401k Plan data: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST plan

AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 401k Plan overview

Plan Name	AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST
Plan identification number	001

AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST Benefits

401k Plan Type

Defined 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.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

AMERICAN AGENCY, INC. has sponsored the creation of one or more 401k plans.

Company Name: AMERICAN AGENCY, INC.

Employer identification number (EIN): 410832494

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Additional information about AMERICAN AGENCY, INC.

Jurisdiction of Incorporation: New York Department of State

Incorporation Date: 1994-06-10

Company Identification Number: 1827954

Legal Registered Office Address: 140 SOUTH OCEAN AVENUE
Nassau
FREEPORT
United States of America (USA)
11520

More information about AMERICAN AGENCY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2021-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01 ROBERT CLEMANTS 2019-02-11
001 2017-01-01 ROBERT CLEMANTS 2018-10-11
001 2016-01-01 ROBERT CLEMANTS 2017-08-31
001 2015-01-01 ROBERT CLEMANTS 2016-07-14
001 2014-01-01 ROBERT CLEMANTS 2015-07-30
001 2013-01-01 CAROL OLTMANS 2014-10-01
001 2012-01-01 ROBERT CLEMANTS 2013-07-19 ROBERT CLEMANTS 2013-07-19
001 2011-01-01 ROBERT CLEMANTS 2012-06-29 ROBERT CLEMANTS 2012-06-29
001 2010-01-01 ROBERT CLEMANTS 2011-08-23 ROBERT CLEMANTS 2011-08-23

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2021-01-01
001	2020-01-01
001	2019-01-01
001	2018-01-01	ROBERT CLEMANTS	2019-02-11
001	2017-01-01	ROBERT CLEMANTS	2018-10-11
001	2016-01-01	ROBERT CLEMANTS	2017-08-31
001	2015-01-01	ROBERT CLEMANTS	2016-07-14
001	2014-01-01	ROBERT CLEMANTS	2015-07-30
001	2013-01-01	CAROL OLTMANS	2014-10-01
001	2012-01-01	ROBERT CLEMANTS	2013-07-19	ROBERT CLEMANTS	2013-07-19
001	2011-01-01	ROBERT CLEMANTS	2012-06-29	ROBERT CLEMANTS	2012-06-29
001	2010-01-01	ROBERT CLEMANTS	2011-08-23	ROBERT CLEMANTS	2011-08-23

Plan Statistics for AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST

401k plan membership statisitcs for AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST

Measure Date Value
2021: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year 2021-01-01 55
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 0
Number of retired or separated participants receiving benefits 2021-01-01 0
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 0
Number of participants with account balances 2021-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year 2020-01-01 59
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 49
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 6
Total of all active and inactive participants 2020-01-01 55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 55
Number of participants with account balances 2020-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year 2019-01-01 45
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 53
Number of retired or separated participants receiving benefits 2019-01-01 1
Number of other retired or separated participants entitled to future benefits 2019-01-01 5
Total of all active and inactive participants 2019-01-01 59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 59
Number of participants with account balances 2019-01-01 47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0

Measure	Date	Value
2021: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year	2021-01-01	55
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	0
Number of retired or separated participants receiving benefits	2021-01-01	0
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	0
Number of participants with account balances	2021-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year	2020-01-01	59
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	49
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	6
Total of all active and inactive participants	2020-01-01	55
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	55
Number of participants with account balances	2020-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year	2019-01-01	45
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	53
Number of retired or separated participants receiving benefits	2019-01-01	1
Number of other retired or separated participants entitled to future benefits	2019-01-01	5
Total of all active and inactive participants	2019-01-01	59
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	59
Number of participants with account balances	2019-01-01	47
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0

