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MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 401k Plan overview

Plan NameMANY FARMS COMMUNITY SCHOOL 401(K) PLAN
Plan identification number 001

MANY FARMS COMMUNITY SCHOOL 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MANY FARMS COMMUNITY SCHOOL, INC. has sponsored the creation of one or more 401k plans.

Company Name:MANY FARMS COMMUNITY SCHOOL, INC.
Employer identification number (EIN):262582636
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MANY FARMS COMMUNITY SCHOOL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01DORI SOMBRERO2019-04-15 DORI SOMBRERO2019-04-15
0012016-07-01DORI SOMBRERO2018-04-16 DORI SOMBRERO2018-04-16
0012015-07-01DORI SOMBRERO2017-04-17 DORI SOMBRERO2017-04-17
0012014-07-01KAREN BEGAY2016-04-15 KAREN BEGAY2016-04-15
0012013-07-01JACQUELINE BENALLY2014-10-02 JACQUELINE BENALLY2014-10-02
0012012-07-01JACQULINE BENALLY2013-08-26 JACQULINE BENALLY2013-08-26
0012011-07-01JACQUELINE BENALLY2013-04-12 JACQUELINE BENALLY2013-04-12
0012010-07-01ELVIRA LARGIE2012-04-13 ELVIRA LARGIE2012-04-13

Plan Statistics for MANY FARMS COMMUNITY SCHOOL 401(K) PLAN

401k plan membership statisitcs for MANY FARMS COMMUNITY SCHOOL 401(K) PLAN

Measure Date Value
2021: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01155
Total number of active participants reported on line 7a of the Form 55002021-07-01108
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-0131
Total of all active and inactive participants2021-07-01139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-01139
Number of participants with account balances2021-07-01139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-013
2020: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01146
Total number of active participants reported on line 7a of the Form 55002020-07-01104
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0151
Total of all active and inactive participants2020-07-01155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-01155
Number of participants with account balances2020-07-01155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01131
Total number of active participants reported on line 7a of the Form 55002019-07-0185
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0161
Total of all active and inactive participants2019-07-01146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01146
Number of participants with account balances2019-07-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-012
2018: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01131
Total number of active participants reported on line 7a of the Form 55002018-07-0182
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0150
Total of all active and inactive participants2018-07-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01132
Number of participants with account balances2018-07-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010

