THALDEN CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan THALDEN CORPORATION 401K PROFIT SHARING PLAN
| Measure | Date | Value |
|---|
| 2017: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-11-01 | 33 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-11-01 | 30 |
| Number of retired or separated participants receiving benefits | 2017-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-11-01 | 4 |
| Total of all active and inactive participants | 2017-11-01 | 34 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-11-01 | 0 |
| Total participants | 2017-11-01 | 34 |
| Number of participants with account balances | 2017-11-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-11-01 | 0 |
| 2016: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-11-01 | 30 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-11-01 | 29 |
| Number of retired or separated participants receiving benefits | 2016-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-11-01 | 4 |
| Total of all active and inactive participants | 2016-11-01 | 33 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-11-01 | 0 |
| Total participants | 2016-11-01 | 33 |
| Number of participants with account balances | 2016-11-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-11-01 | 0 |
| 2015: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-11-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-11-01 | 26 |
| Number of retired or separated participants receiving benefits | 2015-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-11-01 | 4 |
| Total of all active and inactive participants | 2015-11-01 | 30 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-11-01 | 0 |
| Total participants | 2015-11-01 | 30 |
| Number of participants with account balances | 2015-11-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-11-01 | 0 |
| 2014: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-11-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-11-01 | 18 |
| Number of retired or separated participants receiving benefits | 2014-11-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2014-11-01 | 0 |
| Total of all active and inactive participants | 2014-11-01 | 22 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-11-01 | 0 |
| Total participants | 2014-11-01 | 22 |
| Number of participants with account balances | 2014-11-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-11-01 | 0 |
| 2013: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-11-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-11-01 | 20 |
| Number of retired or separated participants receiving benefits | 2013-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-11-01 | 1 |
| Total of all active and inactive participants | 2013-11-01 | 21 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-11-01 | 0 |
| Total participants | 2013-11-01 | 21 |
| Number of participants with account balances | 2013-11-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-11-01 | 0 |
| 2012: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-11-01 | 30 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-11-01 | 21 |
| Number of retired or separated participants receiving benefits | 2012-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-11-01 | 2 |
| Total of all active and inactive participants | 2012-11-01 | 23 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-11-01 | 0 |
| Total participants | 2012-11-01 | 23 |
| Number of participants with account balances | 2012-11-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-11-01 | 0 |
| 2011: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-11-01 | 27 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-11-01 | 29 |
| Number of retired or separated participants receiving benefits | 2011-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-11-01 | 1 |
| Total of all active and inactive participants | 2011-11-01 | 30 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-11-01 | 0 |
| Total participants | 2011-11-01 | 30 |
| Number of participants with account balances | 2011-11-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-11-01 | 0 |
| 2010: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-11-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-11-01 | 26 |
| Number of retired or separated participants receiving benefits | 2010-11-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-11-01 | 1 |
| Total of all active and inactive participants | 2010-11-01 | 27 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-11-01 | 0 |
| Total participants | 2010-11-01 | 27 |
| Number of participants with account balances | 2010-11-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-11-01 | 0 |
| 2009: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-11-01 | 35 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-11-01 | 28 |
| Number of retired or separated participants receiving benefits | 2009-11-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2009-11-01 | 2 |
| Total of all active and inactive participants | 2009-11-01 | 31 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-11-01 | 0 |
