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FAIRVIEW 403(B) PLAN 401k Plan overview

Plan NameFAIRVIEW 403(B) PLAN
Plan identification number 002

FAIRVIEW 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

ODD FELLOWS HOME OF CONNECTICUT, INC. has sponsored the creation of one or more 401k plans.

Company Name:ODD FELLOWS HOME OF CONNECTICUT, INC.
Employer identification number (EIN):060646771
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAIRVIEW 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-10-01LIISA LIVINGSTON2023-04-17
0022020-10-01LIISA LIVINGSTON2022-07-11
0022019-10-01DENISE STEWKESBURY2021-07-11
0022018-10-01STEPHANIE SWAP2020-07-08
0022017-10-01STEPHANIE SWAP2019-07-10
0022016-10-01JAMES ROSENMAN JAMES ROSENMAN2018-07-16
0022015-10-01JAMES ROSENMAN JAMES ROSENMAN2017-07-17
0022014-10-01JAMES ROSENMAN JAMES ROSENMAN2016-07-15
0022013-10-01JAMES ROSENMAN JAMES ROSENMAN2015-07-15
0022012-10-15JAMES ROSENMAN JAMES ROSENMAN2014-07-15

Plan Statistics for FAIRVIEW 403(B) PLAN

401k plan membership statisitcs for FAIRVIEW 403(B) PLAN

Measure Date Value
2021: FAIRVIEW 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01218
Total number of active participants reported on line 7a of the Form 55002021-10-01186
Number of other retired or separated participants entitled to future benefits2021-10-0122
Total of all active and inactive participants2021-10-01208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-01208
Number of participants with account balances2021-10-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-012
2020: FAIRVIEW 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01211
Total number of active participants reported on line 7a of the Form 55002020-10-01195
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-0124
Total of all active and inactive participants2020-10-01219
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01219
Number of participants with account balances2020-10-01105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-011
2019: FAIRVIEW 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-01216
Total number of active participants reported on line 7a of the Form 55002019-10-01192
Number of retired or separated participants receiving benefits2019-10-010
Number of other retired or separated participants entitled to future benefits2019-10-0118
Total of all active and inactive participants2019-10-01210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-10-010
Total participants2019-10-01210
Number of participants with account balances2019-10-01119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-10-012
2018: FAIRVIEW 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-01203
Total number of active participants reported on line 7a of the Form 55002018-10-01200
Number of retired or separated participants receiving benefits2018-10-010
Number of other retired or separated participants entitled to future benefits2018-10-0115
Total of all active and inactive participants2018-10-01215
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-01215
Number of participants with account balances2018-10-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-011
2017: FAIRVIEW 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-01197
Total number of active participants reported on line 7a of the Form 55002017-10-01195
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-017
Total of all active and inactive participants2017-10-01202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-01202
Number of participants with account balances2017-10-01111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-010
2016: FAIRVIEW 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-01204
Total number of active participants reported on line 7a of the Form 55002016-10-01191
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-016
Total of all active and inactive participants2016-10-01197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-01197
Number of participants with account balances2016-10-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-013
2015: FAIRVIEW 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-01198
Total number of active participants reported on line 7a of the Form 55002015-10-01194
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-013
Total of all active and inactive participants2015-10-01197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-01197
Number of participants with account balances2015-10-0178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-011
2014: FAIRVIEW 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01198
Total number of active participants reported on line 7a of the Form 55002014-10-01199
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-011
Total of all active and inactive participants2014-10-01200
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-01200
Number of participants with account balances2014-10-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-011
2013: FAIRVIEW 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-01161
Total number of active participants reported on line 7a of the Form 55002013-10-01167
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-01167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-01167
Number of participants with account balances2013-10-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-011
2012: FAIRVIEW 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-15151
Total number of active participants reported on line 7a of the Form 55002012-10-15154
Number of retired or separated participants receiving benefits2012-10-150
Number of other retired or separated participants entitled to future benefits2012-10-152
Total of all active and inactive participants2012-10-15156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-150
Total participants2012-10-15156
Number of participants with account balances2012-10-1561
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-153

