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SAN FRANCISCO EQUINE 401(K) PLAN 401k Plan overview

Plan NameSAN FRANCISCO EQUINE 401(K) PLAN
Plan identification number 002

SAN FRANCISCO EQUINE 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SAN FRANCISCO EQUINE has sponsored the creation of one or more 401k plans.

Company Name:SAN FRANCISCO EQUINE
Employer identification number (EIN):752997534
NAIC Classification:541940
NAIC Description:Veterinary Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAN FRANCISCO EQUINE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01KIM KUHLMANN
0022013-01-01KIM KUHLMANN
0022012-01-01KIM KUHLMANN
0022011-01-01KIM KUHLMANN
0022010-01-01MOLLY OSGOOD
0022009-01-01MOLLY OSGOOD

Plan Statistics for SAN FRANCISCO EQUINE 401(K) PLAN

401k plan membership statisitcs for SAN FRANCISCO EQUINE 401(K) PLAN

Measure Date Value
2018: SAN FRANCISCO EQUINE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-019
Total number of active participants reported on line 7a of the Form 55002018-01-018
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-019
Number of participants with account balances2018-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: SAN FRANCISCO EQUINE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0110
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-018
Number of participants with account balances2017-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SAN FRANCISCO EQUINE 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-019
Total number of active participants reported on line 7a of the Form 55002016-01-018
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0110
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SAN FRANCISCO EQUINE 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0112
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-019
Number of participants with account balances2015-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SAN FRANCISCO EQUINE 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0111
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0112
Number of participants with account balances2014-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: SAN FRANCISCO EQUINE 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0113
Total number of active participants reported on line 7a of the Form 55002013-01-019
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0111
Number of participants with account balances2013-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: SAN FRANCISCO EQUINE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0112
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0113
Number of participants with account balances2012-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: SAN FRANCISCO EQUINE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0112
Total number of active participants reported on line 7a of the Form 55002011-01-019
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0112
Number of participants with account balances2011-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: SAN FRANCISCO EQUINE 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0112
Total number of active participants reported on line 7a of the Form 55002010-01-019
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0112
Number of participants with account balances2010-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SAN FRANCISCO EQUINE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-019
Total number of active participants reported on line 7a of the Form 55002009-01-018
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0111
Number of participants with account balances2009-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on SAN FRANCISCO EQUINE 401(K) PLAN

