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DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 401k Plan overview

Plan NameDRISCOLL FOUNDATION 403(B) RETIREMENT PLAN
Plan identification number 002

DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ROBERT DRISCOLL & JULIA DRISCOLL & ROBERT DRISCOLL, JR. FOUNDATION has sponsored the creation of one or more 401k plans.

Company Name:ROBERT DRISCOLL & JULIA DRISCOLL & ROBERT DRISCOLL, JR. FOUNDATION
Employer identification number (EIN):741170270
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022016-01-01ERIC HAMON
0022015-01-01ERIC HAMON
0022014-01-01ERIC HAMON
0022013-01-01ERIC HAMON
0022012-01-01ERIC HAMON
0022011-01-01ERIC HAMON ERIC HAMON2012-09-26
0022010-01-01D ERIC HAMON D ERIC HAMON2011-10-13
0022009-01-01D ERIC HAMON D ERIC HAMON2010-09-09
0022009-01-01D ERIC HAMON D ERIC HAMON2010-09-09

Plan Statistics for DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN

401k plan membership statisitcs for DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN

Measure Date Value
2016: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,506
Total number of active participants reported on line 7a of the Form 55002016-01-012,308
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01469
Total of all active and inactive participants2016-01-012,777
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-018
Total participants2016-01-012,785
Number of participants with account balances2016-01-012,631
2015: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,370
Total number of active participants reported on line 7a of the Form 55002015-01-012,061
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01414
Total of all active and inactive participants2015-01-012,475
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-018
Total participants2015-01-012,483
Number of participants with account balances2015-01-012,319
2014: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,295
Total number of active participants reported on line 7a of the Form 55002014-01-011,928
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01417
Total of all active and inactive participants2014-01-012,345
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-018
Total participants2014-01-012,353
Number of participants with account balances2014-01-012,177
2013: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,195
Total number of active participants reported on line 7a of the Form 55002013-01-011,856
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01408
Total of all active and inactive participants2013-01-012,264
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-016
Total participants2013-01-012,270
Number of participants with account balances2013-01-012,077
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,153
Total number of active participants reported on line 7a of the Form 55002012-01-011,820
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01348
Total of all active and inactive participants2012-01-012,168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-014
Total participants2012-01-012,172
Number of participants with account balances2012-01-011,986
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,151
Total number of active participants reported on line 7a of the Form 55002011-01-011,782
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01345
Total of all active and inactive participants2011-01-012,127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-012
Total participants2011-01-012,129
Number of participants with account balances2011-01-011,927
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,152
Total number of active participants reported on line 7a of the Form 55002010-01-011,801
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01337
Total of all active and inactive participants2010-01-012,138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-013
Total participants2010-01-012,141
Number of participants with account balances2010-01-011,917
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,042
Total number of active participants reported on line 7a of the Form 55002009-01-011,799
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01321
Total of all active and inactive participants2009-01-012,120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-012,122
Number of participants with account balances2009-01-011,873
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN

