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HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameHAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN
Plan identification number 001

HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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 covering Self-Employed individuals.
  • 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

HAROLD S BUDHRAM MD INC has sponsored the creation of one or more 401k plans.

Company Name:HAROLD S BUDHRAM MD INC
Employer identification number (EIN):261907772
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about HAROLD S BUDHRAM MD INC

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1115907

More information about HAROLD S BUDHRAM MD INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01HAROLD S. BUDHRAM, M.D. HAROLD S. BUDHRAM, M.D.2013-09-24
0012011-01-01PENSION FILERS

Plan Statistics for HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2023: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-011
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-010
Number of participants with account balances2023-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011
Number of participants with account balances2022-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-019
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-011
Total of all active and inactive participants2021-01-011
Total participants2021-01-011
Number of participants with account balances2021-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-019
Total number of active participants reported on line 7a of the Form 55002020-01-015
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-019
Total participants2020-01-019
Number of participants with account balances2020-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0111
Total number of active participants reported on line 7a of the Form 55002019-01-015
Number of other retired or separated participants entitled to future benefits2019-01-014
Total of all active and inactive participants2019-01-019
Total participants2019-01-019
Number of participants with account balances2019-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0110
Total number of active participants reported on line 7a of the Form 55002018-01-016
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-0111
Total participants2018-01-0111
Number of participants with account balances2018-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0112
Total number of active participants reported on line 7a of the Form 55002017-01-017
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0110
Number of participants with account balances2017-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0110
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0112
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0112
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-018
Total number of active participants reported on line 7a of the Form 55002014-01-017
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0111
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-019
Total number of active participants reported on line 7a of the Form 55002013-01-015
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-018
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-019
Total number of active participants reported on line 7a of the Form 55002012-01-015
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-019
Number of participants with account balances2012-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-019
Total number of active participants reported on line 7a of the Form 55002011-01-015
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-019
Number of participants with account balances2011-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011

