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SCAN-PAC MANUFACTURING INC 401K PLAN 401k Plan overview

Plan NameSCAN-PAC MANUFACTURING INC 401K PLAN
Plan identification number 001

SCAN-PAC MANUFACTURING INC 401K 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

SCAN-PAC MFG., INC. has sponsored the creation of one or more 401k plans.

Company Name:SCAN-PAC MFG., INC.
Employer identification number (EIN):391189714
NAIC Classification:339900

Additional information about SCAN-PAC MFG., INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1984-11-01
Company Identification Number: 0006380406
Legal Registered Office Address: N84W13480 LEON RD STE A

MENOMONEE FLS
United States of America (USA)
53051

More information about SCAN-PAC MFG., INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCAN-PAC MANUFACTURING INC 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01CRAIG ARMSTRONG2023-06-19
0012021-04-01MARK FRANZOWIAK2022-10-17
0012020-04-01MARK FRANZOWIAK2021-10-08
0012019-04-01MARK FRANZOWIAK2020-10-15
0012018-04-01PAULA WEISS
0012018-04-01
0012017-04-01PAULA WEISS
0012016-04-01PAULA WEISS
0012015-04-01PAULA WEISS
0012015-04-01
0012014-04-01PAULA WEISS
0012013-04-01PAULA WEISS
0012012-04-01PAULA WEISS
0012011-04-01PAULA WEISS
0012009-04-01PAULA WEISS

Plan Statistics for SCAN-PAC MANUFACTURING INC 401K PLAN

401k plan membership statisitcs for SCAN-PAC MANUFACTURING INC 401K PLAN

Measure Date Value
2018: SCAN-PAC MANUFACTURING INC 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-04-01114
Total number of active participants reported on line 7a of the Form 55002018-04-0181
Number of retired or separated participants receiving benefits2018-04-010
Number of other retired or separated participants entitled to future benefits2018-04-0112
Total of all active and inactive participants2018-04-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-04-010
Total participants2018-04-0193
Number of participants with account balances2018-04-0176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-04-0128
2017: SCAN-PAC MANUFACTURING INC 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-01103
Total number of active participants reported on line 7a of the Form 55002017-04-0171
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-018
Total of all active and inactive participants2017-04-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-04-010
Total participants2017-04-0179
Number of participants with account balances2017-04-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-04-010
2016: SCAN-PAC MANUFACTURING INC 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0165
Total number of active participants reported on line 7a of the Form 55002016-04-0159
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-014
Total of all active and inactive participants2016-04-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-0163
Number of participants with account balances2016-04-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-013
2015: SCAN-PAC MANUFACTURING INC 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01115
Total number of active participants reported on line 7a of the Form 55002015-04-0164
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-013
Total of all active and inactive participants2015-04-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0167
Number of participants with account balances2015-04-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-0114
2014: SCAN-PAC MANUFACTURING INC 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01119
Total number of active participants reported on line 7a of the Form 55002014-04-01115
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-014
Total of all active and inactive participants2014-04-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-01119
Number of participants with account balances2014-04-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-017
2013: SCAN-PAC MANUFACTURING INC 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-0194
Total number of active participants reported on line 7a of the Form 55002013-04-01117
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-012
Total of all active and inactive participants2013-04-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-01119
Number of participants with account balances2013-04-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-012
2012: SCAN-PAC MANUFACTURING INC 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01105
Total number of active participants reported on line 7a of the Form 55002012-04-0190
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-014
Total of all active and inactive participants2012-04-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-0194
Number of participants with account balances2012-04-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: SCAN-PAC MANUFACTURING INC 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01103
Total number of active participants reported on line 7a of the Form 55002011-04-0199
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-016
Total of all active and inactive participants2011-04-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-01105
Number of participants with account balances2011-04-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2009: SCAN-PAC MANUFACTURING INC 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-0180
Total number of active participants reported on line 7a of the Form 55002009-04-0131
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-0116
Total of all active and inactive participants2009-04-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-0147
Number of participants with account balances2009-04-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on SCAN-PAC MANUFACTURING INC 401K PLAN