Measure Date Value
2016 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$17,409,335
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$4,193,176
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$4,142,586
Value of total corrective distributions2016-12-31$159
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,355,689
Value of total assets at end of year2016-12-31$96,757,315
Value of total assets at beginning of year2016-12-31$83,541,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$50,431
Total interest from all sources2016-12-31$109,401
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,841,426
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,841,426
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$7,727,433
Participant contributions at end of year2016-12-31$3,936,169
Participant contributions at beginning of year2016-12-31$3,173,831
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$624,723
Other income not declared elsewhere2016-12-31$272,519
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$13,216,159
Value of net assets at end of year (total assets less liabilities)2016-12-31$96,757,315
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$83,541,156
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$2
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$82,067,722
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$70,088,508
Interest on participant loans2016-12-31$109,401
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$10,753,424
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$10,278,817
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$6,830,300
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$3,533
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$4,142,586
Contract administrator fees2016-12-31$50,429
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2016-12-31742520265
2015 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$6,648,225
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$4,817,711
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$4,742,703
Expenses. Certain deemed distributions of participant loans2015-12-31$2,253
Value of total corrective distributions2015-12-31$7,639
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$7,760,962
Value of total assets at end of year2015-12-31$83,541,156
Value of total assets at beginning of year2015-12-31$81,710,642
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$65,116
Total interest from all sources2015-12-31$104,734
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,436,168
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,436,168
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$7,215,515
Participant contributions at end of year2015-12-31$3,173,831
Participant contributions at beginning of year2015-12-31$3,202,927
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$545,447
Other income not declared elsewhere2015-12-31$281,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,830,514
Value of net assets at end of year (total assets less liabilities)2015-12-31$83,541,156
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$81,710,642
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$2
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$70,088,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$68,156,358
Interest on participant loans2015-12-31$104,734
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$10,278,817
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$10,351,357
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-2,935,151
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$4,742,703
Contract administrator fees2015-12-31$65,114
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2015-12-31742520265
2014 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$12,775,544
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,089,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,046,965
Value of total corrective distributions2014-12-31$14,585
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$7,341,936
Value of total assets at end of year2014-12-31$81,710,642
Value of total assets at beginning of year2014-12-31$74,024,848
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$28,200
Total interest from all sources2014-12-31$107,675
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,173,363
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,173,363
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$7,032,663
Participant contributions at end of year2014-12-31$3,202,927
Participant contributions at beginning of year2014-12-31$3,128,445
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$308,468
Other income not declared elsewhere2014-12-31$242,946
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$7,685,794
Value of net assets at end of year (total assets less liabilities)2014-12-31$81,710,642
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$74,024,848
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$197
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$68,156,358
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$61,101,436
Interest on participant loans2014-12-31$107,675
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$10,351,357
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$9,794,967
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$3,909,624
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$805
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,046,965
Contract administrator fees2014-12-31$28,003
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2014-12-31742520265
2013 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$16,415,706
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$3,206,810
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,148,566
Expenses. Certain deemed distributions of participant loans2013-12-31$1,152
Value of total corrective distributions2013-12-31$20,882
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$7,248,014
Value of total assets at end of year2013-12-31$74,024,848
Value of total assets at beginning of year2013-12-31$60,815,952
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$36,210
Total interest from all sources2013-12-31$99,112
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$947,465
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$947,465
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$6,397,406
Participant contributions at end of year2013-12-31$3,128,445
Participant contributions at beginning of year2013-12-31$2,894,871
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$812,861
Other income not declared elsewhere2013-12-31$208,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$13,208,896
Value of net assets at end of year (total assets less liabilities)2013-12-31$74,024,848
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$60,815,952
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$602
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$61,101,436
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$48,723,405
Interest on participant loans2013-12-31$99,112
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$9,794,967
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$9,197,676
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$7,912,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$37,747
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,148,566
Contract administrator fees2013-12-31$35,608
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2013-12-31742520265
2012 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$11,655,100
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$3,937,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,902,735
Value of total corrective distributions2012-12-31$4,464
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$6,248,792
Value of total assets at end of year2012-12-31$60,815,952
Value of total assets at beginning of year2012-12-31$53,098,406
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$30,355
Total interest from all sources2012-12-31$94,863
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,122,885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,122,885
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$6,043,929
Participant contributions at end of year2012-12-31$2,894,871
Participant contributions at beginning of year2012-12-31$2,883,235
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$204,863
