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MID-STATES PACKAGING, INC 401(K) PLAN 401k Plan overview

Plan NameMID-STATES PACKAGING, INC 401(K) PLAN
Plan identification number 001

MID-STATES PACKAGING, INC 401(K) 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MID-STATES PACKAGING, INC. has sponsored the creation of one or more 401k plans.

Company Name:MID-STATES PACKAGING, INC.
Employer identification number (EIN):043532316
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Additional information about MID-STATES PACKAGING, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1998-09-25
Company Identification Number: 1033123
Legal Registered Office Address: 100 S MAIN AVE STE 102
-
SIDNEY
United States of America (USA)
453650000

More information about MID-STATES PACKAGING, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-STATES PACKAGING, INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01MONICA CARMAN
0012016-01-01LORRAINE KELLEY
0012015-01-01TRACY GIROUX2016-10-04
0012014-01-01TRACY GIROUX2015-10-13
0012013-01-01TRACY GIROUX2014-09-10
0012012-01-01TRACY GIROUX2013-09-11
0012011-01-01TRACY GIROUX2012-09-12

Plan Statistics for MID-STATES PACKAGING, INC 401(K) PLAN

401k plan membership statisitcs for MID-STATES PACKAGING, INC 401(K) PLAN

Measure Date Value
2023: MID-STATES PACKAGING, INC 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01188
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-010
Number of participants with account balances2023-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: MID-STATES PACKAGING, INC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01151
Total number of active participants reported on line 7a of the Form 55002022-01-01177
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-016
Total of all active and inactive participants2022-01-01183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01183
Number of participants with account balances2022-01-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: MID-STATES PACKAGING, INC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01103
Total number of active participants reported on line 7a of the Form 55002021-01-01122
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0126
Total of all active and inactive participants2021-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01150
Number of participants with account balances2021-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: MID-STATES PACKAGING, INC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01153
Total number of active participants reported on line 7a of the Form 55002020-01-01128
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0124
Total of all active and inactive participants2020-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-012
Total participants2020-01-01154
Number of participants with account balances2020-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MID-STATES PACKAGING, INC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01147
Total number of active participants reported on line 7a of the Form 55002019-01-01127
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0120
Total of all active and inactive participants2019-01-01148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-012
Total participants2019-01-01150
Number of participants with account balances2019-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: MID-STATES PACKAGING, INC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01142
Total number of active participants reported on line 7a of the Form 55002018-01-01118
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-0125
Total of all active and inactive participants2018-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01145
Number of participants with account balances2018-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-015
2017: MID-STATES PACKAGING, INC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01164
Total number of active participants reported on line 7a of the Form 55002017-01-01109
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0127
Total of all active and inactive participants2017-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01138
Number of participants with account balances2017-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: MID-STATES PACKAGING, INC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01123
Total number of active participants reported on line 7a of the Form 55002016-01-01123
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0137
Total of all active and inactive participants2016-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01160
Number of participants with account balances2016-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011

