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H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 401k Plan overview

Plan NameH. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN
Plan identification number 001

H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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

H.A. SACK, INC. has sponsored the creation of one or more 401k plans.

Company Name:H.A. SACK, INC.
Employer identification number (EIN):580709776
NAIC Classification:238290
NAIC Description:Other Building Equipment Contractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01MARTIN SCHAPER MARTIN SCHAPER2019-03-12
0012017-04-15MARTIN SCHAPER MARTIN SCHAPER2018-06-14
0012011-11-01MARTIN SCHAPER MARTIN SCHAPER2016-06-20
0012009-11-01CATHERINE REA CATHERINE REA2011-08-11
0012009-11-01CATHERINE REA CATHERINE REA2011-08-11
0012008-11-01
0012008-11-01

Plan Statistics for H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN

401k plan membership statisitcs for H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN

Measure Date Value
2022: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01239
Total number of active participants reported on line 7a of the Form 55002022-01-01227
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0119
Total of all active and inactive participants2022-01-01246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01246
Number of participants with account balances2022-01-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01250
Total number of active participants reported on line 7a of the Form 55002021-01-01222
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 participants2021-01-01235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01235
Number of participants with account balances2021-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01237
Total number of active participants reported on line 7a of the Form 55002020-01-01239
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-01248
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01248
Number of participants with account balances2020-01-0176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0164
Total number of active participants reported on line 7a of the Form 55002019-01-0154
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-017
Total of all active and inactive participants2019-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0161
Number of participants with account balances2019-01-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0167
Total number of active participants reported on line 7a of the Form 55002018-01-0156
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-017
Total of all active and inactive participants2018-01-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0163
Number of participants with account balances2018-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-1553
Total number of active participants reported on line 7a of the Form 55002017-04-1556
Number of retired or separated participants receiving benefits2017-04-150
Number of other retired or separated participants entitled to future benefits2017-04-157
Total of all active and inactive participants2017-04-1563
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-150
Total participants2017-04-1563
Number of participants with account balances2017-04-1525
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-150
2011: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-01163
Total number of active participants reported on line 7a of the Form 55002011-11-010
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-010
Number of participants with account balances2011-11-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2009: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-01207
Total number of active participants reported on line 7a of the Form 55002009-11-01160
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-0112
Total of all active and inactive participants2009-11-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-01172
Number of participants with account balances2009-11-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-010

