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ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN
Plan identification number 001

ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ATLAS-MIKES BAIT INC has sponsored the creation of one or more 401k plans.

Company Name:ATLAS-MIKES BAIT INC
Employer identification number (EIN):391366367
NAIC Classification:339900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01THOMAS VANDER MAUSE2018-12-14
0012017-01-01THOMAS VANDER MAUSE
0012016-01-01THOMAS VANDER MAUSE
0012015-11-01THOMAS VANDER MAUSE
0012014-11-01TOM VANDERMAUSE
0012013-11-01THOMAS VANDER MAUSE
0012012-11-01THOMAS VANDER MAUSE
0012011-11-01TOM VANDERMAUSE
0012010-11-01THOMAS VANDERMAUSE2011-12-21 THOMAS VANDERMAUSE2011-12-21

Plan Statistics for ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN

Measure Date Value
2017: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0113
Total number of active participants reported on line 7a of the Form 55002017-01-0111
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0111
Number of participants with account balances2017-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0113
Total number of active participants reported on line 7a of the Form 55002016-01-0112
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0113
Number of participants with account balances2016-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0113
Total number of active participants reported on line 7a of the Form 55002015-11-0113
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-010
Total of all active and inactive participants2015-11-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-010
Total participants2015-11-0113
Number of participants with account balances2015-11-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-010
2014: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0113
Total number of active participants reported on line 7a of the Form 55002014-11-0113
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-010
Total of all active and inactive participants2014-11-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-010
Total participants2014-11-0113
Number of participants with account balances2014-11-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-010
2013: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0112
Total number of active participants reported on line 7a of the Form 55002013-11-0113
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-010
Total of all active and inactive participants2013-11-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-010
Total participants2013-11-0113
Number of participants with account balances2013-11-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-11-010
2012: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0114
Total number of active participants reported on line 7a of the Form 55002012-11-0112
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-010
Total of all active and inactive participants2012-11-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-010
Total participants2012-11-0112
Number of participants with account balances2012-11-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-010
2011: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0113
Total number of active participants reported on line 7a of the Form 55002011-11-0113
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-0113
Number of participants with account balances2011-11-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010

