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CO-OP 401(K) PLAN 401k Plan overview

Plan NameCO-OP 401(K) PLAN
Plan identification number 001

CO-OP 401(K) PLAN Benefits

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

401k Sponsoring company profile

SKAGIT FARMERS SUPPLY has sponsored the creation of one or more 401k plans.

Company Name:SKAGIT FARMERS SUPPLY
Employer identification number (EIN):910412610
NAIC Classification:115110

Additional information about SKAGIT FARMERS SUPPLY

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1934-07-24
Company Identification Number: 292000096
Legal Registered Office Address: 1833 PARK LN

BURLINGTON
United States of America (USA)
982334630

More information about SKAGIT FARMERS SUPPLY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CO-OP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-10-01
0012020-10-01
0012019-10-01
0012018-10-01
0012017-10-01
0012016-10-01RAELENE SMILLIE
0012015-10-01RAELENE SMILLIE
0012014-10-01RAELENE SMILLIE
0012013-10-01RAELENE SMILLIE
0012012-10-01BRIAN DUQUAINE
0012011-10-01BRIAN DUQUAINE
0012009-10-01BRIAN DUQUAINE
0012008-10-01

Plan Statistics for CO-OP 401(K) PLAN

401k plan membership statisitcs for CO-OP 401(K) PLAN

Measure Date Value
2021: CO-OP 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01354
Total number of active participants reported on line 7a of the Form 55002021-10-01214
Number of retired or separated participants receiving benefits2021-10-015
Number of other retired or separated participants entitled to future benefits2021-10-0199
Total of all active and inactive participants2021-10-01318
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-014
Total participants2021-10-01322
Number of participants with account balances2021-10-01301
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-0136
2020: CO-OP 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01349
Total number of active participants reported on line 7a of the Form 55002020-10-01238
Number of retired or separated participants receiving benefits2020-10-014
Number of other retired or separated participants entitled to future benefits2020-10-01102
Total of all active and inactive participants2020-10-01344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-014
Total participants2020-10-01348
Number of participants with account balances2020-10-01315
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-0125
2019: CO-OP 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01330
Total number of active participants reported on line 7a of the Form 55002019-10-01219
Number of retired or separated participants receiving benefits2019-10-011
Number of other retired or separated participants entitled to future benefits2019-10-01106
Total of all active and inactive participants2019-10-01326
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-014
Total participants2019-10-01330
Number of participants with account balances2019-10-01300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-0115
2018: CO-OP 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01347
Total number of active participants reported on line 7a of the Form 55002018-10-01209
Number of retired or separated participants receiving benefits2018-10-011
Number of other retired or separated participants entitled to future benefits2018-10-01107
Total of all active and inactive participants2018-10-01317
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-014
Total participants2018-10-01321
Number of participants with account balances2018-10-01290
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-0136
2017: CO-OP 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01308
Total number of active participants reported on line 7a of the Form 55002017-10-01232
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-01100
Total of all active and inactive participants2017-10-01332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-014
Total participants2017-10-01336
Number of participants with account balances2017-10-01302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-0127
2016: CO-OP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01292
Total number of active participants reported on line 7a of the Form 55002016-10-01222
Number of retired or separated participants receiving benefits2016-10-011
Number of other retired or separated participants entitled to future benefits2016-10-0181
Total of all active and inactive participants2016-10-01304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-014
Total participants2016-10-01308
Number of participants with account balances2016-10-01271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-0120
2015: CO-OP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01271
Total number of active participants reported on line 7a of the Form 55002015-10-01207
Number of retired or separated participants receiving benefits2015-10-011
Number of other retired or separated participants entitled to future benefits2015-10-0179
Total of all active and inactive participants2015-10-01287
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-014
Total participants2015-10-01291
Number of participants with account balances2015-10-01257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-0121
2014: CO-OP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01274
Total number of active participants reported on line 7a of the Form 55002014-10-01198
Number of retired or separated participants receiving benefits2014-10-011
Number of other retired or separated participants entitled to future benefits2014-10-0169
Total of all active and inactive participants2014-10-01268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-013
Total participants2014-10-01271
Number of participants with account balances2014-10-01237
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-0120
2013: CO-OP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01272
Total number of active participants reported on line 7a of the Form 55002013-10-01185
Number of retired or separated participants receiving benefits2013-10-011
Number of other retired or separated participants entitled to future benefits2013-10-0167
Total of all active and inactive participants2013-10-01253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-013
Total participants2013-10-01256
Number of participants with account balances2013-10-01234
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-0122
2012: CO-OP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-01203
Total number of active participants reported on line 7a of the Form 55002012-10-01204
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-0148
Total of all active and inactive participants2012-10-01252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-012
Total participants2012-10-01254
Number of participants with account balances2012-10-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-0113
2011: CO-OP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-01199
Total number of active participants reported on line 7a of the Form 55002011-10-01142
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-0141
Total of all active and inactive participants2011-10-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-013
Total participants2011-10-01186
Number of participants with account balances2011-10-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-019
2009: CO-OP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-01188
Total number of active participants reported on line 7a of the Form 55002009-10-01155
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-0131
Total of all active and inactive participants2009-10-01186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-013
Total participants2009-10-01189
Number of participants with account balances2009-10-01179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-019

