401k Plan data: FULL SERVICE INSURANCE 401(K) PLAN plan

FULL SERVICE INSURANCE 401(K) PLAN 401k Plan overview

Plan Name	FULL SERVICE INSURANCE 401(K) PLAN
Plan identification number	001

FULL SERVICE INSURANCE 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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.
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.

401k Sponsoring company profile

FULL SERVICE INSURANCE, INC. has sponsored the creation of one or more 401k plans.

Company Name: FULL SERVICE INSURANCE, INC.

Employer identification number (EIN): 620947053

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FULL SERVICE INSURANCE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2018-01-01 JOHN K. PRATT 2019-07-16
001 2017-01-01 JOHN K. PRATT 2018-06-27 JOHN K. PRATT 2018-06-27
001 2016-01-01 JOHN K. PRATT 2017-07-13 JOHN K. PRATT 2017-07-13
001 2015-01-01 JOHN K. PRATT 2016-06-20 JOHN K. PRATT 2016-06-20
001 2014-01-01 JOHN K. PRATT
001 2013-01-01 JOHN PRATT JOHN PRATT 2014-07-24
001 2012-01-01 JOHN PRATT JOHN PRATT 2013-06-27
001 2011-01-01 JOHN PRATT
001 2009-01-01 JOHN PRATT JOHN PRATT 2010-09-08

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2018-01-01	JOHN K. PRATT	2019-07-16
001	2017-01-01	JOHN K. PRATT	2018-06-27	JOHN K. PRATT	2018-06-27
001	2016-01-01	JOHN K. PRATT	2017-07-13	JOHN K. PRATT	2017-07-13
001	2015-01-01	JOHN K. PRATT	2016-06-20	JOHN K. PRATT	2016-06-20
001	2014-01-01	JOHN K. PRATT
001	2013-01-01	JOHN PRATT		JOHN PRATT	2014-07-24
001	2012-01-01	JOHN PRATT		JOHN PRATT	2013-06-27
001	2011-01-01	JOHN PRATT
001	2009-01-01	JOHN PRATT		JOHN PRATT	2010-09-08

Plan Statistics for FULL SERVICE INSURANCE 401(K) PLAN

401k plan membership statisitcs for FULL SERVICE INSURANCE 401(K) PLAN

Measure Date Value
2014: FULL SERVICE INSURANCE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 13
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 2
Total of all active and inactive participants 2014-01-01 15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 15
Number of participants with account balances 2014-01-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: FULL SERVICE INSURANCE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 15
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 2
Total of all active and inactive participants 2013-01-01 17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 17
Number of participants with account balances 2013-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 1
2012: FULL SERVICE INSURANCE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 17
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 1
Total of all active and inactive participants 2012-01-01 18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 18
Number of participants with account balances 2012-01-01 17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: FULL SERVICE INSURANCE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 15
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 1
Total of all active and inactive participants 2011-01-01 16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 16
Number of participants with account balances 2011-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: FULL SERVICE INSURANCE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 18
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 18
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 2
Total of all active and inactive participants 2009-01-01 20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 20
Number of participants with account balances 2009-01-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2014: FULL SERVICE INSURANCE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	13
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	2
Total of all active and inactive participants	2014-01-01	15
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	15
Number of participants with account balances	2014-01-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: FULL SERVICE INSURANCE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	15
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	2
Total of all active and inactive participants	2013-01-01	17
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	17
Number of participants with account balances	2013-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	1
2012: FULL SERVICE INSURANCE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	17
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	1
Total of all active and inactive participants	2012-01-01	18
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	18
Number of participants with account balances	2012-01-01	17
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: FULL SERVICE INSURANCE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	15
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	1
Total of all active and inactive participants	2011-01-01	16
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	16
Number of participants with account balances	2011-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: FULL SERVICE INSURANCE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	18
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	18
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	2
Total of all active and inactive participants	2009-01-01	20
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	20
Number of participants with account balances	2009-01-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on FULL SERVICE INSURANCE 401(K) PLAN