Financial Data on FAIRVIEW 403(B) PLAN

Measure Date Value
2022 : FAIRVIEW 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$9,467
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$7,395
Total income from all sources (including contributions)2022-09-30$-141,404
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$429,775
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$401,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$356,735
Value of total assets at end of year2022-09-30$2,550,381
Value of total assets at beginning of year2022-09-30$3,119,488
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$28,286
Total interest from all sources2022-09-30$14,555
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$236,079
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$47,495
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$3,354
Total non interest bearing cash at end of year2022-09-30$6,650
Total non interest bearing cash at beginning of year2022-09-30$5,527
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-571,179
Value of net assets at end of year (total assets less liabilities)2022-09-30$2,540,914
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$3,112,093
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-09-30$1,879,797
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-09-30$2,458,693
Interest earned on other investments2022-09-30$14,555
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$663,934
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$655,268
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-09-30$-512,694
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$73,161
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$401,489
Contract administrator fees2022-09-30$28,286
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Liabilities. Value of acquisition indebtedness at end of year2022-09-30$6,113
Liabilities. Value of acquisition indebtedness at beginning of year2022-09-30$7,395
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-09-30410746749
2021 : FAIRVIEW 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$7,395
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$7,453
Total income from all sources (including contributions)2021-09-30$901,052
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$1,130,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$1,097,614
Value of total corrective distributions2021-09-30$521
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$337,093
Value of total assets at end of year2021-09-30$3,119,488
Value of total assets at beginning of year2021-09-30$3,348,546
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$31,917
Total interest from all sources2021-09-30$15,821
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$30,820
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-09-30$30,820
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$244,302
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$25,394
Total non interest bearing cash at end of year2021-09-30$5,527
Total non interest bearing cash at beginning of year2021-09-30$4
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$-229,000
Value of net assets at end of year (total assets less liabilities)2021-09-30$3,112,093
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$3,341,093
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-09-30$2,458,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-09-30$2,577,151
Interest earned on other investments2021-09-30$15,821
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$655,268
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-09-30$771,391
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-09-30$517,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$67,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$1,097,614
Contract administrator fees2021-09-30$31,917
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Liabilities. Value of acquisition indebtedness at end of year2021-09-30$7,395
Liabilities. Value of acquisition indebtedness at beginning of year2021-09-30$7,453
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-09-30410746749
2020 : FAIRVIEW 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$7,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$10,596
Total income from all sources (including contributions)2020-09-30$1,117,166
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$370,773
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$342,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$920,048
Value of total assets at end of year2020-09-30$3,348,546
Value of total assets at beginning of year2020-09-30$2,605,296
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$28,074
Total interest from all sources2020-09-30$16,583
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$41,643
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-09-30$41,643
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$235,207
Participant contributions at beginning of year2020-09-30$81
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$623,455
Total non interest bearing cash at end of year2020-09-30$4
Total non interest bearing cash at beginning of year2020-09-30$5,736
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$746,393
Value of net assets at end of year (total assets less liabilities)2020-09-30$3,341,093
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$2,594,700
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-09-30$2,577,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-09-30$2,017,737
Interest earned on other investments2020-09-30$16,583
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-09-30$771,391
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-09-30$581,701
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-09-30$138,892
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30Yes
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$61,386
Employer contributions (assets) at beginning of year2020-09-30$41
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$342,699
Contract administrator fees2020-09-30$28,074
Did the plan have assets held for investment2020-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Liabilities. Value of acquisition indebtedness at end of year2020-09-30$7,453
Liabilities. Value of acquisition indebtedness at beginning of year2020-09-30$10,596
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30Yes
Opinion of an independent qualified public accountant for this plan2020-09-30Disclaimer
Accountancy firm name2020-09-30CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-09-30410746749
2019 : FAIRVIEW 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$10,596
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$0
Total income from all sources (including contributions)2019-09-30$452,876
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$146,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$124,590
Value of total corrective distributions2019-09-30$1,467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$329,112
Value of total assets at end of year2019-09-30$2,605,296
Value of total assets at beginning of year2019-09-30$2,287,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$20,048
Total interest from all sources2019-09-30$6,473
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$39,540
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-09-30$39,540
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$0
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$217,964
