401k Plan data: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN plan

NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 401k Plan overview

Plan Name	NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN
Plan identification number	560

NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance

401k Sponsoring company profile

NORTHEASTERN EYE INSTITUTE has sponsored the creation of one or more 401k plans.

Company Name: NORTHEASTERN EYE INSTITUTE

Employer identification number (EIN): 232287632

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
560 2020-06-01
560 2019-06-01
560 2018-06-01
560 2017-06-01 JAMES MCANDREW
560 2016-06-01 JAMES MCANDREW
560 2016-06-01
560 2015-06-01 JAMES MCANDREW
560 2014-06-01 JAMES MCANDREW
560 2013-06-01 JAMES MCANDREW
560 2011-06-01 JAMES MCANDREW
560 2010-06-01 JAMES MCANDREW
560 2009-06-01 JAMES MCANDREW

Plan Statistics for NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN

401k plan membership statisitcs for NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN

Measure Date Value
2020: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year 2020-06-01 57
Total number of active participants reported on line 7a of the Form 5500 2020-06-01 57
Number of retired or separated participants receiving benefits 2020-06-01 0
Number of other retired or separated participants entitled to future benefits 2020-06-01 0
Total of all active and inactive participants 2020-06-01 57
Total participants 2020-06-01 57
Number of employers contributing to the scheme 2020-06-01 0
2019: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year 2019-06-01 57
Total number of active participants reported on line 7a of the Form 5500 2019-06-01 57
Number of retired or separated participants receiving benefits 2019-06-01 0
Total of all active and inactive participants 2019-06-01 57
Total participants 2019-06-01 57
Number of employers contributing to the scheme 2019-06-01 0
2018: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year 2018-06-01 56
Total number of active participants reported on line 7a of the Form 5500 2018-06-01 56
Number of retired or separated participants receiving benefits 2018-06-01 0
Number of other retired or separated participants entitled to future benefits 2018-06-01 0
Total of all active and inactive participants 2018-06-01 56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-06-01 0
Total participants 2018-06-01 56
Number of participants with account balances 2018-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-06-01 0
2017: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year 2017-06-01 59
Total number of active participants reported on line 7a of the Form 5500 2017-06-01 59
Number of retired or separated participants receiving benefits 2017-06-01 0
Number of other retired or separated participants entitled to future benefits 2017-06-01 0
Total of all active and inactive participants 2017-06-01 59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-06-01 0
Total participants 2017-06-01 59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-06-01 0
2016: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year 2016-06-01 48
Total number of active participants reported on line 7a of the Form 5500 2016-06-01 48
Number of retired or separated participants receiving benefits 2016-06-01 0
Number of other retired or separated participants entitled to future benefits 2016-06-01 0
Total of all active and inactive participants 2016-06-01 48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-06-01 0
Total participants 2016-06-01 48
Number of participants with account balances 2016-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-06-01 0
Number of employers contributing to the scheme 2016-06-01 0
2015: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year 2015-06-01 51
Total number of active participants reported on line 7a of the Form 5500 2015-06-01 51
Number of retired or separated participants receiving benefits 2015-06-01 0
Number of other retired or separated participants entitled to future benefits 2015-06-01 0
Total of all active and inactive participants 2015-06-01 51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-06-01 0
Total participants 2015-06-01 51
Number of participants with account balances 2015-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-06-01 0
2014: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year 2014-06-01 38
Total number of active participants reported on line 7a of the Form 5500 2014-06-01 38
Number of retired or separated participants receiving benefits 2014-06-01 0
Number of other retired or separated participants entitled to future benefits 2014-06-01 0
Total of all active and inactive participants 2014-06-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-06-01 0
Total participants 2014-06-01 38
Number of participants with account balances 2014-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-06-01 0
2013: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year 2013-06-01 38
Total number of active participants reported on line 7a of the Form 5500 2013-06-01 38
Number of retired or separated participants receiving benefits 2013-06-01 0
Number of other retired or separated participants entitled to future benefits 2013-06-01 0
Total of all active and inactive participants 2013-06-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-06-01 0
Total participants 2013-06-01 38
Number of participants with account balances 2013-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-06-01 0
2011: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year 2011-06-01 37
Total number of active participants reported on line 7a of the Form 5500 2011-06-01 37
Number of retired or separated participants receiving benefits 2011-06-01 0
Number of other retired or separated participants entitled to future benefits 2011-06-01 0
Total of all active and inactive participants 2011-06-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-06-01 0
Total participants 2011-06-01 37
Number of participants with account balances 2011-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-06-01 0
2010: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year 2010-06-01 38
Total number of active participants reported on line 7a of the Form 5500 2010-06-01 38
Number of retired or separated participants receiving benefits 2010-06-01 0
Number of other retired or separated participants entitled to future benefits 2010-06-01 0
Total of all active and inactive participants 2010-06-01 38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-06-01 0
Total participants 2010-06-01 38
2009: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year 2009-06-01 37
Total number of active participants reported on line 7a of the Form 5500 2009-06-01 37
Number of retired or separated participants receiving benefits 2009-06-01 0
Number of other retired or separated participants entitled to future benefits 2009-06-01 0
Total of all active and inactive participants 2009-06-01 37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-06-01 0
Total participants 2009-06-01 37
Number of participants with account balances 2009-06-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-06-01 0

