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THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameTHE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN
Plan identification number 002

THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN Benefits

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

401k Sponsoring company profile

THE BASS PLATING COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE BASS PLATING COMPANY
Employer identification number (EIN):060725188
NAIC Classification:332810

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-09-01PETER MASTROBATTISTA2023-12-13
0022021-09-01PETER MASTROBATTISTA2023-05-24
0022020-09-01
0022019-09-01
0022018-09-01
0022017-09-01
0022016-09-01PETER MASTROBATTISTA
0022015-09-01PETER MASTROBATTISTA
0022014-09-01PETER MASTROBATTISTA
0022013-09-01PETER MASTROBATTISTA
0022012-09-01PETER MASTROBATTISTA
0022011-09-01PETER MASTROBATTISTA
0022010-09-01PETER MASTROBATTISTA2013-06-14

Plan Statistics for THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN

Measure Date Value
2020: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-09-0112
Total number of active participants reported on line 7a of the Form 55002020-09-0111
Number of retired or separated participants receiving benefits2020-09-010
Number of other retired or separated participants entitled to future benefits2020-09-012
Total of all active and inactive participants2020-09-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-09-010
Total participants2020-09-0113
Number of participants with account balances2020-09-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-09-010
2019: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-0111
Total number of active participants reported on line 7a of the Form 55002019-09-0111
Number of retired or separated participants receiving benefits2019-09-010
Number of other retired or separated participants entitled to future benefits2019-09-011
Total of all active and inactive participants2019-09-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-09-010
Total participants2019-09-0112
Number of participants with account balances2019-09-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-09-010
2018: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-0111
Total number of active participants reported on line 7a of the Form 55002018-09-0110
Number of retired or separated participants receiving benefits2018-09-010
Number of other retired or separated participants entitled to future benefits2018-09-011
Total of all active and inactive participants2018-09-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-09-010
Total participants2018-09-0111
Number of participants with account balances2018-09-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-09-010
2017: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-0112
Total number of active participants reported on line 7a of the Form 55002017-09-0110
Number of retired or separated participants receiving benefits2017-09-010
Number of other retired or separated participants entitled to future benefits2017-09-011
Total of all active and inactive participants2017-09-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-09-010
Total participants2017-09-0111
Number of participants with account balances2017-09-019
2016: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-0113
Total number of active participants reported on line 7a of the Form 55002016-09-0110
Number of retired or separated participants receiving benefits2016-09-010
Number of other retired or separated participants entitled to future benefits2016-09-012
Total of all active and inactive participants2016-09-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-09-010
Total participants2016-09-0112
Number of participants with account balances2016-09-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-09-010
2015: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-0111
Total number of active participants reported on line 7a of the Form 55002015-09-0110
Number of retired or separated participants receiving benefits2015-09-010
Number of other retired or separated participants entitled to future benefits2015-09-013
Total of all active and inactive participants2015-09-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-09-010
Total participants2015-09-0113
Number of participants with account balances2015-09-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-09-010
2014: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-0111
Total number of active participants reported on line 7a of the Form 55002014-09-0110
Number of retired or separated participants receiving benefits2014-09-010
Number of other retired or separated participants entitled to future benefits2014-09-011
Total of all active and inactive participants2014-09-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-09-010
Total participants2014-09-0111
Number of participants with account balances2014-09-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-09-010
2013: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-0111
Total number of active participants reported on line 7a of the Form 55002013-09-0110
Number of retired or separated participants receiving benefits2013-09-010
Number of other retired or separated participants entitled to future benefits2013-09-011
Total of all active and inactive participants2013-09-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-09-010
Total participants2013-09-0111
Number of participants with account balances2013-09-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-09-010
2012: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-09-0110
Total number of active participants reported on line 7a of the Form 55002012-09-0110
Number of retired or separated participants receiving benefits2012-09-010
Number of other retired or separated participants entitled to future benefits2012-09-011
Total of all active and inactive participants2012-09-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-09-010
Total participants2012-09-0111
Number of participants with account balances2012-09-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-09-010
2011: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-0110
Total number of active participants reported on line 7a of the Form 55002011-09-019
Number of retired or separated participants receiving benefits2011-09-010
Number of other retired or separated participants entitled to future benefits2011-09-011
Total of all active and inactive participants2011-09-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-09-010
Total participants2011-09-0110
Number of participants with account balances2011-09-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-09-010

