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NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameNEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number 001

NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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.
  • 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

NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASSN. has sponsored the creation of one or more 401k plans.

Company Name:NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASSN.
Employer identification number (EIN):020335060
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DR. MICHAEL BUFF2023-10-16
0012021-01-01JEANNA WALSH, MD2022-09-23
0012020-01-01JEANNA WALSH, MD2021-10-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01DANIEL SMITH
0012013-01-01DANIEL T. SMITH
0012012-01-01DANIEL SMITH
0012011-01-01DANIEL SMITH
0012010-01-01DANIEL SMITH

Plan Statistics for NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01136
Total number of active participants reported on line 7a of the Form 55002022-01-0189
Number of retired or separated participants receiving benefits2022-01-015
Number of other retired or separated participants entitled to future benefits2022-01-0143
Total of all active and inactive participants2022-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01137
Number of participants with account balances2022-01-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-017
2021: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01130
Total number of active participants reported on line 7a of the Form 55002021-01-0187
Number of retired or separated participants receiving benefits2021-01-0110
Number of other retired or separated participants entitled to future benefits2021-01-0134
Total of all active and inactive participants2021-01-01131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01131
Number of participants with account balances2021-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01124
Total number of active participants reported on line 7a of the Form 55002020-01-0189
Number of retired or separated participants receiving benefits2020-01-015
Number of other retired or separated participants entitled to future benefits2020-01-0135
Total of all active and inactive participants2020-01-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01129
Number of participants with account balances2020-01-01122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0111
2014: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-01108
Total number of active participants reported on line 7a of the Form 55002014-01-0184
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0115
Total of all active and inactive participants2014-01-0199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0199
Number of participants with account balances2014-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-01117
Total number of active participants reported on line 7a of the Form 55002013-01-0185
Number of retired or separated participants receiving benefits2013-01-013
Number of other retired or separated participants entitled to future benefits2013-01-0117
Total of all active and inactive participants2013-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01106
Number of participants with account balances2013-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-015
2012: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-01128
Total number of active participants reported on line 7a of the Form 55002012-01-0182
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0133
Total of all active and inactive participants2012-01-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01115
Number of participants with account balances2012-01-01115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0113
2011: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-01127
Total number of active participants reported on line 7a of the Form 55002011-01-0198
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0129
Total of all active and inactive participants2011-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01127
Number of participants with account balances2011-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-019
2010: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-01137
Total number of active participants reported on line 7a of the Form 55002010-01-01100
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0127
Total of all active and inactive participants2010-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01127
Number of participants with account balances2010-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-019

