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NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameNORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN
Plan identification number 001

NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.
  • 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

NORTH TEXAS DERMATOLOGY, L. C. has sponsored the creation of one or more 401k plans.

Company Name:NORTH TEXAS DERMATOLOGY, L. C.
Employer identification number (EIN):201378995
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01SUSANNE LOCKHART
0012016-01-01SUSANNE LOCKHART
0012015-01-01SUSANNE LOCKHART
0012014-01-01SUSANNE LOCKHART
0012013-01-01SUSANNE LOCKHART
0012012-01-01SUSANNE LOCKHART
0012011-01-01SUSANNE LOCKHART
0012010-01-01SUSANNE LOCKHART
0012009-01-01SUSANNE LOCKHART
0012009-01-01SUSANNE LOCKHART
0012009-01-01SUSANNE LOCKHART
0012008-01-01

Plan Statistics for NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0141
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0142
Total number of active participants reported on line 7a of the Form 55002016-01-0140
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0141
Number of participants with account balances2016-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0138
Total number of active participants reported on line 7a of the Form 55002015-01-0137
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0139
Number of participants with account balances2015-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0143
Total number of active participants reported on line 7a of the Form 55002014-01-0132
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0135
Number of participants with account balances2014-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0137
Total number of active participants reported on line 7a of the Form 55002013-01-0137
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-016
Total of all active and inactive participants2013-01-0143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0143
Number of participants with account balances2013-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0126
Total number of active participants reported on line 7a of the Form 55002012-01-0131
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0133
Number of participants with account balances2012-01-0132
2011: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-0124
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0125
Number of participants with account balances2011-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0122
Total number of active participants reported on line 7a of the Form 55002010-01-0117
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0119
Number of participants with account balances2010-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0113
Total number of active participants reported on line 7a of the Form 55002009-01-0119
Number of retired or separated participants receiving benefits2009-01-013
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0122
Number of participants with account balances2009-01-0116