Financial Data on MID-STATES PACKAGING, INC 401(K) PLAN

Measure Date Value
2023 : MID-STATES PACKAGING, INC 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-04-27$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-27$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-04-27$0
Total income from all sources (including contributions)2023-04-27$134,140
Total loss/gain on sale of assets2023-04-27$0
Total of all expenses incurred2023-04-27$2,862,103
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-04-27$2,795,505
Value of total corrective distributions2023-04-27$45,810
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-04-27$0
Value of total assets at end of year2023-04-27$0
Value of total assets at beginning of year2023-04-27$2,727,963
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-04-27$20,788
Total interest from all sources2023-04-27$5,003
Total dividends received (eg from common stock, registered investment company shares)2023-04-27$5,764
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-04-27Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2023-04-27$0
Total dividends received from registered investment company shares (eg mutual funds)2023-04-27$5,764
Was this plan covered by a fidelity bond2023-04-27Yes
Value of fidelity bond cover2023-04-27$500,000
If this is an individual account plan, was there a blackout period2023-04-27No
Were there any nonexempt tranactions with any party-in-interest2023-04-27No
Participant contributions at beginning of year2023-04-27$21,526
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-27No
Value of net income/loss2023-04-27$-2,727,963
Value of net assets at end of year (total assets less liabilities)2023-04-27$0
Value of net assets at beginning of year (total assets less liabilities)2023-04-27$2,727,963
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-04-27No
Were any loans by the plan or fixed income obligations due to the plan in default2023-04-27No
Were any leases to which the plan was party in default or uncollectible2023-04-27No
Investment advisory and management fees2023-04-27$5,503
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-04-27$2,272,599
Interest on participant loans2023-04-27$293
Income. Interest from loans (other than to participants)2023-04-27$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-04-27$432,649
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-04-27$432,649
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-04-27$4,710
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-04-27$123,373
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-04-27No
Was there a failure to transmit to the plan any participant contributions2023-04-27No
Has the plan failed to provide any benefit when due under the plan2023-04-27No
Employer contributions (assets) at beginning of year2023-04-27$1,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-04-27$2,795,505
Contract administrator fees2023-04-27$15,285
Did the plan have assets held for investment2023-04-27No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-04-27No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-04-27Yes
Opinion of an independent qualified public accountant for this plan2023-04-27Unqualified
Accountancy firm name2023-04-27STOWE AND DEGON LLC
Accountancy firm EIN2023-04-27043379904
2022 : MID-STATES PACKAGING, INC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$64,554
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$172,372
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$157,037
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$415,520
Value of total assets at end of year2022-12-31$2,726,774
Value of total assets at beginning of year2022-12-31$2,834,592
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$15,335
Total interest from all sources2022-12-31$7,786
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$46,122
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$46,122
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$337,206
Participant contributions at end of year2022-12-31$21,526
Participant contributions at beginning of year2022-12-31$34,508
Administrative expenses (other) incurred2022-12-31$1,043
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-107,818
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,726,774
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,834,592
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$4,637
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$2,272,599
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$2,401,085
Interest on participant loans2022-12-31$1,220
Income. Interest from loans (other than to participants)2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$432,649
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$6,566
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$398,999
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-404,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$78,314
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$157,037
Contract administrator fees2022-12-31$9,655
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31STOWE AND DEGON LLC
Accountancy firm EIN2022-12-31043379904
2021 : MID-STATES PACKAGING, INC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$473,849
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$103,427
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$78,945
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$212,919
Value of total assets at end of year2021-12-31$2,834,592
Value of total assets at beginning of year2021-12-31$2,464,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$24,482
Total interest from all sources2021-12-31$6,702
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$178,463
Participant contributions at end of year2021-12-31$34,508
Participant contributions at beginning of year2021-12-31$42,483
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$7,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$370,422
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,834,592
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,464,170
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$2,401,085
Value of interest in pooled separate accounts at beginning of year2021-12-31$2,342,657
Interest on participant loans2021-12-31$1,406
Interest earned on other investments2021-12-31$5,296
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$398,999
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$70,977
Net investment gain/loss from pooled separate accounts2021-12-31$254,228
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$34,456
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$984
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$78,945
Contract administrator fees2021-12-31$24,482
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31STOWE AND DEGON LLC
Accountancy firm EIN2021-12-31043379904
2020 : MID-STATES PACKAGING, INC 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$453,106
Total of all expenses incurred2020-12-31$19,900
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$7,939
Value of total corrective distributions2020-12-31$287
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$185,434
Value of total assets at end of year2020-12-31$2,464,170
Value of total assets at beginning of year2020-12-31$2,030,964
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$11,674
Total interest from all sources2020-12-31$3,964
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$50,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$154,293
Participant contributions at end of year2020-12-31$42,483
Participant contributions at beginning of year2020-12-31$73,816
Participant contributions at end of year2020-12-31$7,069
Participant contributions at beginning of year2020-12-31$17,263
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$366
Administrative expenses (other) incurred2020-12-31$11,674
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$433,206
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,464,170
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$2,030,964
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$2,342,657
Value of interest in pooled separate accounts at beginning of year2020-12-31$1,885,427
Interest on participant loans2020-12-31$3,457
Interest earned on other investments2020-12-31$507
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$70,866
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$53,000
Net investment gain/loss from pooled separate accounts2020-12-31$263,708
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$31,141
Employer contributions (assets) at end of year2020-12-31$984
Employer contributions (assets) at beginning of year2020-12-31$1,092
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$7,939
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31STOWE AND DEGON LLC
