401K PLAN 2021 401k financial data
Total income from all sources2021-12-31$319,812
Expenses. Total of all expenses incurred2021-12-31$6,867
Benefits paid (including direct rollovers)2021-12-31$6,617
Total plan assets at end of year2021-12-31$1,620,955
Total plan assets at beginning of year2021-12-31$1,308,010
Value of fidelity bond covering the plan2021-12-31$163,000
Total contributions received or receivable from participants2021-12-31$66,255
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$212,835
Net income (gross income less expenses)2021-12-31$312,945
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,620,955
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,308,010
Total contributions received or receivable from employer(s)2021-12-31$40,722
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$250
2020 : EYE CARE PROFESSIONALS 401K PLAN 2020 401k financial data
Total income from all sources2020-12-31$320,227
Expenses. Total of all expenses incurred2020-12-31$100,067
Benefits paid (including direct rollovers)2020-12-31$99,967
Total plan assets at end of year2020-12-31$1,308,010
Total plan assets at beginning of year2020-12-31$1,087,850
Value of fidelity bond covering the plan2020-12-31$150,000
Total contributions received or receivable from participants2020-12-31$16,436
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$264,398
Net income (gross income less expenses)2020-12-31$220,160
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,308,010
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,087,850
Total contributions received or receivable from employer(s)2020-12-31$39,393
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$100
2019 : EYE CARE PROFESSIONALS 401K PLAN 2019 401k financial data
Total income from all sources2019-12-31$265,316
Expenses. Total of all expenses incurred2019-12-31$33,556
Benefits paid (including direct rollovers)2019-12-31$33,256
Total plan assets at end of year2019-12-31$1,087,847
Total plan assets at beginning of year2019-12-31$856,087
Value of fidelity bond covering the plan2019-12-31$150,000
Total contributions received or receivable from participants2019-12-31$49,121
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$179,613
Net income (gross income less expenses)2019-12-31$231,760
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,087,847
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$856,087
Total contributions received or receivable from employer(s)2019-12-31$36,582
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$300
2018 : EYE CARE PROFESSIONALS 401K PLAN 2018 401k financial data
Total income from all sources2018-12-31$54,069
Expenses. Total of all expenses incurred2018-12-31$185,637
Benefits paid (including direct rollovers)2018-12-31$171,908
Total plan assets at end of year2018-12-31$856,087
Total plan assets at beginning of year2018-12-31$987,655
Value of fidelity bond covering the plan2018-12-31$150,000
Total contributions received or receivable from participants2018-12-31$64,270
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-48,564
Net income (gross income less expenses)2018-12-31$-131,568
Net plan assets at end of year (total assets less liabilities)2018-12-31$856,087
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$987,655
Total contributions received or receivable from employer(s)2018-12-31$38,363
Value of certain deemed distributions of participant loans2018-12-31$13,529
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$200
2017 : EYE CARE PROFESSIONALS 401K PLAN 2017 401k financial data
Total income from all sources2017-12-31$248,318
Expenses. Total of all expenses incurred2017-12-31$111,466
Benefits paid (including direct rollovers)2017-12-31$108,179
Total plan assets at end of year2017-12-31$987,656
Total plan assets at beginning of year2017-12-31$850,804
Value of fidelity bond covering the plan2017-12-31$99,000
Total contributions received or receivable from participants2017-12-31$52,362
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$131,410
Net income (gross income less expenses)2017-12-31$136,852
Net plan assets at end of year (total assets less liabilities)2017-12-31$987,656
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$850,804
Assets. Value of participant loans2017-12-31$15,324
Total contributions received or receivable from employer(s)2017-12-31$64,546
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$3,287
2016 : EYE CARE PROFESSIONALS 401K PLAN 2016 401k financial data
Total income from all sources2016-12-31$130,356
Expenses. Total of all expenses incurred2016-12-31$140,331
Benefits paid (including direct rollovers)2016-12-31$140,331
Total plan assets at end of year2016-12-31$850,804
Total plan assets at beginning of year2016-12-31$860,779
Value of fidelity bond covering the plan2016-12-31$86,000
Total contributions received or receivable from participants2016-12-31$59,223
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$32,477
Net income (gross income less expenses)2016-12-31$-9,975
Net plan assets at end of year (total assets less liabilities)2016-12-31$850,804
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$860,779
Assets. Value of participant loans2016-12-31$13,738
Total contributions received or receivable from employer(s)2016-12-31$38,656
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$0
2015 : EYE CARE PROFESSIONALS 401K PLAN 2015 401k financial data
Total income from all sources2015-12-31$128,794
Expenses. Total of all expenses incurred2015-12-31$246,376
Benefits paid (including direct rollovers)2015-12-31$242,719
Total plan assets at end of year2015-12-31$860,779
Total plan assets at beginning of year2015-12-31$978,361
Value of fidelity bond covering the plan2015-12-31$87,000
Total contributions received or receivable from participants2015-12-31$60,911
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-1,540
Net income (gross income less expenses)2015-12-31$-117,582
Net plan assets at end of year (total assets less liabilities)2015-12-31$860,779
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$978,361
Assets. Value of participant loans2015-12-31$17,390
Total contributions received or receivable from employer(s)2015-12-31$69,423
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$3,657
2011 : EYE CARE PROFESSIONALS 401K PLAN 2011 401k financial data
Total income from all sources2011-12-31$6,295
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$618,255
Total plan assets at beginning of year2011-12-31$611,960
Value of fidelity bond covering the plan2011-12-31$62,000
Total contributions received or receivable from participants2011-12-31$34,420
Other income received2011-12-31$-38,615
Net income (gross income less expenses)2011-12-31$6,295
Net plan assets at end of year (total assets less liabilities)2011-12-31$618,255
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$611,960
Assets. Value of participant loans2011-12-31$38,603
Total contributions received or receivable from employer(s)2011-12-31$10,490
2010 : EYE CARE PROFESSIONALS 401K PLAN 2010 401k financial data
Total income from all sources2010-12-31$118,887
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$611,960
Total plan assets at beginning of year2010-12-31$493,073
Value of fidelity bond covering the plan2010-12-31$62,000
Total contributions received or receivable from participants2010-12-31$33,663
Contributions received from other sources (not participants or employers)2010-12-31$5,056
Other income received2010-12-31$70,488
Net income (gross income less expenses)2010-12-31$118,887
Net plan assets at end of year (total assets less liabilities)2010-12-31$611,960
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$493,073
Assets. Value of participant loans2010-12-31$45,944
Total contributions received or receivable from employer(s)2010-12-31$9,680

