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UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 401k Plan overview

Plan NameUROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN
Plan identification number 002

UROLOGY ASSOCIATES OF DANBURY, P.C. 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • 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

UROLOGY ASSOCIATES OF DANBURY, P.C. has sponsored the creation of one or more 401k plans.

Company Name:UROLOGY ASSOCIATES OF DANBURY, P.C.
Employer identification number (EIN):061114602
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-07-01J. JAMES BRUNO2024-02-26
0022021-07-01J. JAMES BRUNO2023-03-12
0022020-07-01J. JAMES BRUNO2022-04-03
0022019-07-01J. JAMES BRUNO2021-04-08
0022018-07-01J. JAMES BRUNO2020-03-29
0022017-07-01J. JAMES BRUNO2019-04-05
0022016-07-01
0022015-07-01EDWARD BECK
0022014-07-01EDWARD BECK
0022013-07-01EDWARD BECK
0022012-07-01EDWARD BECK
0022011-07-01EDWARD BECK
0022009-07-01EDWARD BECK

Plan Statistics for UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN

401k plan membership statisitcs for UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN

Measure Date Value
2022: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0152
Total number of active participants reported on line 7a of the Form 55002022-07-0141
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-0117
Total of all active and inactive participants2022-07-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-010
Total participants2022-07-0158
Number of participants with account balances2022-07-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-012
2021: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0149
Total number of active participants reported on line 7a of the Form 55002021-07-0139
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0113
Total of all active and inactive participants2021-07-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-0152
Number of participants with account balances2021-07-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-014
2020: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0153
Total number of active participants reported on line 7a of the Form 55002020-07-0133
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0116
Total of all active and inactive participants2020-07-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-0149
Number of participants with account balances2020-07-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-013
2019: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0152
Total number of active participants reported on line 7a of the Form 55002019-07-0131
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0118
Total of all active and inactive participants2019-07-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-0149
Number of participants with account balances2019-07-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-014
2018: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0150
Total number of active participants reported on line 7a of the Form 55002018-07-0130
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0116
Total of all active and inactive participants2018-07-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-0146
Number of participants with account balances2018-07-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-014
2017: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0153
Total number of active participants reported on line 7a of the Form 55002017-07-0132
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0114
Total of all active and inactive participants2017-07-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0146
Number of participants with account balances2017-07-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-012
2016: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0155
Total number of active participants reported on line 7a of the Form 55002016-07-0133
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0119
Total of all active and inactive participants2016-07-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0152
Number of participants with account balances2016-07-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-013
2015: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0159
Total number of active participants reported on line 7a of the Form 55002015-07-0135
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0117
Total of all active and inactive participants2015-07-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0152
Number of participants with account balances2015-07-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-017
2014: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0157
Total number of active participants reported on line 7a of the Form 55002014-07-0138
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-0116
Total of all active and inactive participants2014-07-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0154
Number of participants with account balances2014-07-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-014
2013: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0156
Total number of active participants reported on line 7a of the Form 55002013-07-0137
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-0118
Total of all active and inactive participants2013-07-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0155
Number of participants with account balances2013-07-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-013
2012: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0154
Total number of active participants reported on line 7a of the Form 55002012-07-0140
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0115
Total of all active and inactive participants2012-07-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0155
Number of participants with account balances2012-07-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0156
Total number of active participants reported on line 7a of the Form 55002011-07-0138
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0114
Total of all active and inactive participants2011-07-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-011
Total participants2011-07-0153
Number of participants with account balances2011-07-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-012
2009: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-0162
Total number of active participants reported on line 7a of the Form 55002009-07-0141
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-0116
Total of all active and inactive participants2009-07-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-011
Total participants2009-07-0158
Number of participants with account balances2009-07-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-012