| Total participants | 2009-11-01 | 31 |
| Number of participants with account balances | 2009-11-01 | 17 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-11-01 | 0 |
| Measure | Date | Value |
|---|
| 2018 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-10-31 | $34,282 |
| Expenses. Total of all expenses incurred | 2018-10-31 | $6,555 |
| Benefits paid (including direct rollovers) | 2018-10-31 | $6,555 |
| Total plan assets at end of year | 2018-10-31 | $379,765 |
| Total plan assets at beginning of year | 2018-10-31 | $352,038 |
| Value of fidelity bond covering the plan | 2018-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2018-10-31 | $31,931 |
| Contributions received from other sources (not participants or employers) | 2018-10-31 | $14,084 |
| Other income received | 2018-10-31 | $-11,733 |
| Net income (gross income less expenses) | 2018-10-31 | $27,727 |
| Net plan assets at end of year (total assets less liabilities) | 2018-10-31 | $379,765 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-10-31 | $352,038 |
| Assets. Value of participant loans | 2018-10-31 | $1,052 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-10-31 | $0 |
| 2017 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-10-31 | $104,426 |
| Expenses. Total of all expenses incurred | 2017-10-31 | $276,485 |
| Benefits paid (including direct rollovers) | 2017-10-31 | $276,485 |
| Total plan assets at end of year | 2017-10-31 | $352,038 |
| Total plan assets at beginning of year | 2017-10-31 | $524,097 |
| Value of fidelity bond covering the plan | 2017-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2017-10-31 | $51,724 |
| Other income received | 2017-10-31 | $52,702 |
| Net income (gross income less expenses) | 2017-10-31 | $-172,059 |
| Net plan assets at end of year (total assets less liabilities) | 2017-10-31 | $352,038 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-10-31 | $524,097 |
| Assets. Value of participant loans | 2017-10-31 | $5,891 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-10-31 | $0 |
| 2016 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-10-31 | $172,135 |
| Expenses. Total of all expenses incurred | 2016-10-31 | $45,626 |
| Benefits paid (including direct rollovers) | 2016-10-31 | $45,626 |
| Total plan assets at end of year | 2016-10-31 | $524,097 |
| Total plan assets at beginning of year | 2016-10-31 | $397,588 |
| Value of fidelity bond covering the plan | 2016-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2016-10-31 | $70,426 |
| Contributions received from other sources (not participants or employers) | 2016-10-31 | $86,272 |
| Other income received | 2016-10-31 | $15,437 |
| Net income (gross income less expenses) | 2016-10-31 | $126,509 |
| Net plan assets at end of year (total assets less liabilities) | 2016-10-31 | $524,097 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-10-31 | $397,588 |
| Assets. Value of participant loans | 2016-10-31 | $5,475 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-10-31 | $0 |
| 2015 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-10-31 | $54,854 |
| Expenses. Total of all expenses incurred | 2015-10-31 | $66,995 |
| Benefits paid (including direct rollovers) | 2015-10-31 | $66,995 |
| Total plan assets at end of year | 2015-10-31 | $397,588 |
| Total plan assets at beginning of year | 2015-10-31 | $409,729 |
| Value of fidelity bond covering the plan | 2015-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2015-10-31 | $61,258 |
| Other income received | 2015-10-31 | $-6,404 |
| Net income (gross income less expenses) | 2015-10-31 | $-12,141 |
| Net plan assets at end of year (total assets less liabilities) | 2015-10-31 | $397,588 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-10-31 | $409,729 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-10-31 | $0 |
| 2014 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-10-31 | $101,259 |
| Expenses. Total of all expenses incurred | 2014-10-31 | $1,627 |
| Benefits paid (including direct rollovers) | 2014-10-31 | $1,627 |
| Total plan assets at end of year | 2014-10-31 | $409,729 |
| Total plan assets at beginning of year | 2014-10-31 | $310,097 |
| Value of fidelity bond covering the plan | 2014-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2014-10-31 | $77,719 |
| Other income received | 2014-10-31 | $23,540 |
| Net income (gross income less expenses) | 2014-10-31 | $99,632 |
| Net plan assets at end of year (total assets less liabilities) | 2014-10-31 | $409,729 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-10-31 | $310,097 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-10-31 | $0 |
| 2013 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-10-31 | $104,570 |
| Expenses. Total of all expenses incurred | 2013-10-31 | $644,897 |
| Benefits paid (including direct rollovers) | 2013-10-31 | $644,897 |
| Total plan assets at end of year | 2013-10-31 | $310,097 |
| Total plan assets at beginning of year | 2013-10-31 | $850,424 |
| Value of fidelity bond covering the plan | 2013-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2013-10-31 | $75,727 |
