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FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 401k Plan overview

Plan NameFIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C.
Plan identification number 001

FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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

NEURODIAGNOTIC CLINIC OF MILWAUKEE S.C. has sponsored the creation of one or more 401k plans.

Company Name:NEURODIAGNOTIC CLINIC OF MILWAUKEE S.C.
Employer identification number (EIN):391743863
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01RIZWANULLAH ARAIN RIZWANULLAH ARAIN2018-09-29
0012016-01-01DR. RIZWANULLAH ARAIN DR. RIZWANULLAH ARAIN2017-09-11
0012015-01-01DR. RIZWANULLAH ARAIN DR. RIZWANULLAH ARAIN2016-09-08
0012014-01-01DR. RIZWANULLAH ARAIN DR. RIZWANULLAH ARAIN2015-10-09
0012013-01-01DR. RIZWANULLAH ARAIN DR. RIZWANULLAH ARAIN2014-09-26
0012012-01-01RIZWANULLAH ARAIN
0012011-01-01DR. RIZWANULLAH ARAIN2012-10-01 DR. RIZWANULLAH ARAIN2012-10-01
0012009-01-01DR. RIZWANULLAH ARAIN2010-09-16 DR. RIZWANULLAH ARAIN2010-09-16

Plan Statistics for FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C.

401k plan membership statisitcs for FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C.

Measure Date Value
2019: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2019 401k membership
Total participants, beginning-of-year2019-01-012
Total number of active participants reported on line 7a of the Form 55002019-01-012
Total of all active and inactive participants2019-01-012
Total participants2019-01-012
Number of participants with account balances2019-01-012
2018: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2018 401k membership
Total participants, beginning-of-year2018-01-012
Total number of active participants reported on line 7a of the Form 55002018-01-012
Total of all active and inactive participants2018-01-012
Total participants2018-01-012
Number of participants with account balances2018-01-012
2017: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2017 401k membership
Total participants, beginning-of-year2017-01-012
Total number of active participants reported on line 7a of the Form 55002017-01-012
Total of all active and inactive participants2017-01-012
Total participants2017-01-012
Number of participants with account balances2017-01-013
2016: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2016 401k membership
Total participants, beginning-of-year2016-01-013
Total number of active participants reported on line 7a of the Form 55002016-01-012
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-012
Number of participants with account balances2016-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2015 401k membership
Total participants, beginning-of-year2015-01-013
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-013
Number of participants with account balances2015-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2014 401k membership
Total participants, beginning-of-year2014-01-013
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2013 401k membership
Total participants, beginning-of-year2013-01-013
Total number of active participants reported on line 7a of the Form 55002013-01-013
Total of all active and inactive participants2013-01-013
Total participants2013-01-013
Number of participants with account balances2013-01-015
2012: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-013
Total of all active and inactive participants2012-01-013
Total participants2012-01-013
Number of participants with account balances2012-01-016
2011: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-014
Total of all active and inactive participants2011-01-014
Total participants2011-01-014
Number of participants with account balances2011-01-016
2009: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2009 401k membership
Total participants, beginning-of-year2009-01-013
Total number of active participants reported on line 7a of the Form 55002009-01-014
Total of all active and inactive participants2009-01-014
Total participants2009-01-014
Number of participants with account balances2009-01-014

Financial Data on FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C.