Participant contributions at end of year2019-09-30$81
Participant contributions at beginning of year2019-09-30$8,204
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$48,675
Total non interest bearing cash at end of year2019-09-30$5,736
Total non interest bearing cash at beginning of year2019-09-30$1,727,370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$306,771
Value of net assets at end of year (total assets less liabilities)2019-09-30$2,594,700
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$2,287,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-09-30$2,017,737
Interest earned on other investments2019-09-30$6,473
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-09-30$581,701
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-09-30$549,761
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-09-30$77,751
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30Yes
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$62,473
Employer contributions (assets) at end of year2019-09-30$41
Employer contributions (assets) at beginning of year2019-09-30$2,594
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$124,590
Contract administrator fees2019-09-30$20,048
Did the plan have assets held for investment2019-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Liabilities. Value of acquisition indebtedness at end of year2019-09-30$10,596
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30Yes
Opinion of an independent qualified public accountant for this plan2019-09-30Disclaimer
Accountancy firm name2019-09-30BLUM SHAPIRO & COMPANY P.C.
Accountancy firm EIN2019-09-30061009205
2018 : FAIRVIEW 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$0
Total income from all sources (including contributions)2018-09-30$512,291
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$278,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$263,758
Value of total corrective distributions2018-09-30$2,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$387,075
Value of total assets at end of year2018-09-30$2,287,929
Value of total assets at beginning of year2018-09-30$2,054,095
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$12,336
Total interest from all sources2018-09-30$5,587
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$230,578
Participant contributions at end of year2018-09-30$8,204
Participant contributions at beginning of year2018-09-30$4,587
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$59,657
Total non interest bearing cash at end of year2018-09-30$1,727,370
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$233,834
Value of net assets at end of year (total assets less liabilities)2018-09-30$2,287,929
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$2,054,095
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-09-30$1,553,978
Interest earned on other investments2018-09-30$5,587
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-09-30$549,761
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-09-30$493,450
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-09-30$119,629
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$96,840
Employer contributions (assets) at end of year2018-09-30$2,594
Employer contributions (assets) at beginning of year2018-09-30$2,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$263,758
Contract administrator fees2018-09-30$12,336
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-09-30Yes
Did the plan have assets held for investment2018-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30Yes
Opinion of an independent qualified public accountant for this plan2018-09-30Disclaimer
Accountancy firm name2018-09-30BLUM SHAPIRO & COMPANY. P.C.
Accountancy firm EIN2018-09-30061009205
2017 : FAIRVIEW 403(B) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-09-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-09-30$0
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total transfer of assets to this plan2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$0
Total income from all sources (including contributions)2017-09-30$632,285
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$323,080
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$307,488
Value of total corrective distributions2017-09-30$5,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$440,363
Value of total assets at end of year2017-09-30$2,054,095
Value of total assets at beginning of year2017-09-30$1,744,890
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$10,500
Total income from rents2017-09-30$0
Total interest from all sources2017-09-30$4,381
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$21,418
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-09-30$21,418
Administrative expenses professional fees incurred2017-09-30$0
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Amount of non-exempt transactions with any party-in-interest2017-09-30$0
Contributions received from participants2017-09-30$222,473
Participant contributions at end of year2017-09-30$4,587
Participant contributions at beginning of year2017-09-30$4,071
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$114,749
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-09-30$0
Other income not declared elsewhere2017-09-30$0
Administrative expenses (other) incurred2017-09-30$5
Liabilities. Value of operating payables at beginning of year2017-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$309,205
Value of net assets at end of year (total assets less liabilities)2017-09-30$2,054,095
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$1,744,890
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2017-09-30$0
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2017-09-30$0
Investment advisory and management fees2017-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-09-30$1,553,978
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-09-30$1,354,818
Income. Interest from loans (other than to participants)2017-09-30$0
Interest earned on other investments2017-09-30$4,381
Income. Interest from US Government securities2017-09-30$0
Income. Interest from corporate debt instruments2017-09-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-09-30$493,450
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-09-30$384,126
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-09-30$166,123
Net investment gain/loss from pooled separate accounts2017-09-30$0
Net investment gain or loss from common/collective trusts2017-09-30$0
Net gain/loss from 103.12 investment entities2017-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$103,141
Employer contributions (assets) at end of year2017-09-30$2,080
Employer contributions (assets) at beginning of year2017-09-30$1,875
Income. Dividends from preferred stock2017-09-30$0
Income. Dividends from common stock2017-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$307,488
Contract administrator fees2017-09-30$10,495
Liabilities. Value of benefit claims payable at beginning of year2017-09-30$0
Did the plan have assets held for investment2017-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Aggregate proceeds on sale of assets2017-09-30$0
Aggregate carrying amount (costs) on sale of assets2017-09-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30Yes
Opinion of an independent qualified public accountant for this plan2017-09-30Disclaimer
Accountancy firm name2017-09-30BLUM SHAPIRO & COMPANY, P.C.
Accountancy firm EIN2017-09-30061009205
