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PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NamePAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number 001

PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 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
  • 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.

401k Sponsoring company profile

PAUL D. BARTLE, D.D.S., P.C. has sponsored the creation of one or more 401k plans.

Company Name:PAUL D. BARTLE, D.D.S., P.C.
Employer identification number (EIN):382372558
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01PAUL D BARTLE2022-10-18
0012020-07-01PAUL D BARTLE2021-09-01
0012019-07-01PAUL D BARTLE2020-11-24
0012018-07-01PAUL D BARTLE2019-10-09
0012017-07-01
0012016-07-01
0012015-07-01
0012014-07-01
0012013-07-01
0012012-07-01PAUL D BARTLE
0012011-07-01PAUL D BARTLE
0012010-07-01PAUL D BARTLE
0012009-07-01PAUL D BARTLE

Plan Statistics for PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2021: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-07-015
Total number of active participants reported on line 7a of the Form 55002021-07-015
Total of all active and inactive participants2021-07-015
Total participants2021-07-015
Number of participants with account balances2021-07-015
2020: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-07-015
Total number of active participants reported on line 7a of the Form 55002020-07-015
Total of all active and inactive participants2020-07-015
Total participants2020-07-015
Number of participants with account balances2020-07-015
2019: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-07-015
Total number of active participants reported on line 7a of the Form 55002019-07-015
Total of all active and inactive participants2019-07-015
Total participants2019-07-015
Number of participants with account balances2019-07-015
2018: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-07-016
Total number of active participants reported on line 7a of the Form 55002018-07-015
Total of all active and inactive participants2018-07-015
Total participants2018-07-015
Number of participants with account balances2018-07-015
2017: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-015
Total number of active participants reported on line 7a of the Form 55002017-07-016
Total of all active and inactive participants2017-07-016
Total participants2017-07-016
Number of participants with account balances2017-07-016
2016: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-015
Total number of active participants reported on line 7a of the Form 55002016-07-015
Total of all active and inactive participants2016-07-015
Total participants2016-07-015
Number of participants with account balances2016-07-015
2015: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-015
Total number of active participants reported on line 7a of the Form 55002015-07-015
Total of all active and inactive participants2015-07-015
Total participants2015-07-015
Number of participants with account balances2015-07-015
2014: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-015
Total number of active participants reported on line 7a of the Form 55002014-07-015
Total of all active and inactive participants2014-07-015
Total participants2014-07-015
Number of participants with account balances2014-07-015
2013: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-015
Total number of active participants reported on line 7a of the Form 55002013-07-015
Total of all active and inactive participants2013-07-015
Total participants2013-07-015
Number of participants with account balances2013-07-015
2012: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-015
Total number of active participants reported on line 7a of the Form 55002012-07-015
Total of all active and inactive participants2012-07-015
Total participants2012-07-015
Number of participants with account balances2012-07-015
2011: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-015
Total number of active participants reported on line 7a of the Form 55002011-07-015
Total of all active and inactive participants2011-07-015
Total participants2011-07-015
Number of participants with account balances2011-07-015
2010: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-07-015
Total number of active participants reported on line 7a of the Form 55002010-07-015
Total of all active and inactive participants2010-07-015
Total participants2010-07-015
Number of participants with account balances2010-07-015
2009: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-015
Total number of active participants reported on line 7a of the Form 55002009-07-015
Total of all active and inactive participants2009-07-015
Total participants2009-07-015
Number of participants with account balances2009-07-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Total income from all sources2022-06-30$-267,111
Expenses. Total of all expenses incurred2022-06-30$2,738,409
Benefits paid (including direct rollovers)2022-06-30$2,732,911
Total plan assets at end of year2022-06-30$304,669
Total plan assets at beginning of year2022-06-30$3,310,189
Value of fidelity bond covering the plan2022-06-30$300,000
Expenses. Other expenses not covered elsewhere2022-06-30$1,607
Other income received2022-06-30$-276,342
Net income (gross income less expenses)2022-06-30$-3,005,520
Net plan assets at end of year (total assets less liabilities)2022-06-30$304,669
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$3,310,189
Total contributions received or receivable from employer(s)2022-06-30$9,231
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$3,891
2021 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Total income from all sources2021-06-30$581,481
