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

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

REXA, 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

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

Company Name:REXA, INC.
Employer identification number (EIN):462402383
NAIC Classification:333610

Additional information about REXA, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2014-02-28
Company Identification Number: 0801943173
Legal Registered Office Address: 2914 INRIDGE DR

AUSTIN
United States of America (USA)
78745

More information about REXA, INC.

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01PALMINA ARPINO2023-09-22
0012021-01-01PALMINA ARPINO2022-10-05
0012020-01-01PALMINA ARPINO2021-09-22
0012019-01-01PALMINA ARPINO2020-09-29
0012018-01-01PALMINA ARPINO2019-09-10
0012017-01-01
0012016-01-01
0012015-01-01

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

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

Measure Date Value
2022: REXA, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01153
Total number of active participants reported on line 7a of the Form 55002022-01-01137
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0122
Total of all active and inactive participants2022-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01160
Number of participants with account balances2022-01-01131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: REXA, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01155
Total number of active participants reported on line 7a of the Form 55002021-01-01132
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0118
Total of all active and inactive participants2021-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01150
Number of participants with account balances2021-01-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: REXA, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01145
Total number of active participants reported on line 7a of the Form 55002020-01-01138
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0117
Total of all active and inactive participants2020-01-01155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01155
Number of participants with account balances2020-01-01125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: REXA, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01138
Total number of active participants reported on line 7a of the Form 55002019-01-01128
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0115
Total of all active and inactive participants2019-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01143
Number of participants with account balances2019-01-01115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: REXA, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01138
Total number of active participants reported on line 7a of the Form 55002018-01-01119
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0119
Total of all active and inactive participants2018-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01138
Number of participants with account balances2018-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: REXA, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01142
Total number of active participants reported on line 7a of the Form 55002017-01-01121
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0117
Total of all active and inactive participants2017-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01138
Number of participants with account balances2017-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: REXA, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01159
Total number of active participants reported on line 7a of the Form 55002016-01-01127
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0115
Total of all active and inactive participants2016-01-01142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01142
Number of participants with account balances2016-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: REXA, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01160
Total number of active participants reported on line 7a of the Form 55002015-01-01143
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0116
Total of all active and inactive participants2015-01-01159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01159
Number of participants with account balances2015-01-01113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011