Measure	Date	Value
2020: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year	2020-06-01	57
Total number of active participants reported on line 7a of the Form 5500	2020-06-01	57
Number of retired or separated participants receiving benefits	2020-06-01	0
Number of other retired or separated participants entitled to future benefits	2020-06-01	0
Total of all active and inactive participants	2020-06-01	57
Total participants	2020-06-01	57
Number of employers contributing to the scheme	2020-06-01	0
2019: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year	2019-06-01	57
Total number of active participants reported on line 7a of the Form 5500	2019-06-01	57
Number of retired or separated participants receiving benefits	2019-06-01	0
Total of all active and inactive participants	2019-06-01	57
Total participants	2019-06-01	57
Number of employers contributing to the scheme	2019-06-01	0
2018: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year	2018-06-01	56
Total number of active participants reported on line 7a of the Form 5500	2018-06-01	56
Number of retired or separated participants receiving benefits	2018-06-01	0
Number of other retired or separated participants entitled to future benefits	2018-06-01	0
Total of all active and inactive participants	2018-06-01	56
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-06-01	0
Total participants	2018-06-01	56
Number of participants with account balances	2018-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-06-01	0
2017: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year	2017-06-01	59
Total number of active participants reported on line 7a of the Form 5500	2017-06-01	59
Number of retired or separated participants receiving benefits	2017-06-01	0
Number of other retired or separated participants entitled to future benefits	2017-06-01	0
Total of all active and inactive participants	2017-06-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-06-01	0
Total participants	2017-06-01	59
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-06-01	0
2016: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year	2016-06-01	48
Total number of active participants reported on line 7a of the Form 5500	2016-06-01	48
Number of retired or separated participants receiving benefits	2016-06-01	0
Number of other retired or separated participants entitled to future benefits	2016-06-01	0
Total of all active and inactive participants	2016-06-01	48
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-06-01	0
Total participants	2016-06-01	48
Number of participants with account balances	2016-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-06-01	0
Number of employers contributing to the scheme	2016-06-01	0
2015: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year	2015-06-01	51
Total number of active participants reported on line 7a of the Form 5500	2015-06-01	51
Number of retired or separated participants receiving benefits	2015-06-01	0
Number of other retired or separated participants entitled to future benefits	2015-06-01	0
Total of all active and inactive participants	2015-06-01	51
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-06-01	0
Total participants	2015-06-01	51
Number of participants with account balances	2015-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-06-01	0
2014: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year	2014-06-01	38
Total number of active participants reported on line 7a of the Form 5500	2014-06-01	38
Number of retired or separated participants receiving benefits	2014-06-01	0
Number of other retired or separated participants entitled to future benefits	2014-06-01	0
Total of all active and inactive participants	2014-06-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-06-01	0
Total participants	2014-06-01	38
Number of participants with account balances	2014-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-06-01	0
2013: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year	2013-06-01	38
Total number of active participants reported on line 7a of the Form 5500	2013-06-01	38
Number of retired or separated participants receiving benefits	2013-06-01	0
Number of other retired or separated participants entitled to future benefits	2013-06-01	0
Total of all active and inactive participants	2013-06-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-06-01	0
Total participants	2013-06-01	38
Number of participants with account balances	2013-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-06-01	0
2011: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year	2011-06-01	37
Total number of active participants reported on line 7a of the Form 5500	2011-06-01	37
Number of retired or separated participants receiving benefits	2011-06-01	0
Number of other retired or separated participants entitled to future benefits	2011-06-01	0
Total of all active and inactive participants	2011-06-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-06-01	0
Total participants	2011-06-01	37
Number of participants with account balances	2011-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-06-01	0
2010: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year	2010-06-01	38
Total number of active participants reported on line 7a of the Form 5500	2010-06-01	38
Number of retired or separated participants receiving benefits	2010-06-01	0
Number of other retired or separated participants entitled to future benefits	2010-06-01	0
Total of all active and inactive participants	2010-06-01	38
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-06-01	0
Total participants	2010-06-01	38
2009: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year	2009-06-01	37
Total number of active participants reported on line 7a of the Form 5500	2009-06-01	37
Number of retired or separated participants receiving benefits	2009-06-01	0
Number of other retired or separated participants entitled to future benefits	2009-06-01	0
Total of all active and inactive participants	2009-06-01	37
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-06-01	0
Total participants	2009-06-01	37
Number of participants with account balances	2009-06-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-06-01	0

