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INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameINTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN
Plan identification number 002

INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 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.
  • 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.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
  • 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

INTERBORO SYSTEMS CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:INTERBORO SYSTEMS CORPORATION
Employer identification number (EIN):135568886
NAIC Classification:541214
NAIC Description:Payroll Services

Additional information about INTERBORO SYSTEMS CORPORATION

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1965-08-02
Company Identification Number: 189701
Legal Registered Office Address: 28 LIBERTY STREET
Nassau
NEW YORK
United States of America (USA)
10005

More information about INTERBORO SYSTEMS CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01ALBERTO SCANDELLA ALBERTO SCANDELLA2019-05-22
0022017-01-01ALBERTO SCANDELLA ALBERTO SCANDELLA2018-09-11
0022016-01-01ALBERTO SCANDELLA ALBERTO SCANDELLA2017-07-15
0022015-01-01ALBERTO SCANDELLA ALBERTO SCANDELLA2016-08-29
0022014-01-01ALBERTO SCANDELLA ALBERTO SCANDELLA2015-05-06
0022013-01-01ALBERTO SCANDELLA ALBERTO SCANDELLA2014-06-25
0022012-01-01ALBERTO SCANDELLA
0022011-01-01ALBERTO SCANDELLA
0022009-01-01ALBERTO SCANDELLA

Plan Statistics for INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN

Measure Date Value
2022: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0176
Total number of active participants reported on line 7a of the Form 55002022-01-0160
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0114
Total of all active and inactive participants2022-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0174
Number of participants with account balances2022-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0166
Total number of active participants reported on line 7a of the Form 55002021-01-0162
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0114
Total of all active and inactive participants2021-01-0176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0176
Number of participants with account balances2021-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0174
Total number of active participants reported on line 7a of the Form 55002020-01-0154
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0112
Total of all active and inactive participants2020-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0166
Number of participants with account balances2020-01-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0172
Total number of active participants reported on line 7a of the Form 55002019-01-0163
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0111
Total of all active and inactive participants2019-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0174
Number of participants with account balances2019-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0170
Total number of active participants reported on line 7a of the Form 55002018-01-0160
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0112
Total of all active and inactive participants2018-01-0172
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0172
Number of participants with account balances2018-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0162
Total number of active participants reported on line 7a of the Form 55002017-01-0160
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0170
Number of participants with account balances2017-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0157
Total number of active participants reported on line 7a of the Form 55002016-01-0153
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-019
Total of all active and inactive participants2016-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0162
Number of participants with account balances2016-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0157
Total number of active participants reported on line 7a of the Form 55002015-01-0150
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-017
Total of all active and inactive participants2015-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0157
Number of participants with account balances2015-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0159
Total number of active participants reported on line 7a of the Form 55002014-01-0150
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-017
Total of all active and inactive participants2014-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0157
Number of participants with account balances2014-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0151
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 benefits2013-01-017
Total of all active and inactive participants2013-01-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0159
Number of participants with account balances2013-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0151
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 benefits2012-01-017
Total of all active and inactive participants2012-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0151
Number of participants with account balances2012-01-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0152
Total number of active participants reported on line 7a of the Form 55002011-01-0143
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0151
Number of participants with account balances2011-01-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0176
Total number of active participants reported on line 7a of the Form 55002009-01-0152
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0110
Total of all active and inactive participants2009-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0162
Number of participants with account balances2009-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-013

