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UNITED STATES AMATEUR BOXING, INC 401k Plan overview

Plan NameUNITED STATES AMATEUR BOXING, INC
Plan identification number 001

UNITED STATES AMATEUR BOXING, INC Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.

401k Sponsoring company profile

USA BOXING, INC. has sponsored the creation of one or more 401k plans.

Company Name:USA BOXING, INC.
Employer identification number (EIN):841604168
NAIC Classification:611000

Additional information about USA BOXING, INC.

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2001-09-06
Company Identification Number: 20011174434
Legal Registered Office Address: 30 Cimino Dr

Colorado Springs
United States of America (USA)
80903

More information about USA BOXING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED STATES AMATEUR BOXING, INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01LISA PETERSON LISA PETERSON2018-10-12
0012016-01-01BRIAN LAWRENCE2017-07-17 BRIAN LAWRENCE2017-07-17
0012015-01-01BRIAN LAWRENCE
0012014-01-01BRIAN LAWRENCE
0012014-01-01BRIAN LAWRENCE2015-07-24
0012013-01-01BRIAN LAWRENCE2015-12-28
0012012-01-01BRIAN LAWRENCE2013-07-30
0012011-01-01BRIAN LAWRENCE2012-07-26
0012010-01-01BRIAN LAWRENCE2011-10-21

Plan Statistics for UNITED STATES AMATEUR BOXING, INC

401k plan membership statisitcs for UNITED STATES AMATEUR BOXING, INC

Measure Date Value
2022: UNITED STATES AMATEUR BOXING, INC 2022 401k membership
Total participants, beginning-of-year2022-01-0135
Total number of active participants reported on line 7a of the Form 55002022-01-0133
Total of all active and inactive participants2022-01-0133
Total participants2022-01-0133
Number of participants with account balances2022-01-0133
2021: UNITED STATES AMATEUR BOXING, INC 2021 401k membership
Total participants, beginning-of-year2021-01-0131
Total number of active participants reported on line 7a of the Form 55002021-01-0135
Total of all active and inactive participants2021-01-0135
Total participants2021-01-0135
Number of participants with account balances2021-01-0135
2020: UNITED STATES AMATEUR BOXING, INC 2020 401k membership
Total participants, beginning-of-year2020-01-0131
Total number of active participants reported on line 7a of the Form 55002020-01-0131
Total of all active and inactive participants2020-01-0131
Total participants2020-01-0131
Number of participants with account balances2020-01-0131
2019: UNITED STATES AMATEUR BOXING, INC 2019 401k membership
Total participants, beginning-of-year2019-01-0129
Total number of active participants reported on line 7a of the Form 55002019-01-0131
Total of all active and inactive participants2019-01-0131
Total participants2019-01-0131
Number of participants with account balances2019-01-0131
2018: UNITED STATES AMATEUR BOXING, INC 2018 401k membership
Total participants, beginning-of-year2018-01-0120
Total number of active participants reported on line 7a of the Form 55002018-01-0129
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0129
Number of participants with account balances2018-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: UNITED STATES AMATEUR BOXING, INC 2017 401k membership
Total participants, beginning-of-year2017-01-0120
Total number of active participants reported on line 7a of the Form 55002017-01-0120
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 participants2017-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0120
Number of participants with account balances2017-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2015: UNITED STATES AMATEUR BOXING, INC 2015 401k membership
Total participants, beginning-of-year2015-01-0115
Total number of active participants reported on line 7a of the Form 55002015-01-0117
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0117
Number of participants with account balances2015-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: UNITED STATES AMATEUR BOXING, INC 2014 401k membership
Total participants, beginning-of-year2014-01-0114
Total number of active participants reported on line 7a of the Form 55002014-01-0115
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0115
Number of participants with account balances2014-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010