Financial Data on NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN

Measure	Date	Value
2021 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets	2021-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2021-05-31	$0
Total unrealized appreciation/depreciation of assets	2021-05-31	$0
Total transfer of assets to this plan	2021-05-31	$0
Total transfer of assets from this plan	2021-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-05-31	$24,505
Expenses. Interest paid	2021-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2021-05-31	$0
Total income from all sources (including contributions)	2021-05-31	$24,505
Total loss/gain on sale of assets	2021-05-31	$0
Total of all expenses incurred	2021-05-31	$24,505
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-05-31	$24,505
Expenses. Certain deemed distributions of participant loans	2021-05-31	$0
Value of total corrective distributions	2021-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-05-31	$24,505
Value of total assets at end of year	2021-05-31	$0
Value of total assets at beginning of year	2021-05-31	$24,505
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-05-31	$0
Total interest from all sources	2021-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2021-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2021-05-31	$0
Assets. Real estate other than employer real property at end of year	2021-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2021-05-31	$0
Administrative expenses professional fees incurred	2021-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2021-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2021-05-31	$0
Was this plan covered by a fidelity bond	2021-05-31	No
If this is an individual account plan, was there a blackout period	2021-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-05-31	No
Contributions received from participants	2021-05-31	$24,505
Participant contributions at end of year	2021-05-31	$0
Participant contributions at beginning of year	2021-05-31	$0
Participant contributions at end of year	2021-05-31	$0
Participant contributions at beginning of year	2021-05-31	$24,505
Assets. Other investments not covered elsewhere at end of year	2021-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2021-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2021-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2021-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-05-31	$0
Assets. Loans (other than to participants) at end of year	2021-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2021-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-05-31	$0
Other income not declared elsewhere	2021-05-31	$0
Administrative expenses (other) incurred	2021-05-31	$0
Liabilities. Value of operating payables at end of year	2021-05-31	$0
Liabilities. Value of operating payables at beginning of year	2021-05-31	$0
Total non interest bearing cash at end of year	2021-05-31	$0
Total non interest bearing cash at beginning of year	2021-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-05-31	No
Income. Non cash contributions	2021-05-31	$0
Value of net income/loss	2021-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2021-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2021-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-05-31	No
Were any leases to which the plan was party in default or uncollectible	2021-05-31	No
Assets. partnership/joint venture interests at end of year	2021-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2021-05-31	$0
Investment advisory and management fees	2021-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-05-31	$0
Value of interest in pooled separate accounts at end of year	2021-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2021-05-31	$0
Interest on participant loans	2021-05-31	$0
Income. Interest from loans (other than to participants)	2021-05-31	$0
Interest earned on other investments	2021-05-31	$0
Income. Interest from US Government securities	2021-05-31	$0
Income. Interest from corporate debt instruments	2021-05-31	$0
Value of interest in master investment trust accounts at end of year	2021-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2021-05-31	$0
Value of interest in common/collective trusts at end of year	2021-05-31	$0
Value of interest in common/collective trusts at beginning of year	2021-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2021-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2021-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2021-05-31	$24,505
Asset value of US Government securities at end of year	2021-05-31	$0
Asset value of US Government securities at beginning of year	2021-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2021-05-31	$0
Net investment gain/loss from pooled separate accounts	2021-05-31	$0
Net investment gain or loss from common/collective trusts	2021-05-31	$0
Net gain/loss from 103.12 investment entities	2021-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-05-31	No
Was there a failure to transmit to the plan any participant contributions	2021-05-31	No
Has the plan failed to provide any benefit when due under the plan	2021-05-31	No
Assets. Invements in employer securities at end of year	2021-05-31	$0
Assets. Invements in employer securities at beginning of year	2021-05-31	$0
Assets. Value of employer real property at end of year	2021-05-31	$0
Assets. Value of employer real property at beginning of year	2021-05-31	$0
Contributions received in cash from employer	2021-05-31	$0
Employer contributions (assets) at end of year	2021-05-31	$0
Employer contributions (assets) at beginning of year	2021-05-31	$0
Income. Dividends from preferred stock	2021-05-31	$0
Income. Dividends from common stock	2021-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2021-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2021-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2021-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2021-05-31	$0
Contract administrator fees	2021-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2021-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2021-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2021-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2021-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2021-05-31	$24,505
Assets. Value of buildings and other operty used in plan operation at end of year	2021-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2021-05-31	$0
Did the plan have assets held for investment	2021-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-05-31	No
Aggregate proceeds on sale of assets	2021-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2021-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2021-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2021-05-31	$0
Opinion of an independent qualified public accountant for this plan	2021-05-31	Unqualified
2020 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets	2020-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2020-05-31	$0
Total unrealized appreciation/depreciation of assets	2020-05-31	$0
Total transfer of assets to this plan	2020-05-31	$0
Total transfer of assets from this plan	2020-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-05-31	$38,106
Expenses. Interest paid	2020-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2020-05-31	$0
