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PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 401k Plan overview

Plan NamePATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN
Plan identification number 002

PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 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

PATSY LOU WILLIAMSON AUTOMOTIVE GROUP has sponsored the creation of one or more 401k plans.

Company Name:PATSY LOU WILLIAMSON AUTOMOTIVE GROUP
Employer identification number (EIN):381956604
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022017-07-01
0022016-07-01
0022015-07-01
0022014-07-01
0022013-07-01
0022012-07-01CAROL PATTILLO2014-04-03 CAROL PATTILLO2014-04-03
0022011-07-01CAROL PATTILLO2013-01-28 CAROL PATTILLO2013-01-28
0022010-07-01CAROL PATTILLO2012-01-16 CAROL PATTILLO2012-01-16

Plan Statistics for PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN

401k plan membership statisitcs for PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN

Measure Date Value
2017: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01132
Total number of active participants reported on line 7a of the Form 55002017-07-01102
Number of other retired or separated participants entitled to future benefits2017-07-012
Total of all active and inactive participants2017-07-01104
Total participants2017-07-01104
Number of participants with account balances2017-07-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01122
Total number of active participants reported on line 7a of the Form 55002016-07-0194
Number of other retired or separated participants entitled to future benefits2016-07-013
Total of all active and inactive participants2016-07-0197
Total participants2016-07-0197
Number of participants with account balances2016-07-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01153
Total number of active participants reported on line 7a of the Form 55002015-07-01105
Number of other retired or separated participants entitled to future benefits2015-07-016
Total of all active and inactive participants2015-07-01111
Total participants2015-07-01111
Number of participants with account balances2015-07-0152
2014: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01136
Total number of active participants reported on line 7a of the Form 55002014-07-01128
Number of other retired or separated participants entitled to future benefits2014-07-016
Total of all active and inactive participants2014-07-01134
Total participants2014-07-01134
Number of participants with account balances2014-07-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01129
Total number of active participants reported on line 7a of the Form 55002013-07-01113
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-017
Total of all active and inactive participants2013-07-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01120
Number of participants with account balances2013-07-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010

