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EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 401k Plan overview

Plan NameEAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN
Plan identification number 001

EAGLE HOSPITAL PHYSICIANS, LLC 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

EAGLE HOSPITAL PHYSICIANS LLC has sponsored the creation of one or more 401k plans.

Company Name:EAGLE HOSPITAL PHYSICIANS LLC
Employer identification number (EIN):800940392
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about EAGLE HOSPITAL PHYSICIANS LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5365277

More information about EAGLE HOSPITAL PHYSICIANS LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01WAITE POPEJOY WAITE POPEJOY2018-05-31
0012016-01-01WAITE POPEJOY WAITE POPEJOY2017-09-15
0012015-01-01WAITE POPEJOY WAITE POPEJOY2016-09-08
0012014-01-01WAITE POPEJOY WAITE POPEJOY2015-08-12
0012014-01-01WAITE POPEJOY WAITE POPEJOY2015-10-09
0012013-01-01WAITE POPEJOY WAITE POPEJOY2015-08-07

Plan Statistics for EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN

401k plan membership statisitcs for EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN

Measure Date Value
2017: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01296
Total number of active participants reported on line 7a of the Form 55002017-01-010
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 participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01411
Total number of active participants reported on line 7a of the Form 55002016-01-01299
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01101
Total of all active and inactive participants2016-01-01400
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01401
Number of participants with account balances2016-01-01288
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0120
2015: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01454
Total number of active participants reported on line 7a of the Form 55002015-01-01325
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01105
Total of all active and inactive participants2015-01-01430
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01430
Number of participants with account balances2015-01-01289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0117
2014: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01420
Total number of active participants reported on line 7a of the Form 55002014-01-01356
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0192
Total of all active and inactive participants2014-01-01448
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01448
Number of participants with account balances2014-01-01286
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0123
2013: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01402
Total number of active participants reported on line 7a of the Form 55002013-01-01378
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0179
Total of all active and inactive participants2013-01-01457
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01457
Number of participants with account balances2013-01-01275
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0140