Total income from all sources (including contributions)	2020-05-31	$38,106
Total loss/gain on sale of assets	2020-05-31	$0
Total of all expenses incurred	2020-05-31	$38,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-05-31	$38,106
Expenses. Certain deemed distributions of participant loans	2020-05-31	$0
Value of total corrective distributions	2020-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-05-31	$38,106
Value of total assets at end of year	2020-05-31	$0
Value of total assets at beginning of year	2020-05-31	$38,106
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-05-31	$0
Total interest from all sources	2020-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2020-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2020-05-31	$0
Assets. Real estate other than employer real property at end of year	2020-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2020-05-31	$0
Administrative expenses professional fees incurred	2020-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2020-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2020-05-31	$0
Was this plan covered by a fidelity bond	2020-05-31	No
If this is an individual account plan, was there a blackout period	2020-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-05-31	No
Contributions received from participants	2020-05-31	$38,106
Participant contributions at end of year	2020-05-31	$0
Participant contributions at beginning of year	2020-05-31	$0
Participant contributions at end of year	2020-05-31	$0
Participant contributions at beginning of year	2020-05-31	$38,106
Assets. Other investments not covered elsewhere at end of year	2020-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2020-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2020-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2020-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-05-31	$0
Assets. Loans (other than to participants) at end of year	2020-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2020-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-05-31	$0
Other income not declared elsewhere	2020-05-31	$0
Administrative expenses (other) incurred	2020-05-31	$0
Liabilities. Value of operating payables at end of year	2020-05-31	$0
Liabilities. Value of operating payables at beginning of year	2020-05-31	$0
Total non interest bearing cash at end of year	2020-05-31	$0
Total non interest bearing cash at beginning of year	2020-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-05-31	No
Income. Non cash contributions	2020-05-31	$0
Value of net income/loss	2020-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2020-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2020-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-05-31	No
Were any leases to which the plan was party in default or uncollectible	2020-05-31	No
Assets. partnership/joint venture interests at end of year	2020-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2020-05-31	$0
Investment advisory and management fees	2020-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-05-31	$0
Value of interest in pooled separate accounts at end of year	2020-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2020-05-31	$0
Interest on participant loans	2020-05-31	$0
Income. Interest from loans (other than to participants)	2020-05-31	$0
Interest earned on other investments	2020-05-31	$0
Income. Interest from US Government securities	2020-05-31	$0
Income. Interest from corporate debt instruments	2020-05-31	$0
Value of interest in master investment trust accounts at end of year	2020-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2020-05-31	$0
Value of interest in common/collective trusts at end of year	2020-05-31	$0
Value of interest in common/collective trusts at beginning of year	2020-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2020-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2020-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2020-05-31	$38,106
Asset value of US Government securities at end of year	2020-05-31	$0
Asset value of US Government securities at beginning of year	2020-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2020-05-31	$0
Net investment gain/loss from pooled separate accounts	2020-05-31	$0
Net investment gain or loss from common/collective trusts	2020-05-31	$0
Net gain/loss from 103.12 investment entities	2020-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-05-31	No
Was there a failure to transmit to the plan any participant contributions	2020-05-31	No
Has the plan failed to provide any benefit when due under the plan	2020-05-31	No
Assets. Invements in employer securities at end of year	2020-05-31	$0
Assets. Invements in employer securities at beginning of year	2020-05-31	$0
Assets. Value of employer real property at end of year	2020-05-31	$0
Assets. Value of employer real property at beginning of year	2020-05-31	$0
Contributions received in cash from employer	2020-05-31	$0
Employer contributions (assets) at end of year	2020-05-31	$0
Employer contributions (assets) at beginning of year	2020-05-31	$0
Income. Dividends from preferred stock	2020-05-31	$0
Income. Dividends from common stock	2020-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2020-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2020-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2020-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2020-05-31	$0
Contract administrator fees	2020-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2020-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2020-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2020-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2020-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2020-05-31	$38,106
Assets. Value of buildings and other operty used in plan operation at end of year	2020-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2020-05-31	$0
Did the plan have assets held for investment	2020-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-05-31	No
Aggregate proceeds on sale of assets	2020-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2020-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2020-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2020-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2020-05-31	No
Opinion of an independent qualified public accountant for this plan	2020-05-31	Unqualified
2019 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets	2019-05-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2019-05-31	$0
Total unrealized appreciation/depreciation of assets	2019-05-31	$0
Total transfer of assets to this plan	2019-05-31	$0
Total transfer of assets from this plan	2019-05-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-05-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-05-31	$23,197
Expenses. Interest paid	2019-05-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2019-05-31	$0
Total income from all sources (including contributions)	2019-05-31	$23,197
Total loss/gain on sale of assets	2019-05-31	$0
Total of all expenses incurred	2019-05-31	$23,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-05-31	$23,197
Expenses. Certain deemed distributions of participant loans	2019-05-31	$0
Value of total corrective distributions	2019-05-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-05-31	$23,197