Financial Data on HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN

Measure Date Value
2023 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2023 401k financial data
Total income from all sources2023-02-20$0
Expenses. Total of all expenses incurred2023-02-20$55,214
Benefits paid (including direct rollovers)2023-02-20$55,214
Total plan assets at end of year2023-02-20$0
Total plan assets at beginning of year2023-02-20$55,214
Value of fidelity bond covering the plan2023-02-20$840,000
Total contributions received or receivable from participants2023-02-20$0
Expenses. Other expenses not covered elsewhere2023-02-20$0
Contributions received from other sources (not participants or employers)2023-02-20$0
Other income received2023-02-20$0
Noncash contributions received2023-02-20$0
Net income (gross income less expenses)2023-02-20$-55,214
Net plan assets at end of year (total assets less liabilities)2023-02-20$0
Net plan assets at beginning of year (total assets less liabilities)2023-02-20$55,214
Total contributions received or receivable from employer(s)2023-02-20$0
Value of certain deemed distributions of participant loans2023-02-20$0
Value of corrective distributions2023-02-20$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-02-20$0
2022 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$24,782
Expenses. Total of all expenses incurred2022-12-31$980,719
Benefits paid (including direct rollovers)2022-12-31$953,720
Total plan assets at end of year2022-12-31$55,214
Total plan assets at beginning of year2022-12-31$1,011,151
Value of fidelity bond covering the plan2022-12-31$840,000
Total contributions received or receivable from participants2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$26,844
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$24,782
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-955,937
Net plan assets at end of year (total assets less liabilities)2022-12-31$55,214
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,011,151
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$0
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$155
2021 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$728,447
Expenses. Total of all expenses incurred2021-12-31$255,786
Benefits paid (including direct rollovers)2021-12-31$143,024
Total plan assets at end of year2021-12-31$1,011,151
Total plan assets at beginning of year2021-12-31$538,490
Value of fidelity bond covering the plan2021-12-31$840,000
Total contributions received or receivable from participants2021-12-31$4,577
Expenses. Other expenses not covered elsewhere2021-12-31$111,110
Other income received2021-12-31$722,910
Net income (gross income less expenses)2021-12-31$472,661
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,011,151
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$538,490
Assets. Value of participant loans2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$905,038
Total contributions received or receivable from employer(s)2021-12-31$960
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$1,652
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$83,369
Expenses. Total of all expenses incurred2020-12-31$69,643
Total plan assets at end of year2020-12-31$538,490
Total plan assets at beginning of year2020-12-31$524,764
Value of fidelity bond covering the plan2020-12-31$840,000
Total contributions received or receivable from participants2020-12-31$27,999
Expenses. Other expenses not covered elsewhere2020-12-31$68,923
Other income received2020-12-31$48,085
Net income (gross income less expenses)2020-12-31$13,726
Net plan assets at end of year (total assets less liabilities)2020-12-31$538,490
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$524,764
Assets. Value of participant loans2020-12-31$3,810
Assets. Value of real-estate (other than employer real property)2020-12-31$253,770
Total contributions received or receivable from employer(s)2020-12-31$7,285
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$720
2019 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$147,833
Expenses. Total of all expenses incurred2019-12-31$696,466
Benefits paid (including direct rollovers)2019-12-31$57,975
Total plan assets at end of year2019-12-31$524,764
Total plan assets at beginning of year2019-12-31$1,073,397
Value of fidelity bond covering the plan2019-12-31$840,000
Total contributions received or receivable from participants2019-12-31$29,391
Expenses. Other expenses not covered elsewhere2019-12-31$626,964
Other income received2019-12-31$110,664
Net income (gross income less expenses)2019-12-31$-548,633
Net plan assets at end of year (total assets less liabilities)2019-12-31$524,764
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,073,397
Assets. Value of participant loans2019-12-31$4,758
Assets. Value of real-estate (other than employer real property)2019-12-31$243,770
Total contributions received or receivable from employer(s)2019-12-31$7,778
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$11,527
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$20,175
Total income from all sources2018-12-31$-579,650
Expenses. Total of all expenses incurred2018-12-31$64,933
Benefits paid (including direct rollovers)2018-12-31$7,769
Total plan assets at end of year2018-12-31$1,045,101
Total plan assets at beginning of year2018-12-31$1,709,859
Value of fidelity bond covering the plan2018-12-31$840,000
Total contributions received or receivable from participants2018-12-31$30,218
Expenses. Other expenses not covered elsewhere2018-12-31$49,184
Other income received2018-12-31$-617,934
Net income (gross income less expenses)2018-12-31$-644,583
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,045,101
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,689,684
Assets. Value of real-estate (other than employer real property)2018-12-31$243,770
Total contributions received or receivable from employer(s)2018-12-31$8,066
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$7,980
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$20,175
Total plan liabilities at beginning of year2017-12-31$175
Total income from all sources2017-12-31$181,557
Expenses. Total of all expenses incurred2017-12-31$166,765
Benefits paid (including direct rollovers)2017-12-31$45,657
Total plan assets at end of year2017-12-31$1,709,859
Total plan assets at beginning of year2017-12-31$1,675,067
Value of fidelity bond covering the plan2017-12-31$840,000
Total contributions received or receivable from participants2017-12-31$29,077
Expenses. Other expenses not covered elsewhere2017-12-31$113,317
Other income received2017-12-31$140,076
Net income (gross income less expenses)2017-12-31$14,792
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,689,684
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,674,892
Assets. Value of real-estate (other than employer real property)2017-12-31$582,812
Total contributions received or receivable from employer(s)2017-12-31$12,404
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$7,791
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$175
Total plan liabilities at beginning of year2016-12-31$644
Total income from all sources2016-12-31$173,506
Expenses. Total of all expenses incurred2016-12-31$43,542
Benefits paid (including direct rollovers)2016-12-31$1,355
Total plan assets at end of year2016-12-31$1,675,067
Total plan assets at beginning of year2016-12-31$1,545,572
Value of fidelity bond covering the plan2016-12-31$840,000
Total contributions received or receivable from participants2016-12-31$27,422
Expenses. Other expenses not covered elsewhere2016-12-31$38,484
Other income received2016-12-31$97,398
Net income (gross income less expenses)2016-12-31$129,964
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,674,892
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,544,928
Assets. Value of real-estate (other than employer real property)2016-12-31$561,155
Total contributions received or receivable from employer(s)2016-12-31$48,686
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$3,703
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$644
Total plan liabilities at beginning of year2015-12-31$175
Total income from all sources2015-12-31$324,726
Expenses. Total of all expenses incurred2015-12-31$38,339
Benefits paid (including direct rollovers)2015-12-31$1,468
Total plan assets at end of year2015-12-31$1,584,707
Total plan assets at beginning of year2015-12-31$1,297,851
Value of fidelity bond covering the plan2015-12-31$840,000
Total contributions received or receivable from participants2015-12-31$28,619
Expenses. Other expenses not covered elsewhere2015-12-31$33,224
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$248,980
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$286,387
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,584,063
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,297,676
Assets. Value of real-estate (other than employer real property)2015-12-31$531,153
Total contributions received or receivable from employer(s)2015-12-31$47,127
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$3,647
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$175
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$-118,154
Expenses. Total of all expenses incurred2014-12-31$35,495
Benefits paid (including direct rollovers)2014-12-31$5,000
Total plan assets at end of year2014-12-31$1,297,851
Total plan assets at beginning of year2014-12-31$1,451,325
Value of fidelity bond covering the plan2014-12-31$840,000
Total contributions received or receivable from participants2014-12-31$27,419
Other income received2014-12-31$-188,871
Net income (gross income less expenses)2014-12-31$-153,649
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,297,676
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,451,325
Assets. Value of participant loans2014-12-31$0
Assets. Value of real-estate (other than employer real property)2014-12-31$281,174
Total contributions received or receivable from employer(s)2014-12-31$43,298
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$30,495
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$191,320
Expenses. Total of all expenses incurred2013-12-31$41,036
Benefits paid (including direct rollovers)2013-12-31$23,420
Total plan assets at end of year2013-12-31$1,451,325
Total plan assets at beginning of year2013-12-31$1,301,041
Value of fidelity bond covering the plan2013-12-31$840,000
Total contributions received or receivable from participants2013-12-31$25,398
Expenses. Other expenses not covered elsewhere2013-12-31$12,800
Contributions received from other sources (not participants or employers)2013-12-31$23,138
Other income received2013-12-31$96,630
Net income (gross income less expenses)2013-12-31$150,284
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,451,325
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,301,041
Assets. Value of participant loans2013-12-31$1,703
Assets. Value of real-estate (other than employer real property)2013-12-31$495,020
Total contributions received or receivable from employer(s)2013-12-31$46,154
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$4,816
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$176,762
Expenses. Total of all expenses incurred2012-12-31$75,943
Benefits paid (including direct rollovers)2012-12-31$6,583
Total plan assets at end of year2012-12-31$1,301,041
Total plan assets at beginning of year2012-12-31$1,200,222
Value of fidelity bond covering the plan2012-12-31$840,000
Total contributions received or receivable from participants2012-12-31$24,898
Expenses. Other expenses not covered elsewhere2012-12-31$13,073
Other income received2012-12-31$108,321
Net income (gross income less expenses)2012-12-31$100,819
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,301,041
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,200,222
Assets. Value of participant loans2012-12-31$2,355
Assets. Value of real-estate (other than employer real property)2012-12-31$427,303
Total contributions received or receivable from employer(s)2012-12-31$43,543
Value of certain deemed distributions of participant loans2012-12-31$50,427
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$5,860
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$175
Total income from all sources2011-12-31$79,598
Expenses. Total of all expenses incurred2011-12-31$26,530
Benefits paid (including direct rollovers)2011-12-31$945
Total plan assets at end of year2011-12-31$1,200,222
Total plan assets at beginning of year2011-12-31$1,147,329
Value of fidelity bond covering the plan2011-12-31$840,000
Total contributions received or receivable from participants2011-12-31$25,930
Expenses. Other expenses not covered elsewhere2011-12-31$20,882
Other income received2011-12-31$13,062
Net income (gross income less expenses)2011-12-31$53,068
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,200,222
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,147,154
Assets. Value of participant loans2011-12-31$53,416
Assets. Value of real-estate (other than employer real property)2011-12-31$424,910
Total contributions received or receivable from employer(s)2011-12-31$40,606
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$4,703
2010 : HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$175
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$96,170
Expenses. Total of all expenses incurred2010-12-31$29,441
Benefits paid (including direct rollovers)2010-12-31$9,784
Total plan assets at end of year2010-12-31$1,147,329
Total plan assets at beginning of year2010-12-31$1,080,425
Value of fidelity bond covering the plan2010-12-31$840,000
Total contributions received or receivable from participants2010-12-31$26,447
Expenses. Other expenses not covered elsewhere2010-12-31$10,825
Other income received2010-12-31$22,380
Net income (gross income less expenses)2010-12-31$66,729
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,147,154
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,080,425
Assets. Value of participant loans2010-12-31$54,502
Assets. Value of real-estate (other than employer real property)2010-12-31$420,272
Total contributions received or receivable from employer(s)2010-12-31$47,343
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$8,832
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN

2023: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingYes
2023-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final 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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HAROLD S BUDHRAM MD INC 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number71167199
Policy instance 1
Insurance contract or identification number71167199
Number of Individuals Covered1
Insurance policy start date2023-01-01
Insurance policy end date2023-01-12
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number71167199
Policy instance 1
Insurance contract or identification number71167199
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUCO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79227 )
Policy contract numberE1253328
Policy instance 3
Insurance contract or identification numberE1253328
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 2
Insurance contract or identification number70348752
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number71167199
Policy instance 1
Insurance contract or identification number71167199
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number71167199
Policy instance 1
Insurance contract or identification number71167199
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 2
Insurance contract or identification number70348752
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUCO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79227 )
Policy contract numberE1253328
Policy instance 3
Insurance contract or identification numberE1253328
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 4
Insurance contract or identification number70348752
Number of Individuals Covered1
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number71167199
Policy instance 3
Insurance contract or identification number71167199
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUCO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79227 )
Policy contract numberE1253328
Policy instance 2
Insurance contract or identification numberE1253328
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number71167199
Policy instance 3
Insurance contract or identification number71167199
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUCO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79227 )
Policy contract numberE1253328
Policy instance 2
Insurance contract or identification numberE1253328
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 3
Insurance contract or identification number70348752
Number of Individuals Covered8
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUCO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79227 )
Policy contract numberE1253328
Policy instance 2
Insurance contract or identification numberE1253328
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered8
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUCO LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79227 )
Policy contract numberE1253328
Policy instance 2
Insurance contract or identification numberE1253328
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 3
Insurance contract or identification number70348752
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNOT PROVIDEDC
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 2
Insurance contract or identification number70348752
Number of Individuals Covered8
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameNOT PROVIDED
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 2
Insurance contract or identification number70348752
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 2
Insurance contract or identification number70348752
Number of Individuals Covered10
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered10
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 2
Insurance contract or identification number70348752
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 1
Insurance contract or identification numberVR09011643
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR09011643
Policy instance 2
Insurance contract or identification numberVR09011643
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number70348752
Policy instance 1
Insurance contract or identification number70348752
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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