Financial Data on CO-OP 401(K) PLAN

Measure Date Value
2022 : CO-OP 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$1,832
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$1,828
Total income from all sources (including contributions)2022-09-30$-2,388,963
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$1,122,394
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$1,063,599
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$1,789,006
Value of total assets at end of year2022-09-30$18,535,504
Value of total assets at beginning of year2022-09-30$22,046,857
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$58,795
Total interest from all sources2022-09-30$9,480
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$1,103,121
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-09-30$1,103,121
Administrative expenses professional fees incurred2022-09-30$54,961
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$896,572
Participant contributions at end of year2022-09-30$188,991
Participant contributions at beginning of year2022-09-30$166,359
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$1,832
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$1,828
Other income not declared elsewhere2022-09-30$-239,816
Administrative expenses (other) incurred2022-09-30$3,834
Total non interest bearing cash at end of year2022-09-30$369
Total non interest bearing cash at beginning of year2022-09-30$240
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-3,511,357
Value of net assets at end of year (total assets less liabilities)2022-09-30$18,533,672
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$22,045,029
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$16,262,423
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$19,467,451
Interest on participant loans2022-09-30$9,480
Value of interest in common/collective trusts at end of year2022-09-30$75,650
Value of interest in common/collective trusts at beginning of year2022-09-30$191,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-09-30$867
Asset value of US Government securities at end of year2022-09-30$625,239
Asset value of US Government securities at beginning of year2022-09-30$1,068,894
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-5,051,264
Net investment gain or loss from common/collective trusts2022-09-30$510
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$892,434
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$1,063,599
Asset. Corporate debt instrument preferred debt at end of year2022-09-30$474,203
Asset. Corporate debt instrument preferred debt at beginning of year2022-09-30$358,355
Asset. Corporate debt instrument debt (other) at end of year2022-09-30$907,762
Asset. Corporate debt instrument debt (other) at beginning of year2022-09-30$793,884
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30MOSS ADAMS, LLP
Accountancy firm EIN2022-09-30910189318
2021 : CO-OP 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$1,828
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$1,890
Total income from all sources (including contributions)2021-09-30$5,136,490
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$1,489,570
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$1,431,422
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$1,723,207
Value of total assets at end of year2021-09-30$22,046,857
Value of total assets at beginning of year2021-09-30$18,399,999
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$58,148
Total interest from all sources2021-09-30$10,962
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$652,343
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$652,343
Administrative expenses professional fees incurred2021-09-30$54,166
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$824,142
Participant contributions at end of year2021-09-30$166,359
Participant contributions at beginning of year2021-09-30$248,610
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$17,944
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$1,828
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-09-30$1,890
Other income not declared elsewhere2021-09-30$-38,771
Administrative expenses (other) incurred2021-09-30$3,982
Total non interest bearing cash at end of year2021-09-30$240
Total non interest bearing cash at beginning of year2021-09-30$388
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$3,646,920
Value of net assets at end of year (total assets less liabilities)2021-09-30$22,045,029
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$18,398,109
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$19,467,451
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$15,622,708
Interest on participant loans2021-09-30$10,962
Value of interest in common/collective trusts at end of year2021-09-30$191,674
Value of interest in common/collective trusts at beginning of year2021-09-30$175,921
Asset value of US Government securities at end of year2021-09-30$1,068,894
Asset value of US Government securities at beginning of year2021-09-30$1,002,105
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$2,788,679
Net investment gain or loss from common/collective trusts2021-09-30$70
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$881,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$1,431,422
Asset. Corporate debt instrument preferred debt at end of year2021-09-30$358,355
Asset. Corporate debt instrument preferred debt at beginning of year2021-09-30$513,275
Asset. Corporate debt instrument debt (other) at end of year2021-09-30$793,884
Asset. Corporate debt instrument debt (other) at beginning of year2021-09-30$836,992
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30MOSS ADAMS, LLP
Accountancy firm EIN2021-09-30910189318
2020 : CO-OP 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$1,890
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$1,741
Total income from all sources (including contributions)2020-09-30$3,388,273
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$1,302,350
