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LIFESTREAM 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameLIFESTREAM 401(K) RETIREMENT PLAN
Plan identification number 001

LIFESTREAM 401(K) RETIREMENT PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:LIFESTREAM, INC.
Employer identification number (EIN):042743314
NAIC Classification:621498
NAIC Description:All Other Outpatient Care Centers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFESTREAM 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01
0012017-07-01JOHN LATAWIEC2019-04-14
0012016-07-01JOHN LATAWIEC
0012015-07-01JOHN LATAWIEC
0012014-07-01JOHN LATAWIEC
0012013-07-01JOHN A LATAWIEC JOHN A LATAWIEC2015-01-06
0012012-07-01JOHN A LATAWIEC JOHN A LATAWIEC2014-01-09
0012011-07-01JOHN A. LATAWIEC JOHN A. LATAWIEC2013-01-11
0012009-07-01JOHN A. LATAWIEC

Plan Statistics for LIFESTREAM 401(K) RETIREMENT PLAN

401k plan membership statisitcs for LIFESTREAM 401(K) RETIREMENT PLAN

Measure Date Value
2021: LIFESTREAM 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01598
Total number of active participants reported on line 7a of the Form 55002021-07-01620
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0154
Total of all active and inactive participants2021-07-01674
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-011
Total participants2021-07-01675
Number of participants with account balances2021-07-01331
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-0129
2020: LIFESTREAM 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01628
Total number of active participants reported on line 7a of the Form 55002020-07-01245
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0143
Total of all active and inactive participants2020-07-01288
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-013
Total participants2020-07-01291
Number of participants with account balances2020-07-01284
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-0138
2019: LIFESTREAM 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01649
Total number of active participants reported on line 7a of the Form 55002019-07-01558
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0169
Total of all active and inactive participants2019-07-01627
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-011
Total participants2019-07-01628
Number of participants with account balances2019-07-01276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-0124
2018: LIFESTREAM 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01600
Total number of active participants reported on line 7a of the Form 55002018-07-01598
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0150
Total of all active and inactive participants2018-07-01648
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-011
Total participants2018-07-01649
Number of participants with account balances2018-07-0114
2017: LIFESTREAM 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01612
Total number of active participants reported on line 7a of the Form 55002017-07-01571
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0128
Total of all active and inactive participants2017-07-01599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-011
Total participants2017-07-01600
Number of participants with account balances2017-07-01202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-017
2016: LIFESTREAM 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01570
Total number of active participants reported on line 7a of the Form 55002016-07-01543
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0168
Total of all active and inactive participants2016-07-01611
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-011
Total participants2016-07-01612
Number of participants with account balances2016-07-01210
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: LIFESTREAM 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01499
Total number of active participants reported on line 7a of the Form 55002015-07-01525
Number of retired or separated participants receiving benefits2015-07-014
Number of other retired or separated participants entitled to future benefits2015-07-0141
Total of all active and inactive participants2015-07-01570
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01570
Number of participants with account balances2015-07-01181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-012
2014: LIFESTREAM 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01461
Total number of active participants reported on line 7a of the Form 55002014-07-01398
Number of retired or separated participants receiving benefits2014-07-014
Number of other retired or separated participants entitled to future benefits2014-07-0160
Total of all active and inactive participants2014-07-01462
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01462
Number of participants with account balances2014-07-01162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-011
2013: LIFESTREAM 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01445
Total number of active participants reported on line 7a of the Form 55002013-07-01395
Number of retired or separated participants receiving benefits2013-07-014
Number of other retired or separated participants entitled to future benefits2013-07-0137
Total of all active and inactive participants2013-07-01436
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01436
Number of participants with account balances2013-07-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-011
2012: LIFESTREAM 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01446
Total number of active participants reported on line 7a of the Form 55002012-07-01418
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0127
Total of all active and inactive participants2012-07-01445
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01445
Number of participants with account balances2012-07-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-011
2011: LIFESTREAM 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01401
Total number of active participants reported on line 7a of the Form 55002011-07-01363
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0126
Total of all active and inactive participants2011-07-01389
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01389
Number of participants with account balances2011-07-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-015
2009: LIFESTREAM 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01386
Total number of active participants reported on line 7a of the Form 55002009-07-01362
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0127
Total of all active and inactive participants2009-07-01389
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01389
Number of participants with account balances2009-07-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-016

Financial Data on LIFESTREAM 401(K) RETIREMENT PLAN

Measure Date Value
2022 : LIFESTREAM 401(K) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$-327,647
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$384,961