Financial Data on UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN

Measure Date Value
2023 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2023 401k financial data
Total plan liabilities at end of year2023-06-30$0
Total plan liabilities at beginning of year2023-06-30$0
Total income from all sources2023-06-30$1,199,738
Expenses. Total of all expenses incurred2023-06-30$127,432
Benefits paid (including direct rollovers)2023-06-30$81,032
Total plan assets at end of year2023-06-30$10,227,991
Total plan assets at beginning of year2023-06-30$9,155,685
Value of fidelity bond covering the plan2023-06-30$1,500,000
Total contributions received or receivable from participants2023-06-30$32,137
Expenses. Other expenses not covered elsewhere2023-06-30$0
Contributions received from other sources (not participants or employers)2023-06-30$0
Other income received2023-06-30$729,764
Noncash contributions received2023-06-30$0
Net income (gross income less expenses)2023-06-30$1,072,306
Net plan assets at end of year (total assets less liabilities)2023-06-30$10,227,991
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$9,155,685
Assets. Value of participant loans2023-06-30$111,129
Assets. Value of assets in partnership/joint-venture interests2023-06-30$1,448,312
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022023-06-30$14,859
Total contributions received or receivable from employer(s)2023-06-30$437,837
Value of certain deemed distributions of participant loans2023-06-30$0
Value of corrective distributions2023-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-06-30$46,400
2022 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan2022-06-30$0
Total plan liabilities at end of year2022-06-30$0
Total plan liabilities at beginning of year2022-06-30$0
Total income from all sources2022-06-30$-784,400
Expenses. Total of all expenses incurred2022-06-30$147,602
Benefits paid (including direct rollovers)2022-06-30$95,163
Total plan assets at end of year2022-06-30$9,155,685
Total plan assets at beginning of year2022-06-30$10,087,687
Value of fidelity bond covering the plan2022-06-30$1,500,000
Total contributions received or receivable from participants2022-06-30$31,847
Expenses. Other expenses not covered elsewhere2022-06-30$0
Contributions received from other sources (not participants or employers)2022-06-30$0
Other income received2022-06-30$-1,220,410
Noncash contributions received2022-06-30$0
Net income (gross income less expenses)2022-06-30$-932,002
Net plan assets at end of year (total assets less liabilities)2022-06-30$9,155,685
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$10,087,687
Assets. Value of participant loans2022-06-30$84,635
Assets. Value of assets in partnership/joint-venture interests2022-06-30$1,469,439
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022022-06-30$9,419
Total contributions received or receivable from employer(s)2022-06-30$404,163
Value of certain deemed distributions of participant loans2022-06-30$0
Value of corrective distributions2022-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$52,439
2021 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-06-30$0
Total plan liabilities at end of year2021-06-30$0
Total plan liabilities at beginning of year2021-06-30$0
Total income from all sources2021-06-30$2,255,498
Expenses. Total of all expenses incurred2021-06-30$151,020
Benefits paid (including direct rollovers)2021-06-30$105,954
Total plan assets at end of year2021-06-30$10,087,687
Total plan assets at beginning of year2021-06-30$7,983,209
Value of fidelity bond covering the plan2021-06-30$1,500,000
Total contributions received or receivable from participants2021-06-30$26,652
Expenses. Other expenses not covered elsewhere2021-06-30$0
Contributions received from other sources (not participants or employers)2021-06-30$0
Other income received2021-06-30$1,873,525
Noncash contributions received2021-06-30$0
Net income (gross income less expenses)2021-06-30$2,104,478
Net plan assets at end of year (total assets less liabilities)2021-06-30$10,087,687
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$7,983,209
Assets. Value of participant loans2021-06-30$114,398
Assets. Value of assets in partnership/joint-venture interests2021-06-30$1,047,469
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022021-06-30$11,720
Total contributions received or receivable from employer(s)2021-06-30$355,321
Value of certain deemed distributions of participant loans2021-06-30$0
Value of corrective distributions2021-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$45,066
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
2020 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-06-30$0
Total plan liabilities at end of year2020-06-30$0
Total plan liabilities at beginning of year2020-06-30$0
Total income from all sources2020-06-30$582,849
Expenses. Total of all expenses incurred2020-06-30$114,837
Benefits paid (including direct rollovers)2020-06-30$72,638
Total plan assets at end of year2020-06-30$7,983,209
Total plan assets at beginning of year2020-06-30$7,515,197
Value of fidelity bond covering the plan2020-06-30$1,500,000
Total contributions received or receivable from participants2020-06-30$21,855
Expenses. Other expenses not covered elsewhere2020-06-30$0
Contributions received from other sources (not participants or employers)2020-06-30$0
Other income received2020-06-30$203,655
Noncash contributions received2020-06-30$0
Net income (gross income less expenses)2020-06-30$468,012
Net plan assets at end of year (total assets less liabilities)2020-06-30$7,983,209
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$7,515,197
Assets. Value of participant loans2020-06-30$92,621
Assets. Value of assets in partnership/joint-venture interests2020-06-30$578,780
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022020-06-30$10,694
Total contributions received or receivable from employer(s)2020-06-30$357,339
Value of certain deemed distributions of participant loans2020-06-30$0
Value of corrective distributions2020-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$42,199
2019 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-06-30$0
Total plan liabilities at end of year2019-06-30$0
Total plan liabilities at beginning of year2019-06-30$0