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$1,243,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$1,477,338
Value of total assets at end of year2020-09-30$18,399,999
Value of total assets at beginning of year2020-09-30$16,313,927
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$59,085
Total interest from all sources2020-09-30$15,654
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$478,599
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$478,599
Administrative expenses professional fees incurred2020-09-30$55,163
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$675,083
Participant contributions at end of year2020-09-30$248,610
Participant contributions at beginning of year2020-09-30$245,602
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$63,966
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$1,890
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$1,741
Other income not declared elsewhere2020-09-30$205,189
Administrative expenses (other) incurred2020-09-30$3,922
Total non interest bearing cash at end of year2020-09-30$388
Total non interest bearing cash at beginning of year2020-09-30$4,431
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$2,085,923
Value of net assets at end of year (total assets less liabilities)2020-09-30$18,398,109
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$16,312,186
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$15,622,708
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$13,898,962
Interest on participant loans2020-09-30$15,654
Value of interest in common/collective trusts at end of year2020-09-30$175,921
Value of interest in common/collective trusts at beginning of year2020-09-30$69,800
Asset value of US Government securities at end of year2020-09-30$1,002,105
Asset value of US Government securities at beginning of year2020-09-30$748,664
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$1,210,763
Net investment gain or loss from common/collective trusts2020-09-30$730
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$738,289
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$1,243,265
Asset. Corporate debt instrument preferred debt at end of year2020-09-30$513,275
Asset. Corporate debt instrument preferred debt at beginning of year2020-09-30$499,168
Asset. Corporate debt instrument debt (other) at end of year2020-09-30$836,992
Asset. Corporate debt instrument debt (other) at beginning of year2020-09-30$847,300
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30MOSS ADAMS, LLP
Accountancy firm EIN2020-09-30910189318
2019 : CO-OP 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$1,741
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$16,684
Total income from all sources (including contributions)2019-09-30$2,603,212
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$2,372,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$2,322,388
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$1,995,872
Value of total assets at end of year2019-09-30$16,313,927
Value of total assets at beginning of year2019-09-30$16,098,039
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$49,993
Total interest from all sources2019-09-30$14,914
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$597,267
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$597,267
Administrative expenses professional fees incurred2019-09-30$45,699
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$632,294
Participant contributions at end of year2019-09-30$245,602
Participant contributions at beginning of year2019-09-30$242,733
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$683,230
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$1,741
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-30$16,684
Other income not declared elsewhere2019-09-30$148,312
Administrative expenses (other) incurred2019-09-30$4,294
Total non interest bearing cash at end of year2019-09-30$4,431
Total non interest bearing cash at beginning of year2019-09-30$202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$230,831
Value of net assets at end of year (total assets less liabilities)2019-09-30$16,312,186
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$16,081,355
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$13,898,962
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-09-30$13,442,232
Interest on participant loans2019-09-30$14,914
Value of interest in common/collective trusts at end of year2019-09-30$69,800
Value of interest in common/collective trusts at beginning of year2019-09-30$462,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-09-30$8,433
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-09-30$8,433
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$0
Asset value of US Government securities at end of year2019-09-30$748,664
Asset value of US Government securities at beginning of year2019-09-30$755,680
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$-154,997
Net investment gain or loss from common/collective trusts2019-09-30$1,844
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$680,348
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$2,322,388
Asset. Corporate debt instrument preferred debt at end of year2019-09-30$499,168
Asset. Corporate debt instrument preferred debt at beginning of year2019-09-30$430,408
Asset. Corporate debt instrument debt (other) at end of year2019-09-30$847,300
Asset. Corporate debt instrument debt (other) at beginning of year2019-09-30$755,535
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30MOSS ADAMS LLP
Accountancy firm EIN2019-09-30910189318
2018 : CO-OP 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$16,684
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$1,962
Total income from all sources (including contributions)2018-09-30$2,556,145
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$2,521,375
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$2,464,185
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$1,319,433
Value of total assets at end of year2018-09-30$16,098,039
Value of total assets at beginning of year2018-09-30$16,048,547
