DOUGLAS R QUADY has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan DOUGLAS R QUADY HR10 PLAN PROFIT SHARING
| Measure | Date | Value |
|---|
| 2021: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 1 |
| 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 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2021-01-01 | 0 |
| Total participants | 2021-01-01 | 1 |
| Number of participants with account balances | 2021-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2021-01-01 | 0 |
| 2020: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 1 |
| 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 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2020-01-01 | 0 |
| Total participants | 2020-01-01 | 1 |
| Number of participants with account balances | 2020-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-01-01 | 0 |
| 2019: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 1 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 1 |
| Number of participants with account balances | 2019-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 0 |
| 2018: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 1 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 1 |
| Number of participants with account balances | 2018-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 0 |
| 2017: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 1 |
| Number of participants with account balances | 2017-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 1 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 1 |
| Number of participants with account balances | 2016-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 2 |
| Number of participants with account balances | 2015-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 2 |
| 2014: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 2 |
| Number of participants with account balances | 2014-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 2 |
| Number of participants with account balances | 2013-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 2 |
| Number of participants with account balances | 2012-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 3 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 3 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 3 |
| Number of participants with account balances | 2011-01-01 | 3 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2009: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 2 |
| Total of all active and inactive participants | 2009-01-01 | 4 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 4 |
| Number of participants with account balances | 2009-01-01 | 4 |
| Measure | Date | Value |
|---|
| 2021 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $491 |
| Total plan assets at end of year | 2021-12-31 | $25,624 |
| Total plan assets at beginning of year | 2021-12-31 | $25,133 |
| Other income received | 2021-12-31 | $491 |
| Net income (gross income less expenses) | 2021-12-31 | $491 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $25,624 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $25,133 |
| 2020 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $3,619 |
| Total plan assets at end of year | 2020-12-31 | $25,133 |
| Total plan assets at beginning of year | 2020-12-31 | $21,514 |
| Other income received | 2020-12-31 | $3,619 |
| Net income (gross income less expenses) | 2020-12-31 | $3,619 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $25,133 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $21,514 |
| 2019 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $3,875 |
| Total plan assets at end of year | 2019-12-31 | $21,514 |
| Total plan assets at beginning of year | 2019-12-31 | $17,639 |
| Other income received | 2019-12-31 | $3,875 |
| Net income (gross income less expenses) | 2019-12-31 | $3,875 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $21,514 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $17,639 |
| 2018 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $-1,508 |
| Total plan assets at end of year | 2018-12-31 | $17,639 |
| Total plan assets at beginning of year | 2018-12-31 | $19,147 |
| Other income received | 2018-12-31 | $-1,508 |
| Net income (gross income less expenses) | 2018-12-31 | $-1,508 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $17,639 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $19,147 |
| 2017 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $2,531 |
| Total plan assets at end of year | 2017-12-31 | $19,147 |
| Total plan assets at beginning of year | 2017-12-31 | $16,616 |
| Other income received | 2017-12-31 | $2,531 |
| Net income (gross income less expenses) | 2017-12-31 | $2,531 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $19,147 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $16,616 |
| 2016 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2016 401k financial data |
|---|
| Transfers to/from the plan | 2016-12-31 | $-4,782 |
| Total income from all sources | 2016-12-31 | $766 |
| Total plan assets at end of year | 2016-12-31 | $16,616 |
| Total plan assets at beginning of year | 2016-12-31 | $20,632 |
| Other income received | 2016-12-31 | $766 |
| Net income (gross income less expenses) | 2016-12-31 | $766 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $16,616 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $20,632 |
| 2015 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $-111 |
| Total plan assets at end of year | 2015-12-31 | $20,632 |
| Total plan assets at beginning of year | 2015-12-31 | $20,743 |
| Other income received | 2015-12-31 | $-111 |
| Net income (gross income less expenses) | 2015-12-31 | $-111 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $20,632 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $20,743 |
| 2014 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $1,364 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $2,000 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $2,000 |
| Total plan assets at end of year | 2014-12-31 | $20,743 |
| Total plan assets at beginning of year | 2014-12-31 | $21,379 |
| Other income received | 2014-12-31 | $1,364 |
| Net income (gross income less expenses) | 2014-12-31 | $-636 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $20,743 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $21,379 |
| 2013 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $3,251 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $6,000 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $6,000 |