Financial Data on EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN

Measure Date Value
2017 : EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-08-09$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-08-09$0
Total unrealized appreciation/depreciation of assets2017-08-09$0
Total transfer of assets to this plan2017-08-09$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-09$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-08-09$0
Total income from all sources (including contributions)2017-08-09$2,646,861
Total loss/gain on sale of assets2017-08-09$0
Total of all expenses incurred2017-08-09$29,659,616
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-08-09$29,645,801
Expenses. Certain deemed distributions of participant loans2017-08-09$0
Value of total corrective distributions2017-08-09$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-08-09$997,860
Value of total assets at end of year2017-08-09$0
Value of total assets at beginning of year2017-08-09$27,012,755
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-08-09$13,815
Total income from rents2017-08-09$0
Total interest from all sources2017-08-09$23,897
Total dividends received (eg from common stock, registered investment company shares)2017-08-09$56,210
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-08-09No
Total dividends received from registered investment company shares (eg mutual funds)2017-08-09$56,210
Administrative expenses professional fees incurred2017-08-09$0
Was this plan covered by a fidelity bond2017-08-09Yes
Value of fidelity bond cover2017-08-09$1,000,000
If this is an individual account plan, was there a blackout period2017-08-09No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-08-09$0
Were there any nonexempt tranactions with any party-in-interest2017-08-09No
Amount of non-exempt transactions with any party-in-interest2017-08-09$0
Contributions received from participants2017-08-09$781,563
Participant contributions at end of year2017-08-09$0
Participant contributions at beginning of year2017-08-09$73,222
Participant contributions at end of year2017-08-09$0
Participant contributions at beginning of year2017-08-09$352
Assets. Other investments not covered elsewhere at end of year2017-08-09$0
Assets. Other investments not covered elsewhere at beginning of year2017-08-09$351,874
Income. Received or receivable in cash from other sources (including rollovers)2017-08-09$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-08-09$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-08-09$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-08-09$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-08-09$0
Other income not declared elsewhere2017-08-09$23,407
Administrative expenses (other) incurred2017-08-09$0
Liabilities. Value of operating payables at beginning of year2017-08-09$0
Total non interest bearing cash at end of year2017-08-09$0
Total non interest bearing cash at beginning of year2017-08-09$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-09No
Value of net income/loss2017-08-09$-27,012,755
Value of net assets at end of year (total assets less liabilities)2017-08-09$0
Value of net assets at beginning of year (total assets less liabilities)2017-08-09$27,012,755
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-08-09No
Were any loans by the plan or fixed income obligations due to the plan in default2017-08-09No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2017-08-09$0
Were any leases to which the plan was party in default or uncollectible2017-08-09No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-08-09$0
Investment advisory and management fees2017-08-09$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-08-09$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-08-09$15,681,744
Value of interest in pooled separate accounts at end of year2017-08-09$0
Value of interest in pooled separate accounts at beginning of year2017-08-09$4,997,152
Interest on participant loans2017-08-09$1,531
Income. Interest from loans (other than to participants)2017-08-09$0
Interest earned on other investments2017-08-09$22,366
Income. Interest from US Government securities2017-08-09$0
Income. Interest from corporate debt instruments2017-08-09$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-08-09$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-08-09$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-08-09$5,166,355
Expenses. Payments to insurance carriers foe the provision of benefits2017-08-09$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-08-09$1,227,840
Net investment gain/loss from pooled separate accounts2017-08-09$317,647
Net investment gain or loss from common/collective trusts2017-08-09$0
Net gain/loss from 103.12 investment entities2017-08-09$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-08-09No
Was there a failure to transmit to the plan any participant contributions2017-08-09Yes
Has the plan failed to provide any benefit when due under the plan2017-08-09No
Contributions received in cash from employer2017-08-09$216,297
Employer contributions (assets) at end of year2017-08-09$0
Employer contributions (assets) at beginning of year2017-08-09$742,056
Income. Dividends from preferred stock2017-08-09$0
Income. Dividends from common stock2017-08-09$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-08-09$29,645,801
Contract administrator fees2017-08-09$13,815
Liabilities. Value of benefit claims payable at beginning of year2017-08-09$0
Did the plan have assets held for investment2017-08-09No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-08-09No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-08-09Yes
Aggregate proceeds on sale of assets2017-08-09$0
Aggregate carrying amount (costs) on sale of assets2017-08-09$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-08-09$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-08-09Yes
Opinion of an independent qualified public accountant for this plan2017-08-09Disclaimer
Accountancy firm name2017-08-09BDO USA, LLP
Accountancy firm EIN2017-08-09135381590
2016 : EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$0
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets to this plan2016-12-31$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$5,163,176
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,564,118
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,559,799
Expenses. Certain deemed distributions of participant loans2016-12-31$0
Value of total corrective distributions2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,589,600
Value of total assets at end of year2016-12-31$27,012,755
Value of total assets at beginning of year2016-12-31$23,413,697
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$4,319
Total income from rents2016-12-31$0
Total interest from all sources2016-12-31$60,947
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$189,658
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$189,658
Administrative expenses professional fees incurred2016-12-31$0
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
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
Amount of non-exempt transactions with any party-in-interest2016-12-31$0
Contributions received from participants2016-12-31$2,559,354
Participant contributions at end of year2016-12-31$73,222
Participant contributions at beginning of year2016-12-31$114,543
Participant contributions at end of year2016-12-31$352
Participant contributions at beginning of year2016-12-31$0
Assets. Other investments not covered elsewhere at end of year2016-12-31$351,874
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$288,190
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$13,387
Administrative expenses (other) incurred2016-12-31$0
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
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$3,599,058
Value of net assets at end of year (total assets less liabilities)2016-12-31$27,012,755
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$23,413,697
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2016-12-31$0
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2016-12-31$0
Investment advisory and management fees2016-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$15,681,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$14,042,556
Value of interest in pooled separate accounts at end of year2016-12-31$4,997,152
Value of interest in pooled separate accounts at beginning of year2016-12-31$3,807,638
Interest on participant loans2016-12-31$3,520
Income. Interest from loans (other than to participants)2016-12-31$0
Interest earned on other investments2016-12-31$57,427
Income. Interest from US Government securities2016-12-31$0
Income. Interest from corporate debt instruments2016-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$5,166,355
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$4,493,024
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$606,973
Net investment gain/loss from pooled separate accounts2016-12-31$702,611
Net investment gain or loss from common/collective trusts2016-12-31$0
Net gain/loss from 103.12 investment entities2016-12-31$0
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$742,056
Employer contributions (assets) at end of year2016-12-31$742,056
Employer contributions (assets) at beginning of year2016-12-31$955,936
Income. Dividends from preferred stock2016-12-31$0
Income. Dividends from common stock2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,559,799
Contract administrator fees2016-12-31$4,319
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
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
Aggregate proceeds on sale of assets2016-12-31$0
Aggregate carrying amount (costs) on sale of assets2016-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-12-31$0
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 name2016-12-31BDO USA, LLP
Accountancy firm EIN2016-12-31135381590
2015 : EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$0
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$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$3,744,096
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$3,637,261
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,630,370
Expenses. Certain deemed distributions of participant loans2015-12-31$0
Value of total corrective distributions2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,788,802
Value of total assets at end of year2015-12-31$23,413,697
Value of total assets at beginning of year2015-12-31$23,306,862
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,891
Total income from rents2015-12-31$0
Total interest from all sources2015-12-31$64,739
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$211,690
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$211,690
Administrative expenses professional fees incurred2015-12-31$0