Financial Data on THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN

Measure Date Value
2021 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-08-31$28,158
Total income from all sources2021-08-31$518,641
Expenses. Total of all expenses incurred2021-08-31$62
Total plan assets at end of year2021-08-31$2,425,644
Total plan assets at beginning of year2021-08-31$1,878,907
Value of fidelity bond covering the plan2021-08-31$385,000
Total contributions received or receivable from participants2021-08-31$47,875
Other income received2021-08-31$420,766
Net income (gross income less expenses)2021-08-31$518,579
Net plan assets at end of year (total assets less liabilities)2021-08-31$2,425,644
Net plan assets at beginning of year (total assets less liabilities)2021-08-31$1,878,907
Total contributions received or receivable from employer(s)2021-08-31$50,000
Expenses. Administrative service providers (salaries,fees and commissions)2021-08-31$62
2020 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-08-31$4,153
Total income from all sources2020-08-31$226,954
Expenses. Total of all expenses incurred2020-08-31$54
Total plan assets at end of year2020-08-31$1,878,907
Total plan assets at beginning of year2020-08-31$1,647,854
Value of fidelity bond covering the plan2020-08-31$195,000
Total contributions received or receivable from participants2020-08-31$37,989
Other income received2020-08-31$138,965
Net income (gross income less expenses)2020-08-31$226,900
Net plan assets at end of year (total assets less liabilities)2020-08-31$1,878,907
Net plan assets at beginning of year (total assets less liabilities)2020-08-31$1,647,854
Total contributions received or receivable from employer(s)2020-08-31$50,000
Expenses. Administrative service providers (salaries,fees and commissions)2020-08-31$54
2019 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-08-31$73,508
Expenses. Total of all expenses incurred2019-08-31$29
Total plan assets at end of year2019-08-31$1,647,854
Total plan assets at beginning of year2019-08-31$1,574,375
Value of fidelity bond covering the plan2019-08-31$195,000
Total contributions received or receivable from participants2019-08-31$27,741
Other income received2019-08-31$-4,233
Net income (gross income less expenses)2019-08-31$73,479
Net plan assets at end of year (total assets less liabilities)2019-08-31$1,647,854
Net plan assets at beginning of year (total assets less liabilities)2019-08-31$1,574,375
Total contributions received or receivable from employer(s)2019-08-31$50,000
Expenses. Administrative service providers (salaries,fees and commissions)2019-08-31$29
2017 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-08-31$213,892
Expenses. Total of all expenses incurred2017-08-31$23,653
Benefits paid (including direct rollovers)2017-08-31$23,503
Total plan assets at end of year2017-08-31$1,361,810
Total plan assets at beginning of year2017-08-31$1,171,571
Value of fidelity bond covering the plan2017-08-31$195,000
Total contributions received or receivable from participants2017-08-31$18,670
Other income received2017-08-31$150,222
Net income (gross income less expenses)2017-08-31$190,239
Net plan assets at end of year (total assets less liabilities)2017-08-31$1,361,810
Net plan assets at beginning of year (total assets less liabilities)2017-08-31$1,171,571
Total contributions received or receivable from employer(s)2017-08-31$45,000
Expenses. Administrative service providers (salaries,fees and commissions)2017-08-31$150
2016 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-08-31$146,184
Expenses. Total of all expenses incurred2016-08-31$0
Total plan assets at end of year2016-08-31$1,171,571
Total plan assets at beginning of year2016-08-31$1,025,387
Value of fidelity bond covering the plan2016-08-31$195,000
Total contributions received or receivable from participants2016-08-31$23,340
Other income received2016-08-31$82,844
Net income (gross income less expenses)2016-08-31$146,184
Net plan assets at end of year (total assets less liabilities)2016-08-31$1,171,571
Net plan assets at beginning of year (total assets less liabilities)2016-08-31$1,025,387
Total contributions received or receivable from employer(s)2016-08-31$40,000
2015 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-08-31$35,954
Expenses. Total of all expenses incurred2015-08-31$0
Total plan assets at end of year2015-08-31$1,025,387
Total plan assets at beginning of year2015-08-31$989,433
Value of fidelity bond covering the plan2015-08-31$195,000
Total contributions received or receivable from participants2015-08-31$24,991
Other income received2015-08-31$-24,037
Net income (gross income less expenses)2015-08-31$35,954
Net plan assets at end of year (total assets less liabilities)2015-08-31$1,025,387
Net plan assets at beginning of year (total assets less liabilities)2015-08-31$989,433
Total contributions received or receivable from employer(s)2015-08-31$35,000
2014 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-08-31$242,573
Expenses. Total of all expenses incurred2014-08-31$10,000
Benefits paid (including direct rollovers)2014-08-31$10,000
Total plan assets at end of year2014-08-31$989,433
Total plan assets at beginning of year2014-08-31$756,860
Value of fidelity bond covering the plan2014-08-31$195,000
Total contributions received or receivable from participants2014-08-31$24,116
Contributions received from other sources (not participants or employers)2014-08-31$64,437
Other income received2014-08-31$129,020
Net income (gross income less expenses)2014-08-31$232,573
Net plan assets at end of year (total assets less liabilities)2014-08-31$989,433
Net plan assets at beginning of year (total assets less liabilities)2014-08-31$756,860
Total contributions received or receivable from employer(s)2014-08-31$25,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-08-31$0
2013 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-08-31$133,582
Expenses. Total of all expenses incurred2013-08-31$2,686
Total plan assets at end of year2013-08-31$756,860
Total plan assets at beginning of year2013-08-31$625,964
Value of fidelity bond covering the plan2013-08-31$195,000
Total contributions received or receivable from participants2013-08-31$23,485
Other income received2013-08-31$85,097
Net income (gross income less expenses)2013-08-31$130,896
Net plan assets at end of year (total assets less liabilities)2013-08-31$756,860
Net plan assets at beginning of year (total assets less liabilities)2013-08-31$625,964
Total contributions received or receivable from employer(s)2013-08-31$25,000
Expenses. Administrative service providers (salaries,fees and commissions)2013-08-31$2,686
2012 : THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-08-31$98,574
Expenses. Total of all expenses incurred2012-08-31$469,559
Benefits paid (including direct rollovers)2012-08-31$465,472
Total plan assets at end of year2012-08-31$625,964
Total plan assets at beginning of year2012-08-31$996,949
Value of fidelity bond covering the plan2012-08-31$195,000
Total contributions received or receivable from participants2012-08-31$24,655
Other income received2012-08-31$63,919
Net income (gross income less expenses)2012-08-31$-370,985
Net plan assets at end of year (total assets less liabilities)2012-08-31$625,964
Net plan assets at beginning of year (total assets less liabilities)2012-08-31$996,949
Total contributions received or receivable from employer(s)2012-08-31$10,000
Expenses. Administrative service providers (salaries,fees and commissions)2012-08-31$4,087
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-08-31$0