Financial Data on NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-2,984,701
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$5,430,738
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$5,429,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,852,581
Value of total assets at end of year2022-12-31$29,020,275
Value of total assets at beginning of year2022-12-31$37,435,714
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$791
Total interest from all sources2022-12-31$2,938
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$656,323
Participant contributions at end of year2022-12-31$38,316
Participant contributions at beginning of year2022-12-31$67,247
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$27
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$432,833
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-8,415,439
Value of net assets at end of year (total assets less liabilities)2022-12-31$29,020,275
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$37,435,714
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$28,520,307
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$36,839,605
Income. Interest from loans (other than to participants)2022-12-31$2,938
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-4,840,220
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$763,425
Employer contributions (assets) at end of year2022-12-31$461,652
Employer contributions (assets) at beginning of year2022-12-31$528,835
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,429,947
Contract administrator fees2022-12-31$791
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2022-12-31271516157
2021 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$5,331,635
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$170,463
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$169,121
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,506,148
Value of total assets at end of year2021-12-31$37,435,714
Value of total assets at beginning of year2021-12-31$32,274,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$1,342
Total interest from all sources2021-12-31$5,328
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$1,342
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$641,995
Participant contributions at end of year2021-12-31$67,247
Participant contributions at beginning of year2021-12-31$93,887
Participant contributions at end of year2021-12-31$27
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$35,296
Other income not declared elsewhere2021-12-31$3,820,159
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$5,161,172
Value of net assets at end of year (total assets less liabilities)2021-12-31$37,435,714
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$32,274,542
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$36,839,605
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$31,680,241
Interest on participant loans2021-12-31$5,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$828,857
Employer contributions (assets) at end of year2021-12-31$528,835
Employer contributions (assets) at beginning of year2021-12-31$500,414
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$169,121
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2021-12-31271516157
2020 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$4,998,073
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,026,701
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,025,876
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,393,203
Value of total assets at end of year2020-12-31$32,274,542
Value of total assets at beginning of year2020-12-31$28,303,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$825
Total interest from all sources2020-12-31$7,670
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$825
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$611,587
Participant contributions at end of year2020-12-31$93,887
Participant contributions at beginning of year2020-12-31$96,759
Other income not declared elsewhere2020-12-31$3,597,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,971,372
Value of net assets at end of year (total assets less liabilities)2020-12-31$32,274,542
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$28,303,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$31,680,241
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$27,713,097
Interest on participant loans2020-12-31$7,670
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$781,616
Employer contributions (assets) at end of year2020-12-31$500,414
Employer contributions (assets) at beginning of year2020-12-31$493,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,025,876
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2020-12-31271516157
2014 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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$2,227,091
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$847,512
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$788,887
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,217,804
Value of total assets at end of year2014-12-31$17,078,252
Value of total assets at beginning of year2014-12-31$15,698,673
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$58,625
Total interest from all sources2014-12-31$4,531
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$460,677
Participant contributions at end of year2014-12-31$104,422
Participant contributions at beginning of year2014-12-31$97,469
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$91,787
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
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$1,379,579
Value of net assets at end of year (total assets less liabilities)2014-12-31$17,078,252
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$15,698,673
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$53,997
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$16,360,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$14,985,807
Value of interest in pooled separate accounts at end of year2014-12-31$0
Value of interest in pooled separate accounts at beginning of year2014-12-31$0
Interest on participant loans2014-12-31$4,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$174,393
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$172,848
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,004,756
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$665,340
Employer contributions (assets) at end of year2014-12-31$439,170
Employer contributions (assets) at beginning of year2014-12-31$442,549
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$788,887
Contract administrator fees2014-12-31$4,628
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 name2014-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2014-12-31271516157
2013 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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$3,442,197
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$2,287,251
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$2,284,538
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,149,892
Value of total assets at end of year2013-12-31$15,698,673
Value of total assets at beginning of year2013-12-31$14,543,727
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$2,713
Total interest from all sources2013-12-31$4,760
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$461,496
Participant contributions at end of year2013-12-31$97,469
Participant contributions at beginning of year2013-12-31$83,050
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$29,094
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$1,154,946
Value of net assets at end of year (total assets less liabilities)2013-12-31$15,698,673
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$14,543,727
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$14,985,807
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$13,829,632
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$0
Interest on participant loans2013-12-31$4,760
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$172,848
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$167,253
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,287,545
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$659,302
Employer contributions (assets) at end of year2013-12-31$442,549
Employer contributions (assets) at beginning of year2013-12-31$463,792
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$2,284,538
Contract administrator fees2013-12-31$2,713
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 name2013-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2013-12-31271516157
2012 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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$2,835,902
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$3,686,798
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,681,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,203,335
Value of total assets at end of year2012-12-31$14,543,727
Value of total assets at beginning of year2012-12-31$15,394,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$4,808
Total interest from all sources2012-12-31$4,727
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 period2012-12-31Yes
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$500,531
Participant contributions at end of year2012-12-31$83,050
Participant contributions at beginning of year2012-12-31$92,600
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$16,568
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$21,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-850,896
Value of net assets at end of year (total assets less liabilities)2012-12-31$14,543,727
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$15,394,623
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$13,829,632
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Value of interest in pooled separate accounts at end of year2012-12-31$0
Value of interest in pooled separate accounts at beginning of year2012-12-31$14,649,486
Interest on participant loans2012-12-31$4,727
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$167,253
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$8,063
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,627,840
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$702,804
Employer contributions (assets) at end of year2012-12-31$463,792
Employer contributions (assets) at beginning of year2012-12-31$605,977
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,681,990
Contract administrator fees2012-12-31$4,808
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
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 name2012-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2012-12-31271516157
2011 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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$1,143,527
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$531,448
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$531,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,360,030
Value of total assets at end of year2011-12-31$15,394,623
Value of total assets at beginning of year2011-12-31$14,782,544
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$4,881
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$485,250
Participant contributions at end of year2011-12-31$92,600
Participant contributions at beginning of year2011-12-31$83,629
Participant contributions at end of year2011-12-31$16,568
Participant contributions at beginning of year2011-12-31$7,337
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$82,151
Total non interest bearing cash at end of year2011-12-31$21,929
Total non interest bearing cash at beginning of year2011-12-31$18,646
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$612,079
Value of net assets at end of year (total assets less liabilities)2011-12-31$15,394,623
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$14,782,544
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$14,649,486
Value of interest in pooled separate accounts at beginning of year2011-12-31$14,086,512
Interest on participant loans2011-12-31$4,881
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$8,063
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$10,575
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-6,597
Net investment gain/loss from pooled separate accounts2011-12-31$-214,787
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$792,629
Employer contributions (assets) at end of year2011-12-31$605,977
Employer contributions (assets) at beginning of year2011-12-31$575,845
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$531,448
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 name2011-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2011-12-31271516157
2010 : NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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$42,421
Total income from all sources (including contributions)2010-12-31$2,688,860
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$586,620
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$586,620
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,176,543
Value of total assets at end of year2010-12-31$14,782,544
Value of total assets at beginning of year2010-12-31$12,722,725
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$4,490
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$500,000
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$424,727
Participant contributions at end of year2010-12-31$83,629
Participant contributions at beginning of year2010-12-31$75,791
Participant contributions at end of year2010-12-31$7,337
Participant contributions at beginning of year2010-12-31$23,710
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$320
Total non interest bearing cash at end of year2010-12-31$18,646
Total non interest bearing cash at beginning of year2010-12-31$14,895
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$2,102,240
Value of net assets at end of year (total assets less liabilities)2010-12-31$14,782,544
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$12,680,304
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$14,086,512
Value of interest in pooled separate accounts at beginning of year2010-12-31$12,037,155
Interest on participant loans2010-12-31$4,490
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$10,575
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$31,932
Net investment gain/loss from pooled separate accounts2010-12-31$1,507,827
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$751,496
Employer contributions (assets) at end of year2010-12-31$575,845
Employer contributions (assets) at beginning of year2010-12-31$539,242
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$586,620
Liabilities. Value of benefit claims payable at end of year2010-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$42,421
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 name2010-12-31BOIVIN & ASSOCIATES, CPAS, PLLC
Accountancy firm EIN2010-12-31271516157