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$381,623
Expenses. Certain deemed distributions of participant loans2022-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$801,458
Value of total assets at end of year2022-06-30$7,530,712
Value of total assets at beginning of year2022-06-30$8,243,320
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$3,338
Total interest from all sources2022-06-30$7,350
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$452,672
Participant contributions at end of year2022-06-30$147,267
Participant contributions at beginning of year2022-06-30$141,311
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$92,536
Administrative expenses (other) incurred2022-06-30$3,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-712,608
Value of net assets at end of year (total assets less liabilities)2022-06-30$7,530,712
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$8,243,320
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$6,964,677
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$7,847,139
Interest on participant loans2022-06-30$7,077
Interest earned on other investments2022-06-30$273
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$124,976
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$39,027
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$0
Net investment gain/loss from pooled separate accounts2022-06-30$-1,136,455
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$256,250
Employer contributions (assets) at end of year2022-06-30$293,792
Employer contributions (assets) at beginning of year2022-06-30$215,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$381,623
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30CITRIN COOPERMAN & COMPANY, LLP
Accountancy firm EIN2022-06-30222428965
2021 : LIFESTREAM 401(K) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$2,485,984
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$480,826
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$452,210
Expenses. Certain deemed distributions of participant loans2021-06-30$11,952
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$591,678
Value of total assets at end of year2021-06-30$8,027,477
Value of total assets at beginning of year2021-06-30$6,022,319
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$16,664
Total interest from all sources2021-06-30$8,348
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$383,357
Participant contributions at end of year2021-06-30$141,311
Participant contributions at beginning of year2021-06-30$167,532
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$22,046
Other income not declared elsewhere2021-06-30$0
Administrative expenses (other) incurred2021-06-30$16,664
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$2,005,158
Value of net assets at end of year (total assets less liabilities)2021-06-30$8,027,477
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$6,022,319
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$7,847,139
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$5,620,801
Interest on participant loans2021-06-30$7,821
Interest earned on other investments2021-06-30$527
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$39,027
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$233,986
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$0
Net investment gain/loss from pooled separate accounts2021-06-30$1,885,958
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$186,275
Employer contributions (assets) at end of year2021-06-30$215,843
Employer contributions (assets) at beginning of year2021-06-30$190,341
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$452,210
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30BDO USA, LLP
Accountancy firm EIN2021-06-30135381590
2020 : LIFESTREAM 401(K) RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$637,902
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$201,264
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$195,280
Expenses. Certain deemed distributions of participant loans2020-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$538,272
Value of total assets at end of year2020-06-30$6,212,660
Value of total assets at beginning of year2020-06-30$5,776,022
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$5,984
Total interest from all sources2020-06-30$8,314
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$314,042
Participant contributions at end of year2020-06-30$167,532
Participant contributions at beginning of year2020-06-30$108,047
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$33,889
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-06-30$6,686
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$73
Other income not declared elsewhere2020-06-30$262
Administrative expenses (other) incurred2020-06-30$5,984
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$436,638
Value of net assets at end of year (total assets less liabilities)2020-06-30$6,212,660
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$5,776,022
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$5,620,801
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$4,413,437
Interest on participant loans2020-06-30$6,786
Interest earned on other investments2020-06-30$1,528
Value of interest in common/collective trusts at end of year2020-06-30$0
Value of interest in common/collective trusts at beginning of year2020-06-30$1,253,728
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$737
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$737
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$233,986
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$317,898
Net investment gain/loss from pooled separate accounts2020-06-30$-226,844
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$190,341
Employer contributions (assets) at end of year2020-06-30$190,341
Employer contributions (assets) at beginning of year2020-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$188,594
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30BDO USA, LLP
Accountancy firm EIN2020-06-30135381590
2019 : LIFESTREAM 401(K) RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$674,163
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$115,481
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$106,337
Value of total corrective distributions2019-06-30$3,382
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$297,747
Value of total assets at end of year2019-06-30$5,776,022
Value of total assets at beginning of year2019-06-30$5,217,340
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$5,762
Total interest from all sources2019-06-30$6,025
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$191,499
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$191,499
Administrative expenses professional fees incurred2019-06-30$5,762
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$294,484
Participant contributions at end of year2019-06-30$108,047
Participant contributions at beginning of year2019-06-30$122,746
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$3,263
