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VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameVERSIONONE, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

VERSIONONE, 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
  • 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

VERSIONONE, INC. has sponsored the creation of one or more 401k plans.

Company Name:VERSIONONE, INC.
Employer identification number (EIN):264361503
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Additional information about VERSIONONE, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2011-10-28
Company Identification Number: 0801501056
Legal Registered Office Address: 555 FAYETTEVILLE ST STE 210

RALEIGH
United States of America (USA)
27601

More information about VERSIONONE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VERSIONONE, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01LORI BENNETT
0012016-01-01MICHELLE JAGER
0012016-01-01REBECCA HANNOLD REBECCA HANNOLD2018-07-11
0012015-01-01MICHELLE JAGER
0012015-01-01MICHELLE JAGER
0012014-01-01MICHELLE
0012013-01-01MICHELLE JAGER2014-09-15
0012012-01-01MICHELLE JAGER2013-09-12
0012011-01-01MICHELLE JAGER2012-10-04
0012010-01-01VERSIONONE INC2011-05-12 VERSIONONE INC2011-05-12

Plan Statistics for VERSIONONE, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for VERSIONONE, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01160
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01152
Total number of active participants reported on line 7a of the Form 55002016-01-0178
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0120
Total of all active and inactive participants2016-01-0198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0198
Number of participants with account balances2016-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01147
Total number of active participants reported on line 7a of the Form 55002015-01-01134
Number of other retired or separated participants entitled to future benefits2015-01-0118
Total of all active and inactive participants2015-01-01152
Total participants2015-01-01152
Number of participants with account balances2015-01-0184
2014: VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01121
Total number of active participants reported on line 7a of the Form 55002014-01-01132
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0115
Total of all active and inactive participants2014-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01147
Number of participants with account balances2014-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010

