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ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 401k Plan overview

Plan NameROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST
Plan identification number 001

ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

COLORADO LASER CLINIC PC has sponsored the creation of one or more 401k plans.

Company Name:COLORADO LASER CLINIC PC
Employer identification number (EIN):461431137
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST

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
0012018-01-01ROBERT T. MOTAZEDI, M.D. ROBERT T. MOTAZEDI, M.D.2019-04-30
0012017-01-01ROBERT T. MOTAZEDI, M.D. ROBERT T. MOTAZEDI, M.D.2018-02-08
0012016-01-01ROBERT T. MOTAZEDI, M.D. ROBERT T. MOTAZEDI, M.D.2017-09-13
0012015-01-01ROBERT T. MOTAZEDI, M.D. ROBERT T. MOTAZEDI, M.D.2016-07-18
0012014-01-01ROBERT T. MOTAZEDI, M.D. ROBERT T. MOTAZEDI, M.D.2015-07-21
0012013-01-01ROBERT T. MOTAZEDI, M.D. ROBERT T. MOTAZEDI, M.D.2014-06-30

Plan Statistics for ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST

401k plan membership statisitcs for ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST

Measure Date Value
2022: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-015
Total number of active participants reported on line 7a of the Form 55002022-01-014
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 participants2022-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-014
Number of participants with account balances2022-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-015
Total number of active participants reported on line 7a of the Form 55002021-01-015
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-015
Number of participants with account balances2021-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-015
Total number of active participants reported on line 7a of the Form 55002020-01-015
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-015
Number of participants with account balances2020-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-016
Total number of active participants reported on line 7a of the Form 55002019-01-015
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-015
Number of participants with account balances2019-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-016
Total number of active participants reported on line 7a of the Form 55002018-01-015
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-015
Number of participants with account balances2018-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-018
Total number of active participants reported on line 7a of the Form 55002017-01-015
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-016
Number of participants with account balances2017-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-013
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014
Number of participants with account balances2016-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-016
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-014
Number of participants with account balances2015-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-018
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-016
Number of participants with account balances2014-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010

