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BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 401k Plan overview

Plan NameBOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN
Plan identification number 001

BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • 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

BOETTCHER/TRINKLEIN TELEVISION, INC. has sponsored the creation of one or more 401k plans.

Company Name:BOETTCHER/TRINKLEIN TELEVISION, INC.
Employer identification number (EIN):391838662
NAIC Classification:517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01MICHAEL TRINKLEIN2018-02-13
0012016-01-01MICHAEL TRINKLEIN2017-07-20
0012015-01-01MICHAEL TRINKLEIN2016-10-13
0012014-01-01MICHAEL TRINKLEIN
0012013-01-01MICHAEL TRINKLEIN
0012012-01-01MICHAEL TRINKLEIN
0012011-01-01MICHAEL TRINKLEIN
0012010-01-01MICHAEL TRINKLEIN
0012009-01-01MICHAEL TRINKLEIN
0012009-01-01MICHAEL TRINKLEIN
0012009-01-01MICHAEL TRINKLEIN

Plan Statistics for BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN

401k plan membership statisitcs for BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN

Measure Date Value
2017: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2017 401k membership
Market value of plan assets2017-12-311,587,222
Acturial value of plan assets2017-12-311,587,222
Funding target for retired participants and beneficiaries receiving payment2017-12-310
Number of terminated vested participants2017-12-310
Fundng target for terminated vested participants2017-12-310
Active participant vested funding target2017-12-311,256,655
Number of active participants2017-12-312
Total funding liabilities for active participants2017-12-311,256,655
Total participant count2017-12-312
Total funding target for all participants2017-12-311,256,655
Balance at beginning of prior year after applicable adjustments2017-12-310
Prefunding balance at beginning of prior year after applicable adjustments2017-12-31547,340
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-31137,751
Amount remaining of carryover balance2017-12-310
Amount remaining of prefunding balance2017-12-31409,589
Present value of excess contributions2017-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-310
Balance of prefunding at beginning of current year2017-12-31430,273
Total employer contributions2017-12-310
Total employee contributions2017-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-31136,833
Net shortfall amortization installment of oustanding balance2017-12-31121,220
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-31158,507
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-31158,507
Additional cash requirement2017-12-310
Contributions allocatedtoward minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
2016: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2016 401k membership
Market value of plan assets2016-12-311,486,110
Acturial value of plan assets2016-12-311,486,110
Funding target for retired participants and beneficiaries receiving payment2016-12-310
Number of terminated vested participants2016-12-310
Fundng target for terminated vested participants2016-12-310
Active participant vested funding target2016-12-31997,424
Number of active participants2016-12-312
Total funding liabilities for active participants2016-12-31997,424
Total participant count2016-12-312
Total funding target for all participants2016-12-31997,424
Balance at beginning of prior year after applicable adjustments2016-12-310
Prefunding balance at beginning of prior year after applicable adjustments2016-12-31543,486
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-310
Amount remaining of carryover balance2016-12-310
Amount remaining of prefunding balance2016-12-31543,486
Present value of excess contributions2016-12-3116,082
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-3116,082
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-3116,082
Reductions in caryover balances due to elections or deemed elections2016-12-310
Reductions in prefunding balances due to elections or deemed elections2016-12-310
Balance of carryovers at beginning of current year2016-12-310
Balance of prefunding at beginning of current year2016-12-31547,340
Total employer contributions2016-12-310
Total employee contributions2016-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-310
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-31125,308
Net shortfall amortization installment of oustanding balance2016-12-3191,002
Waiver amortization installment2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-31140,344
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-31140,344
Additional cash requirement2016-12-310
Contributions allocatedtoward minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
2014: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012
Total number of active participants reported on line 7a of the Form 55002014-01-012
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 participants2014-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012
Total number of active participants reported on line 7a of the Form 55002013-01-012
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012
Total number of active participants reported on line 7a of the Form 55002012-01-012
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012
Total number of active participants reported on line 7a of the Form 55002011-01-012
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012
Total number of active participants reported on line 7a of the Form 55002010-01-012
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-010
Total number of active participants reported on line 7a of the Form 55002009-01-012
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012
Total participants2009-01-012