Expenses. Total of all expenses incurred2021-06-30$5,423
Total plan assets at end of year2021-06-30$3,310,189
Total plan assets at beginning of year2021-06-30$2,734,131
Value of fidelity bond covering the plan2021-06-30$300,000
Expenses. Other expenses not covered elsewhere2021-06-30$1,607
Other income received2021-06-30$571,195
Net income (gross income less expenses)2021-06-30$576,058
Net plan assets at end of year (total assets less liabilities)2021-06-30$3,310,189
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$2,734,131
Assets. Value of participant loans2021-06-30$54,469
Total contributions received or receivable from employer(s)2021-06-30$10,286
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$3,816
2020 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Total income from all sources2020-06-30$-7,122
Expenses. Total of all expenses incurred2020-06-30$6,312
Total plan assets at end of year2020-06-30$2,734,131
Total plan assets at beginning of year2020-06-30$2,747,565
Value of fidelity bond covering the plan2020-06-30$300,000
Expenses. Other expenses not covered elsewhere2020-06-30$3,214
Other income received2020-06-30$-14,978
Net income (gross income less expenses)2020-06-30$-13,434
Net plan assets at end of year (total assets less liabilities)2020-06-30$2,734,131
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$2,747,565
Assets. Value of participant loans2020-06-30$53,674
Total contributions received or receivable from employer(s)2020-06-30$7,856
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$3,098
2018 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Total income from all sources2018-06-30$128,712
Expenses. Total of all expenses incurred2018-06-30$38,061
Benefits paid (including direct rollovers)2018-06-30$33,000
Total plan assets at end of year2018-06-30$2,772,546
Total plan assets at beginning of year2018-06-30$2,681,895
Value of fidelity bond covering the plan2018-06-30$300,000
Total contributions received or receivable from participants2018-06-30$70
Expenses. Other expenses not covered elsewhere2018-06-30$1,607
Other income received2018-06-30$119,286
Net income (gross income less expenses)2018-06-30$90,651
Net plan assets at end of year (total assets less liabilities)2018-06-30$2,772,546
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$2,681,895
Assets. Value of participant loans2018-06-30$52,084
Total contributions received or receivable from employer(s)2018-06-30$9,356
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$3,454
2017 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total income from all sources2017-06-30$206,382
Expenses. Total of all expenses incurred2017-06-30$5,537
Total plan assets at end of year2017-06-30$2,681,895
Total plan assets at beginning of year2017-06-30$2,481,050
Value of fidelity bond covering the plan2017-06-30$300,000
Total contributions received or receivable from participants2017-06-30$925
Expenses. Other expenses not covered elsewhere2017-06-30$1,607
Other income received2017-06-30$195,510
Net income (gross income less expenses)2017-06-30$200,845
Net plan assets at end of year (total assets less liabilities)2017-06-30$2,681,895
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$2,481,050
Assets. Value of participant loans2017-06-30$51,289
Total contributions received or receivable from employer(s)2017-06-30$9,947
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$3,930
2016 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total income from all sources2016-06-30$-32,906
Expenses. Total of all expenses incurred2016-06-30$6,636
Total plan assets at end of year2016-06-30$2,481,050
Total plan assets at beginning of year2016-06-30$2,520,592
Value of fidelity bond covering the plan2016-06-30$260,000
Total contributions received or receivable from participants2016-06-30$938
Expenses. Other expenses not covered elsewhere2016-06-30$1,607
Other income received2016-06-30$-43,392
Net income (gross income less expenses)2016-06-30$-39,542
Net plan assets at end of year (total assets less liabilities)2016-06-30$2,481,050
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$2,520,592
Assets. Value of participant loans2016-06-30$50,000
Total contributions received or receivable from employer(s)2016-06-30$9,548
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$5,029
2015 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total income from all sources2015-06-30$39,664
Expenses. Total of all expenses incurred2015-06-30$5,997
Total plan assets at end of year2015-06-30$2,520,592
Total plan assets at beginning of year2015-06-30$2,486,925
Value of fidelity bond covering the plan2015-06-30$260,000
Total contributions received or receivable from participants2015-06-30$1,186
Expenses. Other expenses not covered elsewhere2015-06-30$1,607
Other income received2015-06-30$28,574
Net income (gross income less expenses)2015-06-30$33,667
Net plan assets at end of year (total assets less liabilities)2015-06-30$2,520,592
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$2,486,925
Assets. Value of participant loans2015-06-30$3,056
Total contributions received or receivable from employer(s)2015-06-30$9,904
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$4,390
2014 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total income from all sources2014-06-30$298,674
Expenses. Total of all expenses incurred2014-06-30$7,060
Total plan assets at end of year2014-06-30$2,486,925
Total plan assets at beginning of year2014-06-30$2,195,311
Value of fidelity bond covering the plan2014-06-30$260,000
Total contributions received or receivable from participants2014-06-30$4,275