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$57,190
Total interest from all sources2018-09-30$12,040
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$510,346
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-09-30$510,346
Administrative expenses professional fees incurred2018-09-30$52,576
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$564,544
Participant contributions at end of year2018-09-30$242,733
Participant contributions at beginning of year2018-09-30$195,125
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$44,202
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-09-30$16,684
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-09-30$1,962
Other income not declared elsewhere2018-09-30$-6,010
Administrative expenses (other) incurred2018-09-30$4,614
Total non interest bearing cash at end of year2018-09-30$202
Total non interest bearing cash at beginning of year2018-09-30$700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$34,770
Value of net assets at end of year (total assets less liabilities)2018-09-30$16,081,355
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$16,046,585
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-09-30$13,442,232
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$13,471,450
Income. Interest from loans (other than to participants)2018-09-30$12,040
Value of interest in common/collective trusts at end of year2018-09-30$462,816
Value of interest in common/collective trusts at beginning of year2018-09-30$392,440
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-09-30$8,433
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-09-30$620
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-09-30$620
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$473,993
Asset value of US Government securities at end of year2018-09-30$755,680
Asset value of US Government securities at beginning of year2018-09-30$623,985
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$706,154
Net investment gain or loss from common/collective trusts2018-09-30$14,182
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$710,687
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$2,464,185
Asset. Corporate debt instrument preferred debt at end of year2018-09-30$430,408
Asset. Corporate debt instrument preferred debt at beginning of year2018-09-30$322,110
Asset. Corporate debt instrument debt (other) at end of year2018-09-30$755,535
Asset. Corporate debt instrument debt (other) at beginning of year2018-09-30$568,124
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30MOSS ADAM LLP
Accountancy firm EIN2018-09-30910189318
2017 : CO-OP 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$1,962
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$2,182
Total income from all sources (including contributions)2017-09-30$2,970,956
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$1,280,748
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$1,233,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$1,260,878
Value of total assets at end of year2017-09-30$16,048,547
Value of total assets at beginning of year2017-09-30$14,358,559
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$47,406
Total interest from all sources2017-09-30$10,156
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$395,421
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$395,421
Administrative expenses professional fees incurred2017-09-30$42,553
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$547,405
Participant contributions at end of year2017-09-30$195,125
Participant contributions at beginning of year2017-09-30$229,845
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$137,844
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-09-30$1,962
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$2,182
Other income not declared elsewhere2017-09-30$2,086
Administrative expenses (other) incurred2017-09-30$4,853
Total non interest bearing cash at end of year2017-09-30$700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$1,690,208
Value of net assets at end of year (total assets less liabilities)2017-09-30$16,046,585
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$14,356,377
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$13,471,450
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$11,562,761
Interest on participant loans2017-09-30$10,156
Value of interest in common/collective trusts at end of year2017-09-30$392,440
Value of interest in common/collective trusts at beginning of year2017-09-30$581,566
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-09-30$620
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$473,993
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$433,826
Asset value of US Government securities at end of year2017-09-30$623,985
Asset value of US Government securities at beginning of year2017-09-30$654,822
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$1,287,887
Net investment gain or loss from common/collective trusts2017-09-30$14,528
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$575,629
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$1,233,342
Asset. Corporate debt instrument preferred debt at end of year2017-09-30$322,110
Asset. Corporate debt instrument preferred debt at beginning of year2017-09-30$326,035
Asset. Corporate debt instrument debt (other) at end of year2017-09-30$568,124
Asset. Corporate debt instrument debt (other) at beginning of year2017-09-30$569,704
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30MOSS ADAM LLP
Accountancy firm EIN2017-09-30910189318
2016 : CO-OP 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$2,182
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$2,335,606
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$1,472,887
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$1,430,342
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$1,098,144
Value of total assets at end of year2016-09-30$14,358,559
Value of total assets at beginning of year2016-09-30$13,493,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$42,545
