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ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 401k Plan overview

Plan NameANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN
Plan identification number 001

ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name:ANTHOS, USA, INC.
Employer identification number (EIN):331013117
NAIC Classification:541219
NAIC Description:Other Accounting Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01COLEEN WALDRON
0012017-01-01COLEEN WALDRON
0012016-01-01COLEEN WALDRON
0012015-01-01DEBRA MOSKAL
0012014-01-01DEBRA MOSKAL2015-07-28
0012013-01-01DEBRA MOSKAL2014-07-10
0012012-01-01DEBRA MOSKAL2013-09-24 DEBRA MOSKAL2013-09-24
0012011-01-01DEBRA MOSKAL2012-06-07
0012010-01-01DEBRA MOSKAL2011-05-10

Plan Statistics for ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN

401k plan membership statisitcs for ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN

Measure Date Value
2022: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0115
Total number of active participants reported on line 7a of the Form 55002022-01-019
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-018
Total of all active and inactive participants2022-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0117
Number of participants with account balances2022-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0114
Total number of active participants reported on line 7a of the Form 55002021-01-017
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-018
Total of all active and inactive participants2021-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0115
Number of participants with account balances2021-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-016
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-018
Total of all active and inactive participants2020-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0114
Number of participants with account balances2020-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0116
Total number of active participants reported on line 7a of the Form 55002019-01-015
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0114
Number of participants with account balances2019-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0118
Total number of active participants reported on line 7a of the Form 55002018-01-018
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-018
Total of all active and inactive participants2018-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0116
Number of participants with account balances2018-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0117
Total number of active participants reported on line 7a of the Form 55002017-01-0111
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-017
Total of all active and inactive participants2017-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0118
Number of participants with account balances2017-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0117
Total number of active participants reported on line 7a of the Form 55002016-01-0112
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-015
Total of all active and inactive participants2016-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0117
Number of participants with account balances2016-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0118
Total number of active participants reported on line 7a of the Form 55002015-01-0112
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 participants2015-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0117
Number of participants with account balances2015-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN

Measure Date Value
2022 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,489,553
Expenses. Total of all expenses incurred2022-12-31$381,317
Benefits paid (including direct rollovers)2022-12-31$375,000
Total plan assets at end of year2022-12-31$6,574,422
Total plan assets at beginning of year2022-12-31$8,445,292
Value of fidelity bond covering the plan2022-12-31$500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$161,102
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-1,803,054
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,870,870
Net plan assets at end of year (total assets less liabilities)2022-12-31$6,574,422
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$8,445,292
Assets. Value of participant loans2022-12-31$0
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$152,399
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$6,301
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$16
2021 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
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$1,243,072
Expenses. Total of all expenses incurred2021-12-31$740,056
Benefits paid (including direct rollovers)2021-12-31$740,000
Total plan assets at end of year2021-12-31$8,445,292
Total plan assets at beginning of year2021-12-31$7,942,276
Value of fidelity bond covering the plan2021-12-31$500,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$143,376
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$985,698
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$503,016
Net plan assets at end of year (total assets less liabilities)2021-12-31$8,445,292
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$7,942,276
Assets. Value of participant loans2021-12-31$0
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$113,998
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$56
2020 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
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$1,447,725
Expenses. Total of all expenses incurred2020-12-31$44,211
Benefits paid (including direct rollovers)2020-12-31$44,186
Total plan assets at end of year2020-12-31$7,942,276
Total plan assets at beginning of year2020-12-31$6,538,762
Value of fidelity bond covering the plan2020-12-31$500,000
Assets. Value of tangible personal property2020-12-31$0
Total contributions received or receivable from participants2020-12-31$143,000
Assets. Value of loans (other than to participants)2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$1,193,460
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,403,514
Net plan assets at end of year (total assets less liabilities)2020-12-31$7,942,276
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$6,538,762
Assets. Value of participant loans2020-12-31$941
Assets. Value of assets in partnership/joint-venture interests2020-12-31$0
Assets. Value of real-estate (other than employer real property)2020-12-31$0
Assets. Value of employer securities2020-12-31$0
Assets. Value of employer real property2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$111,265
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$25
2019 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
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$1,626,567
Expenses. Total of all expenses incurred2019-12-31$1,502,776
Benefits paid (including direct rollovers)2019-12-31$1,502,726
Total plan assets at end of year2019-12-31$6,538,762
Total plan assets at beginning of year2019-12-31$6,414,971
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$138,000
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$1,397,587
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$123,791
Net plan assets at end of year (total assets less liabilities)2019-12-31$6,538,762
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$6,414,971
Assets. Value of participant loans2019-12-31$11,917
Total contributions received or receivable from employer(s)2019-12-31$90,980
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$50
2018 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-188,406
Expenses. Total of all expenses incurred2018-12-31$397,138
Benefits paid (including direct rollovers)2018-12-31$360,573
Total plan assets at end of year2018-12-31$6,414,971
Total plan assets at beginning of year2018-12-31$7,000,515
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$155,926
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-418,188
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-585,544
Net plan assets at end of year (total assets less liabilities)2018-12-31$6,414,971
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$7,000,515
Assets. Value of participant loans2018-12-31$22,333
Total contributions received or receivable from employer(s)2018-12-31$73,856
Value of certain deemed distributions of participant loans2018-12-31$36,415
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$150
2017 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$1,469,996
Expenses. Total of all expenses incurred2017-12-31$31,372
Benefits paid (including direct rollovers)2017-12-31$31,250
Total plan assets at end of year2017-12-31$7,000,515
Total plan assets at beginning of year2017-12-31$5,561,891
Value of fidelity bond covering the plan2017-12-31$500,000
Assets. Value of tangible personal property2017-12-31$0
Total contributions received or receivable from participants2017-12-31$222,859
Assets. Value of loans (other than to participants)2017-12-31$0
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$1,124,235
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$1,438,624
Net plan assets at end of year (total assets less liabilities)2017-12-31$7,000,515
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$5,561,891
Assets. Value of participant loans2017-12-31$85,099
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Assets. Value of real-estate (other than employer real property)2017-12-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$0
Assets. Value of employer securities2017-12-31$0
Assets. Value of employer real property2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$122,902
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$122
2016 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$644,132
Expenses. Total of all expenses incurred2016-12-31$15,113
Benefits paid (including direct rollovers)2016-12-31$15,000
Total plan assets at end of year2016-12-31$5,561,891
Total plan assets at beginning of year2016-12-31$4,932,872
Total contributions received or receivable from participants2016-12-31$193,806
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$347,397
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$629,019
Net plan assets at end of year (total assets less liabilities)2016-12-31$5,561,891
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,932,872
Assets. Value of participant loans2016-12-31$92,956
Total contributions received or receivable from employer(s)2016-12-31$102,929
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$113
2015 : ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$256,956
Expenses. Total of all expenses incurred2015-12-31$63,008
Benefits paid (including direct rollovers)2015-12-31$51,666
Total plan assets at end of year2015-12-31$4,932,872
Total plan assets at beginning of year2015-12-31$4,738,924
Total contributions received or receivable from participants2015-12-31$201,521
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-45,867
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$193,948
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,932,872
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,738,924
Assets. Value of participant loans2015-12-31$70,072
Total contributions received or receivable from employer(s)2015-12-31$101,302
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$11,342

Form 5500 Responses for ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN

2022: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ANTHOS U.S.A., INC. SAVINGS & PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ANTHOS U.S.A., INC. SAVINGS & 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
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ANTHOS U.S.A., INC. SAVINGS & 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ANTHOS U.S.A., INC. SAVINGS & 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

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number341130-000
Policy instance 1
Insurance contract or identification number341130-000
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-10-30
Total amount of commissions paid to insurance brokerUSD $10,646
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $10,646
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameINTERSECURITIES INSURANCE AGENCY

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