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CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameCORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN
Plan identification number 003

CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.

401k Sponsoring company profile

STAPLES, INC AND SUBSIDIARIES has sponsored the creation of one or more 401k plans.

Company Name:STAPLES, INC AND SUBSIDIARIES
Employer identification number (EIN):042896127
NAIC Classification:453210
NAIC Description:Office Supplies and Stationery Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032016-01-01CARLA LEONARDO
0032015-01-01CARLA LEONARDO
0032014-01-01DAN BAKER
0032013-01-01DAN BAKER
0032012-01-01DAN BAKER
0032011-01-01DAN BAKER DAN BAKER2012-10-05
0032009-01-01DANIEL BAKER
0032009-01-01DANIEL BAKER
0032009-01-01DANIEL BAKER

Plan Statistics for CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN

401k plan membership statisitcs for CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN

Measure Date Value
2016: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01186
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-018
2015: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01205
Total number of active participants reported on line 7a of the Form 55002015-01-01153
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0133
Total of all active and inactive participants2015-01-01186
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01186
Number of participants with account balances2015-01-01130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0140
2014: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01211
Total number of active participants reported on line 7a of the Form 55002014-01-01155
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0132
Total of all active and inactive participants2014-01-01187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01187
Number of participants with account balances2014-01-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0140
2013: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01138
Total number of active participants reported on line 7a of the Form 55002013-01-01156
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0125
Total of all active and inactive participants2013-01-01181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-01182
Number of participants with account balances2013-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0133
2012: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01113
Total number of active participants reported on line 7a of the Form 55002012-01-01105
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0125
Total of all active and inactive participants2012-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01130
Number of participants with account balances2012-01-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01112
Total number of active participants reported on line 7a of the Form 55002011-01-0183
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0123
Total of all active and inactive participants2011-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01106
Number of participants with account balances2011-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01106
Total number of active participants reported on line 7a of the Form 55002009-01-01125
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0120
Total of all active and inactive participants2009-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01145
Number of participants with account balances2009-01-0198
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0117

