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INTIMIDATOR, INC. 401(K) PLAN 401k Plan overview

Plan NameINTIMIDATOR, INC. 401(K) PLAN
Plan identification number 001

INTIMIDATOR, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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.

401k Sponsoring company profile

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

Company Name:INTIMIDATOR, INC.
Employer identification number (EIN):453914978
NAIC Classification:333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTIMIDATOR, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01

Plan Statistics for INTIMIDATOR, INC. 401(K) PLAN

401k plan membership statisitcs for INTIMIDATOR, INC. 401(K) PLAN

Measure Date Value
2022: INTIMIDATOR, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01534
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: INTIMIDATOR, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01291
Total number of active participants reported on line 7a of the Form 55002021-01-01469
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0135
Total of all active and inactive participants2021-01-01504
Total participants2021-01-01504
Number of participants with account balances2021-01-01241
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0115
2020: INTIMIDATOR, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01257
Total number of active participants reported on line 7a of the Form 55002020-01-01268
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0114
Total of all active and inactive participants2020-01-01282
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01282
Number of participants with account balances2020-01-01139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-015
2019: INTIMIDATOR, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01224
Total number of active participants reported on line 7a of the Form 55002019-01-01215
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-01224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01224
Number of participants with account balances2019-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: INTIMIDATOR, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01175
Total number of active participants reported on line 7a of the Form 55002018-01-01197
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-016
Total of all active and inactive participants2018-01-01203
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01203
Number of participants with account balances2018-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010

Financial Data on INTIMIDATOR, INC. 401(K) PLAN

Measure Date Value
2022 : INTIMIDATOR, INC. 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-06-03$-278,630
Total of all expenses incurred2022-06-03$2,163,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-03$2,137,400
Value of total corrective distributions2022-06-03$3,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-03$43,081
Value of total assets at end of year2022-06-03$0
Value of total assets at beginning of year2022-06-03$2,442,217
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-03$22,992
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-03Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2022-06-03$0
Was this plan covered by a fidelity bond2022-06-03Yes
Value of fidelity bond cover2022-06-03$250,000
If this is an individual account plan, was there a blackout period2022-06-03No
Were there any nonexempt tranactions with any party-in-interest2022-06-03No
Contributions received from participants2022-06-03$32,157
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-06-03$2,926
Administrative expenses (other) incurred2022-06-03$8,882
Total non interest bearing cash at end of year2022-06-03$0
Total non interest bearing cash at beginning of year2022-06-03$2,926
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-03No
Value of net income/loss2022-06-03$-2,442,217
Value of net assets at end of year (total assets less liabilities)2022-06-03$0
Value of net assets at beginning of year (total assets less liabilities)2022-06-03$2,442,217
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-03No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-03No
Were any leases to which the plan was party in default or uncollectible2022-06-03No
Investment advisory and management fees2022-06-03$3,731
Value of interest in pooled separate accounts at end of year2022-06-03$0
Value of interest in pooled separate accounts at beginning of year2022-06-03$2,439,126
Net investment gain/loss from pooled separate accounts2022-06-03$-321,711
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-03No
Was there a failure to transmit to the plan any participant contributions2022-06-03No
Has the plan failed to provide any benefit when due under the plan2022-06-03No
Contributions received in cash from employer2022-06-03$10,924
Employer contributions (assets) at end of year2022-06-03$0
Employer contributions (assets) at beginning of year2022-06-03$165
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-03$2,134,474
Contract administrator fees2022-06-03$10,379
Did the plan have assets held for investment2022-06-03No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-03No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-03Yes
Opinion of an independent qualified public accountant for this plan2022-06-03Unqualified
Accountancy firm name2022-06-03FORVIS, LLP
Accountancy firm EIN2022-06-03440160260
2021 : INTIMIDATOR, INC. 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,153,202
Total of all expenses incurred2021-12-31$62,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$30,423
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$869,396
Value of total assets at end of year2021-12-31$2,442,217
Value of total assets at beginning of year2021-12-31$1,351,614
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$32,176
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$150,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$602,014
Participant contributions at beginning of year2021-12-31$19
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$98,738
Administrative expenses (other) incurred2021-12-31$495
Total non interest bearing cash at end of year2021-12-31$2,926
Total non interest bearing cash at beginning of year2021-12-31$360
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
Value of net income/loss2021-12-31$1,090,603
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,442,217
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,351,614
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
Investment advisory and management fees2021-12-31$9,718
Value of interest in pooled separate accounts at end of year2021-12-31$2,439,126
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,351,235
Net investment gain/loss from pooled separate accounts2021-12-31$283,806
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 contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$168,644
Employer contributions (assets) at end of year2021-12-31$165
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$30,423
Contract administrator fees2021-12-31$21,963
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
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : INTIMIDATOR, INC. 401(K) PLAN 2020 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$36,024
Total income from all sources (including contributions)2020-12-31$673,767
Total of all expenses incurred2020-12-31$38,554
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$18,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$473,391
Value of total assets at end of year2020-12-31$1,351,614
Value of total assets at beginning of year2020-12-31$752,425
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$19,628
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$75,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$400,664
Participant contributions at end of year2020-12-31$19
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$7,483
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$36,024
Total non interest bearing cash at end of year2020-12-31$360
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
Value of net income/loss2020-12-31$635,213
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,351,614
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$716,401
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
Investment advisory and management fees2020-12-31$3,630
Value of interest in pooled separate accounts at end of year2020-12-31$1,351,235
Value of interest in pooled separate accounts at beginning of year2020-12-31$752,425
Net investment gain/loss from pooled separate accounts2020-12-31$200,376
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
Contributions received in cash from employer2020-12-31$65,244
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$18,926
Contract administrator fees2020-12-31$15,998
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
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BKD CPAS & ADVISORS
Accountancy firm EIN2020-12-31440160260
2019 : INTIMIDATOR, INC. 401(K) PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$36,024
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,849
Total income from all sources (including contributions)2019-12-31$615,312
Total of all expenses incurred2019-12-31$55,433
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$10,136
Value of total corrective distributions2019-12-31$36,024
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$546,933
Value of total assets at end of year2019-12-31$752,425
Value of total assets at beginning of year2019-12-31$160,371
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$9,273
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$50,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$224,372
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$322,561
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$36,024
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$3,849
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
Value of net income/loss2019-12-31$559,879
Value of net assets at end of year (total assets less liabilities)2019-12-31$716,401
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$156,522
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
Value of interest in pooled separate accounts at end of year2019-12-31$752,425
Value of interest in pooled separate accounts at beginning of year2019-12-31$160,371
Net investment gain/loss from pooled separate accounts2019-12-31$68,379
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$10,136
Contract administrator fees2019-12-31$9,273
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 name2019-12-31BKD CPAS & ADVISORS
Accountancy firm EIN2019-12-31440160260
2018 : INTIMIDATOR, INC. 401(K) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,849
Total income from all sources (including contributions)2018-12-31$164,269
Total of all expenses incurred2018-12-31$7,747
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,096
Value of total corrective distributions2018-12-31$3,849
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$175,065
Value of total assets at end of year2018-12-31$160,371
Value of total assets at beginning of year2018-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,802
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$170,549
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$4,516
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$1,096
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$3,849
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$156,522
Value of net assets at end of year (total assets less liabilities)2018-12-31$156,522
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$0
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
Value of interest in pooled separate accounts at end of year2018-12-31$160,371
Net investment gain/loss from pooled separate accounts2018-12-31$-10,796
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
Contract administrator fees2018-12-31$2,802
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 name2018-12-31BKD CPAS & ADVISORS
Accountancy firm EIN2018-12-31440160260

