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SHANE M. SOPP, M.D., P.C. 401(K) PLAN 401k Plan overview

Plan NameSHANE M. SOPP, M.D., P.C. 401(K) PLAN
Plan identification number 003

SHANE M. SOPP, M.D., P.C. 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

SHANE M. SOPP, M.D., P.C. has sponsored the creation of one or more 401k plans.

Company Name:SHANE M. SOPP, M.D., P.C.
Employer identification number (EIN):161259908
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SHANE M. SOPP, M.D., P.C.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1985-10-10
Company Identification Number: 1031681
Legal Registered Office Address: 2V PHYSICIANS OFFICE BUILDING
COMMUNITY GENERAL HOSPITAL
SYRACUSE
United States of America (USA)
13215

More information about SHANE M. SOPP, M.D., P.C.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHANE M. SOPP, M.D., P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032021-01-01SHANE SOPP2021-09-08 SHANE SOPP2021-09-08
0032020-01-01SHANE SOPP2021-05-10 SHANE SOPP2021-05-10
0032019-01-01SHANE SOPP2020-09-22 SHANE SOPP2020-09-22
0032018-01-01SHANE SOPP2019-04-18 SHANE SOPP2019-04-18
0032017-01-01SHANE SOPP SHANE SOPP2018-08-28
0032016-01-01SHANE M SOPP SHANE M SOPP2017-08-14
0032015-01-01SHANE M SOPP, MD SHANE M SOPP, MD2016-05-18
0032014-01-01SHANE M SOPP, MD SHANE M SOPP, MD2015-08-18
0032013-01-01SHANE SOPP SHANE SOPP2014-09-10
0032012-01-01SHANE SOPP SHANE SOPP2013-06-21
0032011-01-01SHANE SOPP SHANE SOPP2012-09-25
0032010-01-01SHANE SOPP SHANE SOPP2011-10-12
0032009-01-01SHANE SOPP SHANE SOPP2010-10-06

Plan Statistics for SHANE M. SOPP, M.D., P.C. 401(K) PLAN

401k plan membership statisitcs for SHANE M. SOPP, M.D., P.C. 401(K) PLAN

Measure Date Value
2017: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117
Total number of active participants reported on line 7a of the Form 55002017-01-0112
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 participants2017-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0114
Number of participants with account balances2017-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0119
Total number of active participants reported on line 7a of the Form 55002016-01-0114
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0117
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0119
Total number of active participants reported on line 7a of the Form 55002015-01-0113
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-014
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 balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0121
Total number of active participants reported on line 7a of the Form 55002014-01-0116
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 participants2014-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0118
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0119
Total number of active participants reported on line 7a of the Form 55002013-01-0115
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-015
Total of all active and inactive participants2013-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0120
Number of participants with account balances2013-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0116
Total number of active participants reported on line 7a of the Form 55002012-01-0110
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0114
Number of participants with account balances2012-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-019
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-016
Total of all active and inactive participants2011-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0115
Number of participants with account balances2011-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0115
Total number of active participants reported on line 7a of the Form 55002010-01-018
Number of other retired or separated participants entitled to future benefits2010-01-017
Total of all active and inactive participants2010-01-0115
Total participants2010-01-0115
Number of participants with account balances2010-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0114
Total number of active participants reported on line 7a of the Form 55002009-01-0110
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0114
Number of participants with account balances2009-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SHANE M. SOPP, M.D., P.C. 401(K) PLAN