2016 : FAIRVIEW 403(B) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-09-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-09-30$0
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total transfer of assets to this plan2016-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$0
Total income from all sources (including contributions)2016-09-30$617,737
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$82,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$72,614
Value of total corrective distributions2016-09-30$1,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$483,273
Value of total assets at end of year2016-09-30$1,744,890
Value of total assets at beginning of year2016-09-30$1,209,920
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$8,184
Total income from rents2016-09-30$0
Total interest from all sources2016-09-30$3,655
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$16,710
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-09-30$16,710
Administrative expenses professional fees incurred2016-09-30$0
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Amount of non-exempt transactions with any party-in-interest2016-09-30$0
Contributions received from participants2016-09-30$218,377
Participant contributions at end of year2016-09-30$4,071
Participant contributions at beginning of year2016-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$165,732
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-09-30$0
Other income not declared elsewhere2016-09-30$0
Administrative expenses (other) incurred2016-09-30$1
Liabilities. Value of operating payables at beginning of year2016-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$534,970
Value of net assets at end of year (total assets less liabilities)2016-09-30$1,744,890
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$1,209,920
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2016-09-30$0
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2016-09-30$0
Investment advisory and management fees2016-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-09-30$1,354,818
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-09-30$950,061
Income. Interest from loans (other than to participants)2016-09-30$0
Interest earned on other investments2016-09-30$3,655
Income. Interest from US Government securities2016-09-30$0
Income. Interest from corporate debt instruments2016-09-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-09-30$384,126
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-09-30$259,859
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-09-30$114,099
Net investment gain/loss from pooled separate accounts2016-09-30$0
Net investment gain or loss from common/collective trusts2016-09-30$0
Net gain/loss from 103.12 investment entities2016-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$99,164
Employer contributions (assets) at end of year2016-09-30$1,875
Employer contributions (assets) at beginning of year2016-09-30$0
Income. Dividends from preferred stock2016-09-30$0
Income. Dividends from common stock2016-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$72,614
Contract administrator fees2016-09-30$8,183
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$0
Did the plan have assets held for investment2016-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Aggregate proceeds on sale of assets2016-09-30$0
Aggregate carrying amount (costs) on sale of assets2016-09-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30Yes
Opinion of an independent qualified public accountant for this plan2016-09-30Disclaimer
Accountancy firm name2016-09-30BLUM SHAPIRO AND COMPANY P.C.
Accountancy firm EIN2016-09-30061009205
2015 : FAIRVIEW 403(B) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-09-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-09-30$0
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total transfer of assets to this plan2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$313,471
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$28,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$18,955
Value of total corrective distributions2015-09-30$1,445
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$329,525
Value of total assets at end of year2015-09-30$1,209,920
Value of total assets at beginning of year2015-09-30$924,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$7,913
Total income from rents2015-09-30$0
Total interest from all sources2015-09-30$2,946
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$10,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$10,259
Administrative expenses professional fees incurred2015-09-30$0
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Amount of non-exempt transactions with any party-in-interest2015-09-30$0
Contributions received from participants2015-09-30$184,844
Participant contributions at end of year2015-09-30$0
Participant contributions at beginning of year2015-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$81,165
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-09-30$0
Other income not declared elsewhere2015-09-30$0
Administrative expenses (other) incurred2015-09-30$0
Liabilities. Value of operating payables at beginning of year2015-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$285,158
Value of net assets at end of year (total assets less liabilities)2015-09-30$1,209,920
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$924,762
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2015-09-30$0
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2015-09-30$0
Investment advisory and management fees2015-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$950,061
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$735,770
Income. Interest from loans (other than to participants)2015-09-30$0
Interest earned on other investments2015-09-30$2,946
Income. Interest from US Government securities2015-09-30$0
Income. Interest from corporate debt instruments2015-09-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$259,859
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$188,992
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-29,259
Net investment gain/loss from pooled separate accounts2015-09-30$0
Net investment gain or loss from common/collective trusts2015-09-30$0
Net gain/loss from 103.12 investment entities2015-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30Yes
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$63,516
Employer contributions (assets) at end of year2015-09-30$0
Employer contributions (assets) at beginning of year2015-09-30$0
Income. Dividends from preferred stock2015-09-30$0
Income. Dividends from common stock2015-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$18,955
Contract administrator fees2015-09-30$7,913
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$0
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Aggregate proceeds on sale of assets2015-09-30$0
Aggregate carrying amount (costs) on sale of assets2015-09-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30BLUM SHAPIRO AND COMPANY P.C.
Accountancy firm EIN2015-09-30061009205
2014 : FAIRVIEW 403(B) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-09-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-09-30$0
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total transfer of assets to this plan2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$0
Total income from all sources (including contributions)2014-09-30$281,302