Financial Data on ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST

Measure Date Value
2022 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2022 401k financial data
Total income from all sources2022-12-31$15,751
Expenses. Total of all expenses incurred2022-12-31$10,018
Benefits paid (including direct rollovers)2022-12-31$10,018
Total plan assets at end of year2022-12-31$229,093
Total plan assets at beginning of year2022-12-31$223,360
Value of fidelity bond covering the plan2022-12-31$50,000
Total contributions received or receivable from participants2022-12-31$9,740
Other income received2022-12-31$-2,511
Net income (gross income less expenses)2022-12-31$5,733
Net plan assets at end of year (total assets less liabilities)2022-12-31$229,093
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$223,360
Total contributions received or receivable from employer(s)2022-12-31$8,522
2021 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2021 401k financial data
Total income from all sources2021-12-31$31,257
Total plan assets at end of year2021-12-31$223,360
Total plan assets at beginning of year2021-12-31$192,103
Value of fidelity bond covering the plan2021-12-31$50,000
Total contributions received or receivable from participants2021-12-31$8,890
Other income received2021-12-31$14,722
Net income (gross income less expenses)2021-12-31$31,257
Net plan assets at end of year (total assets less liabilities)2021-12-31$223,360
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$192,103
Total contributions received or receivable from employer(s)2021-12-31$7,645
2020 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2020 401k financial data
Total income from all sources2020-12-31$31,750
Total plan assets at end of year2020-12-31$192,103
Total plan assets at beginning of year2020-12-31$160,353
Value of fidelity bond covering the plan2020-12-31$50,000
Total contributions received or receivable from participants2020-12-31$8,880
Other income received2020-12-31$15,130
Net income (gross income less expenses)2020-12-31$31,750
Net plan assets at end of year (total assets less liabilities)2020-12-31$192,103
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$160,353
Total contributions received or receivable from employer(s)2020-12-31$7,740
2019 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2019 401k financial data
Total income from all sources2019-12-31$71,321
Expenses. Total of all expenses incurred2019-12-31$167,927
Benefits paid (including direct rollovers)2019-12-31$167,927
Total plan assets at end of year2019-12-31$160,353
Total plan assets at beginning of year2019-12-31$256,959
Value of fidelity bond covering the plan2019-12-31$50,000
Total contributions received or receivable from participants2019-12-31$50,970
Other income received2019-12-31$12,327
Net income (gross income less expenses)2019-12-31$-96,606
Net plan assets at end of year (total assets less liabilities)2019-12-31$160,353
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$256,959
Total contributions received or receivable from employer(s)2019-12-31$8,024
2018 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2018 401k financial data
Total income from all sources2018-12-31$20,628
Expenses. Total of all expenses incurred2018-12-31$2,000
Benefits paid (including direct rollovers)2018-12-31$2,000
Total plan assets at end of year2018-12-31$256,959
Total plan assets at beginning of year2018-12-31$238,331
Value of fidelity bond covering the plan2018-12-31$50,000
Total contributions received or receivable from participants2018-12-31$8,964
Other income received2018-12-31$3,821
Net income (gross income less expenses)2018-12-31$18,628
Net plan assets at end of year (total assets less liabilities)2018-12-31$256,959
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$238,331
Total contributions received or receivable from employer(s)2018-12-31$7,843
2017 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2017 401k financial data
Total income from all sources2017-12-31$36,566
Expenses. Total of all expenses incurred2017-12-31$4,500
Benefits paid (including direct rollovers)2017-12-31$4,500
Total plan assets at end of year2017-12-31$238,331
Total plan assets at beginning of year2017-12-31$206,265
Value of fidelity bond covering the plan2017-12-31$50,000
Total contributions received or receivable from participants2017-12-31$8,916
Other income received2017-12-31$19,849
Net income (gross income less expenses)2017-12-31$32,066
Net plan assets at end of year (total assets less liabilities)2017-12-31$238,331
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$206,265
Total contributions received or receivable from employer(s)2017-12-31$7,801
2016 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2016 401k financial data
Total income from all sources2016-12-31$14,839
Expenses. Total of all expenses incurred2016-12-31$2,700
Benefits paid (including direct rollovers)2016-12-31$2,700
Total plan assets at end of year2016-12-31$206,265
Total plan assets at beginning of year2016-12-31$194,126
Value of fidelity bond covering the plan2016-12-31$50,000
Total contributions received or receivable from participants2016-12-31$8,567
Other income received2016-12-31$-87
Net income (gross income less expenses)2016-12-31$12,139
Net plan assets at end of year (total assets less liabilities)2016-12-31$206,265
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$194,126
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-12-31$16,374
Total contributions received or receivable from employer(s)2016-12-31$6,359
2015 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2015 401k financial data
Total income from all sources2015-12-31$21,413
Expenses. Total of all expenses incurred2015-12-31$7,021
Benefits paid (including direct rollovers)2015-12-31$7,021
Total plan assets at end of year2015-12-31$194,126
Total plan assets at beginning of year2015-12-31$179,734
Value of fidelity bond covering the plan2015-12-31$50,000
Total contributions received or receivable from participants2015-12-31$9,336
Other income received2015-12-31$3,908
Net income (gross income less expenses)2015-12-31$14,392
Net plan assets at end of year (total assets less liabilities)2015-12-31$194,126
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$179,734
Total contributions received or receivable from employer(s)2015-12-31$8,169
2014 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2014 401k financial data
Total income from all sources2014-12-31$-54,685
Expenses. Total of all expenses incurred2014-12-31$7,802
Benefits paid (including direct rollovers)2014-12-31$7,802
Total plan assets at end of year2014-12-31$179,734
Total plan assets at beginning of year2014-12-31$242,221
Value of fidelity bond covering the plan2014-12-31$50,000
Total contributions received or receivable from participants2014-12-31$8,414
Other income received2014-12-31$-70,461
Net income (gross income less expenses)2014-12-31$-62,487
Net plan assets at end of year (total assets less liabilities)2014-12-31$179,734
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$242,221
Assets. Value of assets in partnership/joint-venture interests2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$7,362
2013 : ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2013 401k financial data
Total income from all sources2013-12-31$36,407
Expenses. Total of all expenses incurred2013-12-31$3,000
Benefits paid (including direct rollovers)2013-12-31$3,000
Total plan assets at end of year2013-12-31$242,221
Total plan assets at beginning of year2013-12-31$208,814
Value of fidelity bond covering the plan2013-12-31$50,000
Total contributions received or receivable from participants2013-12-31$7,450
Other income received2013-12-31$6,377
Net income (gross income less expenses)2013-12-31$33,407
Net plan assets at end of year (total assets less liabilities)2013-12-31$242,221
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$208,814
Assets. Value of assets in partnership/joint-venture interests2013-12-31$584
Total contributions received or receivable from employer(s)2013-12-31$22,580

Form 5500 Responses for ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST

2022: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ROBERT T MOTAZEDI,M.D. PROFIT SHARING PLAN & TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number
Policy instance 1
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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