Measure Date Value
2017 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$38
Total income from all sources2017-12-31$281,947
Expenses. Total of all expenses incurred2017-12-31$118,535
Benefits paid (including direct rollovers)2017-12-31$107,100
Total plan assets at end of year2017-12-31$2,029,561
Total plan assets at beginning of year2017-12-31$1,866,187
Value of fidelity bond covering the plan2017-12-31$435,000
Total contributions received or receivable from participants2017-12-31$33,465
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$248,482
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$163,412
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,029,561
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,866,149
Assets. Value of participant loans2017-12-31$11,342
Total contributions received or receivable from employer(s)2017-12-31$0
Value of certain deemed distributions of participant loans2017-12-31$932
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$10,503
2016 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$38
Total plan liabilities at beginning of year2016-12-31$38
Total income from all sources2016-12-31$210,154
Expenses. Total of all expenses incurred2016-12-31$525,257
Benefits paid (including direct rollovers)2016-12-31$510,516
Total plan assets at end of year2016-12-31$1,866,187
Total plan assets at beginning of year2016-12-31$2,181,290
Value of fidelity bond covering the plan2016-12-31$435,000
Total contributions received or receivable from participants2016-12-31$33,403
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$176,751
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$-315,103
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,866,149
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,181,252
Assets. Value of participant loans2016-12-31$17,026
Total contributions received or receivable from employer(s)2016-12-31$0
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$14,741
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$38
Total plan liabilities at beginning of year2015-12-31$24
Total income from all sources2015-12-31$-62,879
Expenses. Total of all expenses incurred2015-12-31$13,924
Benefits paid (including direct rollovers)2015-12-31$0
Total plan assets at end of year2015-12-31$2,181,290
Total plan assets at beginning of year2015-12-31$2,258,079
Value of fidelity bond covering the plan2015-12-31$435,000
Total contributions received or receivable from participants2015-12-31$34,876
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-97,755
Net income (gross income less expenses)2015-12-31$-76,803
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,181,252
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,258,055
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-12-31$3,624
Total contributions received or receivable from employer(s)2015-12-31$0
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$13,924
2014 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$24
Total income from all sources2014-12-31$213,014
Expenses. Total of all expenses incurred2014-12-31$18,394
Benefits paid (including direct rollovers)2014-12-31$570
Total plan assets at end of year2014-12-31$2,258,079
Total plan assets at beginning of year2014-12-31$2,063,435
Value of fidelity bond covering the plan2014-12-31$435,000
Total contributions received or receivable from participants2014-12-31$34,059
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$178,955
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$194,620
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,258,055
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,063,435
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-12-31$3,624
Total contributions received or receivable from employer(s)2014-12-31$0
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$17,824
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$367,891
Expenses. Total of all expenses incurred2013-12-31$16,356
Benefits paid (including direct rollovers)2013-12-31$506
Total plan assets at end of year2013-12-31$2,063,435
Total plan assets at beginning of year2013-12-31$1,711,900
Value of fidelity bond covering the plan2013-12-31$435,000
Total contributions received or receivable from participants2013-12-31$32,884
Expenses. Other expenses not covered elsewhere2013-12-31$0
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$335,007
Net income (gross income less expenses)2013-12-31$351,535
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,063,435
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,711,900
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-12-31$5,083
Total contributions received or receivable from employer(s)2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$15,850
2012 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$198,505
Expenses. Total of all expenses incurred2012-12-31$40,100
Benefits paid (including direct rollovers)2012-12-31$26,320
Total plan assets at end of year2012-12-31$1,711,900
Total plan assets at beginning of year2012-12-31$1,553,495
Value of fidelity bond covering the plan2012-12-31$435,000
Total contributions received or receivable from participants2012-12-31$31,170
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$167,335
Net income (gross income less expenses)2012-12-31$158,405
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,711,900
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,553,495
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022012-12-31$5,070
Total contributions received or receivable from employer(s)2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$13,780
2011 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$37,286
Expenses. Total of all expenses incurred2011-12-31$13,871
Benefits paid (including direct rollovers)2011-12-31$916
Total plan assets at end of year2011-12-31$1,553,495
Total plan assets at beginning of year2011-12-31$1,530,080
Value of fidelity bond covering the plan2011-12-31$435,000
Total contributions received or receivable from participants2011-12-31$24,497
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$12,789
Net income (gross income less expenses)2011-12-31$23,415
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,553,495
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,530,080
Total contributions received or receivable from employer(s)2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$12,955
2010 : SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$168,877
Expenses. Total of all expenses incurred2010-12-31$15,600
Benefits paid (including direct rollovers)2010-12-31$4,094
Total plan assets at end of year2010-12-31$1,530,080
Total plan assets at beginning of year2010-12-31$1,376,803
Value of fidelity bond covering the plan2010-12-31$175,000
Total contributions received or receivable from participants2010-12-31$28,594
Other income received2010-12-31$137,204
Net income (gross income less expenses)2010-12-31$153,277
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,530,080
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,376,803
Total contributions received or receivable from employer(s)2010-12-31$3,079
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$11,506

Form 5500 Responses for SHANE M. SOPP, M.D., P.C. 401(K) PLAN

2017: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 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: SHANE M. SOPP, M.D., P.C. 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
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: SHANE M. SOPP, M.D., P.C. 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

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number82413
Policy instance 1
Insurance contract or identification number82413
Number of Individuals Covered10
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,410
Total amount of fees paid to insurance companyUSD $442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Commission paid to Insurance BrokerUSD $4,410
Amount paid for insurance broker fees0
Insurance broker organization code?7
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
Insurance broker namePINNACLE PLAN DESIGN, LLC

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