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EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 401k Plan overview

Plan NameEMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR
Plan identification number 001

EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.

401k Sponsoring company profile

DIANE & C W SANDERSON III PTR has sponsored the creation of one or more 401k plans.

Company Name:DIANE & C W SANDERSON III PTR
Employer identification number (EIN):621341253
NAIC Classification:442299
NAIC Description:All Other Home Furnishings Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR

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
0012019-01-01
0012018-01-01CHARLES W. SANDERSON III
0012017-01-01CHARLES W. SANDERSON III
0012016-01-01CHARLES W. SANDERSON III
0012015-01-01CHARLES W. SANDERSON III
0012014-01-01CHARLES W. SANDERSON III
0012013-01-01CHARLES W. SANDERSON III
0012012-01-01CHARLES W. SANDERSON III
0012011-01-01CHARLES W SANDERSON III
0012009-01-01CHARLES W SANDERSON III

Plan Statistics for EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR

Measure Date Value
2022: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2022 401k membership
Total participants, beginning-of-year2022-01-011
Total number of active participants reported on line 7a of the Form 55002022-01-011
Total of all active and inactive participants2022-01-011
Total participants2022-01-011
Number of participants with account balances2022-01-011
2021: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2021 401k membership
Total participants, beginning-of-year2021-01-012
Total number of active participants reported on line 7a of the Form 55002021-01-011
Total of all active and inactive participants2021-01-011
Total participants2021-01-011
Number of participants with account balances2021-01-011
2020: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2020 401k membership
Total participants, beginning-of-year2020-01-012
Total number of active participants reported on line 7a of the Form 55002020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-012
Total participants2020-01-012
Number of participants with account balances2020-01-012
2019: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2019 401k membership
Total participants, beginning-of-year2019-01-012
Total number of active participants reported on line 7a of the Form 55002019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-012
Total participants2019-01-012
Number of participants with account balances2019-01-012
2018: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2018 401k membership
Total participants, beginning-of-year2018-01-012
Total number of active participants reported on line 7a of the Form 55002018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-012
Total participants2018-01-012
Number of participants with account balances2018-01-012
2017: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2017 401k membership
Total participants, beginning-of-year2017-01-012
Total number of active participants reported on line 7a of the Form 55002017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-012
Total participants2017-01-012
Number of participants with account balances2017-01-012
2016: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2016 401k membership
Total participants, beginning-of-year2016-01-012
Total number of active participants reported on line 7a of the Form 55002016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-012
Total participants2016-01-012
Number of participants with account balances2016-01-012
2015: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2015 401k membership
Total participants, beginning-of-year2015-01-012
Total number of active participants reported on line 7a of the Form 55002015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-012
Total participants2015-01-012
Number of participants with account balances2015-01-012
2014: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-012
Total participants2014-01-012
Number of participants with account balances2014-01-012
2013: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-014
Total participants2013-01-014
Number of participants with account balances2013-01-014
2012: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-014
Total participants2012-01-014
Number of participants with account balances2012-01-014
2011: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2011 401k membership
Total participants, beginning-of-year2011-01-016
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-014
Total participants2011-01-014
Number of participants with account balances2011-01-014
2009: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2009 401k membership
Total participants, beginning-of-year2009-01-019
Total number of active participants reported on line 7a of the Form 55002009-01-017
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-019
Total participants2009-01-019
Number of participants with account balances2009-01-019