Total interest from all sources2016-09-30$12,004
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$495,992
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Administrative expenses professional fees incurred2016-09-30$37,648
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$513,365
Participant contributions at end of year2016-09-30$229,845
Participant contributions at beginning of year2016-09-30$273,171
Assets. Other investments not covered elsewhere at beginning of year2016-09-30$1,459,640
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$9,779
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-09-30$2,182
Other income not declared elsewhere2016-09-30$46,443
Administrative expenses (other) incurred2016-09-30$4,897
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$862,719
Value of net assets at end of year (total assets less liabilities)2016-09-30$14,356,377
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$13,493,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$11,562,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$10,784,704
Interest on participant loans2016-09-30$12,004
Value of interest in common/collective trusts at end of year2016-09-30$581,566
Value of interest in common/collective trusts at beginning of year2016-09-30$563,245
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$433,826
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$412,898
Asset value of US Government securities at end of year2016-09-30$654,822
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$676,532
Net investment gain or loss from common/collective trusts2016-09-30$6,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$575,000
Income. Dividends from preferred stock2016-09-30$495,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$1,430,342
Asset. Corporate debt instrument preferred debt at end of year2016-09-30$326,035
Asset. Corporate debt instrument debt (other) at end of year2016-09-30$569,704
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30MOSS ADAM LLP
Accountancy firm EIN2016-09-30910189318
2015 : CO-OP 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total transfer of assets to this plan2015-09-30$272,619
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$841,742
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$1,774,576
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$1,736,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$975,054
Value of total assets at end of year2015-09-30$13,493,658
Value of total assets at beginning of year2015-09-30$14,153,873
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$37,746
Total interest from all sources2015-09-30$13,469
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$541,724
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$541,724
Administrative expenses professional fees incurred2015-09-30$37,746
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$479,925
Participant contributions at end of year2015-09-30$273,171
Participant contributions at beginning of year2015-09-30$292,569
Assets. Other investments not covered elsewhere at end of year2015-09-30$1,459,640
Assets. Other investments not covered elsewhere at beginning of year2015-09-30$1,473,258
Other income not declared elsewhere2015-09-30$35,570
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-932,834
Value of net assets at end of year (total assets less liabilities)2015-09-30$13,493,658
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$14,153,873
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$10,784,704
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$11,425,389
Interest on participant loans2015-09-30$13,469
Value of interest in master investment trust accounts at beginning of year2015-09-30$0
Value of interest in common/collective trusts at end of year2015-09-30$563,245
Value of interest in common/collective trusts at beginning of year2015-09-30$962,657
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$412,898
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-723,471
Net investment gain or loss from common/collective trusts2015-09-30$-604
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$495,129
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$1,736,830
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30MOSS ADAM LLP
Accountancy firm EIN2015-09-30910189318
2014 : CO-OP 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$2,323,919
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$2,142,486
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$2,102,925
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$1,021,074
Value of total assets at end of year2014-09-30$14,153,873
Value of total assets at beginning of year2014-09-30$13,972,440
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$39,561
Total interest from all sources2014-09-30$14,000
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$366,074
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$366,074
Administrative expenses professional fees incurred2014-09-30$38,124
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$481,062
Participant contributions at end of year2014-09-30$292,569
Participant contributions at beginning of year2014-09-30$309,245
Assets. Other investments not covered elsewhere at end of year2014-09-30$1,473,258
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$21,615
Other income not declared elsewhere2014-09-30$105,942
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$181,433
Value of net assets at end of year (total assets less liabilities)2014-09-30$14,153,873
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$13,972,440
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Investment advisory and management fees2014-09-30$1,437
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$11,425,389
Interest on participant loans2014-09-30$14,000
Value of interest in master investment trust accounts at end of year2014-09-30$0
Value of interest in master investment trust accounts at beginning of year2014-09-30$13,663,195
Value of interest in common/collective trusts at end of year2014-09-30$962,657