Form 5500 Responses for INTIMIDATOR, INC. 401(K) PLAN

2022: INTIMIDATOR, INC. 401(K) PLAN 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: INTIMIDATOR, INC. 401(K) PLAN 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: INTIMIDATOR, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
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: INTIMIDATOR, INC. 401(K) PLAN 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INTIMIDATOR, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131047
Policy instance 1
Insurance contract or identification number131047
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-06-03
Total amount of commissions paid to insurance brokerUSD $424
Total amount of fees paid to insurance companyUSD $11,808
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY
Commission paid to Insurance BrokerUSD $424
Amount paid for insurance broker fees11808
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131047
Policy instance 1
Insurance contract or identification number131047
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $929
Total amount of fees paid to insurance companyUSD $495
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY
Commission paid to Insurance BrokerUSD $929
Amount paid for insurance broker fees495
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131047
Policy instance 1
Insurance contract or identification number131047
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,689
Total amount of fees paid to insurance companyUSD $360
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY
Commission paid to Insurance BrokerUSD $1,226
Insurance broker organization code?7
Amount paid for insurance broker fees360
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131047
Policy instance 1
Insurance contract or identification number131047
Number of Individuals Covered123
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,036
Total amount of fees paid to insurance companyUSD $150
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY
Commission paid to Insurance BrokerUSD $1,744
Amount paid for insurance broker fees15
Insurance broker organization code?7
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131047
Policy instance 1
Insurance contract or identification number131047
Number of Individuals Covered64
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,397
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY
Commission paid to Insurance BrokerUSD $1,754
Insurance broker organization code?7

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