Form 5500 Responses for NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST

2022: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2014: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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 – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: NEW HAMPSHIRE ONCOLOGY-HEMATOLOGY, PROF. ASS'N. 401(K) PROFIT SHARING PLAN AND TRUST 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

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number334440-01
Policy instance 1
Insurance contract or identification number334440-01
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $144
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $115
Insurance broker organization code?3
Insurance broker nameDONNA BOULAY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number334440-01
Policy instance 1
Insurance contract or identification number334440-01
Number of Individuals Covered1
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number85360
Policy instance 1
Insurance contract or identification number85360
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-08-30
Total amount of commissions paid to insurance brokerUSD $24,621
Total amount of fees paid to insurance companyUSD $5,014
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
Commission paid to Insurance BrokerUSD $24,621
Insurance broker organization code?3
Amount paid for insurance broker fees4929
Additional information about fees paid to insurance brokerTPA FORUM PAYMENT
Insurance broker nameMORGAN STANLEY SMITH BARNEY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number334440-01
Policy instance 2
Insurance contract or identification number334440-01
Number of Individuals Covered2
Insurance policy start date2012-09-01
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number85360
Policy instance 1
Insurance contract or identification number85360
Number of Individuals Covered114
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $37,759
Total amount of fees paid to insurance companyUSD $9,424
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number85360
Policy instance 1
Insurance contract or identification number85360
Number of Individuals Covered125
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $31,997
Total amount of fees paid to insurance companyUSD $8,133
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
Commission paid to Insurance BrokerUSD $31,997
Insurance broker organization code?3
Amount paid for insurance broker fees6103
Additional information about fees paid to insurance brokerTPA FORUM PAYMENT
Insurance broker nameMORGAN STANLEY SMITH BARNEY

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