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LONE STAR FOUNDRIES, INC. 401(K) PLAN 401k Plan overview

Plan NameLONE STAR FOUNDRIES, INC. 401(K) PLAN
Plan identification number 001

LONE STAR FOUNDRIES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LONE STAR FOUNDRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:LONE STAR FOUNDRIES, INC.
Employer identification number (EIN):742842727
NAIC Classification:332110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LONE STAR FOUNDRIES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012014-01-01M ANDREW EDGERTON2015-05-19 M ANDREW EDGERTON2015-05-19
0012013-01-01M ANDREW EDGERTON M ANDREW EDGERTON2014-08-11
0012012-01-01M. ANDREW EDGERTON M. ANDREW EDGERTON2013-10-15
0012012-01-01M. ANDREW EDGERTON M. ANDREW EDGERTON2013-10-15
0012011-01-01M ANDREW EDGERTON M ANDREW EDGERTON2012-08-02
0012010-01-01M ANDREW EDGERTON M ANDREW EDGERTON2011-10-17
0012009-01-01M ANDREW EDGERTON M ANDREW EDGERTON2010-08-23
0012009-01-01M ANDREW EDGERTON M ANDREW EDGERTON2010-08-02

Plan Statistics for LONE STAR FOUNDRIES, INC. 401(K) PLAN

401k plan membership statisitcs for LONE STAR FOUNDRIES, INC. 401(K) PLAN

Measure Date Value
2013: LONE STAR FOUNDRIES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01132
Total number of active participants reported on line 7a of the Form 55002013-01-0163
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0111
Total of all active and inactive participants2013-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0174
Number of participants with account balances2013-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: LONE STAR FOUNDRIES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01117
Total number of active participants reported on line 7a of the Form 55002012-01-01120
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-019
Total of all active and inactive participants2012-01-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01129
Number of participants with account balances2012-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: LONE STAR FOUNDRIES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01129
Total number of active participants reported on line 7a of the Form 55002011-01-01105
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-01113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01113
Number of participants with account balances2011-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: LONE STAR FOUNDRIES, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01128
Total number of active participants reported on line 7a of the Form 55002010-01-01111
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0117
Total of all active and inactive participants2010-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01128
Number of participants with account balances2010-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-012
2009: LONE STAR FOUNDRIES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01152
Total number of active participants reported on line 7a of the Form 55002009-01-0198
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0118
Total of all active and inactive participants2009-01-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01116
Number of participants with account balances2009-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on LONE STAR FOUNDRIES, INC. 401(K) PLAN