Accountancy firm EIN2020-12-31043379904
2019 : MID-STATES PACKAGING, INC 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$448,137
Total income from all sources (including contributions)2019-12-31$448,137
Total of all expenses incurred2019-12-31$20,636
Total of all expenses incurred2019-12-31$20,636
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$6,879
Expenses. Certain deemed distributions of participant loans2019-12-31$2,709
Expenses. Certain deemed distributions of participant loans2019-12-31$2,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$139,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$139,548
Value of total assets at end of year2019-12-31$2,030,964
Value of total assets at end of year2019-12-31$2,030,964
Value of total assets at beginning of year2019-12-31$1,603,463
Value of total assets at beginning of year2019-12-31$1,603,463
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$11,048
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$11,048
Total interest from all sources2019-12-31$4,519
Total interest from all sources2019-12-31$4,519
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$50,000
Value of fidelity bond cover2019-12-31$50,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$115,657
Contributions received from participants2019-12-31$115,657
Participant contributions at end of year2019-12-31$73,816
Participant contributions at end of year2019-12-31$73,816
Participant contributions at beginning of year2019-12-31$81,990
Participant contributions at beginning of year2019-12-31$81,990
Participant contributions at end of year2019-12-31$17,263
Participant contributions at end of year2019-12-31$17,263
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$366
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$366
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$92
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$92
Administrative expenses (other) incurred2019-12-31$11,048
Administrative expenses (other) incurred2019-12-31$11,048
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$427,501
Value of net income/loss2019-12-31$427,501
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,030,964
Value of net assets at end of year (total assets less liabilities)2019-12-31$2,030,964
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,603,463
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,603,463
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$1,885,427
Value of interest in pooled separate accounts at end of year2019-12-31$1,885,427
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,481,077
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,481,077
Interest on participant loans2019-12-31$4,107
Interest on participant loans2019-12-31$4,107
Interest earned on other investments2019-12-31$412
Interest earned on other investments2019-12-31$412
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$53,000
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$53,000
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$40,304
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$40,304
Net investment gain/loss from pooled separate accounts2019-12-31$304,070
Net investment gain/loss from pooled separate accounts2019-12-31$304,070
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$23,891
Contributions received in cash from employer2019-12-31$23,891
Employer contributions (assets) at end of year2019-12-31$1,092
Employer contributions (assets) at end of year2019-12-31$1,092
Employer contributions (assets) at beginning of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,879
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$6,879
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31STOWE AND DEGON LLC
Accountancy firm name2019-12-31STOWE AND DEGON LLC
Accountancy firm EIN2019-12-31043379904
Accountancy firm EIN2019-12-31043379904
2018 : MID-STATES PACKAGING, INC 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$32,701
Total of all expenses incurred2018-12-31$61,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$51,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$125,395
Value of total assets at end of year2018-12-31$1,603,463
Value of total assets at beginning of year2018-12-31$1,632,309
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$10,212
Total interest from all sources2018-12-31$3,854
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$50,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$103,217
Participant contributions at end of year2018-12-31$81,990
Participant contributions at beginning of year2018-12-31$75,744
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$92
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Other income not declared elsewhere2018-12-31$2,709
Administrative expenses (other) incurred2018-12-31$10,212
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-28,846
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,603,463
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,632,309
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$1,481,077
Value of interest in pooled separate accounts at beginning of year2018-12-31$1,530,431
Interest on participant loans2018-12-31$3,553
Interest earned on other investments2018-12-31$301
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$40,304
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$26,134
Net investment gain/loss from pooled separate accounts2018-12-31$-99,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$22,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$51,335
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31STOWE AND DEGON LLC
Accountancy firm EIN2018-12-31043379904
2017 : MID-STATES PACKAGING, INC 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$311,811
Total of all expenses incurred2017-12-31$150,302
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$136,395
Expenses. Certain deemed distributions of participant loans2017-12-31$3,836
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$99,720
Value of total assets at end of year2017-12-31$1,632,309
Value of total assets at beginning of year2017-12-31$1,470,800
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$10,071
Total interest from all sources2017-12-31$3,735
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$90,294
Participant contributions at end of year2017-12-31$75,744
Participant contributions at beginning of year2017-12-31$43,555
Administrative expenses (other) incurred2017-12-31$10,071
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$161,509
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,632,309
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,470,800
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$1,530,431
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,329,851
Interest on participant loans2017-12-31$2,895
Interest earned on other investments2017-12-31$840
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$26,134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$97,394
Net investment gain/loss from pooled separate accounts2017-12-31$208,356
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$9,426
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$136,395
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31STOWE AND DEGON LLC
Accountancy firm EIN2017-12-31043379904
2016 : MID-STATES PACKAGING, INC 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$182,048
Total of all expenses incurred2016-12-31$38,431
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$29,045
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$101,321
Value of total assets at end of year2016-12-31$1,470,800
Value of total assets at beginning of year2016-12-31$1,327,183
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$9,386
Total interest from all sources2016-12-31$1,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$69,131
Participant contributions at end of year2016-12-31$43,555
Participant contributions at beginning of year2016-12-31$35,526
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$26,239
Other income not declared elsewhere2016-12-31$52
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$143,617
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,470,800
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,327,183
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$1,329,851
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,291,657
Interest on participant loans2016-12-31$1,435
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$97,394
Net investment gain/loss from pooled separate accounts2016-12-31$79,240
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$5,951
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$29,045
Contract administrator fees2016-12-31$9,386
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31STOWE AND DEGON LLC
Accountancy firm EIN2016-12-31043379904