Financial Data on UNITED STATES AMATEUR BOXING, INC

Measure Date Value
2022 : UNITED STATES AMATEUR BOXING, INC 2022 401k financial data
Transfers to/from the plan2022-12-31$-88,908
Total plan liabilities at end of year2022-12-31$67,801
Total plan liabilities at beginning of year2022-12-31$14,008
Total income from all sources2022-12-31$7,683
Expenses. Total of all expenses incurred2022-12-31$76,139
Benefits paid (including direct rollovers)2022-12-31$60,641
Total plan assets at end of year2022-12-31$1,087,084
Total plan assets at beginning of year2022-12-31$1,190,655
Total contributions received or receivable from participants2022-12-31$71,060
Other income received2022-12-31$-185,399
Net income (gross income less expenses)2022-12-31$-68,456
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,019,283
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,176,647
Assets. Value of participant loans2022-12-31$63,478
Total contributions received or receivable from employer(s)2022-12-31$122,022
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$15,498
2021 : UNITED STATES AMATEUR BOXING, INC 2021 401k financial data
Transfers to/from the plan2021-12-31$-40,203
Total plan liabilities at end of year2021-12-31$14,008
Total plan liabilities at beginning of year2021-12-31$12,600
Total income from all sources2021-12-31$272,859
Expenses. Total of all expenses incurred2021-12-31$17,046
Benefits paid (including direct rollovers)2021-12-31$1,408
Total plan assets at end of year2021-12-31$1,190,655
Total plan assets at beginning of year2021-12-31$973,637
Total contributions received or receivable from participants2021-12-31$72,120
Other income received2021-12-31$107,363
Net income (gross income less expenses)2021-12-31$255,813
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,176,647
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$961,037
Assets. Value of participant loans2021-12-31$58,735
Total contributions received or receivable from employer(s)2021-12-31$93,376
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$15,638
2020 : UNITED STATES AMATEUR BOXING, INC 2020 401k financial data
Transfers to/from the plan2020-12-31$2,032
Total plan liabilities at end of year2020-12-31$12,600
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$215,953
Expenses. Total of all expenses incurred2020-12-31$26,183
Benefits paid (including direct rollovers)2020-12-31$12,600
Total plan assets at end of year2020-12-31$973,637
Total plan assets at beginning of year2020-12-31$769,235
Total contributions received or receivable from participants2020-12-31$47,532
Expenses. Other expenses not covered elsewhere2020-12-31$28
Other income received2020-12-31$102,620
Net income (gross income less expenses)2020-12-31$189,770
Net plan assets at end of year (total assets less liabilities)2020-12-31$961,037
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$769,235
Assets. Value of participant loans2020-12-31$16,556
Total contributions received or receivable from employer(s)2020-12-31$65,801
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$13,555
2019 : UNITED STATES AMATEUR BOXING, INC 2019 401k financial data
Transfers to/from the plan2019-12-31$19,631
Total plan liabilities at beginning of year2019-12-31$24,586
Total income from all sources2019-12-31$241,989
Expenses. Total of all expenses incurred2019-12-31$10,352
Total plan assets at end of year2019-12-31$769,235
Total plan assets at beginning of year2019-12-31$542,553
Total contributions received or receivable from participants2019-12-31$44,223
Expenses. Other expenses not covered elsewhere2019-12-31$5
Other income received2019-12-31$119,529
Net income (gross income less expenses)2019-12-31$231,637
Net plan assets at end of year (total assets less liabilities)2019-12-31$769,235
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$517,967
Assets. Value of participant loans2019-12-31$18,376
Total contributions received or receivable from employer(s)2019-12-31$78,237
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$10,347
2018 : UNITED STATES AMATEUR BOXING, INC 2018 401k financial data
Transfers to/from the plan2018-12-31$-4,963
Total plan liabilities at end of year2018-12-31$24,586
Total plan liabilities at beginning of year2018-12-31$4,645
Total income from all sources2018-12-31$60,789
Expenses. Total of all expenses incurred2018-12-31$40,700
Benefits paid (including direct rollovers)2018-12-31$32,715
Total plan assets at end of year2018-12-31$542,553
Total plan assets at beginning of year2018-12-31$507,486
Total contributions received or receivable from participants2018-12-31$30,138
Other income received2018-12-31$-31,915
Net income (gross income less expenses)2018-12-31$20,089
Net plan assets at end of year (total assets less liabilities)2018-12-31$517,967
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$502,841
Assets. Value of participant loans2018-12-31$20,101
Total contributions received or receivable from employer(s)2018-12-31$62,566
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$7,985
2017 : UNITED STATES AMATEUR BOXING, INC 2017 401k financial data
Transfers to/from the plan2017-12-31$-4,067
Total plan liabilities at end of year2017-12-31$4,645
Total income from all sources2017-12-31$125,424
Expenses. Total of all expenses incurred2017-12-31$13,715
Benefits paid (including direct rollovers)2017-12-31$4,645
Total plan assets at end of year2017-12-31$507,486
Total plan assets at beginning of year2017-12-31$395,199
Total contributions received or receivable from participants2017-12-31$24,368
Contributions received from other sources (not participants or employers)2017-12-31$3,719
Other income received2017-12-31$49,098
Net income (gross income less expenses)2017-12-31$111,709
Net plan assets at end of year (total assets less liabilities)2017-12-31$502,841
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$395,199
Assets. Value of participant loans2017-12-31$5,087
Total contributions received or receivable from employer(s)2017-12-31$48,239
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$9,070
2015 : UNITED STATES AMATEUR BOXING, INC 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$42,730
Expenses. Total of all expenses incurred2015-12-31$25,631
Benefits paid (including direct rollovers)2015-12-31$2,841
Total plan assets at end of year2015-12-31$266,928
Total plan assets at beginning of year2015-12-31$249,829
Total contributions received or receivable from participants2015-12-31$13,098
Expenses. Other expenses not covered elsewhere2015-12-31$7,404
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$570
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$17,099
Net plan assets at end of year (total assets less liabilities)2015-12-31$266,928
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$249,829
Assets. Value of participant loans2015-12-31$10,727
Total contributions received or receivable from employer(s)2015-12-31$29,062
Value of certain deemed distributions of participant loans2015-12-31$9,858
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$5,528
2014 : UNITED STATES AMATEUR BOXING, INC 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$41,131
Expenses. Total of all expenses incurred2014-12-31$919
Benefits paid (including direct rollovers)2014-12-31$0
Total plan assets at end of year2014-12-31$249,829
Total plan assets at beginning of year2014-12-31$209,617
Total contributions received or receivable from participants2014-12-31$14,067
Expenses. Other expenses not covered elsewhere2014-12-31$645
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$0
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$40,212
Net plan assets at end of year (total assets less liabilities)2014-12-31$249,829
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$209,617
Assets. Value of participant loans2014-12-31$11,432
Total contributions received or receivable from employer(s)2014-12-31$27,064
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$274
2013 : UNITED STATES AMATEUR BOXING, INC 2013 401k financial data
Transfers to/from the plan2013-12-31$35,621
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$46,537
Expenses. Total of all expenses incurred2013-12-31$0
Benefits paid (including direct rollovers)2013-12-31$0
Total plan assets at end of year2013-12-31$182,575
Total plan assets at beginning of year2013-12-31$100,417
Total contributions received or receivable from participants2013-12-31$11,946
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$59
Other income received2013-12-31$366
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$46,537
Net plan assets at end of year (total assets less liabilities)2013-12-31$182,575
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$100,417
Assets. Value of participant loans2013-12-31$2,059
Total contributions received or receivable from employer(s)2013-12-31$34,166
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2012 : UNITED STATES AMATEUR BOXING, INC 2012 401k financial data
Total transfer of assets to this plan2012-12-31$79,029
Total transfer of assets from this plan2012-12-31$95,536
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$110
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$37,821
Total of all expenses incurred2012-12-31$2,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$110
Expenses. Certain deemed distributions of participant loans2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$25,653
Value of total assets at end of year2012-12-31$118,579
Value of total assets at beginning of year2012-12-31$97,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,054
Total interest from all sources2012-12-31$213
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
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$3,720
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$0
Administrative expenses (other) incurred2012-12-31$5
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$35,657
Value of net assets at end of year (total assets less liabilities)2012-12-31$118,469
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$97,409
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$2,019
Value of interest in pooled separate accounts at end of year2012-12-31$100,417
Value of interest in pooled separate accounts at beginning of year2012-12-31$97,409
Interest on participant loans2012-12-31$0
Interest earned on other investments2012-12-31$213
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$18,162
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$11,955
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$21,933
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$110
Contract administrator fees2012-12-31$30
Liabilities. Value of benefit claims payable at end of year2012-12-31$110
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31No
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