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$85,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$78,150
Value of total corrective distributions2014-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$223,423
Value of total assets at end of year2014-09-30$924,762
Value of total assets at beginning of year2014-09-30$728,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$7,207
Total income from rents2014-09-30$0
Total interest from all sources2014-09-30$2,092
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$5,234
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-09-30$5,234
Administrative expenses professional fees incurred2014-09-30$0
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Amount of non-exempt transactions with any party-in-interest2014-09-30$0
Contributions received from participants2014-09-30$171,174
Participant contributions at end of year2014-09-30$0
Participant contributions at beginning of year2014-09-30$1,829
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-09-30$0
Other income not declared elsewhere2014-09-30$49
Administrative expenses (other) incurred2014-09-30$2
Liabilities. Value of operating payables at beginning of year2014-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$195,945
Value of net assets at end of year (total assets less liabilities)2014-09-30$924,762
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$728,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2014-09-30$0
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2014-09-30$0
Investment advisory and management fees2014-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-09-30$735,770
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-09-30$555,178
Income. Interest from loans (other than to participants)2014-09-30$0
Interest earned on other investments2014-09-30$2,092
Income. Interest from US Government securities2014-09-30$0
Income. Interest from corporate debt instruments2014-09-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-09-30$188,992
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-09-30$119,752
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-09-30$50,504
Net investment gain/loss from pooled separate accounts2014-09-30$0
Net investment gain or loss from common/collective trusts2014-09-30$0
Net gain/loss from 103.12 investment entities2014-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$52,249
Employer contributions (assets) at end of year2014-09-30$0
Employer contributions (assets) at beginning of year2014-09-30$52,058
Income. Dividends from preferred stock2014-09-30$0
Income. Dividends from common stock2014-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$78,150
Contract administrator fees2014-09-30$7,205
Liabilities. Value of benefit claims payable at beginning of year2014-09-30$0
Did the plan have assets held for investment2014-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Aggregate proceeds on sale of assets2014-09-30$0
Aggregate carrying amount (costs) on sale of assets2014-09-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30Yes
Opinion of an independent qualified public accountant for this plan2014-09-30Disclaimer
Accountancy firm name2014-09-30BLUMSHAPIRO & COMPANY, P.C.
Accountancy firm EIN2014-09-30061009205
2013 : FAIRVIEW 403(B) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-09-30$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-09-30$0
Total unrealized appreciation/depreciation of assets2013-09-30$0
Total transfer of assets to this plan2013-09-30$0
Total transfer of assets from this plan2013-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$0
Total income from all sources (including contributions)2013-09-30$743,232
Total loss/gain on sale of assets2013-09-30$0
Total of all expenses incurred2013-09-30$14,415
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$9,237
Value of total corrective distributions2013-09-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$675,181
Value of total assets at end of year2013-09-30$728,817
Value of total assets at beginning of year2013-09-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$5,178
Total income from rents2013-09-30$0
Total interest from all sources2013-09-30$1,274
Total dividends received (eg from common stock, registered investment company shares)2013-09-30$4,522
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-09-30$4,522
Administrative expenses professional fees incurred2013-09-30$0
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$500,000
If this is an individual account plan, was there a blackout period2013-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Amount of non-exempt transactions with any party-in-interest2013-09-30$0
Contributions received from participants2013-09-30$152,693
Participant contributions at end of year2013-09-30$1,829
Participant contributions at beginning of year2013-09-30$0
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$470,430
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-09-30$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-09-30$0
Other income not declared elsewhere2013-09-30$0
Administrative expenses (other) incurred2013-09-30$9
Liabilities. Value of operating payables at beginning of year2013-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$728,817
Value of net assets at end of year (total assets less liabilities)2013-09-30$728,817
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Amount of loans by the plan or fixed income obligations due to the plan which were in default/classified-as-uncollectible as of the close of the plan year2013-09-30$0
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Amount of leases to which the plan was a party which were in default/classified-as-uncollectible during the year2013-09-30$0
Investment advisory and management fees2013-09-30$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-09-30$555,178
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-09-30$0
Income. Interest from loans (other than to participants)2013-09-30$0
Interest earned on other investments2013-09-30$1,274
Income. Interest from US Government securities2013-09-30$0
Income. Interest from corporate debt instruments2013-09-30$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-09-30$119,752
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-09-30$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-09-30$62,255
Net investment gain/loss from pooled separate accounts2013-09-30$0
Net investment gain or loss from common/collective trusts2013-09-30$0
Net gain/loss from 103.12 investment entities2013-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$52,058
Employer contributions (assets) at end of year2013-09-30$52,058
Employer contributions (assets) at beginning of year2013-09-30$0
Income. Dividends from preferred stock2013-09-30$0
Income. Dividends from common stock2013-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$9,237
Contract administrator fees2013-09-30$5,169
Liabilities. Value of benefit claims payable at beginning of year2013-09-30$0
Did the plan have assets held for investment2013-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Aggregate proceeds on sale of assets2013-09-30$0
Aggregate carrying amount (costs) on sale of assets2013-09-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-09-30$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30Yes
Opinion of an independent qualified public accountant for this plan2013-09-30Disclaimer
Accountancy firm name2013-09-30BLUM SHAPIRO & COMPANY, P.C.
Accountancy firm EIN2013-09-30061009205

