401k Plan data: BROADWAY IN CHICAGO 401K RETIREMENT PLAN plan

BROADWAY IN CHICAGO 401K RETIREMENT PLAN 401k Plan overview

Plan Name	BROADWAY IN CHICAGO 401K RETIREMENT PLAN
Plan identification number	001

BROADWAY IN CHICAGO 401K RETIREMENT PLAN Benefits

401k Plan Type

Defined 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.
Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
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

BROADWAY IN CHICAGO, LLC has sponsored the creation of one or more 401k plans.

Company Name: BROADWAY IN CHICAGO, LLC

Employer identification number (EIN): 364374676

NAIC Classification: 711300
NAIC Description: Promoters of Performing Arts, Sports, and Similar Events

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BROADWAY IN CHICAGO 401K RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01 DEBRA MCLAURIN 2023-06-21
001 2021-01-01 DEBRA MCLAURIN 2022-08-04
001 2020-01-01 DEBRA MCLAURIN 2021-07-02
001 2019-01-01 DEBRA MCLAURIN 2020-10-08
001 2018-01-01 DEBRA MCLAURIN 2019-10-08
001 2017-01-01 DEBRA MCLAURIN 2018-10-02
001 2016-01-01 DEBRA MCLAURIN 2017-06-20
001 2015-01-01 DEBRA MCLAURIN 2017-06-20
001 2015-01-01 DEBRA MCLAURIN 2016-10-10
001 2014-01-01 DEBRA MCLAURIN
001 2013-01-01 DEBRA MCLAURIN
001 2012-01-01 DEBRA MCLAURIN
001 2011-01-01 DEBRA MCLAURIN
001 2009-01-01 DEBRA MCLAURIN

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
001	2022-01-01	DEBRA MCLAURIN	2023-06-21
001	2021-01-01	DEBRA MCLAURIN	2022-08-04
001	2020-01-01	DEBRA MCLAURIN	2021-07-02
001	2019-01-01	DEBRA MCLAURIN	2020-10-08
001	2018-01-01	DEBRA MCLAURIN	2019-10-08
001	2017-01-01	DEBRA MCLAURIN	2018-10-02
001	2016-01-01	DEBRA MCLAURIN	2017-06-20
001	2015-01-01	DEBRA MCLAURIN	2017-06-20
001	2015-01-01	DEBRA MCLAURIN	2016-10-10
001	2014-01-01	DEBRA MCLAURIN
001	2013-01-01	DEBRA MCLAURIN
001	2012-01-01	DEBRA MCLAURIN
001	2011-01-01	DEBRA MCLAURIN
001	2009-01-01	DEBRA MCLAURIN

Plan Statistics for BROADWAY IN CHICAGO 401K RETIREMENT PLAN

401k plan membership statisitcs for BROADWAY IN CHICAGO 401K RETIREMENT PLAN

Measure Date Value
2014: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 67
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 38
Total of all active and inactive participants 2014-01-01 105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 105
Number of participants with account balances 2014-01-01 91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 2
2013: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 118
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 71
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 29
Total of all active and inactive participants 2013-01-01 100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 100
Number of participants with account balances 2013-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 6
2012: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 114
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 69
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 44
Total of all active and inactive participants 2012-01-01 113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 113
Number of participants with account balances 2012-01-01 98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 5
2011: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 104
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 75
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 36
Total of all active and inactive participants 2011-01-01 111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 111
Number of participants with account balances 2011-01-01 92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 8
2009: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 90
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 90
Number of other retired or separated participants entitled to future benefits 2009-01-01 12
Total of all active and inactive participants 2009-01-01 102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 102
Number of participants with account balances 2009-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 3

Measure	Date	Value
2014: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	67
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	38
Total of all active and inactive participants	2014-01-01	105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	105
Number of participants with account balances	2014-01-01	91
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	2
2013: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	118
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	71
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	29
Total of all active and inactive participants	2013-01-01	100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	100
Number of participants with account balances	2013-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	6
2012: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	114
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	69
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	44
Total of all active and inactive participants	2012-01-01	113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	113
Number of participants with account balances	2012-01-01	98
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	5
2011: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	104
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	75
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	36
Total of all active and inactive participants	2011-01-01	111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	111
Number of participants with account balances	2011-01-01	92
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	8
2009: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	90
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	90
Number of other retired or separated participants entitled to future benefits	2009-01-01	12
Total of all active and inactive participants	2009-01-01	102
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	102
Number of participants with account balances	2009-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	3