Form 5500 Responses for UNITED STATES AMATEUR BOXING, INC

2022: UNITED STATES AMATEUR BOXING, INC 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: UNITED STATES AMATEUR BOXING, INC 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: UNITED STATES AMATEUR BOXING, INC 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: UNITED STATES AMATEUR BOXING, INC 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: UNITED STATES AMATEUR BOXING, INC 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: UNITED STATES AMATEUR BOXING, INC 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2015: UNITED STATES AMATEUR BOXING, INC 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: UNITED STATES AMATEUR BOXING, INC 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $7,362
Total amount of fees paid to insurance companyUSD $0
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 $7,326
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $7,134
Total amount of fees paid to insurance companyUSD $0
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 $7,100
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,612
Total amount of fees paid to insurance companyUSD $0
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 $3,592
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,689
Total amount of fees paid to insurance companyUSD $0
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 $2,135
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Number of Individuals Covered29
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,158
Total amount of fees paid to insurance companyUSD $0
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 $2,997
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Number of Individuals Covered20
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,426
Total amount of fees paid to insurance companyUSD $0
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 $1,547
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameA. LADROW
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Number of Individuals Covered17
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $51
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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 $51
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameM CAMPBELL
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Number of Individuals Covered15
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $783
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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 $13
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCSG DENVER
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233 001
Policy instance 1
Insurance contract or identification number716233 001
Number of Individuals Covered14
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,115
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number716233001
Policy instance 1
Insurance contract or identification number716233001
Number of Individuals Covered14
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,579
Total amount of fees paid to insurance companyUSD $0
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

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