401k Plan data: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN plan

BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 401k Plan overview

Plan Name	BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN
Plan identification number	001

BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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.
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

BHC GROUP III FUNERAL HOME, INC. has sponsored the creation of one or more 401k plans.

Company Name: BHC GROUP III FUNERAL HOME, INC.

Employer identification number (EIN): 203944676

NAIC Classification: 812210
NAIC Description: Funeral Homes and Funeral Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01 MIKE CHACE 2021-12-02
001 2020-01-01 MIKE CHACE 2021-07-26
001 2019-01-01 MIKE CHACE 2020-07-02
001 2018-01-01 MIKE CHACE 2019-10-09
001 2017-01-01 MIKE CHACE 2018-10-04
001 2016-01-01 GAIL HUNT
001 2015-01-01 GAIL HUNT
001 2014-01-01 GAIL HUNT
001 2013-01-01 GAIL HUNT
001 2012-01-01 MIKE CHACE
001 2011-01-01 MIKE CHACE
001 2009-01-01 MICHAEL CHACE

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2021-01-01	MIKE CHACE	2021-12-02
001	2020-01-01	MIKE CHACE	2021-07-26
001	2019-01-01	MIKE CHACE	2020-07-02
001	2018-01-01	MIKE CHACE	2019-10-09
001	2017-01-01	MIKE CHACE	2018-10-04
001	2016-01-01	GAIL HUNT
001	2015-01-01	GAIL HUNT
001	2014-01-01	GAIL HUNT
001	2013-01-01	GAIL HUNT
001	2012-01-01	MIKE CHACE
001	2011-01-01	MIKE CHACE
001	2009-01-01	MICHAEL CHACE

Plan Statistics for BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN

401k plan membership statisitcs for BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN

Measure Date Value
2016: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 9
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 6
Number of retired or separated participants receiving benefits 2016-01-01 2
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 8
Number of participants with account balances 2016-01-01 6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 9
Number of other retired or separated participants entitled to future benefits 2015-01-01 3
Total of all active and inactive participants 2015-01-01 12
Total participants 2015-01-01 12
Number of participants with account balances 2015-01-01 9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 16
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 9
Number of other retired or separated participants entitled to future benefits 2014-01-01 3
Total of all active and inactive participants 2014-01-01 12
Total participants 2014-01-01 12
Number of participants with account balances 2014-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 10
Number of other retired or separated participants entitled to future benefits 2013-01-01 3
Total of all active and inactive participants 2013-01-01 13
Total participants 2013-01-01 13
Number of participants with account balances 2013-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 14
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 11
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 14
Number of participants with account balances 2012-01-01 13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 6
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 6
Total of all active and inactive participants 2011-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 13
Number of participants with account balances 2011-01-01 11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 13
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 7
Number of retired or separated participants receiving benefits 2009-01-01 2
Number of other retired or separated participants entitled to future benefits 2009-01-01 5
Total of all active and inactive participants 2009-01-01 14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 14
Number of participants with account balances 2009-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 2

Measure	Date	Value
2016: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	9
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	6
Number of retired or separated participants receiving benefits	2016-01-01	2
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	8
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	8
Number of participants with account balances	2016-01-01	6
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	9
Number of other retired or separated participants entitled to future benefits	2015-01-01	3
Total of all active and inactive participants	2015-01-01	12
Total participants	2015-01-01	12
Number of participants with account balances	2015-01-01	9
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	16
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	9
Number of other retired or separated participants entitled to future benefits	2014-01-01	3
Total of all active and inactive participants	2014-01-01	12
Total participants	2014-01-01	12
Number of participants with account balances	2014-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	10
Number of other retired or separated participants entitled to future benefits	2013-01-01	3
Total of all active and inactive participants	2013-01-01	13
Total participants	2013-01-01	13
Number of participants with account balances	2013-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	14
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	11
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	14
Number of participants with account balances	2012-01-01	13
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	6
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	6
Total of all active and inactive participants	2011-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	13
Number of participants with account balances	2011-01-01	11
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	13
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	7
Number of retired or separated participants receiving benefits	2009-01-01	2
Number of other retired or separated participants entitled to future benefits	2009-01-01	5
Total of all active and inactive participants	2009-01-01	14
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	14
Number of participants with account balances	2009-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	2