Form 5500 Responses for MID-STATES PACKAGING, INC 401(K) PLAN

2023: MID-STATES PACKAGING, INC 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: MID-STATES PACKAGING, INC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MID-STATES PACKAGING, INC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MID-STATES PACKAGING, INC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MID-STATES PACKAGING, INC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MID-STATES PACKAGING, INC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MID-STATES PACKAGING, INC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MID-STATES PACKAGING, INC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number932537-00049
Policy instance 2
Insurance contract or identification number932537-00049
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number806573-000
Policy instance 1
Insurance contract or identification number806573-000
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number932537-00049
Policy instance 2
Insurance contract or identification number932537-00049
Number of Individuals Covered150
Insurance policy start date2021-02-03
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,210
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,210
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number806573-000
Policy instance 1
Insurance contract or identification number806573-000
Number of Individuals Covered127
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,458
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,229
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number806573
Policy instance 1
Insurance contract or identification number806573
Number of Individuals Covered61
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8,131
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,065
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number806573
Policy instance 1
Insurance contract or identification number806573
Number of Individuals Covered52
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,970
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,485
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940568-01
Policy instance 2
Insurance contract or identification number940568-01
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $9
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number806573
Policy instance 1
Insurance contract or identification number806573
Number of Individuals Covered53
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,355
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,178
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940568-01
Policy instance 2
Insurance contract or identification number940568-01
Number of Individuals Covered3
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $289
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $88
Insurance broker organization code?3
Insurance broker nameSTEPHEN CUNHA
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number806573
Policy instance 1
Insurance contract or identification number806573
Number of Individuals Covered56
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,397
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,698
Insurance broker organization code?3
Insurance broker nameMSI FINANCIAL SERVICES INC

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