Financial Data on ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN

Measure Date Value
2017 : ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$506,857
Expenses. Total of all expenses incurred2017-12-31$217,512
Benefits paid (including direct rollovers)2017-12-31$217,172
Total plan assets at end of year2017-12-31$3,261,705
Total plan assets at beginning of year2017-12-31$2,972,360
Value of fidelity bond covering the plan2017-12-31$350,000
Total contributions received or receivable from participants2017-12-31$55,468
Expenses. Other expenses not covered elsewhere2017-12-31$0
Other income received2017-12-31$401,389
Net income (gross income less expenses)2017-12-31$289,345
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,261,705
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,972,360
Total contributions received or receivable from employer(s)2017-12-31$50,000
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$340
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$319,952
Expenses. Total of all expenses incurred2016-12-31$0
Benefits paid (including direct rollovers)2016-12-31$0
Total plan assets at end of year2016-12-31$2,972,360
Total plan assets at beginning of year2016-12-31$2,652,408
Value of fidelity bond covering the plan2016-12-31$250,000
Total contributions received or receivable from participants2016-12-31$54,147
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$185,805
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$319,952
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,972,360
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,652,408
Total contributions received or receivable from employer(s)2016-12-31$80,000
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$-38,569
Expenses. Total of all expenses incurred2015-12-31$0
Benefits paid (including direct rollovers)2015-12-31$0
Total plan assets at end of year2015-12-31$2,652,408
Total plan assets at beginning of year2015-12-31$2,690,977
Value of fidelity bond covering the plan2015-12-31$250,000
Total contributions received or receivable from participants2015-12-31$774
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-41,447
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$-38,569
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,652,408
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,690,977
Total contributions received or receivable from employer(s)2015-12-31$2,104
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Total income from all sources2015-10-31$137,425
Expenses. Total of all expenses incurred2015-10-31$0
Benefits paid (including direct rollovers)2015-10-31$0
Total plan assets at end of year2015-10-31$2,690,977
Total plan assets at beginning of year2015-10-31$2,553,552
Value of fidelity bond covering the plan2015-10-31$250,000
Total contributions received or receivable from participants2015-10-31$47,075
Expenses. Other expenses not covered elsewhere2015-10-31$0
Contributions received from other sources (not participants or employers)2015-10-31$14,615
Other income received2015-10-31$5,735
Noncash contributions received2015-10-31$0
Net income (gross income less expenses)2015-10-31$137,425
Net plan assets at end of year (total assets less liabilities)2015-10-31$2,690,977
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$2,553,552
Total contributions received or receivable from employer(s)2015-10-31$70,000
Value of certain deemed distributions of participant loans2015-10-31$0
Value of corrective distributions2015-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-10-31$0
2014 : ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-10-31$332,463
Expenses. Total of all expenses incurred2014-10-31$0
Benefits paid (including direct rollovers)2014-10-31$0
Total plan assets at end of year2014-10-31$2,553,552
Total plan assets at beginning of year2014-10-31$2,221,089
Value of fidelity bond covering the plan2014-10-31$200,000
Total contributions received or receivable from participants2014-10-31$44,216
Expenses. Other expenses not covered elsewhere2014-10-31$0
Contributions received from other sources (not participants or employers)2014-10-31$0
Other income received2014-10-31$203,247
Noncash contributions received2014-10-31$0
Net income (gross income less expenses)2014-10-31$332,463
Net plan assets at end of year (total assets less liabilities)2014-10-31$2,553,552
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$2,221,089
Total contributions received or receivable from employer(s)2014-10-31$85,000
Value of certain deemed distributions of participant loans2014-10-31$0
Value of corrective distributions2014-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-10-31$0
2013 : ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-10-31$378,190
Expenses. Total of all expenses incurred2013-10-31$51,403
Benefits paid (including direct rollovers)2013-10-31$51,403
Total plan assets at end of year2013-10-31$2,221,089
Total plan assets at beginning of year2013-10-31$1,894,302
Value of fidelity bond covering the plan2013-10-31$150,000
Total contributions received or receivable from participants2013-10-31$42,083
Expenses. Other expenses not covered elsewhere2013-10-31$0
Contributions received from other sources (not participants or employers)2013-10-31$0
Other income received2013-10-31$251,107
Noncash contributions received2013-10-31$0
Net income (gross income less expenses)2013-10-31$326,787
Net plan assets at end of year (total assets less liabilities)2013-10-31$2,221,089
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$1,894,302
Total contributions received or receivable from employer(s)2013-10-31$85,000
Value of certain deemed distributions of participant loans2013-10-31$0
Value of corrective distributions2013-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-10-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-10-31$0
2012 : ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-10-31$338,550
Expenses. Total of all expenses incurred2012-10-31$16,956
Benefits paid (including direct rollovers)2012-10-31$16,954
Total plan assets at end of year2012-10-31$1,894,302
Total plan assets at beginning of year2012-10-31$1,572,708
Value of fidelity bond covering the plan2012-10-31$150,000
Total contributions received or receivable from participants2012-10-31$0
Expenses. Other expenses not covered elsewhere2012-10-31$0
Contributions received from other sources (not participants or employers)2012-10-31$0
Other income received2012-10-31$178,308
Noncash contributions received2012-10-31$0
Net income (gross income less expenses)2012-10-31$321,594
Net plan assets at end of year (total assets less liabilities)2012-10-31$1,894,302
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$1,572,708
Total contributions received or receivable from employer(s)2012-10-31$160,242
Value of certain deemed distributions of participant loans2012-10-31$0
Value of corrective distributions2012-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-10-31$2
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-10-31$0

Form 5500 Responses for ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN

2017: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: ATLAS-MIKE'S BAIT, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan 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 number108196
Policy instance 1
Insurance contract or identification number108196
Number of Individuals Covered11
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,497
Total amount of fees paid to insurance companyUSD $1,741
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 $7,497
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?7
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108196
Policy instance 1
Insurance contract or identification number108196
Number of Individuals Covered14
Insurance policy start date2016-01-01
Insurance policy end date2016-12-31
Total amount of commissions paid to insurance brokerUSD $6,802
Total amount of fees paid to insurance companyUSD $1,358
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $6,802
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSIONS
Insurance broker organization code?7
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108196
Policy instance 1
Insurance contract or identification number108196
Number of Individuals Covered13
Insurance policy start date2015-11-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $545
Total amount of fees paid to insurance companyUSD $219
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $545
Insurance broker organization code?7
Amount paid for insurance broker fees219
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108196
Policy instance 1
Insurance contract or identification number108196
Number of Individuals Covered13
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $5,933
Total amount of fees paid to insurance companyUSD $1,308
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $5,933
Insurance broker organization code?7
Amount paid for insurance broker fees1308
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108196
Policy instance 1
Insurance contract or identification number108196
Number of Individuals Covered13
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $5,863
Total amount of fees paid to insurance companyUSD $1,164
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $5,863
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?7
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number426068
Policy instance 1
Insurance contract or identification number426068
Number of Individuals Covered0
Insurance policy start date2012-11-01
Insurance policy end date2012-11-19
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108196
Policy instance 2
Insurance contract or identification number108196
Number of Individuals Covered12
Insurance policy start date2012-11-20
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $19,235
Total amount of fees paid to insurance companyUSD $4,630
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $19,235
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?7
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number426068
Policy instance 1
Insurance contract or identification number426068
Number of Individuals Covered13
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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