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$73
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$71
Other income not declared elsewhere2019-06-30$2,245
Total non interest bearing cash at end of year2019-06-30$0
Total non interest bearing cash at beginning of year2019-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$558,682
Value of net assets at end of year (total assets less liabilities)2019-06-30$5,776,022
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$5,217,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$4,413,437
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$3,949,925
Interest on participant loans2019-06-30$6,018
Value of interest in common/collective trusts at end of year2019-06-30$1,253,728
Value of interest in common/collective trusts at beginning of year2019-06-30$984,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$737
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-06-30$2,923
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-06-30$2,923
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$81,585
Net investment gain or loss from common/collective trusts2019-06-30$95,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Employer contributions (assets) at end of year2019-06-30$0
Employer contributions (assets) at beginning of year2019-06-30$157,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$106,337
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30BDO USA, LLP
Accountancy firm EIN2019-06-30135381590
2018 : LIFESTREAM 401(K) RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$927,744
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$579,964
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$566,145
Value of total corrective distributions2018-06-30$7,944
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$404,249
Value of total assets at end of year2018-06-30$5,217,340
Value of total assets at beginning of year2018-06-30$4,869,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$5,875
Total interest from all sources2018-06-30$3,814
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$129,658
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$129,658
Administrative expenses professional fees incurred2018-06-30$5,733
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$400,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$247,178
Participant contributions at end of year2018-06-30$122,746
Participant contributions at beginning of year2018-06-30$26,284
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$71
Other income not declared elsewhere2018-06-30$1,394
Total non interest bearing cash at end of year2018-06-30$0
Total non interest bearing cash at beginning of year2018-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$347,780
Value of net assets at end of year (total assets less liabilities)2018-06-30$5,217,340
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$4,869,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$142
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$3,949,925
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$4,685,639
Interest on participant loans2018-06-30$3,603
Value of interest in common/collective trusts at end of year2018-06-30$984,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-06-30$2,923
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$211
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$285,656
Net investment gain/loss from pooled separate accounts2018-06-30$5,415
Net investment gain or loss from common/collective trusts2018-06-30$97,558
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$157,071
Employer contributions (assets) at end of year2018-06-30$157,071
Employer contributions (assets) at beginning of year2018-06-30$157,637
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$566,145
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30BDO USA, LLP
Accountancy firm EIN2018-06-30135381590
2017 : LIFESTREAM 401(K) RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$1,000,922
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$224,037
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$216,473
Value of total corrective distributions2017-06-30$6,364
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$399,856
Value of total assets at end of year2017-06-30$4,869,560
Value of total assets at beginning of year2017-06-30$4,092,675
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,200
Total interest from all sources2017-06-30$1,343
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$1,040
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$400,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$216,731
Participant contributions at end of year2017-06-30$26,284
Participant contributions at beginning of year2017-06-30$37,348
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$26,939
Other income not declared elsewhere2017-06-30$1,823
Administrative expenses (other) incurred2017-06-30$160
Total non interest bearing cash at end of year2017-06-30$0
Total non interest bearing cash at beginning of year2017-06-30$983
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$776,885
Value of net assets at end of year (total assets less liabilities)2017-06-30$4,869,560
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$4,092,675
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$4,685,639
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$3,936,637
Interest on participant loans2017-06-30$1,343
Net investment gain/loss from pooled separate accounts2017-06-30$597,900
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$156,186
Employer contributions (assets) at end of year2017-06-30$157,637
Employer contributions (assets) at beginning of year2017-06-30$117,707
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$216,473
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30BDO USA, LLP
Accountancy firm EIN2017-06-30135381590
2016 : LIFESTREAM 401(K) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$246,289
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$165,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$159,228
Value of total corrective distributions2016-06-30$6,210
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$312,334
Value of total assets at end of year2016-06-30$4,092,675
Value of total assets at beginning of year2016-06-30$4,012,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$527
Total interest from all sources2016-06-30$1,736
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$325
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$400,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$195,510
Participant contributions at end of year2016-06-30$37,348
Participant contributions at beginning of year2016-06-30$31,221
Other income not declared elsewhere2016-06-30$1,590
Administrative expenses (other) incurred2016-06-30$202
Total non interest bearing cash at end of year2016-06-30$983
Total non interest bearing cash at beginning of year2016-06-30$67
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$80,324
Value of net assets at end of year (total assets less liabilities)2016-06-30$4,092,675
