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PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NamePERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN
Plan identification number 001

PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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

PERFORMANCE ENERGY SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:PERFORMANCE ENERGY SERVICES, LLC
Employer identification number (EIN):461108652
NAIC Classification:238900

Additional information about PERFORMANCE ENERGY SERVICES, LLC

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2012-10-02
Company Identification Number: 20121553551
Legal Registered Office Address: 12774 Colorado Blvd Unit 160

Thornton
United States of America (USA)
80241

More information about PERFORMANCE ENERGY SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING 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
0012020-01-01
0012019-01-01JOE HETTINGER2020-10-12
0012018-01-01JOE HETTINGER2019-09-11
0012017-01-01JOE HETTINGER2018-10-05
0012017-01-01JOE HETTINGER2018-10-02
0012016-01-01JOE HETTINGER2017-05-22
0012015-01-01JOE HETTINGER2016-08-01
0012014-01-01JOE HETTINGER2015-07-16
0012013-01-01JOE HETTINGER2014-10-13

Plan Statistics for PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01137
Total number of active participants reported on line 7a of the Form 55002022-01-0177
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0160
Total of all active and inactive participants2022-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01137
Number of participants with account balances2022-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01107
Total number of active participants reported on line 7a of the Form 55002021-01-0177
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0160
Total of all active and inactive participants2021-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01137
Number of participants with account balances2021-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-018
2020: PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01125
Total number of active participants reported on line 7a of the Form 55002020-01-0172
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0134
Total of all active and inactive participants2020-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01106
Number of participants with account balances2020-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-019

Financial Data on PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-182,938
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$187,489
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$186,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$68,750
Value of total assets at end of year2022-12-31$1,170,576
Value of total assets at beginning of year2022-12-31$1,541,003
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$1,097
Total interest from all sources2022-12-31$445
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$154,500
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$68,750
Participant contributions at end of year2022-12-31$4,286
Participant contributions at beginning of year2022-12-31$6,154
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-370,427
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,170,576
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,541,003
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$1,085,929
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$1,461,994
Income. Interest from loans (other than to participants)2022-12-31$266
Interest earned on other investments2022-12-31$22
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$11,166
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$2,971
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$2,971
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$157
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,131
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,820
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-252,133
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$0
Employer contributions (assets) at end of year2022-12-31$67,064
Employer contributions (assets) at beginning of year2022-12-31$67,064
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$186,392
Contract administrator fees2022-12-31$1,097
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31K FINANCIAL
Accountancy firm EIN2022-12-31760726945
2021 : PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 2021 401k financial data
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$405,372
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$119,169
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$118,439
Expenses. Certain deemed distributions of participant loans2021-12-31$0
Value of total corrective distributions2021-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$193,869
Value of total assets at end of year2021-12-31$1,541,003
Value of total assets at beginning of year2021-12-31$1,254,800
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$730
Total interest from all sources2021-12-31$395
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
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$126,000
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$134,405
Participant contributions at end of year2021-12-31$6,154
Participant contributions at beginning of year2021-12-31$8,000
Participant contributions at end of year2021-12-31$0
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$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$286,203
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,541,003
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,254,800
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$1,461,994
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$1,167,667
Interest on participant loans2021-12-31$374
Interest earned on other investments2021-12-31$19
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$2,971
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,598
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,598
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$2
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,820
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,078
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$211,108
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$59,464
Employer contributions (assets) at end of year2021-12-31$67,064
Employer contributions (assets) at beginning of year2021-12-31$70,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$118,439
Contract administrator fees2021-12-31$730
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 name2021-12-31K FINANCIAL
Accountancy firm EIN2021-12-31760726945
2020 : PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN 2020 401k financial data
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
Total income from all sources (including contributions)2020-12-31$446,133
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$152,817
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$150,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$264,697
Value of total assets at end of year2020-12-31$1,254,800
Value of total assets at beginning of year2020-12-31$961,484
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,454
Total interest from all sources2020-12-31$40
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
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$97,000
If this is an individual account plan, was there a blackout period2020-12-31No
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$154,213
Participant contributions at end of year2020-12-31$8,000
Participant contributions at beginning of year2020-12-31$0
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$16,584
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$293,316
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,254,800
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$961,484
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$1,175,265
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$961,129
Interest on participant loans2020-12-31$40
Interest earned on other investments2020-12-31$4
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,598
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$9,563
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$9,563
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$27
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,078
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$355
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$181,396
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$93,900
Employer contributions (assets) at end of year2020-12-31$70,457
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$150,363
Contract administrator fees2020-12-31$2,454
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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31K FINANCIAL
Accountancy firm EIN2020-12-31760726945

Form 5500 Responses for PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING PLAN

2022: PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING 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 filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
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: PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING 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: PERFORMANCE ENERGY SERVICES 401(K) PROFIT SHARING 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

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number81C590
Policy instance 1
Insurance contract or identification number81C590
Number of Individuals Covered70
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,902
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
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
Commission paid to Insurance BrokerUSD $2,902
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?4
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number81C590
Policy instance 1
Insurance contract or identification number81C590
Number of Individuals Covered73
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $3,381
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
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
Commission paid to Insurance BrokerUSD $3,381
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISIONS
Insurance broker organization code?4
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number81C590
Policy instance 1
Insurance contract or identification number81C590
Number of Individuals Covered54
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,263
Total amount of fees paid to insurance companyUSD $695
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?No
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
Commission paid to Insurance BrokerUSD $860
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISIONS
Insurance broker organization code?4

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