Financial Data on H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN

Measure Date Value
2022 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$0
Total transfer of assets from this plan2022-12-31$105,999
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-214,112
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$356,210
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$310,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$494,409
Value of total assets at end of year2022-12-31$3,759,060
Value of total assets at beginning of year2022-12-31$4,435,381
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$45,430
Total interest from all sources2022-12-31$2,249
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$2,061
Administrative expenses professional fees incurred2022-12-31$8,999
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$400,483
Participant contributions at end of year2022-12-31$42,316
Participant contributions at beginning of year2022-12-31$49,751
Participant contributions at end of year2022-12-31$7,170
Participant contributions at beginning of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-570,322
Value of net assets at end of year (total assets less liabilities)2022-12-31$3,759,060
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,435,381
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$105,202
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$130,824
Value of interest in pooled separate accounts at end of year2022-12-31$28,986
Value of interest in pooled separate accounts at beginning of year2022-12-31$30,557
Interest on participant loans2022-12-31$2,217
Interest earned on other investments2022-12-31$32
Value of interest in common/collective trusts at end of year2022-12-31$3,476,278
Value of interest in common/collective trusts at beginning of year2022-12-31$4,138,504
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,182
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$345
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-25,666
Net investment gain/loss from pooled separate accounts2022-12-31$-5,774
Net investment gain or loss from common/collective trusts2022-12-31$-681,391
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$93,926
Employer contributions (assets) at end of year2022-12-31$93,926
Employer contributions (assets) at beginning of year2022-12-31$85,400
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$310,780
Contract administrator fees2022-12-31$36,431
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ALLIANT CPA GROUP LLC
Accountancy firm EIN2022-12-31412210752
2021 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$990,791
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$69,030
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$23,817
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$510,860
Value of total assets at end of year2021-12-31$4,435,381
Value of total assets at beginning of year2021-12-31$3,513,620
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$45,213
Total interest from all sources2021-12-31$2,205
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,423
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,423
Administrative expenses professional fees incurred2021-12-31$8,750
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$354,766
Participant contributions at end of year2021-12-31$49,751
Participant contributions at beginning of year2021-12-31$41,935
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$5,581
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$70,694
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$921,761
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,435,381
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,513,620
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$130,824
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$85,360
Value of interest in pooled separate accounts at end of year2021-12-31$30,557
Value of interest in pooled separate accounts at beginning of year2021-12-31$22,262
Interest on participant loans2021-12-31$2,168
Interest earned on other investments2021-12-31$37
Value of interest in common/collective trusts at end of year2021-12-31$4,138,504
Value of interest in common/collective trusts at beginning of year2021-12-31$3,268,160
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$345
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$6,301
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$17,792
Net investment gain/loss from pooled separate accounts2021-12-31$4,991
Net investment gain or loss from common/collective trusts2021-12-31$453,520
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$85,400
Employer contributions (assets) at end of year2021-12-31$85,400
Employer contributions (assets) at beginning of year2021-12-31$84,021
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$23,817
Contract administrator fees2021-12-31$36,463
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31SADOWSKI & COMPANY
Accountancy firm EIN2021-12-31800324457
2020 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$562,303
Total transfer of assets from this plan2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$877,453
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$69,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$41,304
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$445,236
Value of total assets at end of year2020-12-31$3,513,620
Value of total assets at beginning of year2020-12-31$2,142,970
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$27,802
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$2,420
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,067
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,067
Administrative expenses professional fees incurred2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$335,292
Participant contributions at end of year2020-12-31$41,935
Participant contributions at beginning of year2020-12-31$39,314
Participant contributions at end of year2020-12-31$5,581
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$25,923
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$808,347
Value of net assets at end of year (total assets less liabilities)2020-12-31$3,513,620
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,142,970
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$85,360
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$12,463
Value of interest in pooled separate accounts at end of year2020-12-31$22,262
Value of interest in pooled separate accounts at beginning of year2020-12-31$2,111
Interest on participant loans2020-12-31$2,340
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$80
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$3,268,160
Value of interest in common/collective trusts at beginning of year2020-12-31$2,017,489
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$6,301
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$726
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$10,268
Net investment gain/loss from pooled separate accounts2020-12-31$3,234
Net investment gain or loss from common/collective trusts2020-12-31$415,228
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$84,021
Employer contributions (assets) at end of year2020-12-31$84,021
Employer contributions (assets) at beginning of year2020-12-31$70,867
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$41,304
Contract administrator fees2020-12-31$27,802
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31SADOWSKI & COMPANY
Accountancy firm EIN2020-12-31800324457
2019 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$-87,369
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$575,269
Expenses. Total of all expenses incurred2019-12-31$209,292
Benefits paid (including direct rollovers)2019-12-31$190,766
Total plan assets at end of year2019-12-31$2,142,970
Total plan assets at beginning of year2019-12-31$1,864,362
Total contributions received or receivable from participants2019-12-31$46,282
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$339,771
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$365,977
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,142,970
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,864,362
Assets. Value of participant loans2019-12-31$37,932
Total contributions received or receivable from employer(s)2019-12-31$189,216
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$2,726
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$15,800
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$20,196
Expenses. Total of all expenses incurred2018-12-31$18,856
Benefits paid (including direct rollovers)2018-12-31$0
Total plan assets at end of year2018-12-31$1,864,362
Total plan assets at beginning of year2018-12-31$1,863,022
Total contributions received or receivable from participants2018-12-31$120,010
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$4,182
Other income received2018-12-31$-126,848
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$1,340
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,864,362
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,863,022
Total contributions received or receivable from employer(s)2018-12-31$22,852
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$18,856
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$1,692,509
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$181,249
Expenses. Total of all expenses incurred2017-12-31$10,736
Benefits paid (including direct rollovers)2017-12-31$3,571
Total plan assets at end of year2017-12-31$1,863,022
Total plan assets at beginning of year2017-12-31$0
Total contributions received or receivable from participants2017-12-31$60,282
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$120,967
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$170,513
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,863,022
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$0
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$7,165
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2012 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-10-31$0
Total transfer of assets from this plan2012-10-31$1,668,760
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-10-31$0
Total income from all sources (including contributions)2012-10-31$121,240
Total loss/gain on sale of assets2012-10-31$0
Total of all expenses incurred2012-10-31$49,788
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-10-31$19,116
Expenses. Certain deemed distributions of participant loans2012-10-31$8
Value of total corrective distributions2012-10-31$21,582
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-10-31$100,211
Value of total assets at end of year2012-10-31$0
Value of total assets at beginning of year2012-10-31$1,597,308
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-10-31$9,082
Total interest from all sources2012-10-31$1,096
Total dividends received (eg from common stock, registered investment company shares)2012-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-10-31No
Administrative expenses professional fees incurred2012-10-31$600
Was this plan covered by a fidelity bond2012-10-31Yes
Value of fidelity bond cover2012-10-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-10-31No
Contributions received from participants2012-10-31$100,211
Participant contributions at end of year2012-10-31$0
Participant contributions at beginning of year2012-10-31$34,515
Participant contributions at beginning of year2012-10-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Value of net income/loss2012-10-31$71,452
Value of net assets at end of year (total assets less liabilities)2012-10-31$0
Value of net assets at beginning of year (total assets less liabilities)2012-10-31$1,597,308
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-10-31No
Were any leases to which the plan was party in default or uncollectible2012-10-31No
Value of interest in pooled separate accounts at end of year2012-10-31$0
Value of interest in pooled separate accounts at beginning of year2012-10-31$1,562,790
Interest on participant loans2012-10-31$1,096
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-10-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-10-31$3
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-10-31$19,933
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-10-31Yes
Was there a failure to transmit to the plan any participant contributions2012-10-31No
Has the plan failed to provide any benefit when due under the plan2012-10-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-10-31$19,116
Contract administrator fees2012-10-31$8,482
Did the plan have assets held for investment2012-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-10-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-10-31Yes
Opinion of an independent qualified public accountant for this plan2012-10-31Disclaimer
Accountancy firm name2012-10-31SADOWSKI & COMPANY
Accountancy firm EIN2012-10-31582045095
2011 : H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-10-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-10-31$0
Total income from all sources (including contributions)2011-10-31$191,344
Total loss/gain on sale of assets2011-10-31$0
Total of all expenses incurred2011-10-31$149,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-10-31$111,503
Expenses. Certain deemed distributions of participant loans2011-10-31$4,940
Value of total corrective distributions2011-10-31$17,650
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-10-31$157,478
Value of total assets at end of year2011-10-31$1,597,308
Value of total assets at beginning of year2011-10-31$1,555,502
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-10-31$15,445
Total interest from all sources2011-10-31$2,031
Total dividends received (eg from common stock, registered investment company shares)2011-10-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-10-31No
Was this plan covered by a fidelity bond2011-10-31Yes
Value of fidelity bond cover2011-10-31$1,000,000
If this is an individual account plan, was there a blackout period2011-10-31No
Were there any nonexempt tranactions with any party-in-interest2011-10-31No
Contributions received from participants2011-10-31$157,478
Participant contributions at end of year2011-10-31$34,515
Participant contributions at beginning of year2011-10-31$41,500
Participant contributions at end of year2011-10-31$0
Participant contributions at beginning of year2011-10-31$2,854
Administrative expenses (other) incurred2011-10-31$1,100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Value of net income/loss2011-10-31$41,806
Value of net assets at end of year (total assets less liabilities)2011-10-31$1,597,308
Value of net assets at beginning of year (total assets less liabilities)2011-10-31$1,555,502
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-10-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-10-31No
Were any leases to which the plan was party in default or uncollectible2011-10-31No
Value of interest in pooled separate accounts at end of year2011-10-31$1,562,790
Value of interest in pooled separate accounts at beginning of year2011-10-31$1,504,066
Interest on participant loans2011-10-31$1,952
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-10-31$79
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-10-31$3
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-10-31$7,082
Net investment gain/loss from pooled separate accounts2011-10-31$31,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-10-31No
Was there a failure to transmit to the plan any participant contributions2011-10-31No
Has the plan failed to provide any benefit when due under the plan2011-10-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-10-31$111,503
Contract administrator fees2011-10-31$14,345
Did the plan have assets held for investment2011-10-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-10-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-10-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-10-31Yes
Opinion of an independent qualified public accountant for this plan2011-10-31Disclaimer
Accountancy firm name2011-10-31SADOWSKI & COMPANY
Accountancy firm EIN2011-10-31582045095