Financial Data on INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2022 401k financial data
Total income from all sources2022-12-31$-298,509
Expenses. Total of all expenses incurred2022-12-31$552,122
Benefits paid (including direct rollovers)2022-12-31$521,378
Total plan assets at end of year2022-12-31$4,218,406
Total plan assets at beginning of year2022-12-31$5,069,037
Total contributions received or receivable from participants2022-12-31$272,955
Expenses. Other expenses not covered elsewhere2022-12-31$28,634
Other income received2022-12-31$-683,113
Net income (gross income less expenses)2022-12-31$-850,631
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,218,406
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,069,037
Assets. Value of participant loans2022-12-31$44,183
Total contributions received or receivable from employer(s)2022-12-31$111,649
Value of certain deemed distributions of participant loans2022-12-31$2,110
2021 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2021 401k financial data
Total income from all sources2021-12-31$803,859
Expenses. Total of all expenses incurred2021-12-31$60,932
Benefits paid (including direct rollovers)2021-12-31$34,052
Total plan assets at end of year2021-12-31$5,069,037
Total plan assets at beginning of year2021-12-31$4,326,110
Total contributions received or receivable from participants2021-12-31$186,475
Expenses. Other expenses not covered elsewhere2021-12-31$26,587
Other income received2021-12-31$563,382
Net income (gross income less expenses)2021-12-31$742,927
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,069,037
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,326,110
Assets. Value of participant loans2021-12-31$64,505
Total contributions received or receivable from employer(s)2021-12-31$54,002
Value of certain deemed distributions of participant loans2021-12-31$293
2020 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2020 401k financial data
Total income from all sources2020-12-31$640,415
Expenses. Total of all expenses incurred2020-12-31$189,759
Benefits paid (including direct rollovers)2020-12-31$155,118
Total plan assets at end of year2020-12-31$4,326,110
Total plan assets at beginning of year2020-12-31$3,875,454
Total contributions received or receivable from participants2020-12-31$163,236
Expenses. Other expenses not covered elsewhere2020-12-31$31,306
Other income received2020-12-31$427,564
Net income (gross income less expenses)2020-12-31$450,656
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,326,110
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,875,454
Assets. Value of participant loans2020-12-31$126,535
Total contributions received or receivable from employer(s)2020-12-31$49,615
Value of certain deemed distributions of participant loans2020-12-31$3,335
2019 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2019 401k financial data
Total income from all sources2019-12-31$863,960
Expenses. Total of all expenses incurred2019-12-31$61,254
Benefits paid (including direct rollovers)2019-12-31$31,790
Total plan assets at end of year2019-12-31$3,875,454
Total plan assets at beginning of year2019-12-31$3,072,748
Total contributions received or receivable from participants2019-12-31$168,363
Expenses. Other expenses not covered elsewhere2019-12-31$29,362
Other income received2019-12-31$644,404
Net income (gross income less expenses)2019-12-31$802,706
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,875,454
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,072,748
Assets. Value of participant loans2019-12-31$185,575
Total contributions received or receivable from employer(s)2019-12-31$51,193
Value of certain deemed distributions of participant loans2019-12-31$102
2018 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2018 401k financial data
Total income from all sources2018-12-31$-24,365
Expenses. Total of all expenses incurred2018-12-31$62,049
Benefits paid (including direct rollovers)2018-12-31$33,061
Total plan assets at end of year2018-12-31$3,072,748
Total plan assets at beginning of year2018-12-31$3,159,162
Total contributions received or receivable from participants2018-12-31$147,490
Expenses. Other expenses not covered elsewhere2018-12-31$28,778
Other income received2018-12-31$-220,480
Net income (gross income less expenses)2018-12-31$-86,414
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,072,748
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,159,162
Assets. Value of participant loans2018-12-31$155,423
Total contributions received or receivable from employer(s)2018-12-31$48,625
Value of certain deemed distributions of participant loans2018-12-31$210
2017 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-12-31$550,738
Expenses. Total of all expenses incurred2017-12-31$68,650
Benefits paid (including direct rollovers)2017-12-31$39,801
Total plan assets at end of year2017-12-31$3,159,162
Total plan assets at beginning of year2017-12-31$2,677,074
Total contributions received or receivable from participants2017-12-31$120,315
Expenses. Other expenses not covered elsewhere2017-12-31$21,840
Other income received2017-12-31$389,120
Net income (gross income less expenses)2017-12-31$482,088
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,159,162
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,677,074
Assets. Value of participant loans2017-12-31$66,354
Total contributions received or receivable from employer(s)2017-12-31$41,303
Value of certain deemed distributions of participant loans2017-12-31$7,009
2016 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$378,094
Expenses. Total of all expenses incurred2016-12-31$44,908
Benefits paid (including direct rollovers)2016-12-31$27,362
Total plan assets at end of year2016-12-31$2,677,074
Total plan assets at beginning of year2016-12-31$2,343,888
Total contributions received or receivable from participants2016-12-31$99,674
Expenses. Other expenses not covered elsewhere2016-12-31$17,546
Other income received2016-12-31$245,275
Net income (gross income less expenses)2016-12-31$333,186
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,677,074
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,343,888
Assets. Value of participant loans2016-12-31$43,087
Total contributions received or receivable from employer(s)2016-12-31$33,145
2015 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$80,688
Expenses. Total of all expenses incurred2015-12-31$220,882
Benefits paid (including direct rollovers)2015-12-31$196,450
Total plan assets at end of year2015-12-31$2,343,888
Total plan assets at beginning of year2015-12-31$2,484,082
Total contributions received or receivable from participants2015-12-31$94,525
Expenses. Other expenses not covered elsewhere2015-12-31$19,246
Other income received2015-12-31$-46,823
Net income (gross income less expenses)2015-12-31$-140,194
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,343,888
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,484,082