Measure Date Value
2019 : SCAN-PAC MANUFACTURING INC 401K PLAN 2019 401k financial data
Total income from all sources2019-03-31$246,286
Expenses. Total of all expenses incurred2019-03-31$321,497
Benefits paid (including direct rollovers)2019-03-31$297,664
Total plan assets at end of year2019-03-31$1,667,540
Total plan assets at beginning of year2019-03-31$1,742,751
Value of fidelity bond covering the plan2019-03-31$200,000
Total contributions received or receivable from participants2019-03-31$136,943
Other income received2019-03-31$67,637
Net income (gross income less expenses)2019-03-31$-75,211
Net plan assets at end of year (total assets less liabilities)2019-03-31$1,667,540
Net plan assets at beginning of year (total assets less liabilities)2019-03-31$1,742,751
Assets. Value of participant loans2019-03-31$55,182
Total contributions received or receivable from employer(s)2019-03-31$41,706
Expenses. Administrative service providers (salaries,fees and commissions)2019-03-31$23,833
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-03-31$0
2018 : SCAN-PAC MANUFACTURING INC 401K PLAN 2018 401k financial data
Total income from all sources2018-03-31$313,428
Expenses. Total of all expenses incurred2018-03-31$207,809
Benefits paid (including direct rollovers)2018-03-31$189,322
Total plan assets at end of year2018-03-31$1,742,751
Total plan assets at beginning of year2018-03-31$1,637,132
Value of fidelity bond covering the plan2018-03-31$164,426
Total contributions received or receivable from participants2018-03-31$115,198
Other income received2018-03-31$168,956
Net income (gross income less expenses)2018-03-31$105,619
Net plan assets at end of year (total assets less liabilities)2018-03-31$1,742,751
Net plan assets at beginning of year (total assets less liabilities)2018-03-31$1,637,132
Assets. Value of participant loans2018-03-31$43,472
Total contributions received or receivable from employer(s)2018-03-31$29,274
Expenses. Administrative service providers (salaries,fees and commissions)2018-03-31$18,487
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-03-31$0
2017 : SCAN-PAC MANUFACTURING INC 401K PLAN 2017 401k financial data
Total income from all sources2017-03-31$338,656
Expenses. Total of all expenses incurred2017-03-31$260,588
Benefits paid (including direct rollovers)2017-03-31$243,303
Total plan assets at end of year2017-03-31$1,637,132
Total plan assets at beginning of year2017-03-31$1,559,064
Value of fidelity bond covering the plan2017-03-31$200,000
Total contributions received or receivable from participants2017-03-31$111,578
Contributions received from other sources (not participants or employers)2017-03-31$877
Other income received2017-03-31$196,970
Net income (gross income less expenses)2017-03-31$78,068
Net plan assets at end of year (total assets less liabilities)2017-03-31$1,637,132
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$1,559,064
Assets. Value of participant loans2017-03-31$36,134
Total contributions received or receivable from employer(s)2017-03-31$29,231
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$17,285
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-03-31$0
2016 : SCAN-PAC MANUFACTURING INC 401K PLAN 2016 401k financial data
Total income from all sources2016-03-31$186,722
Expenses. Total of all expenses incurred2016-03-31$126,970
Benefits paid (including direct rollovers)2016-03-31$81,677
Total plan assets at end of year2016-03-31$1,566,193
Total plan assets at beginning of year2016-03-31$1,506,441
Value of fidelity bond covering the plan2016-03-31$200,000
Total contributions received or receivable from participants2016-03-31$136,280
Contributions received from other sources (not participants or employers)2016-03-31$32,964
Other income received2016-03-31$-61,250
Net income (gross income less expenses)2016-03-31$59,752
Net plan assets at end of year (total assets less liabilities)2016-03-31$1,566,193
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$1,506,441
Assets. Value of participant loans2016-03-31$58,795
Total contributions received or receivable from employer(s)2016-03-31$78,728
Value of certain deemed distributions of participant loans2016-03-31$27,756
Expenses. Administrative service providers (salaries,fees and commissions)2016-03-31$17,537
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
2015 : SCAN-PAC MANUFACTURING INC 401K PLAN 2015 401k financial data
Total income from all sources2015-03-31$213,079
Expenses. Total of all expenses incurred2015-03-31$53,295
Benefits paid (including direct rollovers)2015-03-31$36,988
Total plan assets at end of year2015-03-31$1,506,441
Total plan assets at beginning of year2015-03-31$1,346,657
Value of fidelity bond covering the plan2015-03-31$200,000
Total contributions received or receivable from participants2015-03-31$143,912
Other income received2015-03-31$28,679
Net income (gross income less expenses)2015-03-31$159,784
Net plan assets at end of year (total assets less liabilities)2015-03-31$1,506,441
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$1,346,657
Assets. Value of participant loans2015-03-31$83,792
Total contributions received or receivable from employer(s)2015-03-31$40,488
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$16,307
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
2014 : SCAN-PAC MANUFACTURING INC 401K PLAN 2014 401k financial data
Total income from all sources2014-03-31$435,926
Expenses. Total of all expenses incurred2014-03-31$190,803
Benefits paid (including direct rollovers)2014-03-31$172,989
Total plan assets at end of year2014-03-31$1,346,657
Total plan assets at beginning of year2014-03-31$1,101,534
Value of fidelity bond covering the plan2014-03-31$200,000
Total contributions received or receivable from participants2014-03-31$168,042
Contributions received from other sources (not participants or employers)2014-03-31$100,896
Other income received2014-03-31$125,796
Net income (gross income less expenses)2014-03-31$245,123
Net plan assets at end of year (total assets less liabilities)2014-03-31$1,346,657
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$1,101,534
Assets. Value of participant loans2014-03-31$92,849
Total contributions received or receivable from employer(s)2014-03-31$41,192
Value of corrective distributions2014-03-31$3,675
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$14,139
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
2013 : SCAN-PAC MANUFACTURING INC 401K PLAN 2013 401k financial data
Total income from all sources2013-03-31$268,921
Expenses. Total of all expenses incurred2013-03-31$179,649
Benefits paid (including direct rollovers)2013-03-31$162,995
Total plan assets at end of year2013-03-31$1,101,534
Total plan assets at beginning of year2013-03-31$1,012,262
Value of fidelity bond covering the plan2013-03-31$200,000
Total contributions received or receivable from participants2013-03-31$148,943
Contributions received from other sources (not participants or employers)2013-03-31$3,406
Other income received2013-03-31$83,368
Net income (gross income less expenses)2013-03-31$89,272
Net plan assets at end of year (total assets less liabilities)2013-03-31$1,101,534
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$1,012,262
Assets. Value of participant loans2013-03-31$101,542
Total contributions received or receivable from employer(s)2013-03-31$33,204
Value of corrective distributions2013-03-31$3,770
Expenses. Administrative service providers (salaries,fees and commissions)2013-03-31$12,884
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
2012 : SCAN-PAC MANUFACTURING INC 401K PLAN 2012 401k financial data
Total income from all sources2012-03-31$119,075
Expenses. Total of all expenses incurred2012-03-31$147,675
Benefits paid (including direct rollovers)2012-03-31$136,036
Total plan assets at end of year2012-03-31$1,012,262
Total plan assets at beginning of year2012-03-31$1,040,862
Value of fidelity bond covering the plan2012-03-31$200,000
Total contributions received or receivable from participants2012-03-31$101,492
Other income received2012-03-31$17,583
Net income (gross income less expenses)2012-03-31$-28,600
Net plan assets at end of year (total assets less liabilities)2012-03-31$1,012,262
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$1,040,862
Assets. Value of participant loans2012-03-31$64,768
Expenses. Administrative service providers (salaries,fees and commissions)2012-03-31$11,639
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
2011 : SCAN-PAC MANUFACTURING INC 401K PLAN 2011 401k financial data
Total income from all sources2011-03-31$232,001
Expenses. Total of all expenses incurred2011-03-31$159,540
Benefits paid (including direct rollovers)2011-03-31$147,130
Total plan assets at end of year2011-03-31$1,040,862
Total plan assets at beginning of year2011-03-31$968,401
Value of fidelity bond covering the plan2011-03-31$200,000
Total contributions received or receivable from participants2011-03-31$118,198
Other income received2011-03-31$113,803
Net income (gross income less expenses)2011-03-31$72,461
Net plan assets at end of year (total assets less liabilities)2011-03-31$1,040,862
Net plan assets at beginning of year (total assets less liabilities)2011-03-31$968,401
Assets. Value of participant loans2011-03-31$37,651
Expenses. Administrative service providers (salaries,fees and commissions)2011-03-31$12,410
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-03-31$0
2010 : SCAN-PAC MANUFACTURING INC 401K PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0

