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ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 401k Plan overview

Plan NameST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN
Plan identification number 001

ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING 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

ST. VINCENT DE PAUL VILLAGE has sponsored the creation of one or more 401k plans.

Company Name:ST. VINCENT DE PAUL VILLAGE
Employer identification number (EIN):952472759
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01MICHAEL MILLIGAN
0012015-01-01DIANE STUMPH
0012014-01-01DIANE STUMPH
0012013-01-01DIANE STUMPH
0012012-01-01DIANE STUMPH
0012011-01-01DIANE STUMPH
0012010-01-01DIANE STUMPH
0012009-01-01MARY CASE

Plan Statistics for ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN

401k plan membership statisitcs for ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN

Measure Date Value
2016: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01467
Total number of active participants reported on line 7a of the Form 55002016-01-01350
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0184
Total of all active and inactive participants2016-01-01434
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01434
Number of participants with account balances2016-01-01216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-01106
2015: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01597
Total number of active participants reported on line 7a of the Form 55002015-01-01393
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0174
Total of all active and inactive participants2015-01-01467
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01467
Number of participants with account balances2015-01-01220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-01134
2014: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01637
Total number of active participants reported on line 7a of the Form 55002014-01-01425
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01171
Total of all active and inactive participants2014-01-01596
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01597
Number of participants with account balances2014-01-01316
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-01103
2013: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01623
Total number of active participants reported on line 7a of the Form 55002013-01-01443
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01194
Total of all active and inactive participants2013-01-01637
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01637
Number of participants with account balances2013-01-01353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0196
2012: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01623
Total number of active participants reported on line 7a of the Form 55002012-01-01418
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01205
Total of all active and inactive participants2012-01-01623
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01623
Number of participants with account balances2012-01-01370
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0182
2011: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01677
Total number of active participants reported on line 7a of the Form 55002011-01-01416
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01207
Total of all active and inactive participants2011-01-01623
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01623
Number of participants with account balances2011-01-01385
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0197
2010: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01732
Total number of active participants reported on line 7a of the Form 55002010-01-01480
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01197
Total of all active and inactive participants2010-01-01677
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01677
Number of participants with account balances2010-01-01415
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-01128
2009: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01705
Total number of active participants reported on line 7a of the Form 55002009-01-01546
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01186
Total of all active and inactive participants2009-01-01732
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01732
Number of participants with account balances2009-01-01441
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0185