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$786,995
Net investment gain or loss from common/collective trusts2014-09-30$29,834
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$518,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$2,102,925
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30MOSS ADAM LLP
Accountancy firm EIN2014-09-30910189318
2013 : CO-OP 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total transfer of assets from this plan2013-09-30$321,782
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$2,527,914
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$1,787,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$1,754,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$1,073,017
Value of total assets at end of year2013-09-30$13,972,440
Value of total assets at beginning of year2013-09-30$13,554,281
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$33,806
Total interest from all sources2013-09-30$14,739
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Administrative expenses professional fees incurred2013-09-30$33,806
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$454,106
Participant contributions at end of year2013-09-30$309,245
Participant contributions at beginning of year2013-09-30$292,151
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$98,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$739,941
Value of net assets at end of year (total assets less liabilities)2013-09-30$13,972,440
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$13,554,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Interest on participant loans2013-09-30$14,739
Value of interest in master investment trust accounts at end of year2013-09-30$13,663,195
Value of interest in master investment trust accounts at beginning of year2013-09-30$13,262,130
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$519,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$1,754,167
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30MOSS ADAM LLP
Accountancy firm EIN2013-09-30910189318
2012 : CO-OP 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$0
Total income from all sources (including contributions)2012-09-30$2,784,759
Total loss/gain on sale of assets2012-09-30$0
Total of all expenses incurred2012-09-30$1,072,769
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$1,036,397
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$929,009
Value of total assets at end of year2012-09-30$13,554,281
Value of total assets at beginning of year2012-09-30$11,842,291
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$36,372
Total interest from all sources2012-09-30$13,780
Total dividends received (eg from common stock, registered investment company shares)2012-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Administrative expenses professional fees incurred2012-09-30$36,372
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$424,401
Participant contributions at end of year2012-09-30$292,151
Participant contributions at beginning of year2012-09-30$282,782
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$1,711,990
Value of net assets at end of year (total assets less liabilities)2012-09-30$13,554,281
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$11,842,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Interest on participant loans2012-09-30$13,780
Value of interest in master investment trust accounts at end of year2012-09-30$13,262,130
Value of interest in master investment trust accounts at beginning of year2012-09-30$11,559,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$504,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$1,036,397
Did the plan have assets held for investment2012-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30LARSON GROSS, PLLC
Accountancy firm EIN2012-09-30911663574
2011 : CO-OP 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-09-30$0
Total transfer of assets to this plan2011-09-30$2,422
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$0
Total income from all sources (including contributions)2011-09-30$1,087,721
Total loss/gain on sale of assets2011-09-30$0
Total of all expenses incurred2011-09-30$786,059
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$741,142
Expenses. Certain deemed distributions of participant loans2011-09-30$7,976
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$961,485
Value of total assets at end of year2011-09-30$11,842,291
Value of total assets at beginning of year2011-09-30$11,538,207
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$36,941
Total interest from all sources2011-09-30$12,949
Total dividends received (eg from common stock, registered investment company shares)2011-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-09-30No
Administrative expenses professional fees incurred2011-09-30$36,941
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
If this is an individual account plan, was there a blackout period2011-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$480,153
Participant contributions at end of year2011-09-30$282,782
Participant contributions at beginning of year2011-09-30$258,926
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$3,378
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$301,662
Value of net assets at end of year (total assets less liabilities)2011-09-30$11,842,291
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$11,538,207
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Interest on participant loans2011-09-30$12,949
Value of interest in master investment trust accounts at end of year2011-09-30$11,559,509
Value of interest in master investment trust accounts at beginning of year2011-09-30$11,279,281
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$477,954
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$741,142
Did the plan have assets held for investment2011-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30LARSON GROSS, PLLC
Accountancy firm EIN2011-09-30911663574
2010 : CO-OP 401(K) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for CO-OP 401(K) PLAN

