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DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 401k Plan overview

Plan NameDTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES
Plan identification number 001

DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 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
  • 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

DELAWARE THOROUGHBRED HORSEMENS ASSOCIATION, INC. has sponsored the creation of one or more 401k plans.

Company Name:DELAWARE THOROUGHBRED HORSEMENS ASSOCIATION, INC.
Employer identification number (EIN):510327075
NAIC Classification:711210
NAIC Description: Spectator Sports

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01BESSIE GRUWELL
0012015-01-01BESSIE GRUWELL
0012014-01-01BESSIE S. GRUWELL BESSIE S. GRUWELL2015-10-15
0012013-01-01BESSIE S. GRUWELL BESSIE S. GRUWELL2014-10-13
0012012-01-01BESSIE S. GRUWELL BESSIE S. GRUWELL2013-10-09
0012011-01-01BESSIE S. GRUWELL BESSIE S. GRUWELL2012-10-15
0012010-01-01BESSIE S. GRUWELL BESSIE S. GRUWELL2011-10-17
0012009-01-01BESSIE S. GRUWELL BESSIE S. GRUWELL2010-10-13

Plan Statistics for DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES

401k plan membership statisitcs for DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES

Measure Date Value
2016: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-01-01123
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-01132
Total number of active participants reported on line 7a of the Form 55002015-01-0151
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-0169
Total of all active and inactive participants2015-01-01123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01123
Number of participants with account balances2015-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-01146
Total number of active participants reported on line 7a of the Form 55002014-01-0151
Number of retired or separated participants receiving benefits2014-01-013
Number of other retired or separated participants entitled to future benefits2014-01-0178
Total of all active and inactive participants2014-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01132
Number of participants with account balances2014-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-01148
Total number of active participants reported on line 7a of the Form 55002013-01-0146
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0190
Total of all active and inactive participants2013-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01137
Number of participants with account balances2013-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-01154
Total number of active participants reported on line 7a of the Form 55002012-01-0155
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0190
Total of all active and inactive participants2012-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01145
Number of participants with account balances2012-01-01145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-01150
Total number of active participants reported on line 7a of the Form 55002011-01-0190
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0157
Total of all active and inactive participants2011-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01147
Number of participants with account balances2011-01-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2010 401k membership
Total participants, beginning-of-year2010-01-01232
Total number of active participants reported on line 7a of the Form 55002010-01-01230
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01230
Number of participants with account balances2010-01-01223
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-01196
Total number of active participants reported on line 7a of the Form 55002009-01-01212
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01212
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01212
Number of participants with account balances2009-01-01212
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0114