Value of total assets at end of year	2019-05-31	$0
Value of total assets at beginning of year	2019-05-31	$23,197
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-05-31	$0
Total interest from all sources	2019-05-31	$0
Total dividends received (eg from common stock, registered investment company shares)	2019-05-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-05-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-05-31	$0
Assets. Real estate other than employer real property at end of year	2019-05-31	$0
Assets. Real estate other than employer real property at beginning of year	2019-05-31	$0
Administrative expenses professional fees incurred	2019-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2019-05-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2019-05-31	$0
Was this plan covered by a fidelity bond	2019-05-31	No
If this is an individual account plan, was there a blackout period	2019-05-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-05-31	No
Contributions received from participants	2019-05-31	$23,197
Participant contributions at end of year	2019-05-31	$0
Participant contributions at beginning of year	2019-05-31	$0
Participant contributions at end of year	2019-05-31	$0
Participant contributions at beginning of year	2019-05-31	$23,197
Assets. Other investments not covered elsewhere at end of year	2019-05-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2019-05-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2019-05-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2019-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-05-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2019-05-31	$0
Assets. Loans (other than to participants) at end of year	2019-05-31	$0
Assets. Loans (other than to participants) at beginning of year	2019-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-05-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2019-05-31	$0
Other income not declared elsewhere	2019-05-31	$0
Administrative expenses (other) incurred	2019-05-31	$0
Liabilities. Value of operating payables at end of year	2019-05-31	$0
Liabilities. Value of operating payables at beginning of year	2019-05-31	$0
Total non interest bearing cash at end of year	2019-05-31	$0
Total non interest bearing cash at beginning of year	2019-05-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-05-31	No
Income. Non cash contributions	2019-05-31	$0
Value of net income/loss	2019-05-31	$0
Value of net assets at end of year (total assets less liabilities)	2019-05-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-05-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-05-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-05-31	No
Were any leases to which the plan was party in default or uncollectible	2019-05-31	No
Assets. partnership/joint venture interests at end of year	2019-05-31	$0
Assets. partnership/joint venture interests at beginning of year	2019-05-31	$0
Investment advisory and management fees	2019-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-05-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-05-31	$0
Value of interest in pooled separate accounts at end of year	2019-05-31	$0
Value of interest in pooled separate accounts at beginning of year	2019-05-31	$0
Interest on participant loans	2019-05-31	$0
Income. Interest from loans (other than to participants)	2019-05-31	$0
Interest earned on other investments	2019-05-31	$0
Income. Interest from US Government securities	2019-05-31	$0
Income. Interest from corporate debt instruments	2019-05-31	$0
Value of interest in master investment trust accounts at end of year	2019-05-31	$0
Value of interest in master investment trust accounts at beginning of year	2019-05-31	$0
Value of interest in common/collective trusts at end of year	2019-05-31	$0
Value of interest in common/collective trusts at beginning of year	2019-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-05-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2019-05-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2019-05-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-05-31	$0
Assets. Value of investments in 103.12 investment entities at end of year	2019-05-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2019-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-05-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-05-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2019-05-31	$23,197
Asset value of US Government securities at end of year	2019-05-31	$0
Asset value of US Government securities at beginning of year	2019-05-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2019-05-31	$0
Net investment gain/loss from pooled separate accounts	2019-05-31	$0
Net investment gain or loss from common/collective trusts	2019-05-31	$0
Net gain/loss from 103.12 investment entities	2019-05-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-05-31	No
Was there a failure to transmit to the plan any participant contributions	2019-05-31	No
Has the plan failed to provide any benefit when due under the plan	2019-05-31	No
Assets. Invements in employer securities at end of year	2019-05-31	$0
Assets. Invements in employer securities at beginning of year	2019-05-31	$0
Assets. Value of employer real property at end of year	2019-05-31	$0
Assets. Value of employer real property at beginning of year	2019-05-31	$0
Contributions received in cash from employer	2019-05-31	$0
Employer contributions (assets) at end of year	2019-05-31	$0
Employer contributions (assets) at beginning of year	2019-05-31	$0
Income. Dividends from preferred stock	2019-05-31	$0
Income. Dividends from common stock	2019-05-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-05-31	$0
Asset. Corporate debt instrument preferred debt at end of year	2019-05-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2019-05-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2019-05-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2019-05-31	$0
Contract administrator fees	2019-05-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2019-05-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2019-05-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2019-05-31	$0
Liabilities. Value of benefit claims payable at end of year	2019-05-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2019-05-31	$23,197
Assets. Value of buildings and other operty used in plan operation at end of year	2019-05-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2019-05-31	$0
Did the plan have assets held for investment	2019-05-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-05-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-05-31	No
Aggregate proceeds on sale of assets	2019-05-31	$0
Aggregate carrying amount (costs) on sale of assets	2019-05-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2019-05-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2019-05-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-05-31	No
Opinion of an independent qualified public accountant for this plan	2019-05-31	Unqualified
2018 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2018 401k financial data
Transfers to/from the plan	2018-05-31	$0
Total plan liabilities at end of year	2018-05-31	$0
Total plan liabilities at beginning of year	2018-05-31	$0