Financial Data on EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR

Measure Date Value
2022 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2022 401k financial data
Total income from all sources2022-12-31$0
Expenses. Total of all expenses incurred2022-12-31$13,501
Total plan assets at end of year2022-12-31$41,125
Total plan assets at beginning of year2022-12-31$54,626
Expenses. Other expenses not covered elsewhere2022-12-31$13,501
Net income (gross income less expenses)2022-12-31$-13,501
Net plan assets at end of year (total assets less liabilities)2022-12-31$41,125
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$54,626
2021 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2021 401k financial data
Total income from all sources2021-12-31$9,469
Expenses. Total of all expenses incurred2021-12-31$199
Total plan assets at end of year2021-12-31$54,626
Total plan assets at beginning of year2021-12-31$45,356
Expenses. Other expenses not covered elsewhere2021-12-31$199
Other income received2021-12-31$9,469
Net income (gross income less expenses)2021-12-31$9,270
Net plan assets at end of year (total assets less liabilities)2021-12-31$54,626
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$45,356
Assets. Value of participant loans2021-12-31$366
Funding deficiency by the employer to the plan for this plan year2021-12-31$0
Minimum employer required contribution for this plan year2021-12-31$0
Amount contributed by the employer to the plan for this plan year2021-12-31$0
2020 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2020 401k financial data
Total income from all sources2020-12-31$8,643
Expenses. Total of all expenses incurred2020-12-31$0
Total plan assets at end of year2020-12-31$45,356
Total plan assets at beginning of year2020-12-31$36,713
Other income received2020-12-31$8,643
Net income (gross income less expenses)2020-12-31$8,643
Net plan assets at end of year (total assets less liabilities)2020-12-31$45,356
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$36,713
Assets. Value of participant loans2020-12-31$366
Funding deficiency by the employer to the plan for this plan year2020-12-31$0
Minimum employer required contribution for this plan year2020-12-31$0
Amount contributed by the employer to the plan for this plan year2020-12-31$0
2019 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2019 401k financial data
Total income from all sources2019-12-31$8,140
Expenses. Total of all expenses incurred2019-12-31$0
Total plan assets at end of year2019-12-31$36,713
Total plan assets at beginning of year2019-12-31$28,573
Other income received2019-12-31$8,140
Net income (gross income less expenses)2019-12-31$8,140
Net plan assets at end of year (total assets less liabilities)2019-12-31$36,713
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$28,573
Assets. Value of participant loans2019-12-31$366
Funding deficiency by the employer to the plan for this plan year2019-12-31$0
Minimum employer required contribution for this plan year2019-12-31$0
Amount contributed by the employer to the plan for this plan year2019-12-31$0
2018 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2018 401k financial data
Total income from all sources2018-12-31$1,300
Expenses. Total of all expenses incurred2018-12-31$3,900
Total plan assets at end of year2018-12-31$28,573
Total plan assets at beginning of year2018-12-31$31,173
Expenses. Other expenses not covered elsewhere2018-12-31$3,900
Other income received2018-12-31$1,300
Net income (gross income less expenses)2018-12-31$-2,600
Net plan assets at end of year (total assets less liabilities)2018-12-31$28,573
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$31,173
Assets. Value of participant loans2018-12-31$1,292
Funding deficiency by the employer to the plan for this plan year2018-12-31$0
Minimum employer required contribution for this plan year2018-12-31$0
Amount contributed by the employer to the plan for this plan year2018-12-31$0
2017 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2017 401k financial data
Total income from all sources2017-12-31$5,563
Expenses. Total of all expenses incurred2017-12-31$0
Total plan assets at end of year2017-12-31$31,173
Total plan assets at beginning of year2017-12-31$25,610
Other income received2017-12-31$5,563
Net income (gross income less expenses)2017-12-31$5,563
Net plan assets at end of year (total assets less liabilities)2017-12-31$31,173
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$25,610
Assets. Value of participant loans2017-12-31$2,463
Funding deficiency by the employer to the plan for this plan year2017-12-31$0
Minimum employer required contribution for this plan year2017-12-31$0
Amount contributed by the employer to the plan for this plan year2017-12-31$0
2016 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2016 401k financial data
Total income from all sources2016-12-31$3,197
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$25,610
Total plan assets at beginning of year2016-12-31$22,413
Other income received2016-12-31$3,197
Net income (gross income less expenses)2016-12-31$3,197
Net plan assets at end of year (total assets less liabilities)2016-12-31$25,610
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$22,413
Assets. Value of participant loans2016-12-31$3,486
Funding deficiency by the employer to the plan for this plan year2016-12-31$0
