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CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 401k Plan overview

Plan NameCHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN
Plan identification number 001

CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan covering Self-Employed individuals.
  • 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

CHIROPRACTIC ASSOCIATES OF PLATTEVILLE, LLC has sponsored the creation of one or more 401k plans.

Company Name:CHIROPRACTIC ASSOCIATES OF PLATTEVILLE, LLC
Employer identification number (EIN):391978509
NAIC Classification:621310
NAIC Description:Offices of Chiropractors

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2019-05-10
0012017-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2018-06-06
0012016-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2017-05-25
0012015-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2016-10-12
0012014-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2015-10-14
0012013-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2014-10-14
0012012-01-01TAMI WALL-FEYEN TAMI WALL-FEYEN2013-10-11
0012011-03-01TAMI WALL-FEYEN TAMI WALL-FEYEN2012-10-15

Plan Statistics for CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN

401k plan membership statisitcs for CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN

Measure Date Value
2022: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-017
Total number of active participants reported on line 7a of the Form 55002022-01-017
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-012
Total of all active and inactive participants2022-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-019
Number of participants with account balances2022-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-018
Total number of active participants reported on line 7a of the Form 55002021-01-017
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-012
Total of all active and inactive participants2021-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-019
Number of participants with account balances2021-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0110
Total number of active participants reported on line 7a of the Form 55002020-01-018
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-018
Number of participants with account balances2020-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0110
Total number of active participants reported on line 7a of the Form 55002019-01-018
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0110
Number of participants with account balances2019-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0111
Total number of active participants reported on line 7a of the Form 55002018-01-018
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0110
Number of participants with account balances2018-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0112
Total number of active participants reported on line 7a of the Form 55002017-01-0110
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-011
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: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0111
Total number of active participants reported on line 7a of the Form 55002016-01-0110
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0112
Number of participants with account balances2016-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0111
Total number of active participants reported on line 7a of the Form 55002015-01-0110
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0111
Number of participants with account balances2015-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0111
Total number of active participants reported on line 7a of the Form 55002014-01-019
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0111
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0111
Total number of active participants reported on line 7a of the Form 55002013-01-0110
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0111
Number of participants with account balances2013-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0110
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0110
Number of participants with account balances2012-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-0110
Total number of active participants reported on line 7a of the Form 55002011-03-0110
Number of retired or separated participants receiving benefits2011-03-010
Number of other retired or separated participants entitled to future benefits2011-03-010
Total of all active and inactive participants2011-03-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-03-010
Total participants2011-03-0110
Number of participants with account balances2011-03-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-03-010