Total income from all sources	2018-05-31	$42,947
Expenses. Total of all expenses incurred	2018-05-31	$42,947
Benefits paid (including direct rollovers)	2018-05-31	$37,790
Total plan assets at end of year	2018-05-31	$0
Total plan assets at beginning of year	2018-05-31	$0
Total contributions received or receivable from participants	2018-05-31	$42,947
Expenses. Other expenses not covered elsewhere	2018-05-31	$612
Contributions received from other sources (not participants or employers)	2018-05-31	$0
Other income received	2018-05-31	$0
Noncash contributions received	2018-05-31	$0
Net income (gross income less expenses)	2018-05-31	$0
Net plan assets at end of year (total assets less liabilities)	2018-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2018-05-31	$0
Total contributions received or receivable from employer(s)	2018-05-31	$0
Value of certain deemed distributions of participant loans	2018-05-31	$0
Value of corrective distributions	2018-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2018-05-31	$4,545
2017 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2017 401k financial data
Transfers to/from the plan	2017-05-31	$0
Total plan liabilities at end of year	2017-05-31	$0
Total plan liabilities at beginning of year	2017-05-31	$0
Total income from all sources	2017-05-31	$24,198
Expenses. Total of all expenses incurred	2017-05-31	$24,198
Benefits paid (including direct rollovers)	2017-05-31	$21,999
Total plan assets at end of year	2017-05-31	$0
Total plan assets at beginning of year	2017-05-31	$0
Total contributions received or receivable from participants	2017-05-31	$24,198
Expenses. Other expenses not covered elsewhere	2017-05-31	$0
Contributions received from other sources (not participants or employers)	2017-05-31	$0
Other income received	2017-05-31	$0
Noncash contributions received	2017-05-31	$0
Net income (gross income less expenses)	2017-05-31	$0
Net plan assets at end of year (total assets less liabilities)	2017-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2017-05-31	$0
Total contributions received or receivable from employer(s)	2017-05-31	$0
Value of certain deemed distributions of participant loans	2017-05-31	$0
Value of corrective distributions	2017-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2017-05-31	$2,199
2016 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2016 401k financial data
Transfers to/from the plan	2016-05-31	$0
Total plan liabilities at end of year	2016-05-31	$0
Total plan liabilities at beginning of year	2016-05-31	$0
Total income from all sources	2016-05-31	$23,309
Expenses. Total of all expenses incurred	2016-05-31	$23,309
Benefits paid (including direct rollovers)	2016-05-31	$20,978
Total plan assets at end of year	2016-05-31	$0
Total plan assets at beginning of year	2016-05-31	$0
Total contributions received or receivable from participants	2016-05-31	$23,309
Expenses. Other expenses not covered elsewhere	2016-05-31	$0
Contributions received from other sources (not participants or employers)	2016-05-31	$0
Other income received	2016-05-31	$0
Noncash contributions received	2016-05-31	$0
Net income (gross income less expenses)	2016-05-31	$0
Net plan assets at end of year (total assets less liabilities)	2016-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2016-05-31	$0
Total contributions received or receivable from employer(s)	2016-05-31	$0
Value of certain deemed distributions of participant loans	2016-05-31	$0
Value of corrective distributions	2016-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2016-05-31	$2,331
2015 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2015 401k financial data
Transfers to/from the plan	2015-05-31	$0
Total plan liabilities at end of year	2015-05-31	$0
Total plan liabilities at beginning of year	2015-05-31	$0
Total income from all sources	2015-05-31	$15,759
Expenses. Total of all expenses incurred	2015-05-31	$15,759
Benefits paid (including direct rollovers)	2015-05-31	$0
Total plan assets at end of year	2015-05-31	$0
Total plan assets at beginning of year	2015-05-31	$0
Total contributions received or receivable from participants	2015-05-31	$15,759
Expenses. Other expenses not covered elsewhere	2015-05-31	$15,759
Contributions received from other sources (not participants or employers)	2015-05-31	$0
Other income received	2015-05-31	$0
Noncash contributions received	2015-05-31	$0
Net income (gross income less expenses)	2015-05-31	$0
Net plan assets at end of year (total assets less liabilities)	2015-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-05-31	$0
Total contributions received or receivable from employer(s)	2015-05-31	$0
Value of certain deemed distributions of participant loans	2015-05-31	$0
Value of corrective distributions	2015-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-05-31	$0
2014 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2014 401k financial data
Transfers to/from the plan	2014-05-31	$0
Total plan liabilities at end of year	2014-05-31	$0
Total plan liabilities at beginning of year	2014-05-31	$0
Total income from all sources	2014-05-31	$15,759
Expenses. Total of all expenses incurred	2014-05-31	$15,759
Benefits paid (including direct rollovers)	2014-05-31	$0
Total plan assets at end of year	2014-05-31	$0
Total plan assets at beginning of year	2014-05-31	$0
Total contributions received or receivable from participants	2014-05-31	$15,759
Expenses. Other expenses not covered elsewhere	2014-05-31	$15,759
Contributions received from other sources (not participants or employers)	2014-05-31	$0
Other income received	2014-05-31	$0
Noncash contributions received	2014-05-31	$0
Net income (gross income less expenses)	2014-05-31	$0
Net plan assets at end of year (total assets less liabilities)	2014-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2014-05-31	$0
Total contributions received or receivable from employer(s)	2014-05-31	$0
Value of certain deemed distributions of participant loans	2014-05-31	$0
Value of corrective distributions	2014-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-05-31	$0
2012 : NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2012 401k financial data
Transfers to/from the plan	2012-05-31	$0
Total plan liabilities at end of year	2012-05-31	$0
Total plan liabilities at beginning of year	2012-05-31	$0
Total income from all sources	2012-05-31	$15,649
Expenses. Total of all expenses incurred	2012-05-31	$0
Benefits paid (including direct rollovers)	2012-05-31	$0
Total plan assets at end of year	2012-05-31	$0
Total plan assets at beginning of year	2012-05-31	$0
Total contributions received or receivable from participants	2012-05-31	$15,649
Expenses. Other expenses not covered elsewhere	2012-05-31	$0
Contributions received from other sources (not participants or employers)	2012-05-31	$0
Other income received	2012-05-31	$0
Noncash contributions received	2012-05-31	$0
Net income (gross income less expenses)	2012-05-31	$15,649
Net plan assets at end of year (total assets less liabilities)	2012-05-31	$0
Net plan assets at beginning of year (total assets less liabilities)	2012-05-31	$0
Total contributions received or receivable from employer(s)	2012-05-31	$0
Value of certain deemed distributions of participant loans	2012-05-31	$0
Value of corrective distributions	2012-05-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2012-05-31	$0

