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ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 401k Plan overview

Plan NameADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST
Plan identification number 001

ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

ADAMAS PHARMACEUTICALS, INC. has sponsored the creation of one or more 401k plans.

Company Name:ADAMAS PHARMACEUTICALS, INC.
Employer identification number (EIN):421560076
NAIC Classification:325500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012022-01-01
0012021-01-01
0012021-01-01
0012021-01-01
0012020-01-01
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01MARCY WEBSTER2018-07-11
0012016-01-01DEBORAH FOY2017-07-27
0012015-01-01DEBORAH FOY2016-07-21
0012014-01-01DEBORAH FOY2015-07-23 DEBORAH FOY2015-07-23
0012013-01-01DEBORAH FOY2014-07-29 DEBORAH FOY2014-07-29
0012012-01-01DEBORAH FOY2013-07-26 DEBORAH FOY2013-07-26
0012011-01-01ANTHONY RIMAC2012-07-25 ANTHONY RIMAC2012-07-25
0012010-01-01DEBORAH FOY2011-07-28 DEBORAH FOY2011-07-28

Plan Statistics for ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST

401k plan membership statisitcs for ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST

Measure Date Value
2022: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01216
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01193
Total number of active participants reported on line 7a of the Form 55002021-01-01142
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0173
Total of all active and inactive participants2021-01-01216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01216
Number of participants with account balances2021-01-01212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-015
2020: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01207
Total number of active participants reported on line 7a of the Form 55002020-01-01137
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0155
Total of all active and inactive participants2020-01-01192
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01192
Number of participants with account balances2020-01-01189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-01195
Total number of active participants reported on line 7a of the Form 55002019-01-01136
Number of retired or separated participants receiving benefits2019-01-0112
Number of other retired or separated participants entitled to future benefits2019-01-0159
Total of all active and inactive participants2019-01-01207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01207
Number of participants with account balances2019-01-01202
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0112
2018: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-01168
Total number of active participants reported on line 7a of the Form 55002018-01-01157
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0132
Total of all active and inactive participants2018-01-01191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01191
Number of participants with account balances2018-01-01183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013

