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NEBSHC PROFIT SHARING 401(K) TRUST 401k Plan overview

Plan NameNEBSHC PROFIT SHARING 401(K) TRUST
Plan identification number 001

NEBSHC PROFIT SHARING 401(K) TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

NORTHEAST BUILDERS SUPPLY & HOME CENTERS, LLC has sponsored the creation of one or more 401k plans.

Company Name:NORTHEAST BUILDERS SUPPLY & HOME CENTERS, LLC
Employer identification number (EIN):061381708
NAIC Classification:423300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEBSHC PROFIT SHARING 401(K) TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01JAN COHEN2020-07-13 JAN COHEN2020-07-13
0012018-01-01JAN COHEN2019-04-11 JAN COHEN2019-04-11
0012017-01-01JAN COHEN JAN COHEN2018-08-06
0012016-01-01
0012016-01-01JAN COHEN2017-10-04
0012016-01-01JAN COHEN2017-10-10
0012016-01-01JAN COHEN2017-10-04
0012015-01-01JAN COHEN
0012014-01-01JAN COHEN
0012013-01-01JAN COHEN
0012012-01-01JAN COHEN
0012011-01-01JAN COHEN
0012009-01-01JAN COHEN

Plan Statistics for NEBSHC PROFIT SHARING 401(K) TRUST

401k plan membership statisitcs for NEBSHC PROFIT SHARING 401(K) TRUST

Measure Date Value
2017: NEBSHC PROFIT SHARING 401(K) TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0183
Total number of active participants reported on line 7a of the Form 55002017-01-0162
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0115
Total of all active and inactive participants2017-01-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0177
Number of participants with account balances2017-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: NEBSHC PROFIT SHARING 401(K) TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0181
Total number of active participants reported on line 7a of the Form 55002016-01-0149
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-0129
Total of all active and inactive participants2016-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0180
Number of participants with account balances2016-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: NEBSHC PROFIT SHARING 401(K) TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0187
Total number of active participants reported on line 7a of the Form 55002015-01-0147
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0130
Total of all active and inactive participants2015-01-0178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0178
Number of participants with account balances2015-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: NEBSHC PROFIT SHARING 401(K) TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0176
Total number of active participants reported on line 7a of the Form 55002014-01-0158
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0122
Total of all active and inactive participants2014-01-0181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0181
Number of participants with account balances2014-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: NEBSHC PROFIT SHARING 401(K) TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0190
Total number of active participants reported on line 7a of the Form 55002013-01-0152
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0122
Total of all active and inactive participants2013-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0174
Number of participants with account balances2013-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NEBSHC PROFIT SHARING 401(K) TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0193
Total number of active participants reported on line 7a of the Form 55002012-01-0152
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0135
Total of all active and inactive participants2012-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0187
Number of participants with account balances2012-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: NEBSHC PROFIT SHARING 401(K) TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0196
Total number of active participants reported on line 7a of the Form 55002011-01-0156
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0136
Total of all active and inactive participants2011-01-0192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0192
Number of participants with account balances2011-01-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013
2009: NEBSHC PROFIT SHARING 401(K) TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-01117
Total number of active participants reported on line 7a of the Form 55002009-01-0158
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0160
Total of all active and inactive participants2009-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01118
Number of participants with account balances2009-01-01118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0112