Minimum employer required contribution for this plan year2016-12-31$0
Amount contributed by the employer to the plan for this plan year2016-12-31$0
2015 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2015 401k financial data
Total income from all sources2015-12-31$911
Expenses. Total of all expenses incurred2015-12-31$5,626
Total plan assets at end of year2015-12-31$22,413
Total plan assets at beginning of year2015-12-31$27,128
Expenses. Other expenses not covered elsewhere2015-12-31$5,626
Other income received2015-12-31$911
Net income (gross income less expenses)2015-12-31$-4,715
Net plan assets at end of year (total assets less liabilities)2015-12-31$22,413
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$27,128
Assets. Value of participant loans2015-12-31$4,900
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$0
Amount contributed by the employer to the plan for this plan year2015-12-31$0
2014 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2014 401k financial data
Total income from all sources2014-12-31$-34,938
Expenses. Total of all expenses incurred2014-12-31$18
Total plan assets at end of year2014-12-31$27,128
Total plan assets at beginning of year2014-12-31$62,084
Expenses. Other expenses not covered elsewhere2014-12-31$18
Other income received2014-12-31$-34,938
Net income (gross income less expenses)2014-12-31$-34,956
Net plan assets at end of year (total assets less liabilities)2014-12-31$27,128
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$62,084
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2013 401k financial data
Total income from all sources2013-12-31$2,122
Expenses. Total of all expenses incurred2013-12-31$48
Total plan assets at end of year2013-12-31$62,084
Total plan assets at beginning of year2013-12-31$60,010
Expenses. Other expenses not covered elsewhere2013-12-31$48
Other income received2013-12-31$2,122
Net income (gross income less expenses)2013-12-31$2,074
Net plan assets at end of year (total assets less liabilities)2013-12-31$62,084
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$60,010
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2012 401k financial data
Total income from all sources2012-12-31$7,515
Expenses. Total of all expenses incurred2012-12-31$25
Total plan assets at end of year2012-12-31$60,010
Total plan assets at beginning of year2012-12-31$52,520
Total contributions received or receivable from participants2012-12-31$1,440
Expenses. Other expenses not covered elsewhere2012-12-31$25
Other income received2012-12-31$5,376
Net income (gross income less expenses)2012-12-31$7,490
Net plan assets at end of year (total assets less liabilities)2012-12-31$60,010
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$52,520
Total contributions received or receivable from employer(s)2012-12-31$699
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2011 401k financial data
Total income from all sources2011-12-31$-34,452
Expenses. Total of all expenses incurred2011-12-31$38
Total plan assets at end of year2011-12-31$52,520
Total plan assets at beginning of year2011-12-31$87,010
Total contributions received or receivable from participants2011-12-31$3,430
Expenses. Other expenses not covered elsewhere2011-12-31$38
Other income received2011-12-31$-39,545
Net income (gross income less expenses)2011-12-31$-34,490
Net plan assets at end of year (total assets less liabilities)2011-12-31$52,520
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$87,010
Total contributions received or receivable from employer(s)2011-12-31$1,663
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2010 401k financial data
Total income from all sources2010-12-31$4,561
Expenses. Total of all expenses incurred2010-12-31$56
Total plan assets at end of year2010-12-31$87,010
Total plan assets at beginning of year2010-12-31$82,505
Total contributions received or receivable from participants2010-12-31$6,110
Expenses. Other expenses not covered elsewhere2010-12-31$56
Other income received2010-12-31$-4,503
Net income (gross income less expenses)2010-12-31$4,505
Net plan assets at end of year (total assets less liabilities)2010-12-31$87,010
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$82,505
Total contributions received or receivable from employer(s)2010-12-31$2,954
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR

2022: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2021: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2020: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2019: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2018: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2017: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2016: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2015: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 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 benefit arrangement – InsuranceYes
2014: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: EMPLOYEE BENEFITS PLAN OF DIANE & C W SANDERSON III PTR 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered4
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 Administration1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered4
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020281-B
Policy instance 1
Insurance contract or identification number020281-B
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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