Financial Data on ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST

Measure Date Value
2022 : ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-01-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-31$0
Total unrealized appreciation/depreciation of assets2022-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-31$0
Expenses. Interest paid2022-01-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-01-31$0
Total income from all sources (including contributions)2022-01-31$-334,860
Total loss/gain on sale of assets2022-01-31$0
Total of all expenses incurred2022-01-31$8,018,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-31$8,013,113
Expenses. Certain deemed distributions of participant loans2022-01-31$0
Value of total corrective distributions2022-01-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-31$24,341
Value of total assets at end of year2022-01-31$0
Value of total assets at beginning of year2022-01-31$8,353,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-31$5,279
Total income from rents2022-01-31$0
Total interest from all sources2022-01-31$-242
Total dividends received (eg from common stock, registered investment company shares)2022-01-31$76
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2022-01-31$0
Total dividends received from registered investment company shares (eg mutual funds)2022-01-31$76
Assets. Real estate other than employer real property at end of year2022-01-31$0
Assets. Real estate other than employer real property at beginning of year2022-01-31$0
Administrative expenses professional fees incurred2022-01-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-01-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-01-31$0
Was this plan covered by a fidelity bond2022-01-31Yes
Value of fidelity bond cover2022-01-31$500,000
If this is an individual account plan, was there a blackout period2022-01-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2022-01-31$0
Were there any nonexempt tranactions with any party-in-interest2022-01-31No
Contributions received from participants2022-01-31$0
Participant contributions at end of year2022-01-31$0
Participant contributions at beginning of year2022-01-31$37,294
Participant contributions at end of year2022-01-31$0
Participant contributions at beginning of year2022-01-31$0
Assets. Other investments not covered elsewhere at end of year2022-01-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-01-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-01-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-31$0
Assets. Loans (other than to participants) at end of year2022-01-31$0
Assets. Loans (other than to participants) at beginning of year2022-01-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-01-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-01-31$0
Other income not declared elsewhere2022-01-31$0
Administrative expenses (other) incurred2022-01-31$0
Total non interest bearing cash at end of year2022-01-31$0
Total non interest bearing cash at beginning of year2022-01-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Income. Non cash contributions2022-01-31$0
Value of net income/loss2022-01-31$-8,353,252
Value of net assets at end of year (total assets less liabilities)2022-01-31$0
Value of net assets at beginning of year (total assets less liabilities)2022-01-31$8,353,252
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-31No
Were any leases to which the plan was party in default or uncollectible2022-01-31No
Assets. partnership/joint venture interests at end of year2022-01-31$0
Assets. partnership/joint venture interests at beginning of year2022-01-31$0
Investment advisory and management fees2022-01-31$312
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-31$8,236,314
Interest on participant loans2022-01-31$-279
Income. Interest from loans (other than to participants)2022-01-31$0
Interest earned on other investments2022-01-31$37
Income. Interest from US Government securities2022-01-31$0
Income. Interest from corporate debt instruments2022-01-31$0
Value of interest in master investment trust accounts at end of year2022-01-31$0
Value of interest in master investment trust accounts at beginning of year2022-01-31$0
Value of interest in common/collective trusts at end of year2022-01-31$0
Value of interest in common/collective trusts at beginning of year2022-01-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-01-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-01-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-31$0
Assets. Value of investments in 103.12 investment entities at end of year2022-01-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-01-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-31$79,644
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-31$0
Asset value of US Government securities at end of year2022-01-31$0
Asset value of US Government securities at beginning of year2022-01-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-31$-359,035
Net investment gain/loss from pooled separate accounts2022-01-31$0
Net investment gain or loss from common/collective trusts2022-01-31$0
Net gain/loss from 103.12 investment entities2022-01-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-31No
Was there a failure to transmit to the plan any participant contributions2022-01-31No
Has the plan failed to provide any benefit when due under the plan2022-01-31No
Assets. Invements in employer securities at end of year2022-01-31$0
Assets. Invements in employer securities at beginning of year2022-01-31$0
Assets. Value of employer real property at end of year2022-01-31$0
Assets. Value of employer real property at beginning of year2022-01-31$0
Contributions received in cash from employer2022-01-31$24,341
Employer contributions (assets) at end of year2022-01-31$0
Employer contributions (assets) at beginning of year2022-01-31$0
Income. Dividends from preferred stock2022-01-31$0
Income. Dividends from common stock2022-01-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-31$8,013,113
Asset. Corporate debt instrument preferred debt at end of year2022-01-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-01-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-01-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-31$0
Contract administrator fees2022-01-31$4,967
Assets. Corporate common stocks other than exployer securities at end of year2022-01-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-01-31$0
Liabilities. Value of benefit claims payable at end of year2022-01-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-01-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-01-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-01-31$0
Did the plan have assets held for investment2022-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-31Yes
Aggregate proceeds on sale of assets2022-01-31$0
Aggregate carrying amount (costs) on sale of assets2022-01-31$0
Liabilities. Value of acquisition indebtedness at end of year2022-01-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-01-31$0
Opinion of an independent qualified public accountant for this plan2022-01-31Unqualified
Accountancy firm name2022-01-31BBP LLP
Accountancy firm EIN2022-01-31814234542
2021 : ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2021 401k financial data
Unrealized appreciation/depreciation of real estate assets2021-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$0
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Expenses. Interest paid2021-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022021-12-31$0
Total income from all sources (including contributions)2021-12-31$4,342,730
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$6,572,743