Financial Data on BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN

Measure Date Value
2014 : BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2014 401k financial data
Total income from all sources2014-12-31$222,449
Expenses. Total of all expenses incurred2014-12-31$0
Total plan assets at end of year2014-12-31$1,296,539
Total plan assets at beginning of year2014-12-31$1,074,090
Value of fidelity bond covering the plan2014-12-31$50,000
Other income received2014-12-31$21,415
Net income (gross income less expenses)2014-12-31$222,449
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,296,539
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,074,090
Total contributions received or receivable from employer(s)2014-12-31$201,034
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2013 401k financial data
Total income from all sources2013-12-31$329,458
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$1,074,090
Total plan assets at beginning of year2013-12-31$744,632
Value of fidelity bond covering the plan2013-12-31$50,000
Other income received2013-12-31$29,458
Net income (gross income less expenses)2013-12-31$329,458
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,074,090
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$744,632
Total contributions received or receivable from employer(s)2013-12-31$300,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2012 401k financial data
Total income from all sources2012-12-31$285,939
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$744,632
Total plan assets at beginning of year2012-12-31$458,693
Other income received2012-12-31$36,452
Net income (gross income less expenses)2012-12-31$285,939
Net plan assets at end of year (total assets less liabilities)2012-12-31$744,632
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$458,693
Total contributions received or receivable from employer(s)2012-12-31$249,487
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2011 401k financial data
Total income from all sources2011-12-31$153,835
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$458,693
Total plan assets at beginning of year2011-12-31$304,858
Value of fidelity bond covering the plan2011-12-31$50,000
Other income received2011-12-31$3,835
Net income (gross income less expenses)2011-12-31$153,835
Net plan assets at end of year (total assets less liabilities)2011-12-31$458,693
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$304,858
Total contributions received or receivable from employer(s)2011-12-31$150,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2010 401k financial data
Total income from all sources2010-12-31$154,858
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$304,858
Total plan assets at beginning of year2010-12-31$150,000
Value of fidelity bond covering the plan2010-12-31$50,000
Other income received2010-12-31$4,858
Net income (gross income less expenses)2010-12-31$154,858
Net plan assets at end of year (total assets less liabilities)2010-12-31$304,858
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$150,000
Total contributions received or receivable from employer(s)2010-12-31$150,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN

2014: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BOETTCHER/TRINKLEIN TELEVISION, INC. CASH BALANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan 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 number75776
Policy instance 1
Insurance contract or identification number75776
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,589
Total amount of fees paid to insurance companyUSD $473
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 $4,589
Insurance broker organization code?7
Amount paid for insurance broker fees473
Additional information about fees paid to insurance brokerTPA SERVICES
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number75776
Policy instance 1
Insurance contract or identification number75776
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,516
Total amount of fees paid to insurance companyUSD $352
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 $3,516
Insurance broker organization code?7
Amount paid for insurance broker fees352
Additional information about fees paid to insurance brokerTPA SERVICES
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number75776
Policy instance 1
Insurance contract or identification number75776
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,951
Total amount of fees paid to insurance companyUSD $195
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 $1,951
Insurance broker organization code?7
Amount paid for insurance broker fees195
Additional information about fees paid to insurance brokerTPA SERVICES
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number75776
Policy instance 1
Insurance contract or identification number75776
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,288
Total amount of fees paid to insurance companyUSD $1,329
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 number75776
Policy instance 1
Insurance contract or identification number75776
Number of Individuals Covered2
Insurance policy start date2010-09-15
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $191
Total amount of fees paid to insurance companyUSD $1,219
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 $191
Insurance broker organization code?7
Amount paid for insurance broker fees1219
Additional information about fees paid to insurance brokerTPA SERVICES
Insurance broker namePPG RETIREMENT PLAN SERVICES

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