Financial Data on NEBSHC PROFIT SHARING 401(K) TRUST

Measure Date Value
2017 : NEBSHC PROFIT SHARING 401(K) TRUST 2017 401k financial data
Transfers to/from the plan2017-12-31$1,650,605
Total plan liabilities at end of year2017-12-31$2,450
Total plan liabilities at beginning of year2017-12-31$1,462
Total income from all sources2017-12-31$904,914
Expenses. Total of all expenses incurred2017-12-31$1,695,765
Benefits paid (including direct rollovers)2017-12-31$1,664,661
Total plan assets at end of year2017-12-31$4,250,185
Total plan assets at beginning of year2017-12-31$3,389,443
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$226,625
Assets. Value of loans (other than to participants)2017-12-31$184,581
Expenses. Other expenses not covered elsewhere2017-12-31$24
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$678,289
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$-790,851
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,247,735
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,387,981
Assets. Value of participant loans2017-12-31$147,503
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2017-12-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2017-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$0
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$31,080
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : NEBSHC PROFIT SHARING 401(K) TRUST 2016 401k financial data
Total plan liabilities at end of year2016-12-31$1,462
Total plan liabilities at beginning of year2016-12-31$16,289
Total income from all sources2016-12-31$431,874
Expenses. Total of all expenses incurred2016-12-31$68,109
Benefits paid (including direct rollovers)2016-12-31$38,244
Total plan assets at end of year2016-12-31$3,389,443
Total plan assets at beginning of year2016-12-31$3,040,505
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$170,982
Assets. Value of loans (other than to participants)2016-12-31$184,581
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$191,901
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$363,765
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,387,981
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,024,216
Assets. Value of participant loans2016-12-31$122,866
Total contributions received or receivable from employer(s)2016-12-31$68,991
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$29,865
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : NEBSHC PROFIT SHARING 401(K) TRUST 2015 401k financial data
Total plan liabilities at end of year2015-12-31$16,289
Total plan liabilities at beginning of year2015-12-31$1,947
Total income from all sources2015-12-31$184,374
Expenses. Total of all expenses incurred2015-12-31$138,719
Benefits paid (including direct rollovers)2015-12-31$105,677
Total plan assets at end of year2015-12-31$3,040,505
Total plan assets at beginning of year2015-12-31$2,980,508
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$144,335
Assets. Value of loans (other than to participants)2015-12-31$184,581
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-26,195
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$45,655
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,024,216
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,978,561
Assets. Value of participant loans2015-12-31$65,239
Total contributions received or receivable from employer(s)2015-12-31$66,234
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$33,042
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : NEBSHC PROFIT SHARING 401(K) TRUST 2014 401k financial data
Total plan liabilities at end of year2014-12-31$1,947
Total plan liabilities at beginning of year2014-12-31$2,415
Total income from all sources2014-12-31$339,810
Expenses. Total of all expenses incurred2014-12-31$192,151
Benefits paid (including direct rollovers)2014-12-31$142,026
Total plan assets at end of year2014-12-31$2,980,508
Total plan assets at beginning of year2014-12-31$2,833,317
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$138,697
Assets. Value of loans (other than to participants)2014-12-31$194,781
Expenses. Other expenses not covered elsewhere2014-12-31$32,614
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$132,112
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$147,659
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,978,561
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,830,902
Assets. Value of participant loans2014-12-31$96,025
Total contributions received or receivable from employer(s)2014-12-31$69,001
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$17,511
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
2013 : NEBSHC PROFIT SHARING 401(K) TRUST 2013 401k financial data
Total plan liabilities at end of year2013-12-31$2,415
Total plan liabilities at beginning of year2013-12-31$19,402
Total income from all sources2013-12-31$569,993
Expenses. Total of all expenses incurred2013-12-31$158,468
Benefits paid (including direct rollovers)2013-12-31$116,717
Total plan assets at end of year2013-12-31$2,833,317
Total plan assets at beginning of year2013-12-31$2,438,779
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$124,602
Assets. Value of loans (other than to participants)2013-12-31$194,781
Other income received2013-12-31$445,391
Net income (gross income less expenses)2013-12-31$411,525
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,830,902
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,419,377
Assets. Value of participant loans2013-12-31$141,158
Value of corrective distributions2013-12-31$13,081
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$28,670
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : NEBSHC PROFIT SHARING 401(K) TRUST 2012 401k financial data
Total plan liabilities at end of year2012-12-31$19,402
Total plan liabilities at beginning of year2012-12-31$739
Total income from all sources2012-12-31$411,616
Expenses. Total of all expenses incurred2012-12-31$299,890
Benefits paid (including direct rollovers)2012-12-31$248,428
Total plan assets at end of year2012-12-31$2,438,779
Total plan assets at beginning of year2012-12-31$2,308,390
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$130,535
Assets. Value of loans (other than to participants)2012-12-31$203,723
Contributions received from other sources (not participants or employers)2012-12-31$10,449
Other income received2012-12-31$270,632
Net income (gross income less expenses)2012-12-31$111,726
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,419,377
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,307,651
Assets. Value of participant loans2012-12-31$142,500
Value of corrective distributions2012-12-31$20,391
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$31,071
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : NEBSHC PROFIT SHARING 401(K) TRUST 2011 401k financial data
Total plan liabilities at end of year2011-12-31$739
Total plan liabilities at beginning of year2011-12-31$9,085
Total income from all sources2011-12-31$53,573
Expenses. Total of all expenses incurred2011-12-31$91,758
Benefits paid (including direct rollovers)2011-12-31$39,564
Total plan assets at end of year2011-12-31$2,308,390
Total plan assets at beginning of year2011-12-31$2,354,921
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$136,667
Assets. Value of loans (other than to participants)2011-12-31$227,223
Other income received2011-12-31$-83,094
Net income (gross income less expenses)2011-12-31$-38,185
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,307,651
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,345,836
Assets. Value of participant loans2011-12-31$47,816
Value of corrective distributions2011-12-31$29,186
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$23,008
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : NEBSHC PROFIT SHARING 401(K) TRUST 2010 401k financial data
Total plan liabilities at end of year2010-12-31$9,085
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$365,666
Expenses. Total of all expenses incurred2010-12-31$63,163
Benefits paid (including direct rollovers)2010-12-31$37,294
Total plan assets at end of year2010-12-31$2,354,921
Total plan assets at beginning of year2010-12-31$2,043,333
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$142,825
Assets. Value of loans (other than to participants)2010-12-31$227,223
Expenses. Other expenses not covered elsewhere2010-12-31$25,869
Other income received2010-12-31$222,841
Net income (gross income less expenses)2010-12-31$302,503
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,345,836
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,043,333
Assets. Value of participant loans2010-12-31$56,613
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : NEBSHC PROFIT SHARING 401(K) TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for NEBSHC PROFIT SHARING 401(K) TRUST