Measure Date Value
2013 : LONE STAR FOUNDRIES, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)2013-12-31$547,712
Total of all expenses incurred2013-12-31$478,025
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$446,690
Expenses. Certain deemed distributions of participant loans2013-12-31$1,026
Value of total corrective distributions2013-12-31$26,339
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$187,876
Value of total assets at end of year2013-12-31$2,150,110
Value of total assets at beginning of year2013-12-31$2,080,423
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,970
Total interest from all sources2013-12-31$1,814
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$3,076
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$265,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$131,573
Participant contributions at end of year2013-12-31$24,211
Participant contributions at beginning of year2013-12-31$52,284
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$4,599
Administrative expenses (other) incurred2013-12-31$894
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$69,687
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,150,110
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,080,423
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,120,866
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$2,028,139
Interest on participant loans2013-12-31$1,814
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$434
Net investment gain/loss from pooled separate accounts2013-12-31$358,022
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$56,303
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$446,690
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 name2013-12-31ANNA SWENSON, CPA, PLLC
Accountancy firm EIN2013-12-31453048648
2012 : LONE STAR FOUNDRIES, INC. 401(K) PLAN 2012 401k financial data
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$417,547
Total of all expenses incurred2012-12-31$212,408
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$189,054
Value of total corrective distributions2012-12-31$19,637
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$189,434
Value of total assets at end of year2012-12-31$2,080,423
Value of total assets at beginning of year2012-12-31$1,875,284
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,717
Total interest from all sources2012-12-31$2,036
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$2,884
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$265,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$133,665
Participant contributions at end of year2012-12-31$52,284
Participant contributions at beginning of year2012-12-31$53,136
Administrative expenses (other) incurred2012-12-31$833
Total non interest bearing cash at beginning of year2012-12-31$868
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$205,139
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,080,423
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,875,284
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$2,028,139
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,821,280
Interest on participant loans2012-12-31$2,036
Net investment gain/loss from pooled separate accounts2012-12-31$226,077
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
Contributions received in cash from employer2012-12-31$55,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$189,054
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 name2012-12-31ANNA SWENSON, CPA, PLLC
Accountancy firm EIN2012-12-31453048648
2011 : LONE STAR FOUNDRIES, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$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$154,199
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$498,019
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$475,116
Value of total corrective distributions2011-12-31$18,881
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$185,626
Value of total assets at end of year2011-12-31$1,875,284
Value of total assets at beginning of year2011-12-31$2,219,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$4,022
Total interest from all sources2011-12-31$2,912
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$3,040
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$265,000
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$129,318
Participant contributions at end of year2011-12-31$53,136
Participant contributions at beginning of year2011-12-31$73,383
Administrative expenses (other) incurred2011-12-31$982
Total non interest bearing cash at end of year2011-12-31$868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-343,820
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,875,284
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,219,104
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,821,280
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,145,721
Income. Interest from loans (other than to participants)2011-12-31$2,912
Net investment gain/loss from pooled separate accounts2011-12-31$-34,339
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
Contributions received in cash from employer2011-12-31$56,308
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$475,116
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 name2011-12-31ANNA SWENSON, CPA, PLLC
Accountancy firm EIN2011-12-31453048648
2010 : LONE STAR FOUNDRIES, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$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$104
Total income from all sources (including contributions)2010-12-31$319,133
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$110,418
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$78,371
Expenses. Certain deemed distributions of participant loans2010-12-31$8,142
Value of total corrective distributions2010-12-31$18,506
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$115,728
Value of total assets at end of year2010-12-31$2,219,104
Value of total assets at beginning of year2010-12-31$2,010,493
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$5,399
Total interest from all sources2010-12-31$3,323
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$4,310
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$265,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$100,376
Participant contributions at end of year2010-12-31$73,383
Participant contributions at beginning of year2010-12-31$91,003
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$104
Administrative expenses (other) incurred2010-12-31$1,089
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$208,715
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,219,104
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,010,389
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,145,721
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,919,490
Interest on participant loans2010-12-31$3,323
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$200,082
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
Contributions received in cash from employer2010-12-31$15,352
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$78,371
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
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 name2010-12-31ANNA SWENSON, CPA, PLLC
Accountancy firm EIN2010-12-31453048648

Form 5500 Responses for LONE STAR FOUNDRIES, INC. 401(K) PLAN

2013: LONE STAR FOUNDRIES, INC. 401(K) 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: LONE STAR FOUNDRIES, INC. 401(K) 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: LONE STAR FOUNDRIES, INC. 401(K) 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: LONE STAR FOUNDRIES, INC. 401(K) 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: LONE STAR FOUNDRIES, INC. 401(K) 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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number25933
Policy instance 1
Insurance contract or identification number25933
Number of Individuals Covered84
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,448
Total amount of fees paid to insurance companyUSD $3,076
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,328
Insurance broker organization code?3
Amount paid for insurance broker fees3076
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker nameSCHOLZ, KLEIN AND FRIENDS
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number25933
Policy instance 1
Insurance contract or identification number25933
Number of Individuals Covered92
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $6,762
Total amount of fees paid to insurance companyUSD $2,884
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,750
Insurance broker organization code?3
Amount paid for insurance broker fees2884
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker nameSCHOLZ, KLEIN AND FRIENDS
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number25933
Policy instance 1
Insurance contract or identification number25933
Number of Individuals Covered90
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,191
Total amount of fees paid to insurance companyUSD $3,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number25933
Policy instance 1
Insurance contract or identification number25933
Number of Individuals Covered99
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,582
Total amount of fees paid to insurance companyUSD $4,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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