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PRISM MARITIME, LLC RETIREMENT TRUST 401k Plan overview

Plan NamePRISM MARITIME, LLC RETIREMENT TRUST
Plan identification number 001

PRISM MARITIME, LLC RETIREMENT TRUST 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

PRISM MARITIME, LLC has sponsored the creation of one or more 401k plans.

Company Name:PRISM MARITIME, LLC
Employer identification number (EIN):205613822
NAIC Classification:541600

Additional information about PRISM MARITIME, LLC

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 2006-09-19
Company Identification Number: S199834
Legal Registered Office Address: 1416 KELLAND DR, STE B

CHESAPEAKE
United States of America (USA)
23320

More information about PRISM MARITIME, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRISM MARITIME, LLC RETIREMENT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01JASON COUSE2021-10-13
0012019-01-01JASON COUSE2020-10-15
0012018-01-01JASON COUSE2019-10-10
0012018-01-01JASON COUSE2019-10-10
0012017-01-01
0012016-01-01
0012016-01-01

Plan Statistics for PRISM MARITIME, LLC RETIREMENT TRUST

401k plan membership statisitcs for PRISM MARITIME, LLC RETIREMENT TRUST

Measure Date Value
2022: PRISM MARITIME, LLC RETIREMENT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01483
Total number of active participants reported on line 7a of the Form 55002022-01-01327
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0192
Total of all active and inactive participants2022-01-01420
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01420
Number of participants with account balances2022-01-01419
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0137
2021: PRISM MARITIME, LLC RETIREMENT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01511
Total number of active participants reported on line 7a of the Form 55002021-01-01359
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01124
Total of all active and inactive participants2021-01-01483
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01483
Number of participants with account balances2021-01-01483
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0129
2020: PRISM MARITIME, LLC RETIREMENT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01372
Total number of active participants reported on line 7a of the Form 55002020-01-01307
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01145
Total of all active and inactive participants2020-01-01452
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01452
Number of participants with account balances2020-01-01451
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0113
2019: PRISM MARITIME, LLC RETIREMENT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01323
Total number of active participants reported on line 7a of the Form 55002019-01-01278
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0175
Total of all active and inactive participants2019-01-01353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01353
Number of participants with account balances2019-01-01350
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0127
2018: PRISM MARITIME, LLC RETIREMENT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01293
Total number of active participants reported on line 7a of the Form 55002018-01-01235
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0164
Total of all active and inactive participants2018-01-01299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01299
Number of participants with account balances2018-01-01296
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PRISM MARITIME, LLC RETIREMENT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-01221
Total number of active participants reported on line 7a of the Form 55002017-01-01216
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0149
Total of all active and inactive participants2017-01-01265
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01265
Number of participants with account balances2017-01-01263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0117
2016: PRISM MARITIME, LLC RETIREMENT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-01252
Total number of active participants reported on line 7a of the Form 55002016-01-01186
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0131
Total of all active and inactive participants2016-01-01217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01217
Number of participants with account balances2016-01-01211
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on PRISM MARITIME, LLC RETIREMENT TRUST