Form 5500 Responses for SCAN-PAC MANUFACTURING INC 401K PLAN

2018: SCAN-PAC MANUFACTURING INC 401K PLAN 2018 form 5500 responses
2018-04-01Type of plan entitySingle employer plan
2018-04-01Submission has been amendedNo
2018-04-01This submission is the final filingNo
2018-04-01This return/report is a short plan year return/report (less than 12 months)No
2018-04-01Plan is a collectively bargained planNo
2018-04-01Plan funding arrangement – InsuranceYes
2018-04-01Plan funding arrangement – TrustYes
2018-04-01Plan benefit arrangement – InsuranceYes
2018-04-01Plan benefit arrangement - TrustYes
2017: SCAN-PAC MANUFACTURING INC 401K PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: SCAN-PAC MANUFACTURING INC 401K PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: SCAN-PAC MANUFACTURING INC 401K PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedYes
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: SCAN-PAC MANUFACTURING INC 401K PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: SCAN-PAC MANUFACTURING INC 401K PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: SCAN-PAC MANUFACTURING INC 401K PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: SCAN-PAC MANUFACTURING INC 401K PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2009: SCAN-PAC MANUFACTURING INC 401K PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan 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 number35307
Policy instance 1
Insurance contract or identification number35307
Number of Individuals Covered101
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $3,641
Total amount of fees paid to insurance companyUSD $2,307
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 $3,641
Insurance broker organization code?7
Amount paid for insurance broker fees2307
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number35307
Policy instance 1
Insurance contract or identification number35307
Number of Individuals Covered84
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $7,885
Total amount of fees paid to insurance companyUSD $2,287
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,885
Insurance broker organization code?7
Amount paid for insurance broker fees2287
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker namePPG RETIREMENT PLAN SERVICES

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