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

Measure Date Value
2022 : REXA, INC. 401(K) 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$0
Total income from all sources (including contributions)2022-12-31$-1,283,189
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$269,276
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$266,476
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,362,636
Value of total assets at end of year2022-12-31$12,806,336
Value of total assets at beginning of year2022-12-31$14,358,801
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,800
Total interest from all sources2022-12-31$11,103
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$500,000
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$855,896
Participant contributions at end of year2022-12-31$317,773
Participant contributions at beginning of year2022-12-31$220,409
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$124,089
Other income not declared elsewhere2022-12-31$16,940
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,552,465
Value of net assets at end of year (total assets less liabilities)2022-12-31$12,806,336
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$14,358,801
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 pooled separate accounts at end of year2022-12-31$12,403,506
Value of interest in pooled separate accounts at beginning of year2022-12-31$14,076,552
Interest on participant loans2022-12-31$10,605
Interest earned on other investments2022-12-31$498
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$278
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$278
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$85,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$61,562
Net investment gain/loss from pooled separate accounts2022-12-31$-2,673,868
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$382,651
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$266,476
Contract administrator fees2022-12-31$2,800
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 name2022-12-31MANUEL DAROSA CPA
Accountancy firm EIN2022-12-31201827541
2021 : REXA, INC. 401(K) 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
Total income from all sources (including contributions)2021-12-31$2,672,690
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,333,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,330,756
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,189,283
Value of total assets at end of year2021-12-31$14,358,801
Value of total assets at beginning of year2021-12-31$13,019,492
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,625
Total interest from all sources2021-12-31$9,045
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$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$804,357
Participant contributions at end of year2021-12-31$220,409
Participant contributions at beginning of year2021-12-31$194,258
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$37,225
Other income not declared elsewhere2021-12-31$13,055
Administrative expenses (other) incurred2021-12-31$2,625
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$1,339,309
Value of net assets at end of year (total assets less liabilities)2021-12-31$14,358,801
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$13,019,492
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 pooled separate accounts at end of year2021-12-31$14,076,552
Value of interest in pooled separate accounts at beginning of year2021-12-31$12,717,617
Interest on participant loans2021-12-31$8,192
Interest earned on other investments2021-12-31$853
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$278
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$55
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$55
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$61,562
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$107,562
Net investment gain/loss from pooled separate accounts2021-12-31$1,461,307
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$347,701
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,330,756
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 name2021-12-31MANUEL DAROSA CPA
Accountancy firm EIN2021-12-31201827541
2020 : REXA, INC. 401(K) 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$3,125,628
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$978,819
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$975,101
Expenses. Certain deemed distributions of participant loans2020-12-31$1,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,120,527
Value of total assets at end of year2020-12-31$13,019,492
Value of total assets at beginning of year2020-12-31$10,872,683
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,200
Total interest from all sources2020-12-31$8,975
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$500,000
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$790,045
Participant contributions at end of year2020-12-31$194,258
Participant contributions at beginning of year2020-12-31$195,146
Other income not declared elsewhere2020-12-31$10,761
Administrative expenses (other) incurred2020-12-31$2,200
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$2,146,809
Value of net assets at end of year (total assets less liabilities)2020-12-31$13,019,492
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$10,872,683
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 pooled separate accounts at end of year2020-12-31$12,717,617
Value of interest in pooled separate accounts at beginning of year2020-12-31$10,573,680
Interest on participant loans2020-12-31$7,604
Interest earned on other investments2020-12-31$1,371
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$55
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$107,562
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$103,857
Net investment gain/loss from pooled separate accounts2020-12-31$1,985,365
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 contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$330,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$975,101
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 name2020-12-31MANUEL DAROSA CPA
Accountancy firm EIN2020-12-31201827541
2019 : REXA, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,950,963
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$697,088
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$694,963
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,107,118
Value of total assets at end of year2019-12-31$10,872,683
Value of total assets at beginning of year2019-12-31$8,618,808
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,125
Total interest from all sources2019-12-31$12,349
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$753,060
Participant contributions at end of year2019-12-31$195,146
Participant contributions at beginning of year2019-12-31$261,354
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$11,021
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$41,087
Other income not declared elsewhere2019-12-31$9,257
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$2,253,875
Value of net assets at end of year (total assets less liabilities)2019-12-31$10,872,683
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$8,618,808
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$10,573,680
Value of interest in pooled separate accounts at beginning of year2019-12-31$8,248,239
Interest on participant loans2019-12-31$11,090
Interest earned on other investments2019-12-31$1,259
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$103,857
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$93,209
Net investment gain/loss from pooled separate accounts2019-12-31$1,822,239
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$312,971
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$4,985
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$694,963
Contract administrator fees2019-12-31$2,125
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 name2019-12-31MANUEL DAROSA CPA
Accountancy firm EIN2019-12-31201827541
2018 : REXA, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$476,328
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$506,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$502,795
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,029,658
Value of total assets at end of year2018-12-31$8,618,808
Value of total assets at beginning of year2018-12-31$8,648,762
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,487
Total interest from all sources2018-12-31$10,091
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
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 bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$726,488
Participant contributions at end of year2018-12-31$261,354
Participant contributions at beginning of year2018-12-31$193,729
Participant contributions at end of year2018-12-31$11,021
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$76
Other income not declared elsewhere2018-12-31$8,446
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-29,954
Value of net assets at end of year (total assets less liabilities)2018-12-31$8,618,808
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,648,762
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$7
Value of interest in pooled separate accounts at end of year2018-12-31$8,248,239
Value of interest in pooled separate accounts at beginning of year2018-12-31$8,372,428
Interest on participant loans2018-12-31$9,099
Interest earned on other investments2018-12-31$992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$93,209
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$82,605
Net investment gain/loss from pooled separate accounts2018-12-31$-571,867
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$303,094
Employer contributions (assets) at end of year2018-12-31$4,985
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$502,795
Contract administrator fees2018-12-31$3,480
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 name2018-12-31MANUEL DAROSA CPA
Accountancy firm EIN2018-12-31201827541
2017 : REXA, INC. 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$179
Total income from all sources (including contributions)2017-12-31$2,239,401
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$896,099
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$874,810
Expenses. Certain deemed distributions of participant loans2017-12-31$7,311
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,007,063
Value of total assets at end of year2017-12-31$8,648,762
Value of total assets at beginning of year2017-12-31$7,305,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$13,978
Total interest from all sources2017-12-31$5,287
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$710,168
Participant contributions at end of year2017-12-31$193,729
Participant contributions at beginning of year2017-12-31$169,992
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$179
Other income not declared elsewhere2017-12-31$11,114
Administrative expenses (other) incurred2017-12-31$2,465
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$752
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,343,302
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,648,762
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$7,305,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$8,372,428
Value of interest in pooled separate accounts at beginning of year2017-12-31$7,062,991
Interest on participant loans2017-12-31$5,063
Interest earned on other investments2017-12-31$224
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$82,605
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$71,904
Net investment gain/loss from pooled separate accounts2017-12-31$1,215,937
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$296,895
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$874,810
Contract administrator fees2017-12-31$11,513
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MANUEL DAROSA CPA
Accountancy firm EIN2017-12-31201827541
2016 : REXA, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total transfer of assets from this plan2016-12-31$1,333,725
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$179
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,470,044
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$420,402
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$388,469
Expenses. Certain deemed distributions of participant loans2016-12-31$15,777
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$907,138
Value of total assets at end of year2016-12-31$7,305,639
Value of total assets at beginning of year2016-12-31$7,589,543
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$16,156
Total interest from all sources2016-12-31$6,473
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$611,245
Participant contributions at end of year2016-12-31$169,992
Participant contributions at beginning of year2016-12-31$200,019
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$8
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$28,596
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$179
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$179
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$0
Other income not declared elsewhere2016-12-31$8,736
Administrative expenses (other) incurred2016-12-31$2,598
Total non interest bearing cash at end of year2016-12-31$752
Total non interest bearing cash at beginning of year2016-12-31$53
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,049,642
Value of net assets at end of year (total assets less liabilities)2016-12-31$7,305,460
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,589,543
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$7,062,991
Value of interest in pooled separate accounts at beginning of year2016-12-31$7,319,301
Interest on participant loans2016-12-31$5,932
Interest earned on other investments2016-12-31$541
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$71,904
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$70,154
Net investment gain/loss from pooled separate accounts2016-12-31$547,697
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$267,297
Employer contributions (assets) at end of year2016-12-31$0
Employer contributions (assets) at beginning of year2016-12-31$8
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$388,290
Contract administrator fees2016-12-31$13,558
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MANUEL DAROSA CPA
Accountancy firm EIN2016-12-31201827541
2015 : REXA, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,153,536
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$717,290
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$686,654
Expenses. Certain deemed distributions of participant loans2015-12-31$13,270
Value of total corrective distributions2015-12-31$29
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,280,659
Value of total assets at end of year2015-12-31$7,589,543
Value of total assets at beginning of year2015-12-31$7,153,297
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$17,337
Total interest from all sources2015-12-31$7,220
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$595,694
Participant contributions at end of year2015-12-31$200,019
Participant contributions at beginning of year2015-12-31$226,198
Participant contributions at end of year2015-12-31$8
Participant contributions at beginning of year2015-12-31$8,319
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$414,238
Other income not declared elsewhere2015-12-31$3,513
Administrative expenses (other) incurred2015-12-31$3,200
Total non interest bearing cash at end of year2015-12-31$53
Total non interest bearing cash at beginning of year2015-12-31$15
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$436,246
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,589,543
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,153,297
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$7,319,301
Value of interest in pooled separate accounts at beginning of year2015-12-31$6,817,041
Interest on participant loans2015-12-31$7,341
Interest earned on other investments2015-12-31$-121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$70,154
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$97,672
Net investment gain/loss from pooled separate accounts2015-12-31$-137,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$270,727
Employer contributions (assets) at end of year2015-12-31$8
Employer contributions (assets) at beginning of year2015-12-31$4,052
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$686,654
Contract administrator fees2015-12-31$14,137
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MANUEL DAROSA CPA
Accountancy firm EIN2015-12-31201827541