Form 5500 Responses for THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN

2020: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-09-01Type of plan entitySingle employer plan
2020-09-01Submission has been amendedNo
2020-09-01This submission is the final filingNo
2020-09-01This return/report is a short plan year return/report (less than 12 months)No
2020-09-01Plan is a collectively bargained planNo
2020-09-01Plan funding arrangement – InsuranceYes
2020-09-01Plan funding arrangement – TrustYes
2020-09-01Plan benefit arrangement – InsuranceYes
2020-09-01Plan benefit arrangement - TrustYes
2019: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedNo
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2018: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Submission has been amendedNo
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planNo
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedNo
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedNo
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedNo
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes
2012: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)No
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes
2011: THE BASS PLATING COMPANY NON-UNION 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)No
2011-09-01Plan is a collectively bargained planNo
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100048
Policy instance 1
Insurance contract or identification number100048
Number of Individuals Covered12
Insurance policy start date2020-09-01
Insurance policy end date2021-08-31
Total amount of commissions paid to insurance brokerUSD $8,334
Total amount of fees paid to insurance companyUSD $399
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 $8,334
Insurance broker organization code?3
Amount paid for insurance broker fees399
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100048
Policy instance 1
Insurance contract or identification number100048
Number of Individuals Covered12
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
Total amount of commissions paid to insurance brokerUSD $5,996
Total amount of fees paid to insurance companyUSD $818
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 $5,996
Insurance broker organization code?3
Amount paid for insurance broker fees818
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100048
Policy instance 1
Insurance contract or identification number100048
Number of Individuals Covered10
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
Total amount of commissions paid to insurance brokerUSD $6,070
Total amount of fees paid to insurance companyUSD $757
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?Yes
Commission paid to Insurance BrokerUSD $6,070
Insurance broker organization code?3
Amount paid for insurance broker fees757
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100048
Policy instance 1
Insurance contract or identification number100048
Number of Individuals Covered10
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $6,179
Total amount of fees paid to insurance companyUSD $710
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?Yes

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