2021: CO-OP 401(K) PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement - TrustYes
2020: CO-OP 401(K) PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement - TrustYes
2019: CO-OP 401(K) PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement - TrustYes
2018: CO-OP 401(K) PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement - TrustYes
2017: CO-OP 401(K) PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement - TrustYes
2016: CO-OP 401(K) PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement - TrustYes
2015: CO-OP 401(K) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement - TrustYes
2014: CO-OP 401(K) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement - TrustYes
2013: CO-OP 401(K) PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: CO-OP 401(K) PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement - TrustYes
2011: CO-OP 401(K) PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement - TrustYes
2009: CO-OP 401(K) PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes
2008: CO-OP 401(K) PLAN 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
Insurance contract or identification numberMDA01360TR
Number of Individuals Covered322
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
Insurance contract or identification number062491
Number of Individuals Covered322
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
Insurance contract or identification numberG-027795
Number of Individuals Covered322
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractSYNTHETIC WRAP CONTRACT
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered322
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered348
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 2
Insurance contract or identification numberG-027795
Number of Individuals Covered348
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractSYNTHETIC WRAP CONTRACT
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
Insurance contract or identification number062491
Number of Individuals Covered348
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
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
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 4
Insurance contract or identification numberMDA01360TR
Number of Individuals Covered348
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 5
Insurance contract or identification numberMDA01360TR
Number of Individuals Covered330
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 4
Insurance contract or identification number062491
Number of Individuals Covered330
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 3
Insurance contract or identification numberG-027795
Number of Individuals Covered330
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractSYNTHETIC WRAP CONTRACT
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number35938
Policy instance 2
Insurance contract or identification number35938
Number of Individuals Covered330
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered330
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA01360TR
Policy instance 5
Insurance contract or identification numberMDA01360TR
Number of Individuals Covered321
Insurance policy start date2019-09-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 4
Insurance contract or identification number062491
Number of Individuals Covered321
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 3
Insurance contract or identification numberG-027795
Number of Individuals Covered321
Insurance policy start date2019-06-21
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractSYNTHETIC WRAP CONTRACT
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number35938
Policy instance 2
Insurance contract or identification number35938
Number of Individuals Covered321
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered321
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered336
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number32937
Policy instance 2
Insurance contract or identification number32937
Number of Individuals Covered336
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-027795
Policy instance 3
Insurance contract or identification numberG-027795
Number of Individuals Covered336
Insurance policy start date2018-06-21
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractSYNTHETIC WRAP CONTRACT
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 4
Insurance contract or identification number062491
Number of Individuals Covered336
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number062491
Policy instance 3
Insurance contract or identification number062491
Number of Individuals Covered271
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number32937
Policy instance 2
Insurance contract or identification number32937
Number of Individuals Covered271
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN GENERAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60488 )
Policy contract number1666920
Policy instance 1
Insurance contract or identification number1666920
Number of Individuals Covered271
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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

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