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$4,012,351
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$3,936,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$3,869,377
Interest on participant loans2016-06-30$1,736
Net investment gain/loss from pooled separate accounts2016-06-30$-69,371
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$116,824
Employer contributions (assets) at end of year2016-06-30$117,707
Employer contributions (assets) at beginning of year2016-06-30$111,686
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$159,228
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30BDO USA, LLP
Accountancy firm EIN2016-06-30135381590
2015 : LIFESTREAM 401(K) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$638,976
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$70,804
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$60,224
Value of total corrective distributions2015-06-30$9,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$510,810
Value of total assets at end of year2015-06-30$4,012,351
Value of total assets at beginning of year2015-06-30$3,444,179
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$793
Total interest from all sources2015-06-30$1,057
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$625
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$400,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$178,600
Participant contributions at end of year2015-06-30$31,221
Participant contributions at beginning of year2015-06-30$36,929
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$219,339
Other income not declared elsewhere2015-06-30$1,402
Administrative expenses (other) incurred2015-06-30$168
Total non interest bearing cash at end of year2015-06-30$67
Total non interest bearing cash at beginning of year2015-06-30$1,254
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$568,172
Value of net assets at end of year (total assets less liabilities)2015-06-30$4,012,351
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$3,444,179
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$3,869,377
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$3,289,479
Interest on participant loans2015-06-30$1,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$0
Net investment gain/loss from pooled separate accounts2015-06-30$125,707
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30Yes
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$112,871
Employer contributions (assets) at end of year2015-06-30$111,686
Employer contributions (assets) at beginning of year2015-06-30$116,517
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$60,224
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30MEYER, REGAN & WILNER, LLP
Accountancy firm EIN2015-06-30041617630
2014 : LIFESTREAM 401(K) RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$800,342
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$197,976
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$192,265
Value of total corrective distributions2014-06-30$4,547
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$285,988
Value of total assets at end of year2014-06-30$3,444,179
Value of total assets at beginning of year2014-06-30$2,841,813
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,164
Total interest from all sources2014-06-30$956
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$1,010
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$300,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$169,471
Participant contributions at end of year2014-06-30$36,929
Participant contributions at beginning of year2014-06-30$26,004
Other income not declared elsewhere2014-06-30$442
Administrative expenses (other) incurred2014-06-30$154
Total non interest bearing cash at end of year2014-06-30$1,254
Total non interest bearing cash at beginning of year2014-06-30$943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$602,366
Value of net assets at end of year (total assets less liabilities)2014-06-30$3,444,179
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,841,813
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$3,289,479
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$2,756,231
Interest on participant loans2014-06-30$956
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$0
Net investment gain/loss from pooled separate accounts2014-06-30$512,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$116,517
Employer contributions (assets) at end of year2014-06-30$116,517
Employer contributions (assets) at beginning of year2014-06-30$58,635
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$192,265
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30MEYER, REGAN & WILNER, LLP
Accountancy firm EIN2014-06-30041617630
2013 : LIFESTREAM 401(K) RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$534,294
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$102,569
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$92,074
Value of total corrective distributions2013-06-30$9,706
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$213,567
Value of total assets at end of year2013-06-30$2,841,813
Value of total assets at beginning of year2013-06-30$2,410,088
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$789
Total interest from all sources2013-06-30$846
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Administrative expenses professional fees incurred2013-06-30$655
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$265,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$153,975
Participant contributions at end of year2013-06-30$26,004
Participant contributions at beginning of year2013-06-30$16,728
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$957
Administrative expenses (other) incurred2013-06-30$134
Total non interest bearing cash at end of year2013-06-30$943
Total non interest bearing cash at beginning of year2013-06-30$2,943
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$431,725
Value of net assets at end of year (total assets less liabilities)2013-06-30$2,841,813
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$2,410,088
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$2,756,231
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$2,280,883
Interest on participant loans2013-06-30$846
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$0
Net investment gain/loss from pooled separate accounts2013-06-30$319,881
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$58,635
Employer contributions (assets) at end of year2013-06-30$58,635
Employer contributions (assets) at beginning of year2013-06-30$109,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$92,074
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30MEYER, REGAN & WILNER, LLP
Accountancy firm EIN2013-06-30041617630
2012 : LIFESTREAM 401(K) RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$255,724
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$77,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$70,794