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$6,548,494
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Value of total corrective distributions2021-12-31$6,039
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,988,797
Value of total assets at end of year2021-12-31$8,353,252
Value of total assets at beginning of year2021-12-31$10,583,265
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$18,210
Total income from rents2021-12-31$0
Total interest from all sources2021-12-31$4,713
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$64,075
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-12-31$0
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$64,075
Assets. Real estate other than employer real property at end of year2021-12-31$0
Assets. Real estate other than employer real property at beginning of year2021-12-31$0
Administrative expenses professional fees incurred2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,175,253
Participant contributions at end of year2021-12-31$37,294
Participant contributions at beginning of year2021-12-31$54,237
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$61,208
Assets. Other investments not covered elsewhere at end of year2021-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$15,104
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Assets. Loans (other than to participants) at end of year2021-12-31$0
Assets. Loans (other than to participants) at beginning of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$0
Other income not declared elsewhere2021-12-31$-3,480
Administrative expenses (other) incurred2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$-2,230,013
Value of net assets at end of year (total assets less liabilities)2021-12-31$8,353,252
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,583,265
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Assets. partnership/joint venture interests at end of year2021-12-31$0
Assets. partnership/joint venture interests at beginning of year2021-12-31$0
Investment advisory and management fees2021-12-31$229
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$8,236,314
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$10,444,179
Interest on participant loans2021-12-31$4,126
Income. Interest from loans (other than to participants)2021-12-31$0
Interest earned on other investments2021-12-31$587
Income. Interest from US Government securities2021-12-31$0
Income. Interest from corporate debt instruments2021-12-31$0
Value of interest in master investment trust accounts at end of year2021-12-31$0
Value of interest in master investment trust accounts at beginning of year2021-12-31$0
Value of interest in common/collective trusts at end of year2021-12-31$0
Value of interest in common/collective trusts at beginning of year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2021-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2021-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$79,644
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$11,289
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Asset value of US Government securities at end of year2021-12-31$0
Asset value of US Government securities at beginning of year2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,288,625
Net investment gain/loss from pooled separate accounts2021-12-31$0
Net investment gain or loss from common/collective trusts2021-12-31$0
Net gain/loss from 103.12 investment entities2021-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Assets. Invements in employer securities at end of year2021-12-31$0
Assets. Invements in employer securities at beginning of year2021-12-31$0
Assets. Value of employer real property at end of year2021-12-31$0
Assets. Value of employer real property at beginning of year2021-12-31$0
Contributions received in cash from employer2021-12-31$798,440
Employer contributions (assets) at end of year2021-12-31$0
Employer contributions (assets) at beginning of year2021-12-31$12,352
Income. Dividends from preferred stock2021-12-31$0
Income. Dividends from common stock2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$6,548,494
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$0
Contract administrator fees2021-12-31$17,981
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$0
Liabilities. Value of benefit claims payable at end of year2021-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2021-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2021-12-31$0
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$0
Aggregate carrying amount (costs) on sale of assets2021-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2021-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2021-12-31$0
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BBP LLP
Accountancy firm EIN2021-12-31814234542
2020 : ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2020 401k financial data
Unrealized appreciation/depreciation of real estate assets2020-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$0
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Expenses. Interest paid2020-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,902,021
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,853,911
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,782,839
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Value of total corrective distributions2020-12-31$10,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,562,752
Value of total assets at end of year2020-12-31$10,509,705
Value of total assets at beginning of year2020-12-31$9,461,595
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$60,648
Total income from rents2020-12-31$0
Total interest from all sources2020-12-31$7,789
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$8,062
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$8,062
Assets. Real estate other than employer real property at end of year2020-12-31$0
Assets. Real estate other than employer real property at beginning of year2020-12-31$0
Administrative expenses professional fees incurred2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,752,987
Participant contributions at end of year2020-12-31$54,237
Participant contributions at beginning of year2020-12-31$35,452
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$50,393
Assets. Other investments not covered elsewhere at end of year2020-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$148,092
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Assets. Loans (other than to participants) at end of year2020-12-31$0
Assets. Loans (other than to participants) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$50,247
Administrative expenses (other) incurred2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Income. Non cash contributions2020-12-31$0
Value of net income/loss2020-12-31$1,048,110
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,509,705
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,461,595
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Assets. partnership/joint venture interests at end of year2020-12-31$0
Assets. partnership/joint venture interests at beginning of year2020-12-31$0
Investment advisory and management fees2020-12-31$12,171
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$10,444,179
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,436,288
Interest on participant loans2020-12-31$3,924
Income. Interest from loans (other than to participants)2020-12-31$0
Interest earned on other investments2020-12-31$3,865
Income. Interest from US Government securities2020-12-31$0
Income. Interest from corporate debt instruments2020-12-31$0
Value of interest in master investment trust accounts at end of year2020-12-31$0