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
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
Amount of non-exempt transactions with any party-in-interest2015-12-31$0
Contributions received from participants2015-12-31$2,800,100
Participant contributions at end of year2015-12-31$114,543
Participant contributions at beginning of year2015-12-31$139,688
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$77,392
Assets. Other investments not covered elsewhere at end of year2015-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$32,766
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
Other income not declared elsewhere2015-12-31$790
Administrative expenses (other) incurred2015-12-31$0
Liabilities. Value of operating payables at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$0
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$106,835
Value of net assets at end of year (total assets less liabilities)2015-12-31$23,413,697
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$23,306,862
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2015-12-31$0
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2015-12-31$0
Investment advisory and management fees2015-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$14,042,556
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$14,209,786
Value of interest in pooled separate accounts at end of year2015-12-31$3,807,638
Value of interest in pooled separate accounts at beginning of year2015-12-31$3,742,096
Interest on participant loans2015-12-31$5,907
Income. Interest from loans (other than to participants)2015-12-31$0
Interest earned on other investments2015-12-31$58,832
Income. Interest from US Government securities2015-12-31$0
Income. Interest from corporate debt instruments2015-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$4,493,024
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$4,324,926
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-290,281
Net investment gain/loss from pooled separate accounts2015-12-31$-31,644
Net investment gain or loss from common/collective trusts2015-12-31$0
Net gain/loss from 103.12 investment entities2015-12-31$0
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$955,936
Employer contributions (assets) at end of year2015-12-31$955,936
Employer contributions (assets) at beginning of year2015-12-31$812,974
Income. Dividends from preferred stock2015-12-31$0
Income. Dividends from common stock2015-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,630,370
Contract administrator fees2015-12-31$6,891
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$0
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
Aggregate proceeds on sale of assets2015-12-31$0
Aggregate carrying amount (costs) on sale of assets2015-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-12-31$0
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 name2015-12-31BDO USA, LLP
Accountancy firm EIN2015-12-31135381590
2014 : EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$0
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$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$4,429,114
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$2,794,491
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,790,245
Expenses. Certain deemed distributions of participant loans2014-12-31$0
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$3,405,931
Value of total assets at end of year2014-12-31$23,306,862
Value of total assets at beginning of year2014-12-31$21,672,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$4,246
Total income from rents2014-12-31$0
Total interest from all sources2014-12-31$64,210
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$191,743
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$191,743
Administrative expenses professional fees incurred2014-12-31$0
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
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
Amount of non-exempt transactions with any party-in-interest2014-12-31$0
Contributions received from participants2014-12-31$2,563,026
Participant contributions at end of year2014-12-31$139,688
Participant contributions at beginning of year2014-12-31$153,868
Participant contributions at end of year2014-12-31$77,392
Participant contributions at beginning of year2014-12-31$72,721
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$29,931
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$0
Other income not declared elsewhere2014-12-31$251
Administrative expenses (other) incurred2014-12-31$0
Liabilities. Value of operating payables at beginning of year2014-12-31$0
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$0
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$1,634,623
Value of net assets at end of year (total assets less liabilities)2014-12-31$23,306,862
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$21,672,239
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2014-12-31$0
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-12-31$0
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$14,209,786
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$13,207,625
Value of interest in pooled separate accounts at end of year2014-12-31$3,742,096
Value of interest in pooled separate accounts at beginning of year2014-12-31$3,348,183
Interest on participant loans2014-12-31$6,359
Income. Interest from loans (other than to participants)2014-12-31$0
Interest earned on other investments2014-12-31$57,851
Income. Interest from US Government securities2014-12-31$0
Income. Interest from corporate debt instruments2014-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$4,324,926
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$4,156,444
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$452,451
Net investment gain/loss from pooled separate accounts2014-12-31$314,528
Net investment gain or loss from common/collective trusts2014-12-31$0
Net gain/loss from 103.12 investment entities2014-12-31$0
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 contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$812,974
Employer contributions (assets) at end of year2014-12-31$812,974
Employer contributions (assets) at beginning of year2014-12-31$733,398
Income. Dividends from preferred stock2014-12-31$0
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,790,245
Contract administrator fees2014-12-31$4,246
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$0
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
Aggregate proceeds on sale of assets2014-12-31$0
Aggregate carrying amount (costs) on sale of assets2014-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-12-31$0
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 name2014-12-31BDO USA, LLP
Accountancy firm EIN2014-12-31135381590
2013 : EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$0
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$10,966,065
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
Expenses. Interest paid2013-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-12-31$0
Total income from all sources (including contributions)2013-12-31$6,100,230
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$3,320,177
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$3,318,047
Expenses. Certain deemed distributions of participant loans2013-12-31$0
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,388,378
Value of total assets at end of year2013-12-31$21,672,239
Value of total assets at beginning of year2013-12-31$7,926,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,130
Total income from rents2013-12-31$0
Total interest from all sources2013-12-31$58,863
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$163,376
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$163,376
Administrative expenses professional fees incurred2013-12-31$0
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
Amount of non-exempt transactions with any party-in-interest2013-12-31$0
Contributions received from participants2013-12-31$2,457,127
Participant contributions at end of year2013-12-31$153,868
Participant contributions at beginning of year2013-12-31$67,959
Participant contributions at end of year2013-12-31$72,721
Participant contributions at beginning of year2013-12-31$60,425
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$173,956
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$0
Other income not declared elsewhere2013-12-31$536
Administrative expenses (other) incurred2013-12-31$0
Liabilities. Value of operating payables at beginning of year2013-12-31$0
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
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
Income. Non cash contributions2013-12-31$0
Value of net income/loss2013-12-31$2,780,053
Value of net assets at end of year (total assets less liabilities)2013-12-31$21,672,239
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$7,926,121
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
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2013-12-31$0
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-12-31$0
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$13,207,625
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,636,609
Value of interest in pooled separate accounts at end of year2013-12-31$3,348,183
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,030,983
Interest on participant loans2013-12-31$4,851
Income. Interest from loans (other than to participants)2013-12-31$0
Interest earned on other investments2013-12-31$54,012
Income. Interest from US Government securities2013-12-31$0
Income. Interest from corporate debt instruments2013-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$4,156,444
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$1,757,889
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$1,663,835
Net investment gain/loss from pooled separate accounts2013-12-31$825,242
Net investment gain or loss from common/collective trusts2013-12-31$0
Net gain/loss from 103.12 investment entities2013-12-31$0
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 contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$757,295
Employer contributions (assets) at end of year2013-12-31$733,398
Employer contributions (assets) at beginning of year2013-12-31$372,256
Income. Dividends from preferred stock2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$3,318,047
Contract administrator fees2013-12-31$2,130
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
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
Aggregate proceeds on sale of assets2013-12-31$0
Aggregate carrying amount (costs) on sale of assets2013-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-12-31$0
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 name2013-12-31BDO USA, LLP
Accountancy firm EIN2013-12-31135381590

