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JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameJACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN
Plan identification number 001

JACKSONVILLE SPINE CENTER, P.A. 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.
  • 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

JACKSONVILLE SPINE CENTER has sponsored the creation of one or more 401k plans.

Company Name:JACKSONVILLE SPINE CENTER
Employer identification number (EIN):200091237
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about JACKSONVILLE SPINE CENTER

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2003-07-15
Company Identification Number: P03000077772
Legal Registered Office Address: 4029 ATLANTIC BLVD.

JACSONVILLE

32207

More information about JACKSONVILLE SPINE CENTER

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CHRISTOPHER ROBERTS, MD2024-02-13 CHRISTOPHER ROBERTS, MD2024-02-13
0012021-01-01CHRISTOPHER ROBERTS, MD2023-02-13 CHRISTOPHER ROBERTS, MD2023-02-13
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01CHRISTOPHER ROBERTS, M.D.2017-07-24
0012015-01-01CHRISTOPHER ROBERTS, M.D.2016-09-27
0012014-01-01CHRISTOPHER ROBERTS, M.D.2015-09-15
0012013-01-01CHRISTOPHER ROBERTS, M.D.2014-10-09
0012012-01-01CHRISTOPHER ROBERTS, M.D.2013-06-12
0012011-01-01CHRISTOPHER ROBERTS, M.D.
0012010-01-01CHRISTOPHER ROBERTS, M.D.
0012009-01-01CHRISTOPHER ROBERTS, M.D.

Plan Statistics for JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN

Measure Date Value
2022: JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01175
Total number of active participants reported on line 7a of the Form 55002022-01-01138
Number of retired or separated participants receiving benefits2022-01-0112
Number of other retired or separated participants entitled to future benefits2022-01-0147
Total of all active and inactive participants2022-01-01197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01197
Number of participants with account balances2022-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01140
Total number of active participants reported on line 7a of the Form 55002021-01-0197
Number of retired or separated participants receiving benefits2021-01-014
Number of other retired or separated participants entitled to future benefits2021-01-0138
Total of all active and inactive participants2021-01-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01139
Number of participants with account balances2021-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2011: JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0157
Total number of active participants reported on line 7a of the Form 55002011-01-0139
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0120
Total of all active and inactive participants2011-01-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0159
Number of participants with account balances2011-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013
2010: JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0157
Total number of active participants reported on line 7a of the Form 55002010-01-0136
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0120
Total of all active and inactive participants2010-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0156
Number of participants with account balances2010-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-013
2009: JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0152
Total number of active participants reported on line 7a of the Form 55002009-01-0138
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0113
Total of all active and inactive participants2009-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0151
Number of participants with account balances2009-01-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-014

Financial Data on JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$38,904
Total income from all sources (including contributions)2022-12-31$-94,410
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$53,366
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$53,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$645,670
Value of total assets at end of year2022-12-31$5,797,398
Value of total assets at beginning of year2022-12-31$5,984,078
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$0
Total interest from all sources2022-12-31$919
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Assets. Real estate other than employer real property at beginning of year2022-12-31$18,788
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$410,790
Participant contributions at end of year2022-12-31$3,972
Participant contributions at beginning of year2022-12-31$5,094
Participant contributions at end of year2022-12-31$57,901
Participant contributions at beginning of year2022-12-31$15,253
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$3,030,463
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$38,904
Other income not declared elsewhere2022-12-31$25,903
Total non interest bearing cash at beginning of year2022-12-31$172,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-147,776
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,797,398
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,945,174
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,892,431
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,891,707
Interest on participant loans2022-12-31$193
Value of interest in common/collective trusts at end of year2022-12-31$782,025
Value of interest in common/collective trusts at beginning of year2022-12-31$802,795
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$726
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$38,506
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$35,610
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-627,938
Net investment gain or loss from common/collective trusts2022-12-31$-138,964
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$234,880
Employer contributions (assets) at end of year2022-12-31$21,828
Employer contributions (assets) at beginning of year2022-12-31$12,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$53,366
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Disclaimer
Accountancy firm name2022-12-31PATRICK & RAINES, LLC
Accountancy firm EIN2022-12-31030464684
2021 : JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$38,904
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,306,047
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$203,541
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$184,552
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$459,957
Value of total assets at end of year2021-12-31$5,984,078
Value of total assets at beginning of year2021-12-31$4,842,668
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$18,989
Total interest from all sources2021-12-31$38,138
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Assets. Real estate other than employer real property at end of year2021-12-31$18,788
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$270,559
Participant contributions at end of year2021-12-31$5,094
Participant contributions at end of year2021-12-31$15,253
Participant contributions at beginning of year2021-12-31$8,825
Assets. Other investments not covered elsewhere at end of year2021-12-31$3,030,463
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$22,512
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$38,904
Other income not declared elsewhere2021-12-31$23,084
Administrative expenses (other) incurred2021-12-31$921
Total non interest bearing cash at end of year2021-12-31$172,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,102,506
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,945,174
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,842,668
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,891,707
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,459,880
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,317,326
Value of interest in common/collective trusts at end of year2021-12-31$802,795
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$38,138
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$35,610
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$56,486
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$661,122
Net investment gain or loss from common/collective trusts2021-12-31$123,746
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$166,886
Employer contributions (assets) at end of year2021-12-31$12,171
Employer contributions (assets) at beginning of year2021-12-31$151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$184,552
Contract administrator fees2021-12-31$18,068
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PATRICK & RAINES, LLC
Accountancy firm EIN2021-12-31030464684
2011 : JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$32,963
Expenses. Total of all expenses incurred2011-12-31$39,769
Benefits paid (including direct rollovers)2011-12-31$39,769
Total plan assets at end of year2011-12-31$2,415,215
Total plan assets at beginning of year2011-12-31$2,422,021
Value of fidelity bond covering the plan2011-12-31$240,000
Total contributions received or receivable from participants2011-12-31$126,411
Other income received2011-12-31$-93,448
Net income (gross income less expenses)2011-12-31$-6,806
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,415,215
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,422,021
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : JACKSONVILLE SPINE CENTER, P.A. 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$679,840
Expenses. Total of all expenses incurred2010-12-31$32,426
Benefits paid (including direct rollovers)2010-12-31$32,426
Total plan assets at end of year2010-12-31$2,422,021
Total plan assets at beginning of year2010-12-31$1,774,607
Value of fidelity bond covering the plan2010-12-31$180,000
Total contributions received or receivable from participants2010-12-31$211,058
Contributions received from other sources (not participants or employers)2010-12-31$2,904
Other income received2010-12-31$230,452
Net income (gross income less expenses)2010-12-31$647,414
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,422,021
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,774,607
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$10,988
Total contributions received or receivable from employer(s)2010-12-31$235,426
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : JACKSONVILLE SPINE CENTER, P.A. 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 JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS PLAN

2022: JACKSONVILLE SPINE CENTER, P.A. 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: JACKSONVILLE SPINE CENTER, P.A. 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
2011: JACKSONVILLE SPINE CENTER, P.A. 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: JACKSONVILLE SPINE CENTER, P.A. RETIREMENT SAVINGS 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 – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: JACKSONVILLE SPINE CENTER, P.A. 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

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number333141
Policy instance 1
Insurance contract or identification number333141
Number of Individuals Covered128
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $4,418
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?Yes
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
Commission paid to Insurance BrokerUSD $4,418
Insurance broker organization code?4
AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract number333141
Policy instance 1
Insurance contract or identification number333141
Number of Individuals Covered94
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,864
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?Yes
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
Commission paid to Insurance BrokerUSD $3,864
Insurance broker organization code?4

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