Financial Data on CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN

Measure Date Value
2016 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-03-04$0
Total transfer of assets from this plan2016-03-04$4,175,659
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-04$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-04$0
Total income from all sources (including contributions)2016-03-04$-52,825
Total loss/gain on sale of assets2016-03-04$-5
Total of all expenses incurred2016-03-04$13,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-04$10,095
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-04$41,902
Value of total assets at end of year2016-03-04$0
Value of total assets at beginning of year2016-03-04$4,241,583
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-04$3,004
Total interest from all sources2016-03-04$2,300
Total dividends received (eg from common stock, registered investment company shares)2016-03-04$53
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-04Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-03-04$0
Total dividends received from registered investment company shares (eg mutual funds)2016-03-04$53
Was this plan covered by a fidelity bond2016-03-04Yes
Value of fidelity bond cover2016-03-04$10,000,000
If this is an individual account plan, was there a blackout period2016-03-04No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-04$0
Were there any nonexempt tranactions with any party-in-interest2016-03-04No
Contributions received from participants2016-03-04$29,781
Participant contributions at end of year2016-03-04$0
Participant contributions at beginning of year2016-03-04$292,973
Other income not declared elsewhere2016-03-04$2,672
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-04No
Value of net income/loss2016-03-04$-65,924
Value of net assets at end of year (total assets less liabilities)2016-03-04$0
Value of net assets at beginning of year (total assets less liabilities)2016-03-04$4,241,583
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-04No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-04No
Were any leases to which the plan was party in default or uncollectible2016-03-04No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-03-04$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-03-04$2,530,331
Interest on participant loans2016-03-04$2,300
Value of interest in common/collective trusts at end of year2016-03-04$0
Value of interest in common/collective trusts at beginning of year2016-03-04$705,271
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-03-04$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-03-04$1,165
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-03-04$1,165
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-03-04$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-03-04$708,036
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-03-04$-102,397
Net investment gain or loss from common/collective trusts2016-03-04$2,650
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-04No
Was there a failure to transmit to the plan any participant contributions2016-03-04No
Has the plan failed to provide any benefit when due under the plan2016-03-04No
Assets. Invements in employer securities at end of year2016-03-04$0
Assets. Invements in employer securities at beginning of year2016-03-04$3,807
Contributions received in cash from employer2016-03-04$12,121
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-04$10,095
Contract administrator fees2016-03-04$3,004
Did the plan have assets held for investment2016-03-04No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-04No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-04Yes
Aggregate proceeds on sale of assets2016-03-04$2,637
Aggregate carrying amount (costs) on sale of assets2016-03-04$2,642
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-04Yes
Opinion of an independent qualified public accountant for this plan2016-03-04Disclaimer
Accountancy firm name2016-03-04ERNST & YOUNG LLP
Accountancy firm EIN2016-03-04346565596
2015 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$25,308
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$254,149
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$249,216
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$247,979
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$273,408
Value of total assets at end of year2015-12-31$4,241,583
Value of total assets at beginning of year2015-12-31$4,211,342
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,237
Total interest from all sources2015-12-31$14,125
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$42,783
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$42,649
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$192,904
Participant contributions at end of year2015-12-31$292,973
Participant contributions at beginning of year2015-12-31$265,323
Other income not declared elsewhere2015-12-31$15,699
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$4,933
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,241,583
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,211,342
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,530,331
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,629,982
Interest on participant loans2015-12-31$14,125
Value of interest in common/collective trusts at end of year2015-12-31$705,271
Value of interest in common/collective trusts at beginning of year2015-12-31$653,894
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$1,165
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,163
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$708,036
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$655,925
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-106,831
Net investment gain or loss from common/collective trusts2015-12-31$14,965
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$3,807
Assets. Invements in employer securities at beginning of year2015-12-31$5,055
Contributions received in cash from employer2015-12-31$80,504
Income. Dividends from common stock2015-12-31$134
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$247,979
Contract administrator fees2015-12-31$1,237
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ERNST & YOUNG LLP
Accountancy firm EIN2015-12-31346565596
2014 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-4,103
Total unrealized appreciation/depreciation of assets2014-12-31$-4,103
Total transfer of assets to this plan2014-12-31$37,443
Total transfer of assets from this plan2014-12-31$240
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$526,933
Total loss/gain on sale of assets2014-12-31$4,972
Total of all expenses incurred2014-12-31$614,835
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$612,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$299,306
Value of total assets at end of year2014-12-31$4,211,342
Value of total assets at beginning of year2014-12-31$4,262,041
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,092
Total interest from all sources2014-12-31$15,177
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$35,411
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$35,276
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$5,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$211,607
Participant contributions at end of year2014-12-31$265,323
Participant contributions at beginning of year2014-12-31$276,401
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-87,902
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,211,342
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,262,041
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$9
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,629,982
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$2,538,131
Interest on participant loans2014-12-31$15,177
Value of interest in common/collective trusts at end of year2014-12-31$653,894
Value of interest in common/collective trusts at beginning of year2014-12-31$722,097
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$1,163
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$163
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$163
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$655,925
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$722,707
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$176,170
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$5,055
Assets. Invements in employer securities at beginning of year2014-12-31$2,542
Contributions received in cash from employer2014-12-31$87,699
Income. Dividends from common stock2014-12-31$135
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$612,743
Contract administrator fees2014-12-31$2,083
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$2,232
Aggregate carrying amount (costs) on sale of assets2014-12-31$-2,740
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ERNST & YOUNG LLP
Accountancy firm EIN2014-12-31346565596
2013 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$360
Total unrealized appreciation/depreciation of assets2013-12-31$360
Total transfer of assets to this plan2013-12-31$133,991
Total transfer of assets from this plan2013-12-31$27,916
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$742,163
Total loss/gain on sale of assets2013-12-31$79
Total of all expenses incurred2013-12-31$210,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$208,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$266,265
Value of total assets at end of year2013-12-31$4,262,041
Value of total assets at beginning of year2013-12-31$3,623,841
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,105
Total interest from all sources2013-12-31$15,683
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$32,084
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$32,020
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$191,074
Participant contributions at end of year2013-12-31$276,401
Participant contributions at beginning of year2013-12-31$251,487
Other income not declared elsewhere2013-12-31$4,845
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$532,125
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,262,041
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,623,841
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$4
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$2,538,131
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$1,941,310
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$1,429,904