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

2022: REXA, 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 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: REXA, 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: REXA, 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: REXA, 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: REXA, INC. 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: REXA, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: REXA, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
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: REXA, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan 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 number88110
Policy instance 1
Insurance contract or identification number88110
Number of Individuals Covered131
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $24,725
Total amount of fees paid to insurance companyUSD $2,800
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?Yes
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 $24,725
Insurance broker organization code?3
Amount paid for insurance broker fees2800
Additional information about fees paid to insurance brokerTPA ADMINISTRATOR ALLOWANCE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number88110
Policy instance 1
Insurance contract or identification number88110
Number of Individuals Covered132
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $23,025
Total amount of fees paid to insurance companyUSD $2,625
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?Yes
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 $23,025
Insurance broker organization code?3
Amount paid for insurance broker fees2625
Additional information about fees paid to insurance brokerTPA ADMINISTRATOR ALLOWANCE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number88110
Policy instance 1
Insurance contract or identification number88110
Number of Individuals Covered125
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $22,719
Total amount of fees paid to insurance companyUSD $2,200
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?Yes
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 $22,719
Insurance broker organization code?3
Amount paid for insurance broker fees2200
Additional information about fees paid to insurance brokerTPA ADMINISTRATOR ALLOWANCE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number88110
Policy instance 1
Insurance contract or identification number88110
Number of Individuals Covered115
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $20,925
Total amount of fees paid to insurance companyUSD $2,125
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?Yes
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 $20,925
Insurance broker organization code?3
Amount paid for insurance broker fees2125
Additional information about fees paid to insurance brokerTPA ADMINISTRATOR ALLOWANCE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number88110
Policy instance 1
Insurance contract or identification number88110
Number of Individuals Covered116
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,152
Total amount of fees paid to insurance companyUSD $2,465
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?Yes
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 $20,152
Insurance broker organization code?3
Amount paid for insurance broker fees2465
Additional information about fees paid to insurance brokerTPA ADMINISTRATOR ALLOWANCE
Insurance broker nameTHE ANGELL PENSION GROUP

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