Financial Data on BROADWAY IN CHICAGO 401K RETIREMENT PLAN

Measure	Date	Value
2014 : BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$273,731
Expenses. Total of all expenses incurred	2014-12-31	$47,160
Benefits paid (including direct rollovers)	2014-12-31	$45,169
Total plan assets at end of year	2014-12-31	$2,249,671
Total plan assets at beginning of year	2014-12-31	$2,023,100
Value of fidelity bond covering the plan	2014-12-31	$500,000
Total contributions received or receivable from participants	2014-12-31	$117,513
Other income received	2014-12-31	$96,625
Net income (gross income less expenses)	2014-12-31	$226,571
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$2,249,671
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$2,023,100
Assets. Value of participant loans	2014-12-31	$144,508
Total contributions received or receivable from employer(s)	2014-12-31	$59,593
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$1,991
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$477,796
Expenses. Total of all expenses incurred	2013-12-31	$30,167
Benefits paid (including direct rollovers)	2013-12-31	$27,533
Total plan assets at end of year	2013-12-31	$2,023,100
Total plan assets at beginning of year	2013-12-31	$1,575,471
Value of fidelity bond covering the plan	2013-12-31	$500,000
Total contributions received or receivable from participants	2013-12-31	$113,119
Other income received	2013-12-31	$305,769
Net income (gross income less expenses)	2013-12-31	$447,629
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$2,023,100
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,575,471
Assets. Value of participant loans	2013-12-31	$108,432
Total contributions received or receivable from employer(s)	2013-12-31	$58,908
Value of certain deemed distributions of participant loans	2013-12-31	$2,634
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
2012 : BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total income from all sources	2012-12-31	$357,557
Expenses. Total of all expenses incurred	2012-12-31	$102,481
Benefits paid (including direct rollovers)	2012-12-31	$100,413
Total plan assets at end of year	2012-12-31	$1,575,471
Total plan assets at beginning of year	2012-12-31	$1,320,395
Value of fidelity bond covering the plan	2012-12-31	$500,000
Total contributions received or receivable from participants	2012-12-31	$114,112
Other income received	2012-12-31	$185,704
Net income (gross income less expenses)	2012-12-31	$255,076
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,575,471
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,320,395
Assets. Value of participant loans	2012-12-31	$86,305
Total contributions received or receivable from employer(s)	2012-12-31	$57,741
Value of corrective distributions	2012-12-31	$45
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$2,023
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
2011 : BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$121,507
Expenses. Total of all expenses incurred	2011-12-31	$26,637
Benefits paid (including direct rollovers)	2011-12-31	$26,637
Total plan assets at end of year	2011-12-31	$1,320,395
Total plan assets at beginning of year	2011-12-31	$1,225,525
Value of fidelity bond covering the plan	2011-12-31	$500,000
Total contributions received or receivable from participants	2011-12-31	$115,338
Other income received	2011-12-31	$-52,453
Net income (gross income less expenses)	2011-12-31	$94,870
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,320,395
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$1,225,525
Assets. Value of participant loans	2011-12-31	$25,781
Total contributions received or receivable from employer(s)	2011-12-31	$58,622
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
2010 : BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$324,663
Expenses. Total of all expenses incurred	2010-12-31	$31,499
Benefits paid (including direct rollovers)	2010-12-31	$31,499
Total plan assets at end of year	2010-12-31	$1,225,525
Total plan assets at beginning of year	2010-12-31	$932,361
Value of fidelity bond covering the plan	2010-12-31	$1,000,000
Total contributions received or receivable from participants	2010-12-31	$116,543
Contributions received from other sources (not participants or employers)	2010-12-31	$361
Other income received	2010-12-31	$144,801
Net income (gross income less expenses)	2010-12-31	$293,164
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$1,225,525
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$932,361
Assets. Value of participant loans	2010-12-31	$13,690
Total contributions received or receivable from employer(s)	2010-12-31	$62,958
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
2009 : BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for BROADWAY IN CHICAGO 401K RETIREMENT PLAN

2014: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: BROADWAY IN CHICAGO 401K RETIREMENT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

87886

Policy instance

Insurance contract or identification number	87886
Number of Individuals Covered	91
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $8,026
Total amount of fees paid to insurance company	USD $2,317
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $8,026
Insurance broker organization code?	3
Amount paid for insurance broker fees	2317
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION FEE
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

87886

Policy instance

Insurance contract or identification number	87886
Number of Individuals Covered	86
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $6,646
Total amount of fees paid to insurance company	USD $2,915
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $6,646
Insurance broker organization code?	3
Amount paid for insurance broker fees	2915
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION FEE
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

87886

Policy instance

Insurance contract or identification number	87886
Number of Individuals Covered	100
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $5,540
Total amount of fees paid to insurance company	USD $2,296
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $5,540
Insurance broker organization code?	3
Amount paid for insurance broker fees	2296
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION FEE
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

87886

Policy instance

Insurance contract or identification number	87886
Number of Individuals Covered	108
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $5,204
Total amount of fees paid to insurance company	USD $1,392
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

87886

Policy instance

Insurance contract or identification number	87886
Number of Individuals Covered	94
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $4,114
Total amount of fees paid to insurance company	USD $1,359
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	No
Health Insurance Welfare Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $4,114
Insurance broker organization code?	3
Amount paid for insurance broker fees	1359
Additional information about fees paid to insurance broker	THIRD PARTY ADMINISTRATION FEE
Insurance broker name	HUNTER BENEFITS CONSULTING GROUP

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Company Name:	BROADWAY IN CHICAGO, LLC
Employer identification number (EIN):	364374676
NAIC Classification:	711300
NAIC Description:	Promoters of Performing Arts, Sports, and Similar Events