Other income not declared elsewhere2012-12-31$167,609
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$7,717,546
Value of net assets at end of year (total assets less liabilities)2012-12-31$60,815,952
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$53,098,406
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$370
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$48,723,405
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$41,156,360
Interest on participant loans2012-12-31$94,863
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$9,197,676
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$9,058,811
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$4,020,951
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,902,735
Contract administrator fees2012-12-31$29,985
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2012-12-31742520265
2011 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total transfer of assets to this plan2011-12-31$0
Total transfer of assets from this plan2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$5,626,524
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$3,466,410
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,426,617
Expenses. Certain deemed distributions of participant loans2011-12-31$11,103
Value of total corrective distributions2011-12-31$383
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$5,735,780
Value of total assets at end of year2011-12-31$53,098,406
Value of total assets at beginning of year2011-12-31$50,938,292
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$28,307
Total interest from all sources2011-12-31$98,226
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$867,694
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$867,694
Administrative expenses professional fees incurred2011-12-31$0
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$5,493,717
Participant contributions at end of year2011-12-31$2,883,235
Participant contributions at beginning of year2011-12-31$2,715,988
Participant contributions at beginning of year2011-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$235,778
Other income not declared elsewhere2011-12-31$130,867
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$2,160,114
Value of net assets at end of year (total assets less liabilities)2011-12-31$53,098,406
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$50,938,292
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$14
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$41,156,360
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$39,726,785
Value of interest in pooled separate accounts at beginning of year2011-12-31$0
Interest on participant loans2011-12-31$98,226
Value of interest in common/collective trusts at beginning of year2011-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$9,058,811
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$8,495,519
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-1,206,043
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$6,285
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,426,617
Contract administrator fees2011-12-31$28,293
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2011-12-31742520265
2010 : DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$0
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total transfer of assets to this plan2010-12-31$0
Total transfer of assets from this plan2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$10,775,581
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$3,393,135
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$3,359,561
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Value of total corrective distributions2010-12-31$7,066
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$5,584,854
Value of total assets at end of year2010-12-31$50,938,292
Value of total assets at beginning of year2010-12-31$43,555,846
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$26,508
Total interest from all sources2010-12-31$91,934
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$635,448
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$635,448
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$5,438,333
Participant contributions at end of year2010-12-31$2,715,988
Participant contributions at beginning of year2010-12-31$2,039,572
Participant contributions at end of year2010-12-31$0
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$146,521
Other income not declared elsewhere2010-12-31$93,672
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$7,382,446
Value of net assets at end of year (total assets less liabilities)2010-12-31$50,938,292
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$43,555,846
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$2,583
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$39,726,785
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$32,871,899
Value of interest in pooled separate accounts at end of year2010-12-31$0
Interest on participant loans2010-12-31$91,934
Value of interest in common/collective trusts at end of year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$8,495,519
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$8,644,375
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$4,369,673
Net investment gain/loss from pooled separate accounts2010-12-31$0
Net investment gain or loss from common/collective trusts2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at end of year2010-12-31$0
Contributions received in cash from employer2010-12-31$0
Employer contributions (assets) at end of year2010-12-31$0
Income. Dividends from common stock2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$3,359,561
Contract administrator fees2010-12-31$23,925
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$0
Aggregate carrying amount (costs) on sale of assets2010-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31COLLIER, JOHNSON AND WOODS
Accountancy firm EIN2010-12-31742520265

Form 5500 Responses for DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN

2016: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 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 funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: DRISCOLL FOUNDATION 403(B) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28076
Policy instance 1
Insurance contract or identification numberGA28076
Number of Individuals Covered2319
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 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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28076
Policy instance 1
Insurance contract or identification numberGA28076
Number of Individuals Covered2177
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28076
Policy instance 1
Insurance contract or identification numberGA28076
Number of Individuals Covered2077
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 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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA31217011
Policy instance 2
Insurance contract or identification numberGA31217011
Number of Individuals Covered1986
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28076
Policy instance 1
Insurance contract or identification numberGA28076
Number of Individuals Covered1986
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 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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA31217011
Policy instance 1
Insurance contract or identification numberGA31217011
Number of Individuals Covered1927
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28076
Policy instance 2
Insurance contract or identification numberGA28076
Number of Individuals Covered1927
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA31217011
Policy instance 1
Insurance contract or identification numberGA31217011
Number of Individuals Covered1917
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?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?Yes
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28076
Policy instance 2
Insurance contract or identification numberGA28076
Number of Individuals Covered1853
Insurance policy start date2010-12-31
Insurance policy end date2010-12-31
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?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?Yes
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

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