Expenses. Other expenses not covered elsewhere2014-06-30$1,607
Other income received2014-06-30$284,196
Net income (gross income less expenses)2014-06-30$291,614
Net plan assets at end of year (total assets less liabilities)2014-06-30$2,486,925
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$2,195,311
Assets. Value of participant loans2014-06-30$4,707
Total contributions received or receivable from employer(s)2014-06-30$10,203
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$5,453
2013 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Total income from all sources2013-06-30$219,499
Expenses. Total of all expenses incurred2013-06-30$3,822
Total plan assets at end of year2013-06-30$2,195,311
Total plan assets at beginning of year2013-06-30$1,979,634
Value of fidelity bond covering the plan2013-06-30$230,000
Total contributions received or receivable from participants2013-06-30$4,070
Expenses. Other expenses not covered elsewhere2013-06-30$1,607
Other income received2013-06-30$205,651
Net income (gross income less expenses)2013-06-30$215,677
Net plan assets at end of year (total assets less liabilities)2013-06-30$2,195,311
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$1,979,634
Assets. Value of participant loans2013-06-30$13,825
Total contributions received or receivable from employer(s)2013-06-30$9,778
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$2,215
2012 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources2012-06-30$-66,583
Expenses. Total of all expenses incurred2012-06-30$6,525
Total plan assets at end of year2012-06-30$1,979,634
Total plan assets at beginning of year2012-06-30$2,052,742
Value of fidelity bond covering the plan2012-06-30$230,000
Total contributions received or receivable from participants2012-06-30$4,476
Other income received2012-06-30$-80,842
Net income (gross income less expenses)2012-06-30$-73,108
Net plan assets at end of year (total assets less liabilities)2012-06-30$1,979,634
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$2,052,742
Assets. Value of participant loans2012-06-30$22,564
Total contributions received or receivable from employer(s)2012-06-30$9,783
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$6,525
2011 : PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources2011-06-30$267,259
Expenses. Total of all expenses incurred2011-06-30$9,340
Total plan assets at end of year2011-06-30$2,052,742
Total plan assets at beginning of year2011-06-30$1,794,823
Value of fidelity bond covering the plan2011-06-30$230,000
Total contributions received or receivable from participants2011-06-30$1,997
Other income received2011-06-30$253,703
Net income (gross income less expenses)2011-06-30$257,919
Net plan assets at end of year (total assets less liabilities)2011-06-30$2,052,742
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$1,794,823
Assets. Value of participant loans2011-06-30$31,255
Total contributions received or receivable from employer(s)2011-06-30$11,559
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$9,340

Form 5500 Responses for PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST

2021: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 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: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 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: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 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: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 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: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: PAUL D. BARTLE, DDS, PC, EMPLOYEES 401(K) PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01This submission is the final filingNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2022-06-13
Insurance policy end date2023-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2021-06-13
Insurance policy end date2022-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Insurance policy start date2020-06-13
Insurance policy end date2021-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Insurance policy start date2019-06-13
Insurance policy end date2020-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Insurance policy start date2018-06-13
Insurance policy end date2019-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameSTERLING FINANCIAL SERVICES INC
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2016-06-13
Insurance policy end date2017-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameSTERLING FINANCIAL SERVICES INC
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2015-06-13
Insurance policy end date2016-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameSTERLING FINANCIAL SERVICES INC
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2014-06-13
Insurance policy end date2015-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameSTERLING FINANCIAL SERVICES INC
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2013-06-13
Insurance policy end date2014-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameSTERLING FINANCIAL SERVICES INC
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2012-06-13
Insurance policy end date2013-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PAN AMERICAN ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 93459 )
Policy contract number9200284320
Policy instance 1
Insurance contract or identification number9200284320
Number of Individuals Covered1
Insurance policy start date2011-06-13
Insurance policy end date2012-06-12
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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