Form 5500 Responses for H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN

2022: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION 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: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION 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: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION 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: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION 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: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2017 form 5500 responses
2017-04-15Type of plan entitySingle employer plan
2017-04-15First time form 5500 has been submittedYes
2017-04-15Submission has been amendedNo
2017-04-15This submission is the final filingNo
2017-04-15This return/report is a short plan year return/report (less than 12 months)Yes
2017-04-15Plan is a collectively bargained planNo
2017-04-15Plan funding arrangement – InsuranceYes
2017-04-15Plan funding arrangement – TrustYes
2017-04-15Plan benefit arrangement – InsuranceYes
2017-04-15Plan benefit arrangement - TrustYes
2011: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedYes
2011-11-01This submission is the final filingYes
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2009: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan funding arrangement – TrustYes
2009-11-01Plan benefit arrangement – InsuranceYes
2009-11-01Plan benefit arrangement - TrustYes
2008: H. A. SACK CO. , INC. 401(K) SALARY REDUCTION PLAN 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered246
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered619
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered248
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered61
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered34
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered56
Insurance policy start date2017-05-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number16959
Policy instance 1
Insurance contract or identification number16959
Number of Individuals Covered0
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $5,554
Total amount of fees paid to insurance companyUSD $600
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $5,554
Insurance broker organization code?3
Amount paid for insurance broker fees600
Additional information about fees paid to insurance brokerDISTRIBUTION PROCESSING
Insurance broker nameERSKINE AND ASSOCIATES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number16959
Policy instance 1
Insurance contract or identification number16959
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $7,581
Total amount of fees paid to insurance companyUSD $1,000
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes

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