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WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 401k Plan overview

Plan NameWHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN
Plan identification number 003

WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS 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

WHITTLESEY PC has sponsored the creation of one or more 401k plans.

Company Name:WHITTLESEY PC
Employer identification number (EIN):060903326
NAIC Classification:541211
NAIC Description:Offices of Certified Public Accountants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01ED JASON
0032016-01-01ED JASON
0032015-01-01ED JASON2016-10-05 ED JASON2016-10-05
0032014-01-01ED JASON2015-07-26
0032013-01-01ED JASON2014-10-13
0032012-01-01ED JASON2013-10-15
0032011-01-01ED JASON2012-10-11
0032010-01-01ED JASON2011-08-01

Plan Statistics for WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN

401k plan membership statisitcs for WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN

Measure Date Value
2022: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01177
Total number of active participants reported on line 7a of the Form 55002022-01-01115
Number of retired or separated participants receiving benefits2022-01-016
Number of other retired or separated participants entitled to future benefits2022-01-0153
Total of all active and inactive participants2022-01-01174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01174
Number of participants with account balances2022-01-01172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0113
2021: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01173
Total number of active participants reported on line 7a of the Form 55002021-01-01124
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0149
Total of all active and inactive participants2021-01-01173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01173
Number of participants with account balances2021-01-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0111
2020: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01169
Total number of active participants reported on line 7a of the Form 55002020-01-01128
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0145
Total of all active and inactive participants2020-01-01173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01174
Number of participants with account balances2020-01-01174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-017
2019: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01173
Total number of active participants reported on line 7a of the Form 55002019-01-01120
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0146
Total of all active and inactive participants2019-01-01166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01167
Number of participants with account balances2019-01-01167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0120
2018: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01169
Total number of active participants reported on line 7a of the Form 55002018-01-01136
Number of retired or separated participants receiving benefits2018-01-014
Number of other retired or separated participants entitled to future benefits2018-01-0132
Total of all active and inactive participants2018-01-01172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01172
Number of participants with account balances2018-01-01172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0110
2017: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01156
Total number of active participants reported on line 7a of the Form 55002017-01-01133
Number of retired or separated participants receiving benefits2017-01-014
Number of other retired or separated participants entitled to future benefits2017-01-0129
Total of all active and inactive participants2017-01-01166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01166
Number of participants with account balances2017-01-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0110
2016: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01150
Total number of active participants reported on line 7a of the Form 55002016-01-01120
Number of retired or separated participants receiving benefits2016-01-014
Number of other retired or separated participants entitled to future benefits2016-01-0128
Total of all active and inactive participants2016-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01152
Number of participants with account balances2016-01-01152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0110