Financial Data on NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-09-30$304,478
Expenses. Total of all expenses incurred2017-09-30$1,945,427
Benefits paid (including direct rollovers)2017-09-30$1,942,023
Total plan assets at end of year2017-09-30$0
Total plan assets at beginning of year2017-09-30$1,640,949
Value of fidelity bond covering the plan2017-09-30$250,000
Total contributions received or receivable from participants2017-09-30$86,052
Other income received2017-09-30$171,716
Net income (gross income less expenses)2017-09-30$-1,640,949
Net plan assets at end of year (total assets less liabilities)2017-09-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$1,640,949
Total contributions received or receivable from employer(s)2017-09-30$46,710
Expenses. Administrative service providers (salaries,fees and commissions)2017-09-30$3,404
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-09-30$0
2016 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$321,213
Expenses. Total of all expenses incurred2016-12-31$60,559
Benefits paid (including direct rollovers)2016-12-31$58,703
Total plan assets at end of year2016-12-31$1,640,949
Total plan assets at beginning of year2016-12-31$1,380,295
Value of fidelity bond covering the plan2016-12-31$250,000
Total contributions received or receivable from participants2016-12-31$125,431
Other income received2016-12-31$119,533
Net income (gross income less expenses)2016-12-31$260,654
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,640,949
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,380,295
Assets. Value of participant loans2016-12-31$65,348
Total contributions received or receivable from employer(s)2016-12-31$76,249
Value of corrective distributions2016-12-31$1,000
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$856
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$216,956
Expenses. Total of all expenses incurred2015-12-31$20,925
Benefits paid (including direct rollovers)2015-12-31$19,623
Total plan assets at end of year2015-12-31$1,380,295
Total plan assets at beginning of year2015-12-31$1,184,264
Value of fidelity bond covering the plan2015-12-31$250,000
Total contributions received or receivable from participants2015-12-31$142,111
Other income received2015-12-31$-8,075
Net income (gross income less expenses)2015-12-31$196,031
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,380,295
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,184,264
Assets. Value of participant loans2015-12-31$101,720
Total contributions received or receivable from employer(s)2015-12-31$82,920
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$229,979
Expenses. Total of all expenses incurred2014-12-31$32,938
Benefits paid (including direct rollovers)2014-12-31$27,860
Total plan assets at end of year2014-12-31$1,184,264
Total plan assets at beginning of year2014-12-31$987,223
Value of fidelity bond covering the plan2014-12-31$250,000
Total contributions received or receivable from participants2014-12-31$121,309
Other income received2014-12-31$30,511
Net income (gross income less expenses)2014-12-31$197,041
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,184,264
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$987,223
Assets. Value of participant loans2014-12-31$86,105
Total contributions received or receivable from employer(s)2014-12-31$78,159
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$5,078
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$338,729
Expenses. Total of all expenses incurred2013-12-31$17,431
Benefits paid (including direct rollovers)2013-12-31$2,876
Total plan assets at end of year2013-12-31$987,223
Total plan assets at beginning of year2013-12-31$665,925
Value of fidelity bond covering the plan2013-12-31$10,000
Total contributions received or receivable from participants2013-12-31$105,159
Other income received2013-12-31$163,531
Net income (gross income less expenses)2013-12-31$321,298
Net plan assets at end of year (total assets less liabilities)2013-12-31$987,223
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$665,925
Assets. Value of participant loans2013-12-31$72,447
Total contributions received or receivable from employer(s)2013-12-31$70,039
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$14,555
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$236,747
Expenses. Total of all expenses incurred2012-12-31$16,740
Benefits paid (including direct rollovers)2012-12-31$7,065
Total plan assets at end of year2012-12-31$665,925
Total plan assets at beginning of year2012-12-31$445,918
Value of fidelity bond covering the plan2012-12-31$10,000
Total contributions received or receivable from participants2012-12-31$102,549
Other income received2012-12-31$71,780
Net income (gross income less expenses)2012-12-31$220,007
Net plan assets at end of year (total assets less liabilities)2012-12-31$665,925
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$445,918
Assets. Value of participant loans2012-12-31$74,173
Total contributions received or receivable from employer(s)2012-12-31$62,418
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$9,675
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$141,082
Expenses. Total of all expenses incurred2011-12-31$8,233
Benefits paid (including direct rollovers)2011-12-31$1,529
Total plan assets at end of year2011-12-31$445,918
Total plan assets at beginning of year2011-12-31$313,069
Value of fidelity bond covering the plan2011-12-31$10,000
Total contributions received or receivable from participants2011-12-31$92,255
Other income received2011-12-31$-12,211
Net income (gross income less expenses)2011-12-31$132,849
Net plan assets at end of year (total assets less liabilities)2011-12-31$445,918
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$313,069
Assets. Value of participant loans2011-12-31$6,845
Total contributions received or receivable from employer(s)2011-12-31$61,038
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$6,704
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$156,130
Expenses. Total of all expenses incurred2010-12-31$7,738
Benefits paid (including direct rollovers)2010-12-31$3,793
Total plan assets at end of year2010-12-31$313,069
Total plan assets at beginning of year2010-12-31$164,677
Value of fidelity bond covering the plan2010-12-31$10,000
Total contributions received or receivable from participants2010-12-31$60,220
Other income received2010-12-31$34,168
Net income (gross income less expenses)2010-12-31$148,392
Net plan assets at end of year (total assets less liabilities)2010-12-31$313,069
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$164,677
Assets. Value of participant loans2010-12-31$5,673
Total contributions received or receivable from employer(s)2010-12-31$61,742
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$3,945
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING 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 NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN

2017: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING 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: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING 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: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
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
2008: NORTH TEXAS DERMATOLOGY, L. C. 401(K) PROFIT SHARING PLAN 2008 form 5500 responses
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG37324
Policy instance 1
Insurance contract or identification numberG37324
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-09-30
Total amount of commissions paid to insurance brokerUSD $2,882
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,882
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameCARY STREET PARTNERS LLC
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG37324
Policy instance 1
Insurance contract or identification numberG37324
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,999
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,999
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameCARY STREET PARTNERS LLC
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG37324
Policy instance 1
Insurance contract or identification numberG37324
Number of Individuals Covered10
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,122
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,122
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameCARY STREET PARTNERS LLC

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