Financial Data on VERSIONONE, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017 : VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-11-14$0
Total transfer of assets from this plan2017-11-14$4,201
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-14$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-11-14$0
Total income from all sources (including contributions)2017-11-14$1,153,458
Total loss/gain on sale of assets2017-11-14$0
Total of all expenses incurred2017-11-14$4,624,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-11-14$4,618,906
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-11-14$699,713
Value of total assets at end of year2017-11-14$0
Value of total assets at beginning of year2017-11-14$3,475,649
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-11-14$6,000
Total interest from all sources2017-11-14$2,893
Total dividends received (eg from common stock, registered investment company shares)2017-11-14$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-11-14Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-11-14$0
Was this plan covered by a fidelity bond2017-11-14Yes
Value of fidelity bond cover2017-11-14$426,960
If this is an individual account plan, was there a blackout period2017-11-14No
Were there any nonexempt tranactions with any party-in-interest2017-11-14No
Contributions received from participants2017-11-14$443,602
Participant contributions at end of year2017-11-14$0
Participant contributions at beginning of year2017-11-14$47,763
Income. Received or receivable in cash from other sources (including rollovers)2017-11-14$246,960
Other income not declared elsewhere2017-11-14$118
Administrative expenses (other) incurred2017-11-14$6,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-14No
Value of net income/loss2017-11-14$-3,471,448
Value of net assets at end of year (total assets less liabilities)2017-11-14$0
Value of net assets at beginning of year (total assets less liabilities)2017-11-14$3,475,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-11-14No
Were any loans by the plan or fixed income obligations due to the plan in default2017-11-14No
Were any leases to which the plan was party in default or uncollectible2017-11-14No
Value of interest in pooled separate accounts at end of year2017-11-14$0
Value of interest in pooled separate accounts at beginning of year2017-11-14$3,284,292
Interest on participant loans2017-11-14$1,948
Interest earned on other investments2017-11-14$945
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-11-14$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-11-14$143,594
Net investment gain/loss from pooled separate accounts2017-11-14$450,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-11-14No
Was there a failure to transmit to the plan any participant contributions2017-11-14No
Has the plan failed to provide any benefit when due under the plan2017-11-14No
Contributions received in cash from employer2017-11-14$9,151
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-11-14$4,618,906
Did the plan have assets held for investment2017-11-14No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-11-14No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-11-14Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-11-14Yes
Opinion of an independent qualified public accountant for this plan2017-11-14Disclaimer
Accountancy firm name2017-11-14SEAY & WEISSINGER, LLC
Accountancy firm EIN2017-11-14611663588
2016 : VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$926,436
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$185,361
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$181,860
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$672,105
Value of total assets at end of year2016-12-31$3,475,649
Value of total assets at beginning of year2016-12-31$2,734,574
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,501
Total interest from all sources2016-12-31$3,311
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$362,955
If this is an individual account plan, was there a blackout period2016-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$672,105
Participant contributions at end of year2016-12-31$47,763
Participant contributions at beginning of year2016-12-31$54,195
Administrative expenses (other) incurred2016-12-31$3,501
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$741,075
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,475,649
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,734,574
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$3,284,292
Value of interest in pooled separate accounts at beginning of year2016-12-31$2,569,510
Interest on participant loans2016-12-31$2,415
Interest earned on other investments2016-12-31$896
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$143,594
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$110,869
Net investment gain/loss from pooled separate accounts2016-12-31$251,020
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$181,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31Yes
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31SUTE SEAY, LLC
Accountancy firm EIN2016-12-31611663588
2015 : VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-12-31$617,093
Total of all expenses incurred2015-12-31$215,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$191,458
Expenses. Certain deemed distributions of participant loans2015-12-31$939
Value of total corrective distributions2015-12-31$22,809
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$639,666
Value of total assets at end of year2015-12-31$2,734,574
Value of total assets at beginning of year2015-12-31$2,333,437
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$750
Total interest from all sources2015-12-31$2,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$750
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$247,200
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$583,473
Participant contributions at end of year2015-12-31$54,195
Participant contributions at beginning of year2015-12-31$68,575
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$56,193
Other income not declared elsewhere2015-12-31$967
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$401,137
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,734,574
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$2,333,437
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$2,569,510
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,183,793
Interest on participant loans2015-12-31$2,812
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$110,869
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$81,069
Net investment gain/loss from pooled separate accounts2015-12-31$-26,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$191,458
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31SUTE SEAY LLP
Accountancy firm EIN2015-12-31611663588
2014 : VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources (including contributions)2014-12-31$578,349
Total of all expenses incurred2014-12-31$140,509
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$121,440
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$440,808
Value of total assets at end of year2014-12-31$2,333,437
Value of total assets at beginning of year2014-12-31$1,895,597
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$19,069
Total interest from all sources2014-12-31$2,392
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$31,183
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$31,183
Administrative expenses professional fees incurred2014-12-31$19,069
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$221,443
If this is an individual account plan, was there a blackout period2014-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$431,717
Participant contributions at end of year2014-12-31$68,575
Participant contributions at beginning of year2014-12-31$47,743
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$9,091
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Other income not declared elsewhere2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Income. Non cash contributions2014-12-31$0
Value of net income/loss2014-12-31$437,840
Value of net assets at end of year (total assets less liabilities)2014-12-31$2,333,437
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,895,597
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,847,854
Value of interest in pooled separate accounts at end of year2014-12-31$2,183,793
Income. Interest from loans (other than to participants)2014-12-31$2,392
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$81,069
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$76,572
Net investment gain/loss from pooled separate accounts2014-12-31$27,394
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$121,440
Contract administrator fees2014-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31Yes
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31SUTE SEAY, LLC
Accountancy firm EIN2014-12-31611663588

Form 5500 Responses for VERSIONONE, INC. 401(K) PROFIT SHARING PLAN

2017: VERSIONONE, 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 filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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
2016: VERSIONONE, 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
2015: VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
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: VERSIONONE, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberYH5036
Policy instance 1
Insurance contract or identification numberYH5036
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-11-14
Total amount of commissions paid to insurance brokerUSD $7,169
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,169
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN MUTUAL INVESTMENT SERV
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number805589-000
Policy instance 1
Insurance contract or identification number805589-000
Number of Individuals Covered84
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,307
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
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number805589-000
Policy instance 1
Insurance contract or identification number805589-000
Number of Individuals Covered70
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $21,448
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 $12,869
Insurance broker organization code?3
Insurance broker nameDAVID H ASBURY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number332297-01
Policy instance 2
Insurance contract or identification number332297-01
Number of Individuals Covered5
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,303
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 $5,582
Insurance broker organization code?3
Insurance broker nameDAVID ASBURY

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