Total income from all sources2019-06-30$843,042
Expenses. Total of all expenses incurred2019-06-30$637,312
Benefits paid (including direct rollovers)2019-06-30$600,006
Total plan assets at end of year2019-06-30$7,515,197
Total plan assets at beginning of year2019-06-30$7,309,467
Value of fidelity bond covering the plan2019-06-30$500,000
Total contributions received or receivable from participants2019-06-30$21,854
Expenses. Other expenses not covered elsewhere2019-06-30$0
Contributions received from other sources (not participants or employers)2019-06-30$0
Other income received2019-06-30$469,046
Noncash contributions received2019-06-30$0
Net income (gross income less expenses)2019-06-30$205,730
Net plan assets at end of year (total assets less liabilities)2019-06-30$7,515,197
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$7,309,467
Assets. Value of participant loans2019-06-30$97,485
Assets. Value of assets in partnership/joint-venture interests2019-06-30$425,052
Total contributions received or receivable from employer(s)2019-06-30$352,142
Value of certain deemed distributions of participant loans2019-06-30$0
Value of corrective distributions2019-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$37,306
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
2018 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan2017-06-30$0
Total plan liabilities at end of year2017-06-30$0
Total plan liabilities at beginning of year2017-06-30$0
Total income from all sources2017-06-30$1,155,422
Expenses. Total of all expenses incurred2017-06-30$83,203
Benefits paid (including direct rollovers)2017-06-30$54,996
Total plan assets at end of year2017-06-30$6,532,330
Total plan assets at beginning of year2017-06-30$5,460,111
Value of fidelity bond covering the plan2017-06-30$500,000
Total contributions received or receivable from participants2017-06-30$14,703
Expenses. Other expenses not covered elsewhere2017-06-30$0
Contributions received from other sources (not participants or employers)2017-06-30$0
Other income received2017-06-30$777,875
Noncash contributions received2017-06-30$0
Net income (gross income less expenses)2017-06-30$1,072,219
Net plan assets at end of year (total assets less liabilities)2017-06-30$6,532,330
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$5,460,111
Assets. Value of participant loans2017-06-30$84,473
Total contributions received or receivable from employer(s)2017-06-30$362,844
Value of certain deemed distributions of participant loans2017-06-30$0
Value of corrective distributions2017-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$28,207
2016 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan2016-06-30$0
Total plan liabilities at end of year2016-06-30$0
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$316,916
Expenses. Total of all expenses incurred2016-06-30$333,476
Benefits paid (including direct rollovers)2016-06-30$309,240
Total plan assets at end of year2016-06-30$5,460,111
Total plan assets at beginning of year2016-06-30$5,476,671
Value of fidelity bond covering the plan2016-06-30$500,000
Total contributions received or receivable from participants2016-06-30$16,413
Expenses. Other expenses not covered elsewhere2016-06-30$0
Contributions received from other sources (not participants or employers)2016-06-30$0
Other income received2016-06-30$-114,473
Noncash contributions received2016-06-30$0
Net income (gross income less expenses)2016-06-30$-16,560
Net plan assets at end of year (total assets less liabilities)2016-06-30$5,460,111
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$5,476,671
Assets. Value of participant loans2016-06-30$55,371
Total contributions received or receivable from employer(s)2016-06-30$414,976
Value of certain deemed distributions of participant loans2016-06-30$0
Value of corrective distributions2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$24,236
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-06-30$0
Total plan liabilities at beginning of year2015-06-30$0
Total income from all sources2015-06-30$432,301
Expenses. Total of all expenses incurred2015-06-30$175,123
Benefits paid (including direct rollovers)2015-06-30$148,374
Total plan assets at end of year2015-06-30$5,476,671
Total plan assets at beginning of year2015-06-30$5,219,493
Value of fidelity bond covering the plan2015-06-30$500,000
Total contributions received or receivable from participants2015-06-30$22,122
Expenses. Other expenses not covered elsewhere2015-06-30$0
Contributions received from other sources (not participants or employers)2015-06-30$0
Other income received2015-06-30$13,048
Noncash contributions received2015-06-30$0
Net income (gross income less expenses)2015-06-30$257,178
Net plan assets at end of year (total assets less liabilities)2015-06-30$5,476,671
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$5,219,493
Assets. Value of participant loans2015-06-30$47,055
Total contributions received or receivable from employer(s)2015-06-30$397,131
Value of certain deemed distributions of participant loans2015-06-30$0
Value of corrective distributions2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$26,749
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan2014-06-30$0
Total plan liabilities at end of year2014-06-30$0
Total plan liabilities at beginning of year2014-06-30$0
Total income from all sources2014-06-30$974,068
Expenses. Total of all expenses incurred2014-06-30$127,311
Benefits paid (including direct rollovers)2014-06-30$101,143
Total plan assets at end of year2014-06-30$5,219,493
Total plan assets at beginning of year2014-06-30$4,372,736
Value of fidelity bond covering the plan2014-06-30$500,000
Total contributions received or receivable from participants2014-06-30$25,759
Expenses. Other expenses not covered elsewhere2014-06-30$0
Contributions received from other sources (not participants or employers)2014-06-30$0
Other income received2014-06-30$619,961
Noncash contributions received2014-06-30$0
Net income (gross income less expenses)2014-06-30$846,757
Net plan assets at end of year (total assets less liabilities)2014-06-30$5,219,493
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$4,372,736
Assets. Value of participant loans2014-06-30$60,453