Financial Data on CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN

Measure Date Value
2022 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$-235,280
Expenses. Total of all expenses incurred2022-12-31$522,617
Benefits paid (including direct rollovers)2022-12-31$511,118
Total plan assets at end of year2022-12-31$996,631
Total plan assets at beginning of year2022-12-31$1,754,528
Value of fidelity bond covering the plan2022-12-31$82,000
Total contributions received or receivable from participants2022-12-31$22,038
Other income received2022-12-31$-270,355
Net income (gross income less expenses)2022-12-31$-757,897
Net plan assets at end of year (total assets less liabilities)2022-12-31$996,631
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,754,528
Total contributions received or receivable from employer(s)2022-12-31$13,037
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$11,499
2021 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2021 401k financial data
Total income from all sources2021-12-31$246,550
Expenses. Total of all expenses incurred2021-12-31$15,699
Total plan assets at end of year2021-12-31$1,754,528
Total plan assets at beginning of year2021-12-31$1,523,677
Value of fidelity bond covering the plan2021-12-31$102,500
Total contributions received or receivable from participants2021-12-31$30,841
Other income received2021-12-31$201,995
Net income (gross income less expenses)2021-12-31$230,851
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,754,528
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,523,677
Total contributions received or receivable from employer(s)2021-12-31$13,714
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$15,699
2020 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$568,343
Expenses. Total of all expenses incurred2020-12-31$13,012
Benefits paid (including direct rollovers)2020-12-31$2,572
Total plan assets at end of year2020-12-31$1,523,677
Total plan assets at beginning of year2020-12-31$968,346
Value of fidelity bond covering the plan2020-12-31$82,000
Total contributions received or receivable from participants2020-12-31$34,805
Other income received2020-12-31$521,640
Net income (gross income less expenses)2020-12-31$555,331
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,523,677
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$968,346
Total contributions received or receivable from employer(s)2020-12-31$11,898
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$10,440
2019 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$195,135
Expenses. Total of all expenses incurred2019-12-31$19,183
Benefits paid (including direct rollovers)2019-12-31$19,183
Total plan assets at end of year2019-12-31$968,346
Total plan assets at beginning of year2019-12-31$792,394
Value of fidelity bond covering the plan2019-12-31$82,000
Total contributions received or receivable from participants2019-12-31$38,193
Other income received2019-12-31$142,651
Net income (gross income less expenses)2019-12-31$175,952
Net plan assets at end of year (total assets less liabilities)2019-12-31$968,346
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$792,394
Total contributions received or receivable from employer(s)2019-12-31$14,291
2018 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$13,765
Expenses. Total of all expenses incurred2018-12-31$201,020
Benefits paid (including direct rollovers)2018-12-31$201,020
Total plan assets at end of year2018-12-31$792,394
Total plan assets at beginning of year2018-12-31$979,649
Value of fidelity bond covering the plan2018-12-31$81,928
Total contributions received or receivable from participants2018-12-31$37,591
Other income received2018-12-31$-39,372
Net income (gross income less expenses)2018-12-31$-187,255
Net plan assets at end of year (total assets less liabilities)2018-12-31$792,394
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$979,649
Total contributions received or receivable from employer(s)2018-12-31$15,546
2017 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$196,161
Expenses. Total of all expenses incurred2017-12-31$128,664
Benefits paid (including direct rollovers)2017-12-31$128,664
Total plan assets at end of year2017-12-31$979,649
Total plan assets at beginning of year2017-12-31$912,152
Total contributions received or receivable from participants2017-12-31$41,037
Other income received2017-12-31$138,040
Net income (gross income less expenses)2017-12-31$67,497
Net plan assets at end of year (total assets less liabilities)2017-12-31$979,649
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$912,152
Total contributions received or receivable from employer(s)2017-12-31$17,084
2016 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$123,597
Total plan assets at end of year2016-12-31$912,152
Total plan assets at beginning of year2016-12-31$788,555
Total contributions received or receivable from participants2016-12-31$45,639
Other income received2016-12-31$61,284
Net income (gross income less expenses)2016-12-31$123,597
Net plan assets at end of year (total assets less liabilities)2016-12-31$912,152
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$788,555
Total contributions received or receivable from employer(s)2016-12-31$16,674
2015 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$41,674
Expenses. Total of all expenses incurred2015-12-31$216,519
Benefits paid (including direct rollovers)2015-12-31$216,519
Total plan assets at end of year2015-12-31$788,555
Total plan assets at beginning of year2015-12-31$963,400
Total contributions received or receivable from participants2015-12-31$47,089
Other income received2015-12-31$-26,188
Net income (gross income less expenses)2015-12-31$-174,845
Net plan assets at end of year (total assets less liabilities)2015-12-31$788,555
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$963,400
Total contributions received or receivable from employer(s)2015-12-31$20,773
2014 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$155,677
Total plan assets at end of year2014-12-31$963,400
Total plan assets at beginning of year2014-12-31$807,723
Total contributions received or receivable from participants2014-12-31$67,424
Other income received2014-12-31$66,114
Net income (gross income less expenses)2014-12-31$155,677
Net plan assets at end of year (total assets less liabilities)2014-12-31$963,400
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$807,723
Total contributions received or receivable from employer(s)2014-12-31$22,139
2013 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$186,260
Total plan assets at end of year2013-12-31$807,723
Total plan assets at beginning of year2013-12-31$621,463
Total contributions received or receivable from participants2013-12-31$116,618
Other income received2013-12-31$59,199
Net income (gross income less expenses)2013-12-31$186,260
Net plan assets at end of year (total assets less liabilities)2013-12-31$807,723
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$621,463
Total contributions received or receivable from employer(s)2013-12-31$10,443
2012 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$127,221
Total plan assets at end of year2012-12-31$621,463
Total plan assets at beginning of year2012-12-31$494,242
Total contributions received or receivable from participants2012-12-31$59,692
Other income received2012-12-31$48,152
Net income (gross income less expenses)2012-12-31$127,221
Net plan assets at end of year (total assets less liabilities)2012-12-31$621,463
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$494,242
Total contributions received or receivable from employer(s)2012-12-31$19,377
2011 : CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$494,242
Total plan assets at end of year2011-12-31$494,242
Total plan assets at beginning of year2011-12-31$0
Total contributions received or receivable from participants2011-12-31$58,339
Contributions received from other sources (not participants or employers)2011-12-31$470,281
Other income received2011-12-31$-43,339
Net income (gross income less expenses)2011-12-31$494,242
Net plan assets at end of year (total assets less liabilities)2011-12-31$494,242
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$8,961

Form 5500 Responses for CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN

2022: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CHIROPRACTIC ASSOCIATES OF PLATTEVILLE LLC 401(K) PLAN 2011 form 5500 responses
2011-03-01Type of plan entitySingle employer plan
2011-03-01First time form 5500 has been submittedYes
2011-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-03-01Plan funding arrangement – TrustYes
2011-03-01Plan 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 number143784
Policy instance 1
Insurance contract or identification number143784
Number of Individuals Covered8
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,360
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,360
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number143784
Policy instance 1
Insurance contract or identification number143784
Number of Individuals Covered8
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,175
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,175
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number143784
Policy instance 1
Insurance contract or identification number143784
Number of Individuals Covered8
Insurance policy start date2020-02-21
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,867
Are there contracts with allocated funds for group deferred annuity?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,867

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