2017: NEBSHC PROFIT SHARING 401(K) TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: NEBSHC PROFIT SHARING 401(K) TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
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
2015: NEBSHC PROFIT SHARING 401(K) TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NEBSHC PROFIT SHARING 401(K) TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NEBSHC PROFIT SHARING 401(K) TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NEBSHC PROFIT SHARING 401(K) TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NEBSHC PROFIT SHARING 401(K) TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: NEBSHC PROFIT SHARING 401(K) TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered77
Insurance policy start date2017-03-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $70
Total amount of fees paid to insurance companyUSD $9
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number464438
Policy instance 2
Insurance contract or identification number464438
Number of Individuals Covered77
Insurance policy start date2017-03-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $475
Total amount of fees paid to insurance companyUSD $50
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $475
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 3
Insurance contract or identification number70247
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-02-28
Total amount of commissions paid to insurance brokerUSD $2,571
Total amount of fees paid to insurance companyUSD $258
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,571
Amount paid for insurance broker fees0
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTPA FEES AND COMMISSION
Insurance broker nameT R PAUL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 1
Insurance contract or identification number70247
Number of Individuals Covered63
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,743
Total amount of fees paid to insurance companyUSD $1,383
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $13,743
Insurance broker organization code?3
Amount paid for insurance broker fees1383
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker nameT R PAUL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 1
Insurance contract or identification number70247
Number of Individuals Covered63
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $13,254
Total amount of fees paid to insurance companyUSD $1,330
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $13,254
Insurance broker organization code?3
Amount paid for insurance broker fees1330
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker nameT R PAUL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 1
Insurance contract or identification number70247
Number of Individuals Covered60
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $12,986
Total amount of fees paid to insurance companyUSD $525
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $11,803
Insurance broker organization code?3
Amount paid for insurance broker fees525
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker nameT R PAUL, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 1
Insurance contract or identification number70247
Number of Individuals Covered67
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $11,727
Total amount of fees paid to insurance companyUSD $551
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $10,658
Insurance broker organization code?3
Amount paid for insurance broker fees525
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker nameVANGUARD GROUP, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 1
Insurance contract or identification number70247
Number of Individuals Covered75
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,059
Total amount of fees paid to insurance companyUSD $971
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number70247
Policy instance 1
Insurance contract or identification number70247
Number of Individuals Covered77
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,381
Total amount of fees paid to insurance companyUSD $690
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $8,549
Insurance broker organization code?3
Amount paid for insurance broker fees690
Additional information about fees paid to insurance brokerADMINISTRATIVE
Insurance broker nameT R PAUL, INC.

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