Total contributions received or receivable from employer(s)2014-06-30$328,348
Value of certain deemed distributions of participant loans2014-06-30$0
Value of corrective distributions2014-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$26,168
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-06-30$0
Total plan liabilities at end of year2013-06-30$0
Total plan liabilities at beginning of year2013-06-30$0
Total income from all sources2013-06-30$782,264
Expenses. Total of all expenses incurred2013-06-30$236,285
Benefits paid (including direct rollovers)2013-06-30$219,119
Total plan assets at end of year2013-06-30$4,372,736
Total plan assets at beginning of year2013-06-30$3,826,757
Value of fidelity bond covering the plan2013-06-30$260,000
Total contributions received or receivable from participants2013-06-30$30,227
Expenses. Other expenses not covered elsewhere2013-06-30$0
Contributions received from other sources (not participants or employers)2013-06-30$11,799
Other income received2013-06-30$363,575
Noncash contributions received2013-06-30$0
Net income (gross income less expenses)2013-06-30$545,979
Net plan assets at end of year (total assets less liabilities)2013-06-30$4,372,736
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$3,826,757
Assets. Value of participant loans2013-06-30$74,205
Total contributions received or receivable from employer(s)2013-06-30$376,663
Value of certain deemed distributions of participant loans2013-06-30$0
Value of corrective distributions2013-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$17,166
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-06-30$0
Total plan liabilities at end of year2012-06-30$0
Total plan liabilities at beginning of year2012-06-30$0
Total income from all sources2012-06-30$243,527
Expenses. Total of all expenses incurred2012-06-30$109,321
Benefits paid (including direct rollovers)2012-06-30$93,623
Total plan assets at end of year2012-06-30$3,826,757
Total plan assets at beginning of year2012-06-30$3,692,551
Value of fidelity bond covering the plan2012-06-30$260,000
Total contributions received or receivable from participants2012-06-30$24,014
Expenses. Other expenses not covered elsewhere2012-06-30$0
Contributions received from other sources (not participants or employers)2012-06-30$0
Other income received2012-06-30$-134,207
Noncash contributions received2012-06-30$0
Net income (gross income less expenses)2012-06-30$134,206
Net plan assets at end of year (total assets less liabilities)2012-06-30$3,826,757
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$3,692,551
Assets. Value of participant loans2012-06-30$21,235
Total contributions received or receivable from employer(s)2012-06-30$353,720
Value of certain deemed distributions of participant loans2012-06-30$0
Value of corrective distributions2012-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$15,698
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-06-30$0
Total plan liabilities at end of year2011-06-30$0
Total plan liabilities at beginning of year2011-06-30$0
Total income from all sources2011-06-30$864,764
Expenses. Total of all expenses incurred2011-06-30$4,793
Benefits paid (including direct rollovers)2011-06-30$4,793
Total plan assets at end of year2011-06-30$3,692,551
Total plan assets at beginning of year2011-06-30$2,832,580
Value of fidelity bond covering the plan2011-06-30$260,000
Total contributions received or receivable from participants2011-06-30$22,656
Expenses. Other expenses not covered elsewhere2011-06-30$0
Contributions received from other sources (not participants or employers)2011-06-30$0
Other income received2011-06-30$491,408
Noncash contributions received2011-06-30$0
Net income (gross income less expenses)2011-06-30$859,971
Net plan assets at end of year (total assets less liabilities)2011-06-30$3,692,551
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$2,832,580
Assets. Value of participant loans2011-06-30$19,852
Total contributions received or receivable from employer(s)2011-06-30$350,700
Value of certain deemed distributions of participant loans2011-06-30$0
Value of corrective distributions2011-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
2010 : UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN

2022: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: UROLOGY ASSOCIATES OF DANBURY, P.C. PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered11
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered11
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered11
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered11
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered9
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered9
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
Insurance broker nameCORNERSTONE INVESTMENTS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered11
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
Insurance broker nameCORNERSTONE INVESTMENTS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered12
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $1
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1
Insurance broker organization code?4
Amount paid for insurance broker fees1
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
Insurance broker nameCORNERSTONE INVESTMENTS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered13
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $19
Total amount of fees paid to insurance companyUSD $5
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $19
Insurance broker organization code?4
Amount paid for insurance broker fees5
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR OVERRIDES
Insurance broker nameCORNERSTONE INVESTMENTS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered14
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $21
Total amount of fees paid to insurance companyUSD $5
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-B0-LJ19
Policy instance 1
Insurance contract or identification numberGAP-B0-LJ19
Number of Individuals Covered14
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $17
Total amount of fees paid to insurance companyUSD $4
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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