Financial Data on AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST

Measure	Date	Value
2021 : AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2021 401k financial data
Transfers to/from the plan	2021-12-03	$0
Total plan liabilities at end of year	2021-12-03	$0
Total plan liabilities at beginning of year	2021-12-03	$0
Total income from all sources	2021-12-03	$478,073
Expenses. Total of all expenses incurred	2021-12-03	$7,428,119
Benefits paid (including direct rollovers)	2021-12-03	$7,426,979
Total plan assets at end of year	2021-12-03	$0
Total plan assets at beginning of year	2021-12-03	$6,950,046
Value of fidelity bond covering the plan	2021-12-03	$570,000
Total contributions received or receivable from participants	2021-12-03	$66,126
Expenses. Other expenses not covered elsewhere	2021-12-03	$0
Contributions received from other sources (not participants or employers)	2021-12-03	$0
Other income received	2021-12-03	$400,863
Noncash contributions received	2021-12-03	$0
Net income (gross income less expenses)	2021-12-03	$-6,950,046
Net plan assets at end of year (total assets less liabilities)	2021-12-03	$0
Net plan assets at beginning of year (total assets less liabilities)	2021-12-03	$6,950,046
Assets. Value of participant loans	2021-12-03	$0
Total contributions received or receivable from employer(s)	2021-12-03	$11,084
Value of certain deemed distributions of participant loans	2021-12-03	$0
Value of corrective distributions	2021-12-03	$846
Expenses. Administrative service providers (salaries,fees and commissions)	2021-12-03	$294
2020 : AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2020 401k financial data
Transfers to/from the plan	2020-12-31	$0
Total plan liabilities at end of year	2020-12-31	$0
Total plan liabilities at beginning of year	2020-12-31	$0
Total income from all sources	2020-12-31	$1,496,039
Expenses. Total of all expenses incurred	2020-12-31	$387,726
Benefits paid (including direct rollovers)	2020-12-31	$386,569
Total plan assets at end of year	2020-12-31	$6,950,046
Total plan assets at beginning of year	2020-12-31	$5,841,733
Value of fidelity bond covering the plan	2020-12-31	$570,000
Assets. Value of tangible personal property	2020-12-31	$0
Total contributions received or receivable from participants	2020-12-31	$300,284
Assets. Value of loans (other than to participants)	2020-12-31	$0
Expenses. Other expenses not covered elsewhere	2020-12-31	$0
Contributions received from other sources (not participants or employers)	2020-12-31	$117,042
Other income received	2020-12-31	$1,007,099
Noncash contributions received	2020-12-31	$0
Net income (gross income less expenses)	2020-12-31	$1,108,313
Net plan assets at end of year (total assets less liabilities)	2020-12-31	$6,950,046
Net plan assets at beginning of year (total assets less liabilities)	2020-12-31	$5,841,733
Assets. Value of participant loans	2020-12-31	$26,943
Assets. Value of assets in partnership/joint-venture interests	2020-12-31	$0
Assets. Value of real-estate (other than employer real property)	2020-12-31	$0
Assets. Value of employer securities	2020-12-31	$0
Assets. Value of employer real property	2020-12-31	$0
Total contributions received or receivable from employer(s)	2020-12-31	$71,614
Value of certain deemed distributions of participant loans	2020-12-31	$0
Value of corrective distributions	2020-12-31	$819
Expenses. Administrative service providers (salaries,fees and commissions)	2020-12-31	$338
2019 : AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2019 401k financial data
Transfers to/from the plan	2019-12-31	$895,938
Total plan liabilities at end of year	2019-12-31	$0
Total plan liabilities at beginning of year	2019-12-31	$0
Total income from all sources	2019-12-31	$1,211,219
Expenses. Total of all expenses incurred	2019-12-31	$662,819
Benefits paid (including direct rollovers)	2019-12-31	$653,232
Total plan assets at end of year	2019-12-31	$5,841,733
Total plan assets at beginning of year	2019-12-31	$4,397,395
Value of fidelity bond covering the plan	2019-12-31	$570,000
Total contributions received or receivable from participants	2019-12-31	$270,570
Expenses. Other expenses not covered elsewhere	2019-12-31	$0
Contributions received from other sources (not participants or employers)	2019-12-31	$1,233
Other income received	2019-12-31	$939,416
Noncash contributions received	2019-12-31	$0
Net income (gross income less expenses)	2019-12-31	$548,400
Net plan assets at end of year (total assets less liabilities)	2019-12-31	$5,841,733
Net plan assets at beginning of year (total assets less liabilities)	2019-12-31	$4,397,395
Assets. Value of participant loans	2019-12-31	$11,816
Total contributions received or receivable from employer(s)	2019-12-31	$0
Value of certain deemed distributions of participant loans	2019-12-31	$0
Value of corrective distributions	2019-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2019-12-31	$9,587

Form 5500 Responses for AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST

2021: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	Yes
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	This submission is the final filing	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: AMERICAN AGENCY INC EMPLOYEES 401K PLAN AND TRUST 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )

Policy contract number

341655-000

Policy instance

Insurance contract or identification number	341655-000
Number of Individuals Covered	0
Insurance policy start date	2019-01-01
Insurance policy end date	2019-07-14
Total amount of commissions paid to insurance broker	USD $6,731
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $6,731
Amount paid for insurance broker fees	0
Insurance broker organization code?	3

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Company Name:	AMERICAN AGENCY, INC.
Employer identification number (EIN):	410832494
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages

Jurisdiction of Incorporation:	New York Department of State
Incorporation Date:	1994-06-10
Company Identification Number:	1827954
Legal Registered Office Address:	140 SOUTH OCEAN AVENUE Nassau FREEPORT United States of America (USA) 11520