| Other income received | 2013-10-31 | $28,843 |
| Net income (gross income less expenses) | 2013-10-31 | $-540,327 |
| Net plan assets at end of year (total assets less liabilities) | 2013-10-31 | $310,097 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-10-31 | $850,424 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-10-31 | $0 |
| 2012 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-10-31 | $110,611 |
| Expenses. Total of all expenses incurred | 2012-10-31 | $0 |
| Total plan assets at end of year | 2012-10-31 | $850,424 |
| Total plan assets at beginning of year | 2012-10-31 | $739,813 |
| Value of fidelity bond covering the plan | 2012-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2012-10-31 | $62,134 |
| Other income received | 2012-10-31 | $48,477 |
| Net income (gross income less expenses) | 2012-10-31 | $110,611 |
| Net plan assets at end of year (total assets less liabilities) | 2012-10-31 | $850,424 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-10-31 | $739,813 |
| 2011 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-10-31 | $51,095 |
| Expenses. Total of all expenses incurred | 2011-10-31 | $16,193 |
| Benefits paid (including direct rollovers) | 2011-10-31 | $16,193 |
| Total plan assets at end of year | 2011-10-31 | $739,813 |
| Total plan assets at beginning of year | 2011-10-31 | $704,911 |
| Value of fidelity bond covering the plan | 2011-10-31 | $50,000 |
| Total contributions received or receivable from participants | 2011-10-31 | $57,932 |
| Other income received | 2011-10-31 | $-6,837 |
| Net income (gross income less expenses) | 2011-10-31 | $34,902 |
| Net plan assets at end of year (total assets less liabilities) | 2011-10-31 | $739,813 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-10-31 | $704,911 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-10-31 | $0 |
| 2010 : THALDEN CORPORATION 401K PROFIT SHARING PLAN 2010 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-10-31 | $0 |
| 2017: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2017 form 5500 responses |
|---|
| 2017-11-01 | Type of plan entity | Single employer plan |
| 2017-11-01 | Submission has been amended | No |
| 2017-11-01 | This submission is the final filing | No |
| 2017-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-11-01 | Plan is a collectively bargained plan | No |
| 2017-11-01 | Plan funding arrangement – Trust | Yes |
| 2017-11-01 | Plan benefit arrangement - Trust | Yes |
| 2016: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2016 form 5500 responses |
|---|
| 2016-11-01 | Type of plan entity | Single employer plan |
| 2016-11-01 | Submission has been amended | No |
| 2016-11-01 | This submission is the final filing | No |
| 2016-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-11-01 | Plan is a collectively bargained plan | No |
| 2016-11-01 | Plan funding arrangement – Trust | Yes |
| 2016-11-01 | Plan benefit arrangement - Trust | Yes |
| 2015: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2015 form 5500 responses |
|---|
| 2015-11-01 | Type of plan entity | Single employer plan |
| 2015-11-01 | Submission has been amended | No |
| 2015-11-01 | This submission is the final filing | No |
| 2015-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-11-01 | Plan is a collectively bargained plan | No |
| 2015-11-01 | Plan funding arrangement – Trust | Yes |
| 2015-11-01 | Plan benefit arrangement - Trust | Yes |
| 2014: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2014 form 5500 responses |
|---|
| 2014-11-01 | Type of plan entity | Single employer plan |
| 2014-11-01 | Submission has been amended | No |
| 2014-11-01 | This submission is the final filing | No |
| 2014-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-11-01 | Plan is a collectively bargained plan | No |
| 2014-11-01 | Plan funding arrangement – Trust | Yes |
| 2014-11-01 | Plan benefit arrangement - Trust | Yes |
| 2013: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2013 form 5500 responses |
|---|
| 2013-11-01 | Type of plan entity | Single employer plan |
| 2013-11-01 | Submission has been amended | No |
| 2013-11-01 | This submission is the final filing | No |
| 2013-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-11-01 | Plan is a collectively bargained plan | No |
| 2013-11-01 | Plan funding arrangement – Trust | Yes |
| 2013-11-01 | Plan benefit arrangement - Trust | Yes |
| 2012: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2012 form 5500 responses |
|---|
| 2012-11-01 | Type of plan entity | Single employer plan |
| 2012-11-01 | Submission has been amended | No |
| 2012-11-01 | This submission is the final filing | No |
| 2012-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-11-01 | Plan is a collectively bargained plan | No |
| 2012-11-01 | Plan funding arrangement – Trust | Yes |
| 2012-11-01 | Plan benefit arrangement - Trust | Yes |
| 2011: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2011 form 5500 responses |
|---|
| 2011-11-01 | Type of plan entity | Single employer plan |