Measure Date Value
2022 : PRISM MARITIME, LLC RETIREMENT TRUST 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$0
Total income from all sources (including contributions)2022-12-31$475,145
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,779,437
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,592,408
Expenses. Certain deemed distributions of participant loans2022-12-31$89,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,464,212
Value of total assets at end of year2022-12-31$17,744,100
Value of total assets at beginning of year2022-12-31$19,048,392
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$97,305
Total interest from all sources2022-12-31$36,793
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$338,200
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$338,200
Administrative expenses professional fees incurred2022-12-31$54,842
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$1,836,217
Participant contributions at end of year2022-12-31$781,973
Participant contributions at beginning of year2022-12-31$690,486
Participant contributions at end of year2022-12-31$63,838
Participant contributions at beginning of year2022-12-31$68,090
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$31,616
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$491,144
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,304,292
Value of net assets at end of year (total assets less liabilities)2022-12-31$17,744,100
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$19,048,392
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
Investment advisory and management fees2022-12-31$42,463
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$16,680,157
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$18,097,534
Interest on participant loans2022-12-31$35,943
Interest earned on other investments2022-12-31$850
Value of interest in common/collective trusts at end of year2022-12-31$110,927
Value of interest in common/collective trusts at beginning of year2022-12-31$39,480
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-3,364,060
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 plan2022-12-31Yes
Contributions received in cash from employer2022-12-31$1,136,851
Employer contributions (assets) at end of year2022-12-31$107,205
Employer contributions (assets) at beginning of year2022-12-31$121,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,592,408
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 plan2022-12-31Unqualified
Accountancy firm name2022-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2022-12-31541873714
2021 : PRISM MARITIME, LLC RETIREMENT TRUST 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$0
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$4,965,058
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,258,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,112,920
Expenses. Certain deemed distributions of participant loans2021-12-31$54,657
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,737,746
Value of total assets at end of year2021-12-31$19,048,392
Value of total assets at beginning of year2021-12-31$15,342,127
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$91,216
Total interest from all sources2021-12-31$34,717
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$311,895
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$311,895
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 period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,605,464
Participant contributions at end of year2021-12-31$690,486
Participant contributions at beginning of year2021-12-31$684,872
Participant contributions at end of year2021-12-31$68,090
Participant contributions at beginning of year2021-12-31$47,395
Assets. Other investments not covered elsewhere at end of year2021-12-31$31,616
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$71,586
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$3,706,265
Value of net assets at end of year (total assets less liabilities)2021-12-31$19,048,392
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$15,342,127
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
Investment advisory and management fees2021-12-31$34,750
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$18,097,534
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$14,524,364
Interest on participant loans2021-12-31$34,045
Interest earned on other investments2021-12-31$672
Value of interest in common/collective trusts at end of year2021-12-31$39,480
Value of interest in common/collective trusts at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$8,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,880,700
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 contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31Yes
Contributions received in cash from employer2021-12-31$1,060,696
Employer contributions (assets) at end of year2021-12-31$121,186
Employer contributions (assets) at beginning of year2021-12-31$77,461
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,112,920
Contract administrator fees2021-12-31$56,466
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
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 name2021-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2021-12-31541873714
2020 : PRISM MARITIME, LLC RETIREMENT TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$4,413,207
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,003,675
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$907,528
Expenses. Certain deemed distributions of participant loans2020-12-31$3,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,476,100
Value of total assets at end of year2020-12-31$15,342,127
Value of total assets at beginning of year2020-12-31$11,932,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$93,147
Total interest from all sources2020-12-31$33,768
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,296,464
Participant contributions at end of year2020-12-31$684,872
Participant contributions at beginning of year2020-12-31$545,308
Participant contributions at end of year2020-12-31$47,395
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$240,508
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$3,409,532
Value of net assets at end of year (total assets less liabilities)2020-12-31$15,342,127
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$11,932,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$31,782
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$14,524,364
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$11,310,402
Interest on participant loans2020-12-31$33,415
Interest earned on other investments2020-12-31$353
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$8,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$678
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,903,339
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31Yes
Contributions received in cash from employer2020-12-31$939,128
Employer contributions (assets) at end of year2020-12-31$77,461
Employer contributions (assets) at beginning of year2020-12-31$76,207
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$907,528
Contract administrator fees2020-12-31$61,365
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2020-12-31541873714
2019 : PRISM MARITIME, LLC RETIREMENT TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,073,675
Total income from all sources (including contributions)2019-12-31$4,073,675
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$703,962
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$609,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$609,068
Expenses. Certain deemed distributions of participant loans2019-12-31$16,271
Expenses. Certain deemed distributions of participant loans2019-12-31$16,271
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,070,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,070,603
Value of total assets at end of year2019-12-31$11,932,595
Value of total assets at end of year2019-12-31$11,932,595
Value of total assets at beginning of year2019-12-31$8,562,882
Value of total assets at beginning of year2019-12-31$8,562,882
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$78,623
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$78,623
Total interest from all sources2019-12-31$29,741
Total interest from all sources2019-12-31$29,741
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$440,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,135,553
Contributions received from participants2019-12-31$1,135,553
Participant contributions at end of year2019-12-31$545,308
Participant contributions at end of year2019-12-31$545,308
Participant contributions at beginning of year2019-12-31$441,902
Participant contributions at beginning of year2019-12-31$441,902
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$13,792
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$13,792
Other income not declared elsewhere2019-12-31$11
Other income not declared elsewhere2019-12-31$11
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,369,713
Value of net assets at end of year (total assets less liabilities)2019-12-31$11,932,595