Value of total corrective distributions2012-06-30$1,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$260,252
Value of total assets at end of year2012-06-30$2,410,088
Value of total assets at beginning of year2012-06-30$2,232,050
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$5,517
Total interest from all sources2012-06-30$277
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$1,080
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$265,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$150,718
Participant contributions at end of year2012-06-30$16,728
Participant contributions at beginning of year2012-06-30$5,358
Administrative expenses (other) incurred2012-06-30$4,437
Total non interest bearing cash at end of year2012-06-30$2,943
Total non interest bearing cash at beginning of year2012-06-30$3,390
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$178,038
Value of net assets at end of year (total assets less liabilities)2012-06-30$2,410,088
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$2,232,050
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$2,280,883
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$2,223,302
Interest on participant loans2012-06-30$277
Net investment gain/loss from pooled separate accounts2012-06-30$-4,805
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$109,534
Employer contributions (assets) at end of year2012-06-30$109,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$70,794
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30MEYER, REGAN & WILNER, LLP
Accountancy firm EIN2012-06-30041617630
2011 : LIFESTREAM 401(K) RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total income from all sources (including contributions)2011-06-30$603,046
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$289,029
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$257,533
Value of total corrective distributions2011-06-30$21,652
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$173,579
Value of total assets at end of year2011-06-30$2,232,050
Value of total assets at beginning of year2011-06-30$1,918,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$9,844
Total interest from all sources2011-06-30$526
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$780
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$265,000
If this is an individual account plan, was there a blackout period2011-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$173,579
Participant contributions at end of year2011-06-30$5,358
Participant contributions at beginning of year2011-06-30$10,233
Administrative expenses (other) incurred2011-06-30$9,064
Total non interest bearing cash at end of year2011-06-30$3,390
Total non interest bearing cash at beginning of year2011-06-30$1,065
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$314,017
Value of net assets at end of year (total assets less liabilities)2011-06-30$2,232,050
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$1,918,033
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$2,223,302
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$1,832,674
Interest on participant loans2011-06-30$526
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$0
Net investment gain/loss from pooled separate accounts2011-06-30$428,941
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Employer contributions (assets) at beginning of year2011-06-30$74,061
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$257,533
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30MEYER, REGAN & WILNER, LLP
Accountancy firm EIN2011-06-30041617630
2010 : LIFESTREAM 401(K) RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for LIFESTREAM 401(K) RETIREMENT PLAN

2021: LIFESTREAM 401(K) RETIREMENT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: LIFESTREAM 401(K) RETIREMENT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: LIFESTREAM 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: LIFESTREAM 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement - TrustYes
2017: LIFESTREAM 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: LIFESTREAM 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: LIFESTREAM 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: LIFESTREAM 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: LIFESTREAM 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: LIFESTREAM 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: LIFESTREAM 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: LIFESTREAM 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number062041E
Policy instance 1
Insurance contract or identification number062041E
Number of Individuals Covered337
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,200
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 Administration1
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees13200
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number062041E
Policy instance 1
Insurance contract or identification number062041E
Number of Individuals Covered291
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,200
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 Administration1
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees13200
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number062041E
Policy instance 1
Insurance contract or identification number062041E
Number of Individuals Covered343
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered0
Insurance policy start date2017-07-01
Insurance policy end date2017-07-17
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered192
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,913
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
Amount paid for insurance broker fees1913
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameSENTINEL BENEFITS GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered151
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,800
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
Amount paid for insurance broker fees1800
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameSENTINEL BENEFITS GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered137
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,384
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
Amount paid for insurance broker fees1384
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameSENTINEL BENEFITS GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered134
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,292
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
Amount paid for insurance broker fees1292
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameSENTINEL BENEFITS GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered122
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,093
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 number73001
Policy instance 1
Insurance contract or identification number73001
Number of Individuals Covered125
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,080
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

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