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UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 401k Plan overview

Plan NameUNITED FOOTWEAR GROUP PROFIT SHARING PLAN
Plan identification number 001

UNITED FOOTWEAR GROUP 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.
  • 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

UNITED FOOTWEAR GROUP has sponsored the creation of one or more 401k plans.

Company Name:UNITED FOOTWEAR GROUP
Employer identification number (EIN):133922793
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED FOOTWEAR GROUP PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ALAN SAFDEYE2023-09-30
0012021-01-01ALAN SAFDEYE2022-10-02
0012020-01-01ALAN SAFDEYE2021-06-06
0012019-01-01ALAN SAFDEYE2020-09-29
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01ALAN SAFDEYE2013-10-08 ALAN SAFDEYE2013-10-08
0012011-01-01ALAN SAFDEYE2012-10-04 ALAN SAFDEYE2012-10-04
0012010-01-01ALAN SAFDEYE2011-10-21 ALAN SAFDEYE2011-10-21

Plan Statistics for UNITED FOOTWEAR GROUP PROFIT SHARING PLAN

401k plan membership statisitcs for UNITED FOOTWEAR GROUP PROFIT SHARING PLAN

Measure Date Value
2022: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0127
Total number of active participants reported on line 7a of the Form 55002022-01-0123
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-016
Total of all active and inactive participants2022-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0129
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0125
Total number of active participants reported on line 7a of the Form 55002021-01-0124
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-013
Total of all active and inactive participants2021-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0127
Number of participants with account balances2021-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0121
Total number of active participants reported on line 7a of the Form 55002020-01-0119
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0121
Number of participants with account balances2020-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0121
Total number of active participants reported on line 7a of the Form 55002019-01-0118
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0119
Number of participants with account balances2019-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0122
Total number of active participants reported on line 7a of the Form 55002018-01-0117
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0119
Number of participants with account balances2018-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0120
Total number of active participants reported on line 7a of the Form 55002017-01-0117
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0120
Number of participants with account balances2017-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0117
Total number of active participants reported on line 7a of the Form 55002016-01-0116
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0119
Number of participants with account balances2016-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0118
Total number of active participants reported on line 7a of the Form 55002015-01-0116
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0117
Number of participants with account balances2015-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011