Financial Data on ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN

Measure Date Value
2016 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$914,459
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$835,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$796,633
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$664,936
Value of total assets at end of year2016-12-31$3,290,741
Value of total assets at beginning of year2016-12-31$3,211,291
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$38,376
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$60,108
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$60,108
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$336,123
Participant contributions at end of year2016-12-31$10,417
Participant contributions at beginning of year2016-12-31$11,067
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$328,813
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$79,450
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,290,741
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,211,291
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$3,280,324
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,200,224
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$189,415
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$796,633
Contract administrator fees2016-12-31$38,376
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2016-12-31522207502
2015 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$212,846
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$664,581
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$626,250
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$294,326
Value of total assets at end of year2015-12-31$3,211,291
Value of total assets at beginning of year2015-12-31$3,663,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$38,331
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$294,326
Participant contributions at end of year2015-12-31$11,067
Participant contributions at beginning of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$15,329
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-451,735
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,211,291
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,663,026
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$38,331
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,200,224
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$0
Value of interest in pooled separate accounts at end of year2015-12-31$0
Value of interest in pooled separate accounts at beginning of year2015-12-31$3,364,978
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$282,719
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-94,602
Net investment gain/loss from pooled separate accounts2015-12-31$13,122
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$626,250
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2015-12-31522207502
2014 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$466,590
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$405,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$378,909
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$296,468
Value of total assets at end of year2014-12-31$3,663,026
Value of total assets at beginning of year2014-12-31$3,602,336
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$26,991
Total interest from all sources2014-12-31$2,148
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$253,448
Participant contributions at end of year2014-12-31$0
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$43,020
Total non interest bearing cash at end of year2014-12-31$15,329
Total non interest bearing cash at beginning of year2014-12-31$13,210
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$60,690
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,663,026
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,602,336
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$8,607
Value of interest in pooled separate accounts at end of year2014-12-31$3,364,978
Value of interest in pooled separate accounts at beginning of year2014-12-31$3,257,675
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$2,148
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$282,719
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$331,451
Net investment gain/loss from pooled separate accounts2014-12-31$167,974
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$378,909
Contract administrator fees2014-12-31$18,384
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2014-12-31522207502
2013 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$886,691
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$605,740
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$571,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$273,525
Value of total assets at end of year2013-12-31$3,602,336
Value of total assets at beginning of year2013-12-31$3,321,385
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$33,883
Total interest from all sources2013-12-31$2,891
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$273,272
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$2,381
Total non interest bearing cash at end of year2013-12-31$13,210
Total non interest bearing cash at beginning of year2013-12-31$16,869
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$280,951
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,602,336
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,321,385
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$7,331
Value of interest in pooled separate accounts at end of year2013-12-31$3,257,675
Value of interest in pooled separate accounts at beginning of year2013-12-31$2,950,668
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$2,891
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$331,451
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$351,467
Net investment gain/loss from pooled separate accounts2013-12-31$610,275
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$571,857
Contract administrator fees2013-12-31$26,552
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2013-12-31522207502
2012 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$681,034
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$598,466
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$563,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$275,146
Value of total assets at end of year2012-12-31$3,321,385
Value of total assets at beginning of year2012-12-31$3,238,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$34,503
Total interest from all sources2012-12-31$6,653
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$273,731
Participant contributions at end of year2012-12-31$2,381
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,415
Total non interest bearing cash at end of year2012-12-31$16,869
Total non interest bearing cash at beginning of year2012-12-31$23,130
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$82,568
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,321,385
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,238,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$8,303
Value of interest in pooled separate accounts at end of year2012-12-31$2,950,668
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,789,424
Interest earned on other investments2012-12-31$110
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$6,543
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$351,467
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$426,263
Net investment gain/loss from pooled separate accounts2012-12-31$399,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$563,963
Contract administrator fees2012-12-31$26,200
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2012-12-31522207502
2011 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$266,012
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$659,191
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$629,265
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$351,847
Value of total assets at end of year2011-12-31$3,238,817
Value of total assets at beginning of year2011-12-31$3,631,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$29,926
Total interest from all sources2011-12-31$13,552
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$340,981
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$10,866
Total non interest bearing cash at end of year2011-12-31$23,130
Total non interest bearing cash at beginning of year2011-12-31$20,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-393,179
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,238,817
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,631,996
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$2,789,424
Value of interest in pooled separate accounts at beginning of year2011-12-31$3,101,048
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$13,552
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$426,263
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$510,085
Net investment gain/loss from pooled separate accounts2011-12-31$-99,387
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$629,265
Contract administrator fees2011-12-31$29,926
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2011-12-31522207502
2010 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$813,760
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$506,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$463,454
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$389,146
Value of total assets at end of year2010-12-31$3,631,996
Value of total assets at beginning of year2010-12-31$3,324,499
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$42,809
Total interest from all sources2010-12-31$15,794
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$389,146
Administrative expenses (other) incurred2010-12-31$8,363
Total non interest bearing cash at end of year2010-12-31$20,863
Total non interest bearing cash at beginning of year2010-12-31$33,938
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$307,497
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,631,996
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,324,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$3,101,048
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,783,769
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$15,794
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$510,085
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$506,792
Net investment gain/loss from pooled separate accounts2010-12-31$408,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$463,454
Contract administrator fees2010-12-31$34,446
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31HAFLINGER & ASSOCIATES, INC.
Accountancy firm EIN2010-12-31522207502
2009 : ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN

2016: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: ST. VINCENT DE PAUL VILLAGE 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512410
Policy instance 1
Insurance contract or identification number512410
Number of Individuals Covered220
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 $1,265
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?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
Amount paid for insurance broker fees1265
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker organization code?5
Insurance broker nameBENEFITS MGMT. CO.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number53310
Policy instance 1
Insurance contract or identification number53310
Number of Individuals Covered367
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number53310
Policy instance 1
Insurance contract or identification number53310
Number of Individuals Covered400
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number53310
Policy instance 1
Insurance contract or identification number53310
Number of Individuals Covered416
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $134
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?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
Amount paid for insurance broker fees134
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker organization code?5
Insurance broker nameBENEFITS MGMT. CO.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number53310
Policy instance 1
Insurance contract or identification number53310
Number of Individuals Covered505
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,778
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?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number53310
Policy instance 1
Insurance contract or identification number53310
Number of Individuals Covered525
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,604
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?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
Amount paid for insurance broker fees1604
Additional information about fees paid to insurance brokerTPA FORUM COMPENSATION
Insurance broker organization code?5
Insurance broker nameBENEFITS MGMT. CO.

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