Form 5500 Responses for NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN

2020: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2020 form 5500 responses
2020-06-01	Type of plan entity	Single employer plan
2020-06-01	Submission has been amended	No
2020-06-01	This submission is the final filing	No
2020-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-06-01	Plan is a collectively bargained plan	No
2020-06-01	Plan funding arrangement – Insurance	Yes
2020-06-01	Plan benefit arrangement – Insurance	Yes
2019: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2019 form 5500 responses
2019-06-01	Type of plan entity	Single employer plan
2019-06-01	Submission has been amended	No
2019-06-01	This submission is the final filing	No
2019-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-06-01	Plan is a collectively bargained plan	No
2019-06-01	Plan funding arrangement – Insurance	Yes
2019-06-01	Plan benefit arrangement – Insurance	Yes
2018: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2018 form 5500 responses
2018-06-01	Type of plan entity	Single employer plan
2018-06-01	First time form 5500 has been submitted	Yes
2018-06-01	Submission has been amended	No
2018-06-01	This submission is the final filing	No
2018-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-06-01	Plan is a collectively bargained plan	No
2018-06-01	Plan funding arrangement – Insurance	Yes
2018-06-01	Plan benefit arrangement – Insurance	Yes
2017: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2017 form 5500 responses
2017-06-01	Type of plan entity	Single employer plan
2017-06-01	First time form 5500 has been submitted	Yes
2017-06-01	Submission has been amended	No
2017-06-01	This submission is the final filing	No
2017-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-06-01	Plan is a collectively bargained plan	No
2017-06-01	Plan funding arrangement – Insurance	Yes
2017-06-01	Plan benefit arrangement – Insurance	Yes
2016: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2016 form 5500 responses
2016-06-01	Type of plan entity	Single employer plan
2016-06-01	Submission has been amended	Yes
2016-06-01	This submission is the final filing	No
2016-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-06-01	Plan is a collectively bargained plan	No
2016-06-01	Plan funding arrangement – Insurance	Yes
2016-06-01	Plan benefit arrangement – Insurance	Yes
2015: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2015 form 5500 responses
2015-06-01	Type of plan entity	Single employer plan
2015-06-01	First time form 5500 has been submitted	Yes
2015-06-01	Submission has been amended	No
2015-06-01	This submission is the final filing	No
2015-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-06-01	Plan is a collectively bargained plan	No
2015-06-01	Plan funding arrangement – Insurance	Yes
2015-06-01	Plan benefit arrangement – Insurance	Yes
2014: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2014 form 5500 responses
2014-06-01	Type of plan entity	Single employer plan
2014-06-01	First time form 5500 has been submitted	Yes
2014-06-01	Submission has been amended	No
2014-06-01	This submission is the final filing	No
2014-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-06-01	Plan is a collectively bargained plan	No
2014-06-01	Plan funding arrangement – Insurance	Yes
2014-06-01	Plan benefit arrangement – Insurance	Yes
2013: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2013 form 5500 responses
2013-06-01	Type of plan entity	Single employer plan
2013-06-01	First time form 5500 has been submitted	Yes
2013-06-01	Submission has been amended	No
2013-06-01	This submission is the final filing	No
2013-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-06-01	Plan is a collectively bargained plan	No
2013-06-01	Plan funding arrangement – Insurance	Yes
2013-06-01	Plan benefit arrangement – Insurance	Yes
2011: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2011 form 5500 responses
2011-06-01	Type of plan entity	Single employer plan
2011-06-01	First time form 5500 has been submitted	Yes
2011-06-01	Submission has been amended	No
2011-06-01	This submission is the final filing	No
2011-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-06-01	Plan is a collectively bargained plan	No
2011-06-01	Plan funding arrangement – Insurance	Yes
2011-06-01	Plan benefit arrangement – Insurance	Yes
2010: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2010 form 5500 responses
2010-06-01	Type of plan entity	Single employer plan
2010-06-01	Submission has been amended	No
2010-06-01	This submission is the final filing	Yes
2010-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-06-01	Plan is a collectively bargained plan	No
2010-06-01	Plan funding arrangement – Insurance	Yes
2010-06-01	Plan benefit arrangement – Insurance	Yes
2009: NORTHEASTERN EYE INSTITUTE VOLUNTARY TERM LIFE INSURANCE PLAN 2009 form 5500 responses
2009-06-01	Type of plan entity	Single employer plan
2009-06-01	First time form 5500 has been submitted	Yes
2009-06-01	Submission has been amended	No
2009-06-01	This submission is the final filing	No
2009-06-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-06-01	Plan is a collectively bargained plan	No
2009-06-01	Plan funding arrangement – Insurance	Yes
2009-06-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX968886