Financial Data on UNITED FOOTWEAR GROUP PROFIT SHARING PLAN

Measure Date Value
2022 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-1,875,772
Expenses. Total of all expenses incurred2022-12-31$151,950
Benefits paid (including direct rollovers)2022-12-31$54,525
Total plan assets at end of year2022-12-31$12,412,901
Total plan assets at beginning of year2022-12-31$14,440,623
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$175,658
Other income received2022-12-31$-2,277,234
Net income (gross income less expenses)2022-12-31$-2,027,722
Net plan assets at end of year (total assets less liabilities)2022-12-31$12,412,901
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$14,440,623
Assets. Value of participant loans2022-12-31$14,412
Assets. Value of assets in partnership/joint-venture interests2022-12-31$125,000
Total contributions received or receivable from employer(s)2022-12-31$225,804
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$97,425
2021 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$2,230,947
Expenses. Total of all expenses incurred2021-12-31$103,563
Total plan assets at end of year2021-12-31$14,440,623
Total plan assets at beginning of year2021-12-31$12,313,239
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$163,555
Other income received2021-12-31$1,863,035
Net income (gross income less expenses)2021-12-31$2,127,384
Net plan assets at end of year (total assets less liabilities)2021-12-31$14,440,623
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$12,313,239
Assets. Value of participant loans2021-12-31$21,786
Assets. Value of assets in partnership/joint-venture interests2021-12-31$125,000
Total contributions received or receivable from employer(s)2021-12-31$204,357
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$103,563
2020 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$1,845,337
Expenses. Total of all expenses incurred2020-12-31$86,335
Total plan assets at end of year2020-12-31$12,313,239
Total plan assets at beginning of year2020-12-31$10,554,237
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$156,460
Other income received2020-12-31$1,507,372
Net income (gross income less expenses)2020-12-31$1,759,002
Net plan assets at end of year (total assets less liabilities)2020-12-31$12,313,239
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$10,554,237
Assets. Value of participant loans2020-12-31$28,136
Assets. Value of assets in partnership/joint-venture interests2020-12-31$125,000
Total contributions received or receivable from employer(s)2020-12-31$181,505
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$86,335
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$2,192,724
Expenses. Total of all expenses incurred2019-12-31$161,739
Benefits paid (including direct rollovers)2019-12-31$39,380
Total plan assets at end of year2019-12-31$10,554,237
Total plan assets at beginning of year2019-12-31$8,523,252
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$166,283
Expenses. Other expenses not covered elsewhere2019-12-31$37,555
Other income received2019-12-31$1,859,452
Net income (gross income less expenses)2019-12-31$2,030,985
Net plan assets at end of year (total assets less liabilities)2019-12-31$10,554,237
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$8,523,252
Assets. Value of participant loans2019-12-31$34,102
Assets. Value of assets in partnership/joint-venture interests2019-12-31$125,000
Total contributions received or receivable from employer(s)2019-12-31$166,989
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$84,804
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$5,219,462
Expenses. Total of all expenses incurred2018-12-31$120,521
Benefits paid (including direct rollovers)2018-12-31$4,165
Total plan assets at end of year2018-12-31$8,523,252
Total plan assets at beginning of year2018-12-31$3,424,311
Value of fidelity bond covering the plan2018-12-31$852,325
Total contributions received or receivable from participants2018-12-31$146,800
Expenses. Other expenses not covered elsewhere2018-12-31$37,555
Contributions received from other sources (not participants or employers)2018-12-31$5,450,574
Other income received2018-12-31$-517,990
Net income (gross income less expenses)2018-12-31$5,098,941
Net plan assets at end of year (total assets less liabilities)2018-12-31$8,523,252
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,424,311
Assets. Value of participant loans2018-12-31$5,520
Assets. Value of assets in partnership/joint-venture interests2018-12-31$125,000
Total contributions received or receivable from employer(s)2018-12-31$140,078
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$78,801
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$792,804
Expenses. Total of all expenses incurred2017-12-31$61,444
Benefits paid (including direct rollovers)2017-12-31$38,288
Total plan assets at end of year2017-12-31$3,424,311
Total plan assets at beginning of year2017-12-31$2,692,951
Value of fidelity bond covering the plan2017-12-31$342,431
Total contributions received or receivable from participants2017-12-31$144,395
Other income received2017-12-31$501,370
Net income (gross income less expenses)2017-12-31$731,360
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,424,311
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,692,951
Assets. Value of assets in partnership/joint-venture interests2017-12-31$90,000
Total contributions received or receivable from employer(s)2017-12-31$147,039
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$23,156
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$404,256
Expenses. Total of all expenses incurred2016-12-31$77,125
Benefits paid (including direct rollovers)2016-12-31$56,565
Total plan assets at end of year2016-12-31$2,692,951
Total plan assets at beginning of year2016-12-31$2,365,820
Value of fidelity bond covering the plan2016-12-31$268,599
Total contributions received or receivable from participants2016-12-31$125,250
Other income received2016-12-31$146,516
Net income (gross income less expenses)2016-12-31$327,131
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,692,951
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,365,820
Assets. Value of assets in partnership/joint-venture interests2016-12-31$90,000
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-12-31$4,100
Total contributions received or receivable from employer(s)2016-12-31$132,490
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$20,560
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$236,870
Expenses. Total of all expenses incurred2015-12-31$31,668
Benefits paid (including direct rollovers)2015-12-31$12,575
Total plan assets at end of year2015-12-31$2,365,820
Total plan assets at beginning of year2015-12-31$2,160,618
Value of fidelity bond covering the plan2015-12-31$236,582
Total contributions received or receivable from participants2015-12-31$122,300
Expenses. Other expenses not covered elsewhere2015-12-31$19,093
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-14,379
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$205,202
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,365,820
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,160,618
Assets. Value of assets in partnership/joint-venture interests2015-12-31$90,000
Total contributions received or receivable from employer(s)2015-12-31$128,949
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$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0

Form 5500 Responses for UNITED FOOTWEAR GROUP PROFIT SHARING PLAN

2022: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: UNITED FOOTWEAR GROUP PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: UNITED FOOTWEAR GROUP PROFIT SHARING 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: UNITED FOOTWEAR GROUP PROFIT SHARING 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: UNITED FOOTWEAR GROUP PROFIT SHARING 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82199
Policy instance 1
Insurance contract or identification number82199
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $75
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82199
Policy instance 1
Insurance contract or identification number82199
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82199
Policy instance 1
Insurance contract or identification number82199
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82199
Policy instance 1
Insurance contract or identification number82199
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $75
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
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerTPA FEES PAID
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82199
Policy instance 1
Insurance contract or identification number82199
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $823
Total amount of fees paid to insurance companyUSD $3,089
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
Commission paid to Insurance BrokerUSD $823
Insurance broker organization code?3
Amount paid for insurance broker fees3089
Additional information about fees paid to insurance brokerREDEMPTION FEES
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82199
Policy instance 1
Insurance contract or identification number82199
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,101
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,101
Insurance broker organization code?3
Insurance broker nameNFP INSURANCE SERVICES, INC.

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