| 2011-11-01 | Submission has been amended | No |
| 2011-11-01 | This submission is the final filing | No |
| 2011-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-11-01 | Plan is a collectively bargained plan | No |
| 2011-11-01 | Plan funding arrangement – Trust | Yes |
| 2011-11-01 | Plan benefit arrangement - Trust | Yes |
| 2010: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2010 form 5500 responses |
|---|
| 2010-11-01 | Type of plan entity | Single employer plan |
| 2010-11-01 | Submission has been amended | No |
| 2010-11-01 | This submission is the final filing | No |
| 2010-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-11-01 | Plan is a collectively bargained plan | No |
| 2010-11-01 | Plan funding arrangement – Trust | Yes |
| 2010-11-01 | Plan benefit arrangement - Trust | Yes |
| 2009: THALDEN CORPORATION 401K PROFIT SHARING PLAN 2009 form 5500 responses |
|---|
| 2009-11-01 | Type of plan entity | Single employer plan |
| 2009-11-01 | Submission has been amended | No |
| 2009-11-01 | This submission is the final filing | No |
| 2009-11-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-11-01 | Plan is a collectively bargained plan | No |
| 2009-11-01 | Plan funding arrangement – Trust | Yes |
| 2009-11-01 | Plan benefit arrangement - Trust | Yes |
| JOHN HANCOCK USA (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 111025 |
| Policy instance | 1 |
| Insurance contract or identification number | 111025 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2017-11-01 | | Insurance policy end date | 2018-10-31 | | Total amount of commissions paid to insurance broker | USD $44 | | Total amount of fees paid to insurance company | USD $1,393 | | 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? | No | | 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 $44 | | Amount paid for insurance broker fees | 1393 | | Additional information about fees paid to insurance broker | TPA FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECTRUM EMPLOYEE BENEFITS |
|
| JOHN HANCOCK USA (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 111025 |
| Policy instance | 1 |
| Insurance contract or identification number | 111025 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2015-11-01 | | Insurance policy end date | 2016-10-31 | | Total amount of commissions paid to insurance broker | USD $1,012 | | Total amount of fees paid to insurance company | USD $1,350 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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? | No | | 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 $0 | | Amount paid for insurance broker fees | 1350 | | Additional information about fees paid to insurance broker | TPA FEES | | Insurance broker organization code? | 5 | | Insurance broker name | EDWARD JONES |
|
| JOHN HANCOCK USA (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 111025 |
| Policy instance | 1 |
| Insurance contract or identification number | 111025 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2014-11-01 | | Insurance policy end date | 2015-10-31 | | Total amount of commissions paid to insurance broker | USD $949 | | Total amount of fees paid to insurance company | USD $3,000 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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? | No | | 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 $0 | | Amount paid for insurance broker fees | 3000 | | Additional information about fees paid to insurance broker | TPA FEES | | Insurance broker organization code? | 5 | | Insurance broker name | SPECTRUM EMPLOYEE BENEFITS |
|
| JOHN HANCOCK USA (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 111025 |
| Policy instance | 1 |
| Insurance contract or identification number | 111025 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2013-11-01 | | Insurance policy end date | 2014-10-31 | | Total amount of commissions paid to insurance broker | USD $936 | | Total amount of fees paid to insurance company | USD $50 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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? | No | | 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 $936 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 6 | | Insurance broker name | SPECTRUM EMPLOYEE BENEFITS |
|
| JOHN HANCOCK USA (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 111025 |
| Policy instance | 1 |
| Insurance contract or identification number | 111025 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2013-06-28 | | Insurance policy end date | 2013-10-31 | | Total amount of commissions paid to insurance broker | USD $3,039 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | No | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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? | No | | 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 $2,989 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | COMMISSIONS | | Insurance broker organization code? | 6 | | Insurance broker name | SPECTRUM EMPLOYEE BENEFITS |
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