Policy instance

Insurance contract or identification number	FLX968886
Number of Individuals Covered	57
Insurance policy start date	2020-06-01
Insurance policy end date	2021-05-31
Total amount of commissions paid to insurance broker	USD $3,955
Total amount of fees paid to insurance company	USD $490
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	VOLUNTARY (SUPPLEMENTAL) TERM INSURANCE
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 Broker	USD $3,955
Amount paid for insurance broker fees	490
Additional information about fees paid to insurance broker	SERVICE FEE
Insurance broker organization code?	3

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

FLX9688886

Policy instance

Insurance contract or identification number	FLX9688886
Number of Individuals Covered	56
Insurance policy start date	2019-06-01
Insurance policy end date	2020-05-31
Total amount of commissions paid to insurance broker	USD $5,716
Total amount of fees paid to insurance company	USD $2,277
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	VOLUNTARY (SUPPLEMENTAL) TERM INSURANCE
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,716
Amount paid for insurance broker fees	2277
Additional information about fees paid to insurance broker	SALE SERVICE OVERRIDE
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

420071

Policy instance

Insurance contract or identification number	420071
Number of Individuals Covered	56
Insurance policy start date	2018-06-01
Insurance policy end date	2019-05-31
Total amount of commissions paid to insurance broker	USD $3,487
Total amount of fees paid to insurance company	USD $573
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	VOLUNTARY PLAN
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $23,197
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,494
Amount paid for insurance broker fees	75
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION
Insurance broker organization code?	3

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )

Policy contract number

420071

Policy instance

Insurance contract or identification number	420071
Number of Individuals Covered	59
Insurance policy start date	2017-06-01
Insurance policy end date	2018-05-31
Total amount of commissions paid to insurance broker	USD $4,545
Total amount of fees paid to insurance company	USD $612
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	SUPPLEMENTAL TERM LIFE INSURANCE
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $37,790
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,545
Amount paid for insurance broker fees	612
Additional information about fees paid to insurance broker	ADDITIONAL COMPENSATION PAID
Insurance broker organization code?	3
Insurance broker name	BROWN & BROWN BENEFIT ADVISORS

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )

Policy contract number

00488105

Policy instance

Insurance contract or identification number	00488105
Number of Individuals Covered	51
Insurance policy start date	2015-06-01
Insurance policy end date	2016-05-31
Total amount of commissions paid to insurance broker	USD $2,331
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	OPTIONAL TERM LIFE INSURANCE
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $23,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $2,331
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	JOSEPH J. JOYCE ASSOCIATES, INC.

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VTL004923

Policy instance

Insurance contract or identification number	VTL004923
Number of Individuals Covered	38
Insurance policy start date	2014-06-01
Insurance policy end date	2015-05-31
Total amount of commissions paid to insurance broker	USD $1,698
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $1,698
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	VIRGINIA RAYMOND

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VTL004923

Policy instance

Insurance contract or identification number	VTL004923
Number of Individuals Covered	38
Insurance policy start date	2013-06-01
Insurance policy end date	2014-05-31
Total amount of commissions paid to insurance broker	USD $1,698
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Other welfare benefits provided	OPTIONAL TERM INSURANCE
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Welfare Benefit Premiums Paid to Carrier	USD $15,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $9,168
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	N/A
Insurance broker organization code?	3
Insurance broker name	VIRGINIA RAYMOND INSURANCE

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VTL004923

Policy instance

Insurance contract or identification number	VTL004923
Number of Individuals Covered	37
Insurance policy start date	2011-06-01
Insurance policy end date	2012-05-31
Total amount of commissions paid to insurance broker	USD $1,681
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Other welfare benefits provided	VOLUNTARY TERM LIFE INSURANCE
Welfare Benefit Premiums Paid to Carrier	USD $15,649
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )

Policy contract number

VTL004923

Policy instance

Insurance contract or identification number	VTL004923
Insurance policy start date	2010-06-01
Insurance policy end date	2011-05-31
Total amount of commissions paid to insurance broker	USD $1,695
Total amount of fees paid to insurance company	USD $0
Life Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,695
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	SALE OF INSURANCE
Insurance broker organization code?	3
Insurance broker name	VIRGINIA RAYMOND INSURANCE CO.

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Company Name:	NORTHEASTERN EYE INSTITUTE
Employer identification number (EIN):	232287632
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)