| Total plan assets at end of year | 2013-12-31 | $21,379 |
| Total plan assets at beginning of year | 2013-12-31 | $24,128 |
| Other income received | 2013-12-31 | $3,251 |
| Net income (gross income less expenses) | 2013-12-31 | $-2,749 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $21,379 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $24,128 |
| 2012 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $12,281 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $117,769 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $117,769 |
| Total plan assets at end of year | 2012-12-31 | $24,128 |
| Total plan assets at beginning of year | 2012-12-31 | $129,616 |
| Other income received | 2012-12-31 | $12,281 |
| Net income (gross income less expenses) | 2012-12-31 | $-105,488 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $24,128 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $129,616 |
| 2011 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $-3,676 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $123,375 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $123,375 |
| Total plan assets at end of year | 2011-12-31 | $129,616 |
| Total plan assets at beginning of year | 2011-12-31 | $256,667 |
| Other income received | 2011-12-31 | $-3,676 |
| Net income (gross income less expenses) | 2011-12-31 | $-127,051 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $129,616 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $256,667 |
| 2010 : DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $29,321 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $15,000 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $15,000 |
| Total plan assets at end of year | 2010-12-31 | $256,667 |
| Total plan assets at beginning of year | 2010-12-31 | $242,346 |
| Other income received | 2010-12-31 | $29,321 |
| Net income (gross income less expenses) | 2010-12-31 | $14,321 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $256,667 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $242,346 |
| 2021: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 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 |
| 2018: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: DOUGLAS R QUADY HR10 PLAN PROFIT SHARING 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | PAN9354859 |
| Policy instance | 1 |
| Insurance contract or identification number | PAN9354859 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $203 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $203 | | Insurance broker organization code? | 3 |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | PAN9354859 |
| Policy instance | 1 |
| Insurance contract or identification number | PAN9354859 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $164 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $164 | | Insurance broker organization code? | 3 |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | PAN9354859 |
| Policy instance | 1 |
| Insurance contract or identification number | PAN9354859 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-28 | | Total amount of commissions paid to insurance broker | USD $152 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $152 | | Insurance broker organization code? | 3 |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | PAN9354859 |
| Policy instance | 1 |
| Insurance contract or identification number | PAN9354859 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $143 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $143 | | Insurance broker organization code? | 3 |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806, ETC |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806, ETC | | Number of Individuals Covered | 1 | | Insurance policy start date | 2016-03-01 | | Insurance policy end date | 2017-02-28 | | Total amount of commissions paid to insurance broker | USD $137 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $134 | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID J. MEANS |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806, ETC |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806, ETC | | Number of Individuals Covered | 2 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $154 | | 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 Broker | USD $150 | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID J. MEANS |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806, ETC |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806, ETC | | Number of Individuals Covered | 2 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $145 | | 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 Broker | USD $141 | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID J. MEANS |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806, ETC |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806, ETC | | Number of Individuals Covered | 2 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $145 | | 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 Broker | USD $139 | | Insurance broker organization code? | 3 | | Insurance broker name | DAVID J. MEANS |
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| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806, ETC |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806, ETC | | Number of Individuals Covered | 2 | | Insurance policy start date | 2012-03-01 | | Insurance policy end date | 2013-02-28 | | Total amount of commissions paid to insurance broker | USD $629 | | 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 Broker | USD $547 | | Insurance broker organization code? | 3 | | Insurance broker name | PETER L. SCHULTE |
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| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806 |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $1,219 | | 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 |
|
| C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 ) |
| Policy contract number | EXC9346806 |
| Policy instance | 1 |
| Insurance contract or identification number | EXC9346806 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $1,432 | | 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 Broker | USD $1,224 | | Insurance broker organization code? | 3 | | Insurance broker name | STEPHEN T. SALMON |
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