Financial Data on MANY FARMS COMMUNITY SCHOOL 401(K) PLAN

Measure Date Value
2022 : MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$63
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$125,571
Total of all expenses incurred2022-06-30$266,009
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$233,254
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$399,635
Value of total assets at end of year2022-06-30$1,804,239
Value of total assets at beginning of year2022-06-30$1,944,614
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$32,755
Total interest from all sources2022-06-30$3,505
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Administrative expenses professional fees incurred2022-06-30$3,375
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$100,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$185,473
Participant contributions at end of year2022-06-30$93,705
Participant contributions at beginning of year2022-06-30$85,399
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-06-30$63
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-06-30$0
Administrative expenses (other) incurred2022-06-30$17,202
Total non interest bearing cash at end of year2022-06-30$10,336
Total non interest bearing cash at beginning of year2022-06-30$5,338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-140,438
Value of net assets at end of year (total assets less liabilities)2022-06-30$1,804,176
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$1,944,614
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$12,178
Value of interest in pooled separate accounts at end of year2022-06-30$1,700,198
Value of interest in pooled separate accounts at beginning of year2022-06-30$1,853,877
Interest on participant loans2022-06-30$3,505
Net investment gain/loss from pooled separate accounts2022-06-30$-277,569
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$214,162
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$233,254
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30N/A - INDIAN TRIBAL GOVERNMENT PLAN
Accountancy firm EIN2022-06-30991234567
2021 : MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$655,725
Total loss/gain on sale of assets2021-06-30$-1,660
Total of all expenses incurred2021-06-30$175,230
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$152,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$345,402
Value of total assets at end of year2021-06-30$1,944,614
Value of total assets at beginning of year2021-06-30$1,464,119
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$22,922
Total interest from all sources2021-06-30$2,952
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Administrative expenses professional fees incurred2021-06-30$2,075
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$100,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$172,871
Participant contributions at end of year2021-06-30$85,399
Participant contributions at beginning of year2021-06-30$86,145
Other income not declared elsewhere2021-06-30$74
Administrative expenses (other) incurred2021-06-30$11,121
Total non interest bearing cash at end of year2021-06-30$5,338
Total non interest bearing cash at beginning of year2021-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$480,495
Value of net assets at end of year (total assets less liabilities)2021-06-30$1,944,614
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,464,119
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$9,726
Value of interest in pooled separate accounts at end of year2021-06-30$1,853,877
Value of interest in pooled separate accounts at beginning of year2021-06-30$1,319,121
Interest on participant loans2021-06-30$2,951
Interest earned on other investments2021-06-30$1
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$58,853
Net investment gain/loss from pooled separate accounts2021-06-30$308,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$172,531
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$152,308
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Aggregate proceeds on sale of assets2021-06-30$-1,660
Opinion of an independent qualified public accountant for this plan2021-06-30Disclaimer
Accountancy firm name2021-06-30N/A - INDIAN TRIBAL GOVERNMENT PLAN
Accountancy firm EIN2021-06-30991234567
2020 : MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$245,853
Total of all expenses incurred2020-06-30$82,074
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$79,899
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$240,009
Value of total assets at end of year2020-06-30$1,464,119
Value of total assets at beginning of year2020-06-30$1,300,340
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$2,175
Total interest from all sources2020-06-30$4,358
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$100,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$102,712
Participant contributions at end of year2020-06-30$86,145
Participant contributions at beginning of year2020-06-30$95,918
Participant contributions at end of year2020-06-30$0
Participant contributions at beginning of year2020-06-30$0
Administrative expenses (other) incurred2020-06-30$2,175
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$163,779
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,464,119
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$1,300,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in pooled separate accounts at end of year2020-06-30$1,319,121
Value of interest in pooled separate accounts at beginning of year2020-06-30$1,136,153
Interest on participant loans2020-06-30$4,180
Interest earned on other investments2020-06-30$178
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$58,853
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$68,269
Net investment gain/loss from pooled separate accounts2020-06-30$1,486
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$137,297
Employer contributions (assets) at end of year2020-06-30$0
Employer contributions (assets) at beginning of year2020-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$79,899
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30N/A - INDIAN TRIBAL GOVERNMENT PLAN
Accountancy firm EIN2020-06-30991234567
2019 : MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$211,120
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$109,417
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$107,167
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$163,129
Value of total assets at end of year2019-06-30$1,300,340
Value of total assets at beginning of year2019-06-30$1,198,637
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$2,250
Total interest from all sources2019-06-30$3,807
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$100,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$97,425
Participant contributions at end of year2019-06-30$95,918
Participant contributions at beginning of year2019-06-30$98,550
Participant contributions at end of year2019-06-30$0
Participant contributions at beginning of year2019-06-30$1,380
Administrative expenses (other) incurred2019-06-30$2,250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$101,703
Value of net assets at end of year (total assets less liabilities)2019-06-30$1,300,340
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$1,198,637
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in pooled separate accounts at end of year2019-06-30$1,136,153
Value of interest in pooled separate accounts at beginning of year2019-06-30$1,036,207
Interest on participant loans2019-06-30$3,389
Interest earned on other investments2019-06-30$418
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$68,269
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$61,551
Net investment gain/loss from pooled separate accounts2019-06-30$44,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$65,704
Employer contributions (assets) at end of year2019-06-30$0
Employer contributions (assets) at beginning of year2019-06-30$949
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$107,167
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30N/A - INDIAN TRIBAL GOVERNMENT PLAN
Accountancy firm EIN2019-06-30991234567

Form 5500 Responses for MANY FARMS COMMUNITY SCHOOL 401(K) PLAN

2021: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: MANY FARMS COMMUNITY SCHOOL 401(K) PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number145056
Policy instance 1
Insurance contract or identification number145056
Number of Individuals Covered139
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $1,891
Total amount of fees paid to insurance companyUSD $4,657
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,891
Insurance broker organization code?3
Amount paid for insurance broker fees3375
Additional information about fees paid to insurance brokerTPA FEES PAID
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSAVE-18978
Policy instance 1
Insurance contract or identification numberSAVE-18978
Number of Individuals Covered0
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number145056
Policy instance 2
Insurance contract or identification number145056
Number of Individuals Covered155
Insurance policy start date2020-07-06
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $1,346
Total amount of fees paid to insurance companyUSD $8,696
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,346
Insurance broker organization code?3
Amount paid for insurance broker fees2075
Additional information about fees paid to insurance brokerTPA FEES PAID
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSAVE-18978
Policy instance 1
Insurance contract or identification numberSAVE-18978
Number of Individuals Covered146
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberSAVE-18978
Policy instance 1
Insurance contract or identification numberSAVE-18978
Number of Individuals Covered131
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $4,798
Total amount of fees paid to insurance companyUSD $4,087
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3532
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $4,798
Additional information about fees paid to insurance brokerTPA FEES PAID

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