Assets. Value of participant loans2015-12-31$50,508
Total contributions received or receivable from employer(s)2015-12-31$32,986
Value of certain deemed distributions of participant loans2015-12-31$5,186
2014 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-12-31$243,195
Expenses. Total of all expenses incurred2014-12-31$132,777
Benefits paid (including direct rollovers)2014-12-31$115,121
Total plan assets at end of year2014-12-31$2,484,082
Total plan assets at beginning of year2014-12-31$2,373,664
Total contributions received or receivable from participants2014-12-31$91,643
Expenses. Other expenses not covered elsewhere2014-12-31$17,656
Other income received2014-12-31$118,991
Net income (gross income less expenses)2014-12-31$110,418
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,484,082
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,373,664
Assets. Value of participant loans2014-12-31$85,715
Total contributions received or receivable from employer(s)2014-12-31$32,561
2013 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$480,701
Expenses. Total of all expenses incurred2013-12-31$14,707
Total plan assets at end of year2013-12-31$2,373,664
Total plan assets at beginning of year2013-12-31$1,907,670
Total contributions received or receivable from participants2013-12-31$77,523
Expenses. Other expenses not covered elsewhere2013-12-31$14,707
Other income received2013-12-31$374,591
Net income (gross income less expenses)2013-12-31$465,994
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,373,664
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,907,670
Assets. Value of participant loans2013-12-31$118,682
Total contributions received or receivable from employer(s)2013-12-31$28,587
2012 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$339,295
Expenses. Total of all expenses incurred2012-12-31$16,750
Benefits paid (including direct rollovers)2012-12-31$4,564
Total plan assets at end of year2012-12-31$1,907,670
Total plan assets at beginning of year2012-12-31$1,585,125
Total contributions received or receivable from participants2012-12-31$69,006
Expenses. Other expenses not covered elsewhere2012-12-31$12,186
Contributions received from other sources (not participants or employers)2012-12-31$736
Other income received2012-12-31$242,364
Net income (gross income less expenses)2012-12-31$322,545
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,907,670
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,585,125
Assets. Value of participant loans2012-12-31$111,095
Total contributions received or receivable from employer(s)2012-12-31$27,189
2011 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-12-31$107,926
Expenses. Total of all expenses incurred2011-12-31$65,974
Benefits paid (including direct rollovers)2011-12-31$56,476
Total plan assets at end of year2011-12-31$1,585,125
Total plan assets at beginning of year2011-12-31$1,543,173
Total contributions received or receivable from participants2011-12-31$77,221
Expenses. Other expenses not covered elsewhere2011-12-31$9,498
Contributions received from other sources (not participants or employers)2011-12-31$41,438
Other income received2011-12-31$-38,425
Net income (gross income less expenses)2011-12-31$41,952
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,585,125
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,543,173
Assets. Value of participant loans2011-12-31$110,755
Total contributions received or receivable from employer(s)2011-12-31$27,692
2010 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$275,488
Expenses. Total of all expenses incurred2010-12-31$207,905
Benefits paid (including direct rollovers)2010-12-31$207,793
Total plan assets at end of year2010-12-31$1,543,173
Total plan assets at beginning of year2010-12-31$1,475,590
Total contributions received or receivable from participants2010-12-31$82,126
Expenses. Other expenses not covered elsewhere2010-12-31$112
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$164,351
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$67,583
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,543,173
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,475,590
Assets. Value of participant loans2010-12-31$97,060
Total contributions received or receivable from employer(s)2010-12-31$29,011
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0
2009 : INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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 INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN

2022: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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
2009: INTERBORO SYSTEMS CORPORATION 1165(E) RETIREMENT SAVINGS 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered11
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered12
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered13
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered12
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 $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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered13
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered27
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $481
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?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 $481
Insurance broker organization code?3
Insurance broker nameROBERTO MALDONADO
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered15
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $439
Total amount of fees paid to insurance companyUSD $0
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 $439
Insurance broker organization code?3
Insurance broker nameROBERTO SANTAMARIA
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered16
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $633
Total amount of fees paid to insurance companyUSD $0
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 $633
Insurance broker organization code?3
Insurance broker nameROBERTO SANTAMARIA
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered13
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $58
Total amount of fees paid to insurance companyUSD $0
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 $58
Insurance broker organization code?3
Insurance broker nameROBERTO SANTAMARIA
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered6
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $71
Total amount of fees paid to insurance companyUSD $0
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 $71
Insurance broker organization code?3
Insurance broker nameROBERTO SANTAMARIA
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26
Total amount of fees paid to insurance companyUSD $0
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332061-P1
Policy instance 1
Insurance contract or identification number332061-P1
Number of Individuals Covered52
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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