Financial Data on PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN

Measure Date Value
2018 : PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-06-30$354,882
Total of all expenses incurred2018-06-30$46,917
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$35,659
Value of total corrective distributions2018-06-30$10,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$212,257
Value of total assets at end of year2018-06-30$2,408,914
Value of total assets at beginning of year2018-06-30$2,100,949
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$863
Total interest from all sources2018-06-30$2,032
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$1,000,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$212,257
Participant contributions at end of year2018-06-30$34,567
Participant contributions at beginning of year2018-06-30$46,973
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$307,965
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,408,914
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$2,100,949
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$360
Value of interest in pooled separate accounts at end of year2018-06-30$2,374,347
Value of interest in pooled separate accounts at beginning of year2018-06-30$2,053,976
Interest on participant loans2018-06-30$2,032
Net investment gain/loss from pooled separate accounts2018-06-30$140,593
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30Yes
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$35,659
Contract administrator fees2018-06-30$503
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30DOEREN MAYHEW
Accountancy firm EIN2018-06-30382492570
2017 : PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-06-30$431,695
Total of all expenses incurred2017-06-30$177,781
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$176,390
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$219,060
Value of total assets at end of year2017-06-30$2,100,949
Value of total assets at beginning of year2017-06-30$1,847,035
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,391
Total interest from all sources2017-06-30$1,659
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$219,060
Participant contributions at end of year2017-06-30$46,973
Participant contributions at beginning of year2017-06-30$42,202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$253,914
Value of net assets at end of year (total assets less liabilities)2017-06-30$2,100,949
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$1,847,035
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$254
Value of interest in pooled separate accounts at end of year2017-06-30$2,053,976
Value of interest in pooled separate accounts at beginning of year2017-06-30$1,804,833
Interest on participant loans2017-06-30$1,659
Net investment gain/loss from pooled separate accounts2017-06-30$210,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$176,390
Contract administrator fees2017-06-30$1,137
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30DOEREN MAYHEW
Accountancy firm EIN2017-06-30382492570
2016 : PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-06-30$201,139
Total of all expenses incurred2016-06-30$194,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$191,242
Expenses. Certain deemed distributions of participant loans2016-06-30$1,732
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$244,416
Value of total assets at end of year2016-06-30$1,847,035
Value of total assets at beginning of year2016-06-30$1,840,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$1,673
Total interest from all sources2016-06-30$1,733
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$244,416
Participant contributions at end of year2016-06-30$42,202
Participant contributions at beginning of year2016-06-30$50,376
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$6,492
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,847,035
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,840,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$1,403
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$0
Value of interest in pooled separate accounts at end of year2016-06-30$1,804,833
Value of interest in pooled separate accounts at beginning of year2016-06-30$1,790,167
Interest on participant loans2016-06-30$1,733
Net investment gain/loss from pooled separate accounts2016-06-30$-45,010
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$191,242
Contract administrator fees2016-06-30$270
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30DOEREN MAYHEW
Accountancy firm EIN2016-06-30382492570
2015 : PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)2015-06-30$327,483
Total of all expenses incurred2015-06-30$772,432
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$768,674
Expenses. Certain deemed distributions of participant loans2015-06-30$1,512
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$286,134
Value of total assets at end of year2015-06-30$1,840,543
Value of total assets at beginning of year2015-06-30$2,285,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$2,246
Total interest from all sources2015-06-30$2,711
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$286,134
Participant contributions at end of year2015-06-30$50,376
Participant contributions at beginning of year2015-06-30$75,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$-444,949
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,840,543
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,285,492
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$112
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$2,210,382
Value of interest in pooled separate accounts at end of year2015-06-30$1,790,167
Interest on participant loans2015-06-30$2,711
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$39,964
Net investment gain/loss from pooled separate accounts2015-06-30$-1,326
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$768,674
Contract administrator fees2015-06-30$2,134
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30Yes
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30DOEREN MAYHEW
Accountancy firm EIN2015-06-30382492570
2014 : PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$688,692
Total loss/gain on sale of assets2014-06-30$344,929
Total of all expenses incurred2014-06-30$677,171
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$676,061
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$263,636
Value of total assets at end of year2014-06-30$2,285,492
Value of total assets at beginning of year2014-06-30$2,273,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,110
Total interest from all sources2014-06-30$3,441
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$76,686
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$76,686
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$263,636
Participant contributions at end of year2014-06-30$75,110
Participant contributions at beginning of year2014-06-30$78,606
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$0
Administrative expenses (other) incurred2014-06-30$1,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$11,521
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,285,492
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,273,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$2,210,382
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$2,195,365
Interest on participant loans2014-06-30$3,441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$676,061
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Aggregate proceeds on sale of assets2014-06-30$344,929
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30WILLIS, OSMOND & BEILSTEIN, LLP
Accountancy firm EIN2014-06-30340670924

Form 5500 Responses for PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN

2017: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: PATSY LOU WILLIAMSON AUTOMOTIVE GROUP 401(K) PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan 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 number117614
Policy instance 1
Insurance contract or identification number117614
Number of Individuals Covered104
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $6,779
Total amount of fees paid to insurance companyUSD $2,063
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 number117614
Policy instance 1
Insurance contract or identification number117614
Number of Individuals Covered52
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,480
Total amount of fees paid to insurance companyUSD $2,771
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
Commission paid to Insurance BrokerUSD $3,480
Insurance broker organization code?3
Amount paid for insurance broker fees2771
Insurance broker nameMICHIGAN BENEFIT CONSULTING, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number
Policy instance 1
Number of Individuals Covered61
Insurance policy start date2015-03-13
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $13,899
Total amount of fees paid to insurance companyUSD $4,604
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
Commission paid to Insurance BrokerUSD $13,899
Amount paid for insurance broker fees63
Insurance broker organization code?3
Insurance broker nameMICHIGAN BENEFIT CONSULTING, INC.

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