Value of interest in master investment trust accounts at beginning of year2020-12-31$0
Value of interest in common/collective trusts at end of year2020-12-31$0
Value of interest in common/collective trusts at beginning of year2020-12-31$5,917,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$137
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$137
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2020-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$11,289
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Asset value of US Government securities at end of year2020-12-31$0
Asset value of US Government securities at beginning of year2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$747,962
Net investment gain/loss from pooled separate accounts2020-12-31$0
Net investment gain or loss from common/collective trusts2020-12-31$525,209
Net gain/loss from 103.12 investment entities2020-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$0
Assets. Invements in employer securities at beginning of year2020-12-31$0
Assets. Value of employer real property at end of year2020-12-31$0
Assets. Value of employer real property at beginning of year2020-12-31$0
Contributions received in cash from employer2020-12-31$661,673
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$21,693
Income. Dividends from preferred stock2020-12-31$0
Income. Dividends from common stock2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,782,839
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$0
Contract administrator fees2020-12-31$48,477
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$0
Liabilities. Value of benefit claims payable at end of year2020-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2020-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$0
Aggregate carrying amount (costs) on sale of assets2020-12-31$0
Liabilities. Value of acquisition indebtedness at end of year2020-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BBP LLP
Accountancy firm EIN2020-12-31814234542
2019 : ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$4,769,707
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,433,281
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,386,476
Value of total corrective distributions2019-12-31$4,667
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,241,197
Value of total assets at end of year2019-12-31$9,461,595
Value of total assets at beginning of year2019-12-31$6,125,169
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$42,138
Total interest from all sources2019-12-31$1,503
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$144,417
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$144,417
Administrative expenses professional fees incurred2019-12-31$0
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,962,822
Participant contributions at end of year2019-12-31$35,452
Participant contributions at beginning of year2019-12-31$28,891
Participant contributions at end of year2019-12-31$50,393
Participant contributions at beginning of year2019-12-31$58,538
Assets. Other investments not covered elsewhere at end of year2019-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$509,258
Total non interest bearing cash at end of year2019-12-31$102
Total non interest bearing cash at beginning of year2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$3,336,426
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,461,595
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,125,169
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$30,193
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,436,288
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,425,948
Interest on participant loans2019-12-31$1,503
Value of interest in common/collective trusts at end of year2019-12-31$5,917,530
Value of interest in common/collective trusts at beginning of year2019-12-31$599,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$137
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,380,454
Net investment gain or loss from common/collective trusts2019-12-31$2,136
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$769,117
Employer contributions (assets) at end of year2019-12-31$21,693
Employer contributions (assets) at beginning of year2019-12-31$11,849
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,386,476
Contract administrator fees2019-12-31$11,945
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BPM LLP
Accountancy firm EIN2019-12-31814234542
2018 : ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$2,402,847
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,539,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,505,581
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,710,629
Value of total assets at end of year2018-12-31$6,125,169
Value of total assets at beginning of year2018-12-31$5,261,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$34,008
Total interest from all sources2018-12-31$1,593
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$258,103
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$258,103
Administrative expenses professional fees incurred2018-12-31$0
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,861,163
Participant contributions at end of year2018-12-31$28,891
Participant contributions at beginning of year2018-12-31$43,417
Participant contributions at end of year2018-12-31$58,538
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$331,704
Liabilities. Value of operating payables at end of year2018-12-31$0
Liabilities. Value of operating payables at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$863,258
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,125,169
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,261,911
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$25,644
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$5,425,948
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,769,002
Interest on participant loans2018-12-31$1,593
Value of interest in common/collective trusts at end of year2018-12-31$599,943
Value of interest in common/collective trusts at beginning of year2018-12-31$449,492
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-576,999
Net investment gain or loss from common/collective trusts2018-12-31$9,521
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$517,762
Employer contributions (assets) at end of year2018-12-31$11,849
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,505,581
Contract administrator fees2018-12-31$8,364
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BPM LLP
Accountancy firm EIN2018-12-31814234542

Form 5500 Responses for ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST

2022: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-01Plan is a collectively bargained planNo
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: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
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: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ADAMAS PHARMACEUTICALS, INC. RETIREMENT TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number510487-01
Policy instance 1
Insurance contract or identification number510487-01
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-01-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number510487-01
Policy instance 1
Insurance contract or identification number510487-01
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number510487-01
Policy instance 1
Insurance contract or identification number510487-01
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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

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