Measure Date Value
2018 : SAN FRANCISCO EQUINE 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$-55,294
Expenses. Total of all expenses incurred2018-12-31$9,230
Total plan assets at end of year2018-12-31$4,970,539
Total plan assets at beginning of year2018-12-31$5,035,063
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$76,500
Other income received2018-12-31$-256,839
Net income (gross income less expenses)2018-12-31$-64,524
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,970,539
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$5,035,063
Assets. Value of participant loans2018-12-31$18,569
Assets. Value of assets in partnership/joint-venture interests2018-12-31$2,488
Total contributions received or receivable from employer(s)2018-12-31$125,045
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$9,230
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SAN FRANCISCO EQUINE 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,144,722
Expenses. Total of all expenses incurred2017-12-31$47,999
Benefits paid (including direct rollovers)2017-12-31$32,709
Total plan assets at end of year2017-12-31$5,035,063
Total plan assets at beginning of year2017-12-31$3,938,340
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$75,000
Contributions received from other sources (not participants or employers)2017-12-31$217,172
Other income received2017-12-31$728,141
Net income (gross income less expenses)2017-12-31$1,096,723
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,035,063
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,938,340
Assets. Value of participant loans2017-12-31$49,653
Assets. Value of assets in partnership/joint-venture interests2017-12-31$2,488
Total contributions received or receivable from employer(s)2017-12-31$124,409
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$15,290
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : SAN FRANCISCO EQUINE 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$506,387
Expenses. Total of all expenses incurred2016-12-31$771,907
Benefits paid (including direct rollovers)2016-12-31$748,085
Total plan assets at end of year2016-12-31$3,938,340
Total plan assets at beginning of year2016-12-31$4,203,860
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$75,000
Other income received2016-12-31$305,464
Net income (gross income less expenses)2016-12-31$-265,520
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,938,340
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,203,860
Assets. Value of participant loans2016-12-31$76,177
Assets. Value of assets in partnership/joint-venture interests2016-12-31$2,488
Total contributions received or receivable from employer(s)2016-12-31$125,923
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$23,822
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : SAN FRANCISCO EQUINE 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$168,044
Expenses. Total of all expenses incurred2015-12-31$117,723
Benefits paid (including direct rollovers)2015-12-31$88,645
Total plan assets at end of year2015-12-31$4,203,860
Total plan assets at beginning of year2015-12-31$4,153,539
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$69,000
Other income received2015-12-31$-27,506
Net income (gross income less expenses)2015-12-31$50,321
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,203,860
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,153,539
Assets. Value of participant loans2015-12-31$104,870
Assets. Value of assets in partnership/joint-venture interests2015-12-31$2,488
Total contributions received or receivable from employer(s)2015-12-31$126,550
Value of certain deemed distributions of participant loans2015-12-31$5,372
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$23,706
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : SAN FRANCISCO EQUINE 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$496,673
Expenses. Total of all expenses incurred2014-12-31$1,041,559
Benefits paid (including direct rollovers)2014-12-31$1,013,975
Total plan assets at end of year2014-12-31$4,153,539
Total plan assets at beginning of year2014-12-31$4,698,425
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$66,698
Other income received2014-12-31$305,964
Net income (gross income less expenses)2014-12-31$-544,886
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,153,539
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$4,698,425
Assets. Value of participant loans2014-12-31$55,095
Assets. Value of assets in partnership/joint-venture interests2014-12-31$2,488
Total contributions received or receivable from employer(s)2014-12-31$124,011
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$27,584
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SAN FRANCISCO EQUINE 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,012,921
Expenses. Total of all expenses incurred2013-12-31$25,850
Benefits paid (including direct rollovers)2013-12-31$969
Total plan assets at end of year2013-12-31$4,698,425
Total plan assets at beginning of year2013-12-31$3,711,354
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$78,300
Other income received2013-12-31$815,882
Net income (gross income less expenses)2013-12-31$987,071
Net plan assets at end of year (total assets less liabilities)2013-12-31$4,698,425
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,711,354
Assets. Value of participant loans2013-12-31$27,396
Total contributions received or receivable from employer(s)2013-12-31$118,739
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$24,881
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : SAN FRANCISCO EQUINE 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$616,377
Expenses. Total of all expenses incurred2012-12-31$62,995
Benefits paid (including direct rollovers)2012-12-31$36,888
Total plan assets at end of year2012-12-31$3,711,354
Total plan assets at beginning of year2012-12-31$3,157,972
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$79,875
Contributions received from other sources (not participants or employers)2012-12-31$14,627
Other income received2012-12-31$406,600
Net income (gross income less expenses)2012-12-31$553,382
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,711,354
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,157,972
Assets. Value of participant loans2012-12-31$40,410
Total contributions received or receivable from employer(s)2012-12-31$115,275
Value of certain deemed distributions of participant loans2012-12-31$6,335
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$19,772
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SAN FRANCISCO EQUINE 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$113,943
Expenses. Total of all expenses incurred2011-12-31$15,049
Benefits paid (including direct rollovers)2011-12-31$2,937
Total plan assets at end of year2011-12-31$3,157,972
Total plan assets at beginning of year2011-12-31$3,059,078
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$77,900
Other income received2011-12-31$-73,717
Net income (gross income less expenses)2011-12-31$98,894
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,157,972
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,059,078
Assets. Value of participant loans2011-12-31$45,417
Total contributions received or receivable from employer(s)2011-12-31$109,760
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$12,112
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : SAN FRANCISCO EQUINE 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$549,466
Expenses. Total of all expenses incurred2010-12-31$10,433
Benefits paid (including direct rollovers)2010-12-31$1,062
Total plan assets at end of year2010-12-31$3,059,078
Total plan assets at beginning of year2010-12-31$2,520,045
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$80,800
Other income received2010-12-31$357,467
Net income (gross income less expenses)2010-12-31$539,033
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,059,078
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,520,045
Assets. Value of participant loans2010-12-31$58,967
Total contributions received or receivable from employer(s)2010-12-31$111,199
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$9,371
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for SAN FRANCISCO EQUINE 401(K) PLAN

2018: SAN FRANCISCO EQUINE 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SAN FRANCISCO EQUINE 401(K) PLAN 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SAN FRANCISCO EQUINE 401(K) 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 - TrustYes
2015: SAN FRANCISCO EQUINE 401(K) 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 - TrustYes
2014: SAN FRANCISCO EQUINE 401(K) 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 - TrustYes
2013: SAN FRANCISCO EQUINE 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 - TrustYes
2012: SAN FRANCISCO EQUINE 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 - TrustYes
2011: SAN FRANCISCO EQUINE 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 - TrustYes
2010: SAN FRANCISCO EQUINE 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 - TrustYes
2009: SAN FRANCISCO EQUINE 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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 - 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 number57904
Policy instance 1
Insurance contract or identification number57904
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,950
Total amount of fees paid to insurance companyUSD $3,234
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3234
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $1,950
Insurance broker nameLPL FINANCIAL CORPORATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57904
Policy instance 1
Insurance contract or identification number57904
Number of Individuals Covered10
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,636
Total amount of fees paid to insurance companyUSD $527
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,636
Insurance broker organization code?3
Amount paid for insurance broker fees527
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameCALIFORNIA RETIREMENT PLANS
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57904
Policy instance 1
Insurance contract or identification number57904
Number of Individuals Covered9
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,133
Total amount of fees paid to insurance companyUSD $822
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,946
Insurance broker organization code?3
Amount paid for insurance broker fees822
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION AND TPA FEES
Insurance broker nameNEW ENGLAND SECURITIES CORPORATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57904
Policy instance 1
Insurance contract or identification number57904
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,897
Total amount of fees paid to insurance companyUSD $621
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number57904
Policy instance 1
Insurance contract or identification number57904
Number of Individuals Covered10
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 $2,144
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1794
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?3
Insurance broker nameCALIFORNIA RETIREMENT PLANS

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