Measure Date Value
2019 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2019 401k financial data
Total income from all sources2019-12-31$156,806
Expenses. Total of all expenses incurred2019-12-31$862
Total plan assets at end of year2019-12-31$1,460,223
Total plan assets at beginning of year2019-12-31$1,304,279
Other income received2019-12-31$131,806
Net income (gross income less expenses)2019-12-31$155,944
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,460,223
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,304,279
Total contributions received or receivable from employer(s)2019-12-31$25,000
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$862
2018 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2018 401k financial data
Total income from all sources2018-12-31$465,118
Expenses. Total of all expenses incurred2018-12-31$0
Total plan assets at end of year2018-12-31$1,304,279
Total plan assets at beginning of year2018-12-31$839,161
Other income received2018-12-31$434,490
Net income (gross income less expenses)2018-12-31$465,118
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,304,279
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$839,161
Total contributions received or receivable from employer(s)2018-12-31$30,628
2017 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2017 401k financial data
Total income from all sources2017-12-31$39,256
Expenses. Total of all expenses incurred2017-12-31$1,636
Total plan assets at end of year2017-12-31$839,161
Total plan assets at beginning of year2017-12-31$801,541
Contributions received from other sources (not participants or employers)2017-12-31$9,328
Net income (gross income less expenses)2017-12-31$37,620
Net plan assets at end of year (total assets less liabilities)2017-12-31$839,161
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$801,541
Total contributions received or receivable from employer(s)2017-12-31$29,928
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,636
2016 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2016 401k financial data
Total income from all sources2016-12-31$87,392
Expenses. Total of all expenses incurred2016-12-31$512
Total plan assets at end of year2016-12-31$801,541
Total plan assets at beginning of year2016-12-31$714,661
Other income received2016-12-31$60,852
Net income (gross income less expenses)2016-12-31$86,880
Net plan assets at end of year (total assets less liabilities)2016-12-31$801,541
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$714,661
Total contributions received or receivable from employer(s)2016-12-31$26,540
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$512
2015 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2015 401k financial data
Total income from all sources2015-12-31$79,354
Total plan assets at end of year2015-12-31$714,661
Total plan assets at beginning of year2015-12-31$635,307
Other income received2015-12-31$46,784
Net income (gross income less expenses)2015-12-31$79,354
Net plan assets at end of year (total assets less liabilities)2015-12-31$714,661
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$635,307
Total contributions received or receivable from employer(s)2015-12-31$32,570
2014 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2014 401k financial data
Total income from all sources2014-12-31$65,193
Expenses. Total of all expenses incurred2014-12-31$1,125
Total plan assets at end of year2014-12-31$635,307
Total plan assets at beginning of year2014-12-31$571,239
Other income received2014-12-31$29,470
Net income (gross income less expenses)2014-12-31$64,068
Net plan assets at end of year (total assets less liabilities)2014-12-31$635,307
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$571,239
Total contributions received or receivable from employer(s)2014-12-31$35,723
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,125
2013 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2013 401k financial data
Total income from all sources2013-12-31$43,363
Total plan assets at end of year2013-12-31$571,239
Total plan assets at beginning of year2013-12-31$527,876
Other income received2013-12-31$7,363
Net income (gross income less expenses)2013-12-31$43,363
Net plan assets at end of year (total assets less liabilities)2013-12-31$571,239
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$527,876
Total contributions received or receivable from employer(s)2013-12-31$36,000
2012 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2012 401k financial data
Total income from all sources2012-12-31$79,079
Expenses. Total of all expenses incurred2012-12-31$1,093
Total plan assets at end of year2012-12-31$527,876
Total plan assets at beginning of year2012-12-31$449,890
Other income received2012-12-31$43,079
Net income (gross income less expenses)2012-12-31$77,986
Net plan assets at end of year (total assets less liabilities)2012-12-31$527,876
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$449,890
Total contributions received or receivable from employer(s)2012-12-31$36,000
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,093
2011 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2011 401k financial data
Total income from all sources2011-12-31$43,102
Expenses. Total of all expenses incurred2011-12-31$762
Total plan assets at end of year2011-12-31$449,890
Total plan assets at beginning of year2011-12-31$407,550
Other income received2011-12-31$7,102
Net income (gross income less expenses)2011-12-31$42,340
Net plan assets at end of year (total assets less liabilities)2011-12-31$449,890
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$407,550
Total contributions received or receivable from employer(s)2011-12-31$36,000
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$762
2010 : FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2010 401k financial data
Total income from all sources2010-12-31$51,743
Expenses. Total of all expenses incurred2010-12-31$838
Total plan assets at end of year2010-12-31$407,550
Total plan assets at beginning of year2010-12-31$356,645
Expenses. Other expenses not covered elsewhere2010-12-31$76
Other income received2010-12-31$12,801
Net income (gross income less expenses)2010-12-31$50,905
Net plan assets at end of year (total assets less liabilities)2010-12-31$407,550
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$356,645
Total contributions received or receivable from employer(s)2010-12-31$38,942
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$762

Form 5500 Responses for FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C.

2019: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 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 - TrustYes
2016: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: FIDELITY TRUST CO PROFIT SHARING PLAN FBO NEURODIAGNOSTIC CLINIC OF MILW., S.C. 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $296
Total amount of fees paid to insurance companyUSD $566
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?Yes
Commission paid to Insurance BrokerUSD $230
Amount paid for insurance broker fees558
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $130
Total amount of fees paid to insurance companyUSD $1,268
Are there contracts with allocated funds for individual policies?1
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 $130
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $296
Total amount of fees paid to insurance companyUSD $1,340
Are there contracts with allocated funds for individual policies?1
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 $230
Amount paid for insurance broker fees1268
Additional information about fees paid to insurance brokerPERSISTENCY FEE SERVICE
Insurance broker organization code?3
Insurance broker nameMOHAMMAD AMINI
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Additional information about fees paid to insurance broker3
Insurance broker nameMOHI AMINI
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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
Additional information about fees paid to insurance broker3
Insurance broker nameMOHI AMINI
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy end date2013-12-31
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
Additional information about fees paid to insurance broker3
Insurance broker nameMOHI AMINI
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $809
Total amount of fees paid to insurance companyUSD $284
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
Commission paid to Insurance BrokerUSD $809
Amount paid for insurance broker fees284
Additional information about fees paid to insurance broker3
Insurance broker nameMOHI AMINI
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy end date2011-12-31
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number58086
Policy instance 1
Insurance contract or identification number58086
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $762
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

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