Form 5500 Responses for EYE CARE PROFESSIONALS 401K PLAN

2021: EYE CARE PROFESSIONALS 401K 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: EYE CARE PROFESSIONALS 401K 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: EYE CARE PROFESSIONALS 401K 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: EYE CARE PROFESSIONALS 401K 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: EYE CARE PROFESSIONALS 401K 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 - TrustYes
2016: EYE CARE PROFESSIONALS 401K 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 - TrustYes
2015: EYE CARE PROFESSIONALS 401K PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2011: EYE CARE PROFESSIONALS 401K PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EYE CARE PROFESSIONALS 401K PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: EYE CARE PROFESSIONALS 401K PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes
2007: EYE CARE PROFESSIONALS 401K PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818785
Policy instance 1
Insurance contract or identification number818785
Number of Individuals Covered21
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,249
Total amount of fees paid to insurance companyUSD $2,249
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $2,249
Amount paid for insurance broker fees2249
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818785
Policy instance 1
Insurance contract or identification number818785
Number of Individuals Covered21
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,731
Total amount of fees paid to insurance companyUSD $2,731
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,731
Amount paid for insurance broker fees2731
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818785
Policy instance 1
Insurance contract or identification number818785
Number of Individuals Covered17
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,310
Total amount of fees paid to insurance companyUSD $2,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,310
Amount paid for insurance broker fees2310
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number804982-000
Policy instance 1
Insurance contract or identification number804982-000
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,586
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $3,586
Insurance broker organization code?3
Insurance broker nameWORLD FINANCIAL GROUP INS AGENCY
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number804982-0000
Policy instance 1
Insurance contract or identification number804982-0000
Number of Individuals Covered20
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,600
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $3,600
Insurance broker organization code?3
Insurance broker nameWORLD FINANCIAL GROUP INSURANCE

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