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DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 401k Plan overview

Plan NameDAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN
Plan identification number 001

DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN Benefits

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

DAVID ROSEN BAKERY SUPPLIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:DAVID ROSEN BAKERY SUPPLIES, INC.
Employer identification number (EIN):112379830
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Additional information about DAVID ROSEN BAKERY SUPPLIES, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1976-01-28
Company Identification Number: 390311
Legal Registered Office Address: 59-21 QUEENS MIDTOWN EXPY
Kings
MASPETH
United States of America (USA)
11378

More information about DAVID ROSEN BAKERY SUPPLIES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ANTHONY WARD AS ATTORNEY2023-10-02
0012021-01-01ANTHONY WARD AS ATTORNEY2022-10-05
0012020-01-01ANTHONY WARD AS ATTORNEY2021-06-13
0012019-01-01ANTHONY WARD AS ATTORNEY2020-07-16
0012018-01-01ANTHONY WARD2019-07-29
0012017-01-01ANTHONY WARD
0012016-01-01ANTHONY WARD
0012015-01-01ANTHONY WARD
0012014-01-01ANTHONY WARD
0012013-01-01STEPHEN ROSS
0012012-01-01STEPHEN ROSS
0012011-01-01STEPHEN ROSS
0012010-01-01STEPHEN ROSS
0012009-01-01STEPHEN ROSS

Plan Statistics for DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN

401k plan membership statisitcs for DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN

Measure Date Value
2017: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0160
Total number of active participants reported on line 7a of the Form 55002017-01-0147
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0149
Number of participants with account balances2017-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0158
Total number of active participants reported on line 7a of the Form 55002016-01-0150
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0152
Number of participants with account balances2016-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0161
Total number of active participants reported on line 7a of the Form 55002015-01-0151
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0153
Number of participants with account balances2015-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0158
Total number of active participants reported on line 7a of the Form 55002014-01-0148
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0150
Number of participants with account balances2014-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0162
Total number of active participants reported on line 7a of the Form 55002013-01-0151
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0153
Number of participants with account balances2013-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0148
Total number of active participants reported on line 7a of the Form 55002012-01-0144
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0149
Number of participants with account balances2012-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0158
Total number of active participants reported on line 7a of the Form 55002011-01-0147
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-015
Total of all active and inactive participants2011-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0152
Number of participants with account balances2011-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0157
Total number of active participants reported on line 7a of the Form 55002010-01-0147
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-017
Total of all active and inactive participants2010-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0154
Number of participants with account balances2010-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0156
Total number of active participants reported on line 7a of the Form 55002009-01-0147
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-016
Total of all active and inactive participants2009-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0153
Number of participants with account balances2009-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN

Measure Date Value
2017 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$881,180
Expenses. Total of all expenses incurred2017-12-31$37,276
Benefits paid (including direct rollovers)2017-12-31$37,276
Total plan assets at end of year2017-12-31$5,309,420
Total plan assets at beginning of year2017-12-31$4,465,516
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$135,249
Other income received2017-12-31$715,593
Net income (gross income less expenses)2017-12-31$843,904
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,309,420
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,465,516
Assets. Value of participant loans2017-12-31$33,107
Total contributions received or receivable from employer(s)2017-12-31$30,338
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$-320
Total income from all sources2016-12-31$78,340
Expenses. Total of all expenses incurred2016-12-31$1,000
Benefits paid (including direct rollovers)2016-12-31$1,000
Total plan assets at end of year2016-12-31$4,465,516
Total plan assets at beginning of year2016-12-31$4,388,496
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$115,590
Other income received2016-12-31$-64,590
Net income (gross income less expenses)2016-12-31$77,340
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,465,516
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,388,496
Assets. Value of participant loans2016-12-31$51,568
Total contributions received or receivable from employer(s)2016-12-31$27,340
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$-447
Total income from all sources2015-12-31$-181,717
Expenses. Total of all expenses incurred2015-12-31$79,409
Benefits paid (including direct rollovers)2015-12-31$79,409
Total plan assets at end of year2015-12-31$4,388,496
Total plan assets at beginning of year2015-12-31$4,650,069
Value of fidelity bond covering the plan2015-12-31$350,000
Total contributions received or receivable from participants2015-12-31$81,030
Other income received2015-12-31$-288,042
Net income (gross income less expenses)2015-12-31$-261,126
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,388,496
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,650,069
Assets. Value of participant loans2015-12-31$59,150
Total contributions received or receivable from employer(s)2015-12-31$25,295
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$79,752
Expenses. Total of all expenses incurred2014-12-31$658,947
Benefits paid (including direct rollovers)2014-12-31$658,947
Total plan assets at end of year2014-12-31$4,650,069
Total plan assets at beginning of year2014-12-31$5,229,264
Value of fidelity bond covering the plan2014-12-31$350,000
Total contributions received or receivable from participants2014-12-31$85,515
Other income received2014-12-31$-36,151
Net income (gross income less expenses)2014-12-31$-579,195
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,650,069
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$5,229,264
Assets. Value of participant loans2014-12-31$65,106
Total contributions received or receivable from employer(s)2014-12-31$30,388
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$693,088
Expenses. Total of all expenses incurred2013-12-31$101,502
Benefits paid (including direct rollovers)2013-12-31$101,502
Total plan assets at end of year2013-12-31$5,229,264
Total plan assets at beginning of year2013-12-31$4,637,678
Value of fidelity bond covering the plan2013-12-31$350,000
Total contributions received or receivable from participants2013-12-31$95,613
Other income received2013-12-31$562,065
Net income (gross income less expenses)2013-12-31$591,586
Net plan assets at end of year (total assets less liabilities)2013-12-31$5,229,264
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,637,678
Assets. Value of participant loans2013-12-31$66,568
Total contributions received or receivable from employer(s)2013-12-31$35,410
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$94,807
Expenses. Total of all expenses incurred2012-12-31$34,386
Benefits paid (including direct rollovers)2012-12-31$32,386
Total plan assets at end of year2012-12-31$4,637,678
Total plan assets at beginning of year2012-12-31$4,577,257
Value of fidelity bond covering the plan2012-12-31$350,000
Total contributions received or receivable from participants2012-12-31$100,947
Other income received2012-12-31$-45,968
Net income (gross income less expenses)2012-12-31$60,421
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,637,678
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,577,257
Assets. Value of participant loans2012-12-31$61,830
Total contributions received or receivable from employer(s)2012-12-31$39,828
Value of certain deemed distributions of participant loans2012-12-31$2,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$-491,985
Expenses. Total of all expenses incurred2011-12-31$92,846
Benefits paid (including direct rollovers)2011-12-31$92,846
Total plan assets at end of year2011-12-31$4,577,257
Total plan assets at beginning of year2011-12-31$5,162,088
Value of fidelity bond covering the plan2011-12-31$350,000
Total contributions received or receivable from participants2011-12-31$86,165
Other income received2011-12-31$-612,575
Net income (gross income less expenses)2011-12-31$-584,831
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,577,257
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$5,162,088
Assets. Value of participant loans2011-12-31$4,195
Total contributions received or receivable from employer(s)2011-12-31$34,425
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$1,041,259
Expenses. Total of all expenses incurred2010-12-31$28,500
Benefits paid (including direct rollovers)2010-12-31$28,500
Total plan assets at end of year2010-12-31$5,162,088
Total plan assets at beginning of year2010-12-31$4,149,329
Value of fidelity bond covering the plan2010-12-31$350,000
Total contributions received or receivable from participants2010-12-31$72,280
Other income received2010-12-31$942,576
Net income (gross income less expenses)2010-12-31$1,012,759
Net plan assets at end of year (total assets less liabilities)2010-12-31$5,162,088
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,149,329
Total contributions received or receivable from employer(s)2010-12-31$26,403
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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 DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN

2017: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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
2010: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: DAVID ROSEN BAKERY SUPPLIES, INC. 401(K) PLAN 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

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberP152123
Policy instance 1
Insurance contract or identification numberP152123
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberP152123
Policy instance 1
Insurance contract or identification numberP152123
Number of Individuals Covered1
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberP152123
Policy instance 1
Insurance contract or identification numberP152123
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberP52123
Policy instance 1
Insurance contract or identification numberP52123
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?Yes
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66915 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?Yes

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