Measure	Date	Value
2014 : FULL SERVICE INSURANCE 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total income from all sources	2014-12-31	$174,763
Expenses. Total of all expenses incurred	2014-12-31	$437,100
Benefits paid (including direct rollovers)	2014-12-31	$437,068
Total plan assets at end of year	2014-12-31	$1,449,655
Total plan assets at beginning of year	2014-12-31	$1,711,992
Value of fidelity bond covering the plan	2014-12-31	$300,000
Total contributions received or receivable from participants	2014-12-31	$73,356
Expenses. Other expenses not covered elsewhere	2014-12-31	$32
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$68,520
Net income (gross income less expenses)	2014-12-31	$-262,337
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$1,449,655
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,711,992
Assets. Value of participant loans	2014-12-31	$71,483
Total contributions received or receivable from employer(s)	2014-12-31	$32,887
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2014-12-31	$0
Minimum employer required contribution for this plan year	2014-12-31	$0
Amount contributed by the employer to the plan for this plan year	2014-12-31	$0
2013 : FULL SERVICE INSURANCE 401(K) PLAN 2013 401k financial data
Transfers to/from the plan	2013-12-31	$-43
Total income from all sources	2013-12-31	$313,229
Expenses. Total of all expenses incurred	2013-12-31	$140
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$1,711,992
Total plan assets at beginning of year	2013-12-31	$1,398,946
Value of fidelity bond covering the plan	2013-12-31	$300,000
Total contributions received or receivable from participants	2013-12-31	$74,488
Expenses. Other expenses not covered elsewhere	2013-12-31	$140
Contributions received from other sources (not participants or employers)	2013-12-31	$1,502
Other income received	2013-12-31	$203,841
Net income (gross income less expenses)	2013-12-31	$313,089
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,711,992
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,398,946
Assets. Value of participant loans	2013-12-31	$84,691
Total contributions received or receivable from employer(s)	2013-12-31	$33,398
Value of certain deemed distributions of participant loans	2013-12-31	$0
Value of corrective distributions	2013-12-31	$0
2012 : FULL SERVICE INSURANCE 401(K) PLAN 2012 401k financial data
Transfers to/from the plan	2012-12-31	$0
Total income from all sources	2012-12-31	$227,273
Expenses. Total of all expenses incurred	2012-12-31	$20
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$1,398,946
Total plan assets at beginning of year	2012-12-31	$1,171,693
Value of fidelity bond covering the plan	2012-12-31	$300,000
Total contributions received or receivable from participants	2012-12-31	$72,042
Expenses. Other expenses not covered elsewhere	2012-12-31	$20
Contributions received from other sources (not participants or employers)	2012-12-31	$2,124
Other income received	2012-12-31	$123,324
Net income (gross income less expenses)	2012-12-31	$227,253
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,398,946
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,171,693
Assets. Value of participant loans	2012-12-31	$60,464
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102	2012-12-31	$525
Total contributions received or receivable from employer(s)	2012-12-31	$29,783
Value of certain deemed distributions of participant loans	2012-12-31	$0
Value of corrective distributions	2012-12-31	$0
2011 : FULL SERVICE INSURANCE 401(K) PLAN 2011 401k financial data
Transfers to/from the plan	2011-12-31	$0
Total income from all sources	2011-12-31	$78,979
Expenses. Total of all expenses incurred	2011-12-31	$148
Benefits paid (including direct rollovers)	2011-12-31	$0
Total plan assets at end of year	2011-12-31	$1,171,693
Total plan assets at beginning of year	2011-12-31	$1,092,862
Value of fidelity bond covering the plan	2011-12-31	$300,000
Total contributions received or receivable from participants	2011-12-31	$74,501
Expenses. Other expenses not covered elsewhere	2011-12-31	$148
Contributions received from other sources (not participants or employers)	2011-12-31	$0
Other income received	2011-12-31	$-24,930
Net income (gross income less expenses)	2011-12-31	$78,831
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,171,693
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,092,862
Assets. Value of participant loans	2011-12-31	$73,275
Total contributions received or receivable from employer(s)	2011-12-31	$29,408
Value of certain deemed distributions of participant loans	2011-12-31	$0
Value of corrective distributions	2011-12-31	$0
2010 : FULL SERVICE INSURANCE 401(K) PLAN 2010 401k financial data
Transfers to/from the plan	2010-12-31	$0
Total income from all sources	2010-12-31	$169,833
Expenses. Total of all expenses incurred	2010-12-31	$1,313
Benefits paid (including direct rollovers)	2010-12-31	$1,293
Total plan assets at end of year	2010-12-31	$1,092,862
Total plan assets at beginning of year	2010-12-31	$924,342
Value of fidelity bond covering the plan	2010-12-31	$300,000
Total contributions received or receivable from participants	2010-12-31	$69,051
Expenses. Other expenses not covered elsewhere	2010-12-31	$20
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$100,782
Net income (gross income less expenses)	2010-12-31	$168,520
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,092,862
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$924,342
Assets. Value of participant loans	2010-12-31	$70,067
Total contributions received or receivable from employer(s)	2010-12-31	$0
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Funding deficiency by the employer to the plan for this plan year	2010-12-31	$0
Minimum employer required contribution for this plan year	2010-12-31	$0
Amount contributed by the employer to the plan for this plan year	2010-12-31	$0
2009 : FULL SERVICE INSURANCE 401(K) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year	2009-12-31	$0
Minimum employer required contribution for this plan year	2009-12-31	$0
Amount contributed by the employer to the plan for this plan year	2009-12-31	$0

Form 5500 Responses for FULL SERVICE INSURANCE 401(K) PLAN

2014: FULL SERVICE INSURANCE 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FULL SERVICE INSURANCE 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: FULL SERVICE INSURANCE 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	Yes
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: FULL SERVICE INSURANCE 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: FULL SERVICE INSURANCE 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-801878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-801878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-801878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-801878
Policy instance	1
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number	GA-801878
Policy instance	1

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Company Name:	FULL SERVICE INSURANCE, INC.
Employer identification number (EIN):	620947053
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages