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MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 401k Plan overview

Plan NameMADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN
Plan identification number 003

MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MADISON PAPER INDUSTRIES has sponsored the creation of one or more 401k plans.

Company Name:MADISON PAPER INDUSTRIES
Employer identification number (EIN):010367747
NAIC Classification:322100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032018-01-01AMY SMITH2019-04-15
0032017-01-01AMY SMITH
0032016-01-01AMY SMITH
0032015-01-01AMY SMITH
0032014-01-01AMY SMITH
0032013-01-01REBECCA NORRIS
0032012-01-01REBECCA NORRIS
0032011-01-01AMY HOUDEK
0032009-01-01FRANK FLOOD

Plan Statistics for MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN

401k plan membership statisitcs for MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN

Measure Date Value
2017: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01132
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0160
Total of all active and inactive participants2017-01-0160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-013
Total participants2017-01-0163
Number of participants with account balances2017-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01259
Total number of active participants reported on line 7a of the Form 55002016-01-0124
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01108
Total of all active and inactive participants2016-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01132
Number of participants with account balances2016-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01261
Total number of active participants reported on line 7a of the Form 55002015-01-01209
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0129
Total of all active and inactive participants2015-01-01238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01238
Number of participants with account balances2015-01-01226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-016
2014: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01264
Total number of active participants reported on line 7a of the Form 55002014-01-01222
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0122
Total of all active and inactive participants2014-01-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01244
Number of participants with account balances2014-01-01225
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01250
Total number of active participants reported on line 7a of the Form 55002013-01-01211
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0121
Total of all active and inactive participants2013-01-01232
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01232
Number of participants with account balances2013-01-01220
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01243
Total number of active participants reported on line 7a of the Form 55002012-01-01224
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-01238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01238
Number of participants with account balances2012-01-01217
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01258
Total number of active participants reported on line 7a of the Form 55002011-01-01216
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0120
Total of all active and inactive participants2011-01-01236
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01236
Number of participants with account balances2011-01-01218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01258
Total number of active participants reported on line 7a of the Form 55002009-01-01241
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0117
Total of all active and inactive participants2009-01-01258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01258
Number of participants with account balances2009-01-01227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN

Measure Date Value
2017 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$2,399,471
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$14,314,622
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$14,299,588
Expenses. Certain deemed distributions of participant loans2017-12-31$-55
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$302,202
Value of total assets at end of year2017-12-31$11,032,212
Value of total assets at beginning of year2017-12-31$22,947,363
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$15,089
Total interest from all sources2017-12-31$2,692
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$156,282
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$156,282
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$226,536
Participant contributions at end of year2017-12-31$85,604
Participant contributions at beginning of year2017-12-31$195,780
Other income not declared elsewhere2017-12-31$78,446
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-11,915,151
Value of net assets at end of year (total assets less liabilities)2017-12-31$11,032,212
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$22,947,363
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$8,157,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$15,139,976
Interest on participant loans2017-12-31$2,692
Value of interest in common/collective trusts at end of year2017-12-31$1,037,875
Value of interest in common/collective trusts at beginning of year2017-12-31$1,527,036
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,751,093
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$6,084,571
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,640,475
Net investment gain or loss from common/collective trusts2017-12-31$219,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$75,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$14,299,588
Contract administrator fees2017-12-31$15,089
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BKD
Accountancy firm EIN2017-12-31440160260
2016 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$3,364,665
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$16,454,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$16,422,134
Expenses. Certain deemed distributions of participant loans2016-12-31$-946
Value of total corrective distributions2016-12-31$340
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,213,687
Value of total assets at end of year2016-12-31$22,947,363
Value of total assets at beginning of year2016-12-31$36,037,315
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$33,089
Total interest from all sources2016-12-31$26,737
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$314,172
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$314,172
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$886,950
Participant contributions at end of year2016-12-31$195,780
Participant contributions at beginning of year2016-12-31$922,800
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$24,448
Other income not declared elsewhere2016-12-31$122,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-13,089,952
Value of net assets at end of year (total assets less liabilities)2016-12-31$22,947,363
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$36,037,315
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
Investment advisory and management fees2016-12-31$66
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$15,139,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$26,777,770
Interest on participant loans2016-12-31$26,737
Value of interest in common/collective trusts at end of year2016-12-31$1,527,036
Value of interest in common/collective trusts at beginning of year2016-12-31$2,029,036
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$6,084,571
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$6,307,709
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,477,591
Net investment gain or loss from common/collective trusts2016-12-31$210,118
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
Contributions received in cash from employer2016-12-31$302,289
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$16,422,134
Contract administrator fees2016-12-31$33,023
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 name2016-12-31BKD
Accountancy firm EIN2016-12-31440160260
2015 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$1,617,512
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,692,385
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,663,131
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,680,188
Value of total assets at end of year2015-12-31$36,037,315
Value of total assets at beginning of year2015-12-31$37,112,188
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$29,254
Total interest from all sources2015-12-31$38,864
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$527,945
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$527,945
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,233,043
Participant contributions at end of year2015-12-31$922,800
Participant contributions at beginning of year2015-12-31$964,396
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-1,074,873
Value of net assets at end of year (total assets less liabilities)2015-12-31$36,037,315
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$37,112,188
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$26,777,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$28,143,646
Interest on participant loans2015-12-31$38,864
Value of interest in common/collective trusts at end of year2015-12-31$2,029,036
Value of interest in common/collective trusts at beginning of year2015-12-31$1,503,873
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$6,307,709
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$6,500,273
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-648,231
Net investment gain or loss from common/collective trusts2015-12-31$18,746
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
Contributions received in cash from employer2015-12-31$447,145
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,663,131
Contract administrator fees2015-12-31$29,254
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 name2015-12-31BKD
Accountancy firm EIN2015-12-31440160260
2014 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$3,973,547
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,973,720
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,944,688
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,833,622
Value of total assets at end of year2014-12-31$37,112,188
Value of total assets at beginning of year2014-12-31$35,112,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$29,032
Total interest from all sources2014-12-31$48,836
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$520,626
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$520,626
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,354,753
Participant contributions at end of year2014-12-31$964,396
Participant contributions at beginning of year2014-12-31$1,079,974
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$1,269
Other income not declared elsewhere2014-12-31$134,031
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,999,827
Value of net assets at end of year (total assets less liabilities)2014-12-31$37,112,188
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$35,112,361
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$34
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$28,143,646
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$25,756,385
Interest on participant loans2014-12-31$48,836
Value of interest in common/collective trusts at end of year2014-12-31$1,503,873
Value of interest in common/collective trusts at beginning of year2014-12-31$1,314,725
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$6,500,273
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$6,961,277
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,259,129
Net investment gain or loss from common/collective trusts2014-12-31$177,303
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
Contributions received in cash from employer2014-12-31$477,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,944,688
Contract administrator fees2014-12-31$28,998
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 name2014-12-31BKD
Accountancy firm EIN2014-12-31440160260
2013 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$6,287,140
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,280,349
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,261,432
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,614,119
Value of total assets at end of year2013-12-31$35,112,361
Value of total assets at beginning of year2013-12-31$30,105,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$18,917
Total interest from all sources2013-12-31$48,977
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$395,956
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$395,956
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,199,927
Participant contributions at end of year2013-12-31$1,079,974
Participant contributions at beginning of year2013-12-31$1,072,372
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$572
Other income not declared elsewhere2013-12-31$129,721
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$5,006,791
Value of net assets at end of year (total assets less liabilities)2013-12-31$35,112,361
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$30,105,570
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$137
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$25,756,385
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$21,520,601
Interest on participant loans2013-12-31$48,977
Value of interest in common/collective trusts at end of year2013-12-31$1,314,725
Value of interest in common/collective trusts at beginning of year2013-12-31$941,992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$6,961,277
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$6,570,605
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$3,786,058
Net investment gain or loss from common/collective trusts2013-12-31$312,309
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 contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$413,620
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,261,432
Contract administrator fees2013-12-31$18,780
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 name2013-12-31WOLF & COMPANY LLP
Accountancy firm EIN2013-12-31362985665
2012 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$4,619,362
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,936,143
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,914,123
Expenses. Certain deemed distributions of participant loans2012-12-31$1,076
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,620,963
Value of total assets at end of year2012-12-31$30,105,570
Value of total assets at beginning of year2012-12-31$27,422,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$20,944
Total interest from all sources2012-12-31$49,892
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$420,291
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$420,291
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
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$1,208,602
Participant contributions at end of year2012-12-31$1,072,372
Participant contributions at beginning of year2012-12-31$1,126,828
Other income not declared elsewhere2012-12-31$121,082
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,683,219
Value of net assets at end of year (total assets less liabilities)2012-12-31$30,105,570
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$27,422,351
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$21
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$21,520,601
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$20,159,802
Interest on participant loans2012-12-31$49,892
Value of interest in common/collective trusts at end of year2012-12-31$941,992
Value of interest in common/collective trusts at beginning of year2012-12-31$793,630
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$6,570,605
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$5,342,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,269,073
Net investment gain or loss from common/collective trusts2012-12-31$138,061
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$412,361
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,914,123
Contract administrator fees2012-12-31$20,923
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 name2012-12-31WOLF & COMPANY LLP
Accountancy firm EIN2012-12-31362985665
2011 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$1,891,946
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$3,926,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$3,873,000
Expenses. Certain deemed distributions of participant loans2011-12-31$22,193
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,714,230
Value of total assets at end of year2011-12-31$27,422,351
Value of total assets at beginning of year2011-12-31$29,457,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$31,792
Total interest from all sources2011-12-31$60,698
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$417,947
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$417,947
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,231,979
Participant contributions at end of year2011-12-31$1,126,828
Participant contributions at beginning of year2011-12-31$1,216,615
Assets. Other investments not covered elsewhere at end of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$64,769
Other income not declared elsewhere2011-12-31$83,053
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-2,035,039
Value of net assets at end of year (total assets less liabilities)2011-12-31$27,422,351
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$29,457,390
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
Investment advisory and management fees2011-12-31$5,638
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$20,159,802
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$23,026,226
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$4,428,596
Interest on participant loans2011-12-31$60,698
Value of interest in common/collective trusts at end of year2011-12-31$793,630
Value of interest in common/collective trusts at beginning of year2011-12-31$785,953
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$5,342,091
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-441,247
Net investment gain/loss from pooled separate accounts2011-12-31$35,975
Net investment gain or loss from common/collective trusts2011-12-31$21,290
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
Contributions received in cash from employer2011-12-31$417,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,873,000
Contract administrator fees2011-12-31$26,154
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 name2011-12-31WOLF & COMPANY LLP
Accountancy firm EIN2011-12-31362985665
2010 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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$4,545,197
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,233,061
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,195,905
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,522,446
Value of total assets at end of year2010-12-31$29,457,390
Value of total assets at beginning of year2010-12-31$26,145,254
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$37,156
Total interest from all sources2010-12-31$63,254
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$390,614
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$390,614
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
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$1,146,998
Participant contributions at end of year2010-12-31$1,216,615
Participant contributions at beginning of year2010-12-31$1,108,143
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$15,000
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$3,312,136
Value of net assets at end of year (total assets less liabilities)2010-12-31$29,457,390
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$26,145,254
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
Investment advisory and management fees2010-12-31$1,072
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$23,026,226
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$19,834,040
Value of interest in pooled separate accounts at end of year2010-12-31$4,428,596
Value of interest in pooled separate accounts at beginning of year2010-12-31$4,513,146
Interest on participant loans2010-12-31$63,254
Value of interest in common/collective trusts at end of year2010-12-31$785,953
Value of interest in common/collective trusts at beginning of year2010-12-31$689,925
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,356,078
Net investment gain/loss from pooled separate accounts2010-12-31$109,075
Net investment gain or loss from common/collective trusts2010-12-31$103,730
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
Contributions received in cash from employer2010-12-31$360,448
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,195,905
Contract administrator fees2010-12-31$36,084
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 name2010-12-31KPMG
Accountancy firm EIN2010-12-31135565707
2009 : MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN

2017: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: MADISON PAPER INDUSTRIES SAVINGS & INVESTMENT 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 planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28093
Policy instance 1
Insurance contract or identification numberGA28093
Number of Individuals Covered63
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28093
Policy instance 1
Insurance contract or identification numberGA28093
Number of Individuals Covered226
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28093
Policy instance 1
Insurance contract or identification numberGA28093
Number of Individuals Covered225
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28093
Policy instance 1
Insurance contract or identification numberGA28093
Number of Individuals Covered220
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28093
Policy instance 1
Insurance contract or identification numberGA28093
Number of Individuals Covered217
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract number31500
Policy instance 1
Insurance contract or identification number31500
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-05-16
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28093
Policy instance 2
Insurance contract or identification numberGA28093
Number of Individuals Covered218
Insurance policy start date2011-05-15
Insurance policy end date2011-12-31
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract number31500
Policy instance 1
Insurance contract or identification number31500
Number of Individuals Covered232
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 $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?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

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