Interest on participant loans2013-12-31$15,683
Value of interest in common/collective trusts at end of year2013-12-31$722,097
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$163
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$68
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$68
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$722,707
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$418,613
Net investment gain or loss from common/collective trusts2013-12-31$4,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Assets. Invements in employer securities at end of year2013-12-31$2,542
Assets. Invements in employer securities at beginning of year2013-12-31$1,072
Contributions received in cash from employer2013-12-31$75,191
Income. Dividends from common stock2013-12-31$64
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$208,933
Contract administrator fees2013-12-31$1,101
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$549
Aggregate carrying amount (costs) on sale of assets2013-12-31$470
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596
2012 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$377
Total unrealized appreciation/depreciation of assets2012-12-31$377
Total transfer of assets to this plan2012-12-31$59,153
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$501,427
Total loss/gain on sale of assets2012-12-31$-536
Total of all expenses incurred2012-12-31$95,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$95,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$224,606
Value of total assets at end of year2012-12-31$3,623,841
Value of total assets at beginning of year2012-12-31$3,158,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$684
Total interest from all sources2012-12-31$14,130
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$41,294
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$41,263
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$163,395
Participant contributions at end of year2012-12-31$251,487
Participant contributions at beginning of year2012-12-31$252,805
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$274
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$405,720
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,623,841
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,158,968
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$1
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,941,310
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,600,236
Value of interest in pooled separate accounts at end of year2012-12-31$1,429,904
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,305,191
Interest on participant loans2012-12-31$14,130
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$68
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$41
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$41
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$189,698
Net investment gain/loss from pooled separate accounts2012-12-31$31,858
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$1,072
Assets. Invements in employer securities at beginning of year2012-12-31$695
Contributions received in cash from employer2012-12-31$60,937
Income. Dividends from common stock2012-12-31$31
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$95,023
Contract administrator fees2012-12-31$683
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$0
Aggregate carrying amount (costs) on sale of assets2012-12-31$536
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31ERNST & YOUNG LLP
Accountancy firm EIN2012-12-31346565596
2011 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-363
Total unrealized appreciation/depreciation of assets2011-12-31$-363
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$215,707
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$38,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$38,744
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$193,100
Value of total assets at end of year2011-12-31$3,158,968
Value of total assets at beginning of year2011-12-31$2,982,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$121
Total interest from all sources2011-12-31$15,232
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$31,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$31,416
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$151,402
Participant contributions at end of year2011-12-31$252,805
Participant contributions at beginning of year2011-12-31$244,513
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$5,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$176,842
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,158,968
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,982,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,600,236
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$1,628,827
Value of interest in pooled separate accounts at end of year2011-12-31$1,305,191
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,107,876
Interest on participant loans2011-12-31$15,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$41
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$45
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$45
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-54,274
Net investment gain/loss from pooled separate accounts2011-12-31$30,577
Net investment gain or loss from common/collective trusts2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$695
Assets. Invements in employer securities at beginning of year2011-12-31$865
Contributions received in cash from employer2011-12-31$35,978
Income. Dividends from common stock2011-12-31$19
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$38,744
Contract administrator fees2011-12-31$121
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31ERNST & YOUNG LLP
Accountancy firm EIN2011-12-31346565596
2010 : CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-24
Total unrealized appreciation/depreciation of assets2010-12-31$-24
Total transfer of assets to this plan2010-12-31$1,692
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$408,076
Total loss/gain on sale of assets2010-12-31$-1
Total of all expenses incurred2010-12-31$348,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$341,557
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Value of total corrective distributions2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$156,116
Value of total assets at end of year2010-12-31$2,982,126
Value of total assets at beginning of year2010-12-31$2,920,396
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$6,481
Total interest from all sources2010-12-31$15,056
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$27,127
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$27,115
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$5,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$117,273
Participant contributions at end of year2010-12-31$244,513
Participant contributions at beginning of year2010-12-31$234,533
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$0
Other income not declared elsewhere2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$60,038
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,982,126
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,920,396
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$12
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,628,827
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,609,069
Value of interest in pooled separate accounts at end of year2010-12-31$1,107,876
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,026,235
Interest on participant loans2010-12-31$15,056
Value of interest in common/collective trusts at end of year2010-12-31$0
Value of interest in common/collective trusts at beginning of year2010-12-31$49,920
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$45
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$49
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$49
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$181,607
Net investment gain/loss from pooled separate accounts2010-12-31$28,101
Net investment gain or loss from common/collective trusts2010-12-31$94
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at end of year2010-12-31$865
Assets. Invements in employer securities at beginning of year2010-12-31$590
Contributions received in cash from employer2010-12-31$38,843
Income. Dividends from common stock2010-12-31$12
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$341,557
Contract administrator fees2010-12-31$6,469
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$22
Aggregate carrying amount (costs) on sale of assets2010-12-31$23
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31ERNST & YOUNG LLP
Accountancy firm EIN2010-12-31346565596

Form 5500 Responses for CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN

2016: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CORPORATE EXPRESS US, INC. UNION 401(K) RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28193
Policy instance 1
Insurance contract or identification numberGA28193
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-03-04
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28193
Policy instance 1
Insurance contract or identification numberGA28193
Number of Individuals Covered130
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28193
Policy instance 1
Insurance contract or identification numberGA28193
Number of Individuals Covered137
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract number30426
Policy instance 1
Insurance contract or identification number30426
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-09-16
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberGA28193
Policy instance 2
Insurance contract or identification numberGA28193
Number of Individuals Covered117
Insurance policy start date2013-09-16
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract number30426
Policy instance 1
Insurance contract or identification number30426
Number of Individuals Covered118
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract number30426
Policy instance 1
Insurance contract or identification number30426
Number of Individuals Covered95
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract number30426
Policy instance 1
Insurance contract or identification number30426
Number of Individuals Covered90
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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