Form 5500 Responses for FAIRVIEW 403(B) PLAN

2021: FAIRVIEW 403(B) PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: FAIRVIEW 403(B) PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: FAIRVIEW 403(B) PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: FAIRVIEW 403(B) PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: FAIRVIEW 403(B) PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: FAIRVIEW 403(B) PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: FAIRVIEW 403(B) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: FAIRVIEW 403(B) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: FAIRVIEW 403(B) PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: FAIRVIEW 403(B) PLAN 2012 form 5500 responses
2012-10-15Type of plan entitySingle employer plan
2012-10-15First time form 5500 has been submittedYes
2012-10-15This submission is the final filingNo
2012-10-15This return/report is a short plan year return/report (less than 12 months)Yes
2012-10-15Plan is a collectively bargained planNo
2012-10-15Plan funding arrangement – InsuranceYes
2012-10-15Plan funding arrangement – TrustYes
2012-10-15Plan benefit arrangement – InsuranceYes
2012-10-15Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number812577
Policy instance 1
Insurance contract or identification number812577
Number of Individuals Covered208
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number812577
Policy instance 1
Insurance contract or identification number812577
Number of Individuals Covered219
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number812577
Policy instance 1
Insurance contract or identification number812577
Number of Individuals Covered210
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number812577
Policy instance 1
Insurance contract or identification number812577
Number of Individuals Covered215
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered0
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $1,238
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered200
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $519
Total amount of fees paid to insurance companyUSD $108
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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 $519
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameNFP ADVISOR SERVICES LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered167
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $275
Total amount of fees paid to insurance companyUSD $73
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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 $275
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameNFP ADVISOR SERVICES LLC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered156
Insurance policy start date2012-10-15
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $1,097
Total amount of fees paid to insurance companyUSD $2,222
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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 $618
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE AND PRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameNFP SECURITIES INC

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