Financial Data on BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN

Measure	Date	Value
2016 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources	2016-12-31	$30,582
Expenses. Total of all expenses incurred	2016-12-31	$4,075
Total plan assets at end of year	2016-12-31	$415,086
Total plan assets at beginning of year	2016-12-31	$388,579
Value of fidelity bond covering the plan	2016-12-31	$25,000
Total contributions received or receivable from participants	2016-12-31	$19,055
Other income received	2016-12-31	$5,243
Net income (gross income less expenses)	2016-12-31	$26,507
Net plan assets at end of year (total assets less liabilities)	2016-12-31	$415,086
Net plan assets at beginning of year (total assets less liabilities)	2016-12-31	$388,579
Total contributions received or receivable from employer(s)	2016-12-31	$6,284
Value of certain deemed distributions of participant loans	2016-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-12-31	$4,075
2015 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources	2015-12-31	$20,475
Expenses. Total of all expenses incurred	2015-12-31	$5,887
Total plan assets at end of year	2015-12-31	$388,579
Total plan assets at beginning of year	2015-12-31	$373,991
Value of fidelity bond covering the plan	2015-12-31	$25,000
Total contributions received or receivable from participants	2015-12-31	$15,811
Other income received	2015-12-31	$-952
Net income (gross income less expenses)	2015-12-31	$14,588
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$388,579
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$373,991
Total contributions received or receivable from employer(s)	2015-12-31	$5,616
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$5,887
2014 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$32,138
Expenses. Total of all expenses incurred	2014-12-31	$773
Benefits paid (including direct rollovers)	2014-12-31	$773
Total plan assets at end of year	2014-12-31	$373,991
Total plan assets at beginning of year	2014-12-31	$342,626
Value of fidelity bond covering the plan	2014-12-31	$25,000
Total contributions received or receivable from participants	2014-12-31	$16,355
Other income received	2014-12-31	$10,158
Net income (gross income less expenses)	2014-12-31	$31,365
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$373,991
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$342,626
Total contributions received or receivable from employer(s)	2014-12-31	$5,625
2013 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources	2013-12-31	$49,720
Total plan assets at end of year	2013-12-31	$342,626
Total plan assets at beginning of year	2013-12-31	$292,906
Value of fidelity bond covering the plan	2013-12-31	$25,000
Total contributions received or receivable from participants	2013-12-31	$16,801
Other income received	2013-12-31	$27,272
Net income (gross income less expenses)	2013-12-31	$49,720
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$342,626
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$292,906
Total contributions received or receivable from employer(s)	2013-12-31	$5,647
2012 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$41,230
Expenses. Total of all expenses incurred	2012-12-31	$6,185
Benefits paid (including direct rollovers)	2012-12-31	$3,198
Total plan assets at end of year	2012-12-31	$292,906
Total plan assets at beginning of year	2012-12-31	$257,861
Value of fidelity bond covering the plan	2012-12-31	$200,000
Total contributions received or receivable from participants	2012-12-31	$16,656
Other income received	2012-12-31	$19,316
Net income (gross income less expenses)	2012-12-31	$35,045
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$292,906
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$257,861
Total contributions received or receivable from employer(s)	2012-12-31	$5,258
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,987
2011 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$30,778
Expenses. Total of all expenses incurred	2011-12-31	$47,829
Benefits paid (including direct rollovers)	2011-12-31	$46,884
Total plan assets at end of year	2011-12-31	$289,361
Total plan assets at beginning of year	2011-12-31	$306,412
Value of fidelity bond covering the plan	2011-12-31	$200,000
Total contributions received or receivable from participants	2011-12-31	$4,469
Expenses. Other expenses not covered elsewhere	2011-12-31	$945
Other income received	2011-12-31	$-6,553
Net income (gross income less expenses)	2011-12-31	$-17,051
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$289,361
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$306,412
Total contributions received or receivable from employer(s)	2011-12-31	$32,862
2010 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at beginning of year	2010-12-31	$7,125
Total income from all sources	2010-12-31	$21,509
Expenses. Total of all expenses incurred	2010-12-31	$320,800
Benefits paid (including direct rollovers)	2010-12-31	$320,800
Total plan assets at end of year	2010-12-31	$306,412
Total plan assets at beginning of year	2010-12-31	$612,828
Value of fidelity bond covering the plan	2010-12-31	$200,000
Other income received	2010-12-31	$21,509
Net income (gross income less expenses)	2010-12-31	$-299,291
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$306,412
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$605,703
Assets. Value of participant loans	2010-12-31	$2,343
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN

2016: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: BHC GROUP III FUNERAL HOME, INC. EMPLOYEES PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

33249601

Policy instance

Insurance contract or identification number	33249601
Number of Individuals Covered	0
Total amount of commissions paid to insurance broker	USD $302
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $302
Insurance broker organization code?	3
Insurance broker name	JON HULSEY

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

33249601

Policy instance

Insurance contract or identification number	33249601
Total amount of commissions paid to insurance broker	USD $288
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $288
Insurance broker organization code?	4
Insurance broker name	JON HULSEY

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

33249601

Policy instance

Insurance contract or identification number	33249601
Number of Individuals Covered	0
Total amount of commissions paid to insurance broker	USD $274
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $274
Insurance broker organization code?	4
Insurance broker name	JON HULSEY

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

33249601

Policy instance

Insurance contract or identification number	33249601
Number of Individuals Covered	0
Total amount of commissions paid to insurance broker	USD $277
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $277
Additional information about fees paid to insurance broker	SALES REP COMMISSION
Insurance broker organization code?	4
Insurance broker name	JON HULSEY

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Company Name:	BHC GROUP III FUNERAL HOME, INC.
Employer identification number (EIN):	203944676
NAIC Classification:	812210
NAIC Description:	Funeral Homes and Funeral Services