Value of net assets at end of year (total assets less liabilities)2019-12-31$11,932,595
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,562,882
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,562,882
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$30,498
Investment advisory and management fees2019-12-31$30,498
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,310,402
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$11,310,402
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,041,369
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$8,041,369
Interest on participant loans2019-12-31$29,741
Interest on participant loans2019-12-31$29,741
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$678
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$302
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$302
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,973,320
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,973,320
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31Yes
Contributions received in cash from employer2019-12-31$921,258
Contributions received in cash from employer2019-12-31$921,258
Employer contributions (assets) at end of year2019-12-31$76,207
Employer contributions (assets) at end of year2019-12-31$76,207
Employer contributions (assets) at beginning of year2019-12-31$79,309
Employer contributions (assets) at beginning of year2019-12-31$79,309
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$609,068
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$609,068
Contract administrator fees2019-12-31$48,125
Contract administrator fees2019-12-31$48,125
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2019-12-31541873714
2018 : PRISM MARITIME, LLC RETIREMENT TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,091
Total income from all sources (including contributions)2018-12-31$1,252,554
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$937,157
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$877,138
Expenses. Certain deemed distributions of participant loans2018-12-31$2,539
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,804,317
Value of total assets at end of year2018-12-31$8,562,882
Value of total assets at beginning of year2018-12-31$8,248,576
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$57,480
Total interest from all sources2018-12-31$18,970
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$964,639
Participant contributions at end of year2018-12-31$441,902
Participant contributions at beginning of year2018-12-31$287,385
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$93,805
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,091
Other income not declared elsewhere2018-12-31$3
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$315,397
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,562,882
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,247,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$5,490
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$8,041,369
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$7,888,496
Interest on participant loans2018-12-31$18,970
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$302
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-570,736
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31Yes
Contributions received in cash from employer2018-12-31$745,873
Employer contributions (assets) at end of year2018-12-31$79,309
Employer contributions (assets) at beginning of year2018-12-31$72,695
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$877,138
Contract administrator fees2018-12-31$51,990
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Liabilities. Value of benefit claims payable at end of year2018-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$0
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2018-12-31541873714
2017 : PRISM MARITIME, LLC RETIREMENT TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,091
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$2,681,867
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$300,280
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$247,319
Expenses. Certain deemed distributions of participant loans2017-12-31$2,467
Value of total corrective distributions2017-12-31$1,284
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,570,735
Value of total assets at end of year2017-12-31$8,248,576
Value of total assets at beginning of year2017-12-31$5,865,898
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$49,210
Total interest from all sources2017-12-31$12,893
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$859,831
Participant contributions at end of year2017-12-31$287,385
Participant contributions at beginning of year2017-12-31$274,755
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$71,531
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,091
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,381,587
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,247,485
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,865,898
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$7,888,496
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$5,397,569
Interest on participant loans2017-12-31$12,893
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,098,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31Yes
Contributions received in cash from employer2017-12-31$639,373
Employer contributions (assets) at end of year2017-12-31$72,695
Employer contributions (assets) at beginning of year2017-12-31$193,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$247,319
Contract administrator fees2017-12-31$49,210
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2017-12-31541873714
2016 : PRISM MARITIME, LLC RETIREMENT TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,784,720
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$636,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$608,106
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,392,682
Value of total assets at end of year2016-12-31$5,865,898
Value of total assets at beginning of year2016-12-31$4,717,915
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$28,631
Total interest from all sources2016-12-31$12,349
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,883
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,883
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$737,645
Participant contributions at end of year2016-12-31$274,755
Participant contributions at beginning of year2016-12-31$246,399
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$3,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,147,983
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,865,898
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,717,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$5,397,569
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$4,320,263
Interest on participant loans2016-12-31$10,697
Interest earned on other investments2016-12-31$1,652
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$377,806
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31Yes
Contributions received in cash from employer2016-12-31$652,037
Employer contributions (assets) at end of year2016-12-31$193,574
Employer contributions (assets) at beginning of year2016-12-31$151,253
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$608,106
Contract administrator fees2016-12-31$28,631
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Liabilities. Value of benefit claims payable at end of year2016-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$0
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CHARLES W. SNADER, PC
Accountancy firm EIN2016-12-31541873714

Form 5500 Responses for PRISM MARITIME, LLC RETIREMENT TRUST

2022: PRISM MARITIME, LLC RETIREMENT TRUST 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 - TrustYes
2021: PRISM MARITIME, LLC RETIREMENT TRUST 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 - TrustYes
2020: PRISM MARITIME, LLC RETIREMENT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PRISM MARITIME, LLC RETIREMENT TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PRISM MARITIME, LLC RETIREMENT TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PRISM MARITIME, LLC RETIREMENT TRUST 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 - TrustYes
2016: PRISM MARITIME, LLC RETIREMENT TRUST 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 - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-JE6P
Policy instance 1
Insurance contract or identification numberGAP-CP-JE6P
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-08-16
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-JE6P
Policy instance 1
Insurance contract or identification numberGAP-CP-JE6P
Number of Individuals Covered451
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-CP-JE6P
Policy instance 1
Insurance contract or identification numberGAP-CP-JE6P
Number of Individuals Covered340
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 60954-1
Policy instance 1
Insurance contract or identification numberMR 60954-1
Number of Individuals Covered299
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?1

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