Financial Data on WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN

Measure Date Value
2022 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-4,129,806
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$3,657,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$3,632,450
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,536,185
Value of total assets at end of year2022-12-31$34,186,950
Value of total assets at beginning of year2022-12-31$41,974,011
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$24,805
Total interest from all sources2022-12-31$6,530
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$960,576
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$960,576
Administrative expenses professional fees incurred2022-12-31$13,500
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,290,085
Participant contributions at end of year2022-12-31$126,786
Participant contributions at beginning of year2022-12-31$161,551
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,298,181
Administrative expenses (other) incurred2022-12-31$240
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-7,787,061
Value of net assets at end of year (total assets less liabilities)2022-12-31$34,186,950
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$41,974,011
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$3,250
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$31,830,518
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$39,538,378
Interest on participant loans2022-12-31$6,530
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,281,727
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$1,360,403
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-8,633,097
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$947,919
Employer contributions (assets) at end of year2022-12-31$947,919
Employer contributions (assets) at beginning of year2022-12-31$913,679
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$3,632,450
Contract administrator fees2022-12-31$7,815
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2022-12-31950858589
2021 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$7,684,403
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$5,097,213
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$5,074,605
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,188,794
Value of total assets at end of year2021-12-31$41,974,011
Value of total assets at beginning of year2021-12-31$39,386,821
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$22,608
Total interest from all sources2021-12-31$6,182
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$3,493,051
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$3,493,051
Administrative expenses professional fees incurred2021-12-31$13,000
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,275,156
Participant contributions at end of year2021-12-31$161,551
Participant contributions at beginning of year2021-12-31$117,429
Participant contributions at beginning of year2021-12-31$166,259
Administrative expenses (other) incurred2021-12-31$120
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,587,190
Value of net assets at end of year (total assets less liabilities)2021-12-31$41,974,011
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$39,386,821
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$39,538,378
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$36,817,402
Interest on participant loans2021-12-31$6,182
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$1,360,403
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,395,830
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,996,376
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$913,638
Employer contributions (assets) at end of year2021-12-31$913,679
Employer contributions (assets) at beginning of year2021-12-31$889,901
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$5,074,605
Contract administrator fees2021-12-31$9,488
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2021-12-31950858589
2020 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$7,730,452
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$692,164
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$678,818
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,021,617
Value of total assets at end of year2020-12-31$39,386,821
Value of total assets at beginning of year2020-12-31$32,348,533
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$13,346
Total interest from all sources2020-12-31$4,046
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,416,013
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,416,013
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,131,716
Participant contributions at end of year2020-12-31$117,429
Participant contributions at beginning of year2020-12-31$92,757
Participant contributions at end of year2020-12-31$166,259
Participant contributions at beginning of year2020-12-31$99,935
Administrative expenses (other) incurred2020-12-31$13,346
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$7,038,288
Value of net assets at end of year (total assets less liabilities)2020-12-31$39,386,821
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$32,348,533
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$36,817,402
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$30,212,024
Interest on participant loans2020-12-31$4,046
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,395,830
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,109,585
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$4,288,776
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$889,901
Employer contributions (assets) at end of year2020-12-31$889,901
Employer contributions (assets) at beginning of year2020-12-31$834,232
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$678,818
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2020-12-31950858589
2019 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$7,775,420
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$2,220,977
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$2,209,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,808,211
Value of total assets at end of year2019-12-31$32,348,533
Value of total assets at beginning of year2019-12-31$26,794,090
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$11,387
Total interest from all sources2019-12-31$4,684
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$996,561
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$996,561
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$951,205
Participant contributions at end of year2019-12-31$92,757
Participant contributions at beginning of year2019-12-31$98,844
Participant contributions at end of year2019-12-31$99,935
Participant contributions at beginning of year2019-12-31$77,759
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$22,774
Administrative expenses (other) incurred2019-12-31$180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,554,443
Value of net assets at end of year (total assets less liabilities)2019-12-31$32,348,533
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$26,794,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$30,212,024
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$24,436,032
Interest on participant loans2019-12-31$4,684
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,109,585
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,312,217
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$4,965,964
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$834,232
Employer contributions (assets) at end of year2019-12-31$834,232
Employer contributions (assets) at beginning of year2019-12-31$869,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$2,209,590
Contract administrator fees2019-12-31$11,207
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2019-12-31950858589
2018 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$330,260
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,899,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,889,127
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,997,663
Value of total assets at end of year2018-12-31$26,794,090
Value of total assets at beginning of year2018-12-31$28,363,063
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$10,106
Total interest from all sources2018-12-31$5,551
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$904,765
Participant contributions at end of year2018-12-31$98,844
Participant contributions at beginning of year2018-12-31$155,838
Participant contributions at end of year2018-12-31$77,759
Participant contributions at beginning of year2018-12-31$96,599
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$223,660
Other income not declared elsewhere2018-12-31$-1,544
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,568,973
Value of net assets at end of year (total assets less liabilities)2018-12-31$26,794,090
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$28,363,063
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$24,436,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$25,827,142
Interest on participant loans2018-12-31$5,551
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,312,217
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,424,814
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,671,410
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$869,238
Employer contributions (assets) at end of year2018-12-31$869,238
Employer contributions (assets) at beginning of year2018-12-31$858,670
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,889,127
Contract administrator fees2018-12-31$10,106
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2018-12-31950858589
2017 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$6,316,033
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$5,351,307
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$5,340,853
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,845,311
Value of total assets at end of year2017-12-31$28,363,063
Value of total assets at beginning of year2017-12-31$27,398,337
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$10,454
Total interest from all sources2017-12-31$24,117
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,219,367
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,219,367
Administrative expenses professional fees incurred2017-12-31$10,454
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$915,248
Participant contributions at end of year2017-12-31$155,838
Participant contributions at beginning of year2017-12-31$114,119
Participant contributions at end of year2017-12-31$96,599
Participant contributions at beginning of year2017-12-31$63,981
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$71,393
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$964,726
Value of net assets at end of year (total assets less liabilities)2017-12-31$28,363,063
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$27,398,337
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$25,827,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$24,901,865
Income. Interest from loans (other than to participants)2017-12-31$8,668
Interest earned on other investments2017-12-31$15,449
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,424,814
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,415,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$3,227,238
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$858,670
Employer contributions (assets) at end of year2017-12-31$858,670
Employer contributions (assets) at beginning of year2017-12-31$903,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,340,853
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2017-12-31950858589
2016 : WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$4,790,497
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$631,285
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$629,597
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,811,418
Value of total assets at end of year2016-12-31$27,398,337
Value of total assets at beginning of year2016-12-31$23,239,125
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,688
Total interest from all sources2016-12-31$19,733
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$945,486
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$945,486
Administrative expenses professional fees incurred2016-12-31$1,688
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$939,866
Participant contributions at end of year2016-12-31$114,119
Participant contributions at beginning of year2016-12-31$113,834
Participant contributions at end of year2016-12-31$63,981
Participant contributions at beginning of year2016-12-31$78,819
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$993,935
Other income not declared elsewhere2016-12-31$4,707
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$4,159,212
Value of net assets at end of year (total assets less liabilities)2016-12-31$27,398,337
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$23,239,125
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$24,901,865
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$21,010,047
Income. Interest from loans (other than to participants)2016-12-31$4,835
Interest earned on other investments2016-12-31$14,898
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,415,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,249,505
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,009,153
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$877,617
Employer contributions (assets) at end of year2016-12-31$903,000
Employer contributions (assets) at beginning of year2016-12-31$786,920
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$629,597
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31HUTCHINSON AND BLOODGOOD LLP
Accountancy firm EIN2016-12-31950858589

Form 5500 Responses for WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN

2022: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: WHITTLESEY & HADLEY, P.C. 401(K) RETIREMENT AND SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333719-01
Policy instance 1
Insurance contract or identification number333719-01
Number of Individuals Covered22
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,376
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?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $1,376
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333719-01
Policy instance 1
Insurance contract or identification number333719-01
Number of Individuals Covered19
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,317
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?Yes
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
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $1,317
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333719-01
Policy instance 1
Insurance contract or identification number333719-01
Number of Individuals Covered21
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,148
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?Yes
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
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $833
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333719-01
Policy instance 1
Insurance contract or identification number333719-01
Number of Individuals Covered22
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,023
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?Yes
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
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $811
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333719-01
Policy instance 1
Insurance contract or identification number333719-01
Number of Individuals Covered22
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $1,420
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?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
Commission paid to Insurance BrokerUSD $1,065
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333719-01
Policy instance 1
Insurance contract or identification number333719-01
Number of Individuals Covered22
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,453
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?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
Commission paid to Insurance BrokerUSD $1,090
Insurance broker organization code?3
Insurance broker nameCHERYL HINZE

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