Form 5500 Responses for EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN

2017: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
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: EAGLE HOSPITAL PHYSICIANS, LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-08-09
Total amount of commissions paid to insurance brokerUSD $5,223
Total amount of fees paid to insurance companyUSD $9,819
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,223
Amount paid for insurance broker fees9819
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number458501
Policy instance 2
Insurance contract or identification number458501
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-08-09
Total amount of commissions paid to insurance brokerUSD $5,192
Total amount of fees paid to insurance companyUSD $3,248
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,192
Amount paid for insurance broker fees3248
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered430
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $10,947
Total amount of fees paid to insurance companyUSD $2,162
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,947
Amount paid for insurance broker fees2162
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number458501
Policy instance 2
Insurance contract or identification number458501
Number of Individuals Covered430
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,387
Total amount of fees paid to insurance companyUSD $1,871
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,387
Amount paid for insurance broker fees1871
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number458501
Policy instance 2
Insurance contract or identification number458501
Number of Individuals Covered448
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,721
Total amount of fees paid to insurance companyUSD $1,674
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,721
Amount paid for insurance broker fees1674
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered448
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,676
Total amount of fees paid to insurance companyUSD $2,078
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,676
Amount paid for insurance broker fees2078
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered457
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $6,268
Total amount of fees paid to insurance companyUSD $13,860
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,268
Amount paid for insurance broker fees13860
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE AND PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameLOCKTON FINANCIAL ADVISORS LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number458501
Policy instance 2
Insurance contract or identification number458501
Number of Individuals Covered457
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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