Financial Data on DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES

Measure Date Value
2016 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-03-31$0
Total income from all sources (including contributions)2016-03-31$-42,340
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$1,168,935
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$1,133,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$0
Value of total assets at end of year2016-03-31$0
Value of total assets at beginning of year2016-03-31$1,211,275
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$35,860
Total interest from all sources2016-03-31$16
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$3,192
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-03-31$0
Total dividends received from registered investment company shares (eg mutual funds)2016-03-31$3,192
Administrative expenses professional fees incurred2016-03-31$34,910
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$150,000
If this is an individual account plan, was there a blackout period2016-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
Were there any nonexempt tranactions with any party-in-interest2016-03-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-03-31$2
Other income not declared elsewhere2016-03-31$-924
Total non interest bearing cash at end of year2016-03-31$0
Total non interest bearing cash at beginning of year2016-03-31$2,079
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Value of net income/loss2016-03-31$-1,211,275
Value of net assets at end of year (total assets less liabilities)2016-03-31$0
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$1,211,275
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-03-31No
Were any leases to which the plan was party in default or uncollectible2016-03-31No
Investment advisory and management fees2016-03-31$950
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-03-31$931,392
Value of interest in pooled separate accounts at end of year2016-03-31$0
Value of interest in pooled separate accounts at beginning of year2016-03-31$226,126
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-03-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-03-31$51,676
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-03-31$51,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-03-31$16
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-03-31$-34,389
Net investment gain/loss from pooled separate accounts2016-03-31$-10,235
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-03-31No
Was there a failure to transmit to the plan any participant contributions2016-03-31No
Has the plan failed to provide any benefit when due under the plan2016-03-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$1,133,075
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-03-31No
Did the plan have assets held for investment2016-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-03-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-03-31Yes
Opinion of an independent qualified public accountant for this plan2016-03-31Disclaimer
Accountancy firm name2016-03-31SANTORA CPA GROUP
Accountancy firm EIN2016-03-31510284658
2015 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 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$0
Total income from all sources (including contributions)2015-12-31$-11,733
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$156,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$112,926
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$1,211,275
Value of total assets at beginning of year2015-12-31$1,379,629
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$43,695
Total interest from all sources2015-12-31$7
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$21,358
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$21,358
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$150,000
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
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$2
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1
Other income not declared elsewhere2015-12-31$1,097
Total non interest bearing cash at end of year2015-12-31$2,079
Total non interest bearing cash at beginning of year2015-12-31$4,145
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-168,354
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,211,275
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,379,629
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 registered invesment companies (eg mutual funds) at end of year2015-12-31$931,392
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$953,978
Value of interest in pooled separate accounts at end of year2015-12-31$226,126
Value of interest in pooled separate accounts at beginning of year2015-12-31$371,224
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$51,676
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$50,281
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$50,281
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-33,044
Net investment gain/loss from pooled separate accounts2015-12-31$-1,151
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$112,926
Contract administrator fees2015-12-31$43,695
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
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 name2015-12-31SANTORA CPA GROUP
Accountancy firm EIN2015-12-31510284658
2014 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$51,307
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$342,950
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$316,551
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$1,379,629
Value of total assets at beginning of year2014-12-31$1,671,272
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$26,399
Total interest from all sources2014-12-31$4
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$19,885
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$100,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1
Total non interest bearing cash at end of year2014-12-31$4,145
Total non interest bearing cash at beginning of year2014-12-31$2,222
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-291,643
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,379,629
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,671,272
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$953,978
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$955,761
Value of interest in pooled separate accounts at end of year2014-12-31$371,224
Value of interest in pooled separate accounts at beginning of year2014-12-31$682,533
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$50,281
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$30,756
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$30,756
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$4
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$11,797
Net investment gain/loss from pooled separate accounts2014-12-31$19,621
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Income. Dividends from common stock2014-12-31$19,885
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$316,551
Contract administrator fees2014-12-31$26,399
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31SANTORA CPA GROUP
Accountancy firm EIN2014-12-31510284658
2013 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$179,888
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$187,048
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$149,401
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$1,671,272
Value of total assets at beginning of year2013-12-31$1,678,432
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$37,647
Total interest from all sources2013-12-31$7
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$21,138
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$21,138
Administrative expenses professional fees incurred2013-12-31$25,993
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$100,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$1,402
Total non interest bearing cash at end of year2013-12-31$2,222
Total non interest bearing cash at beginning of year2013-12-31$2,199
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-7,160
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,671,272
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,678,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$11,654
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$955,761
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$868,151
Value of interest in pooled separate accounts at end of year2013-12-31$682,533
Value of interest in pooled separate accounts at beginning of year2013-12-31$759,048
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$30,756
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$47,632
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$47,632
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$7
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$61,184
Net investment gain/loss from pooled separate accounts2013-12-31$97,559
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$149,401
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31SANTORA CPA GROUP
Accountancy firm EIN2013-12-31510284658
2012 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$246,775
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$213,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$166,260
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$51,718
Value of total assets at end of year2012-12-31$1,678,432
Value of total assets at beginning of year2012-12-31$1,645,274
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$47,357
Total interest from all sources2012-12-31$23
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$25,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$25,621
Administrative expenses professional fees incurred2012-12-31$26,516
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$100,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$1,402
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$1,336
Total non interest bearing cash at end of year2012-12-31$2,199
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$33,158
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,678,432
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,645,274
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$20,841
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$868,151
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Value of interest in pooled separate accounts at end of year2012-12-31$759,048
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$47,632
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$801,891
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$801,891
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$23
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$842,047
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$59,931
Net investment gain/loss from pooled separate accounts2012-12-31$109,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$51,718
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$166,260
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Assets. Corporate common stocks other than exployer securities at beginning of year2012-12-31$0
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31SANTORA CPA GROUP
Accountancy firm EIN2012-12-31510284658
2011 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$37,450
Total loss/gain on sale of assets2011-12-31$-17,493
Total of all expenses incurred2011-12-31$84,044
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$60,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$59,514
Value of total assets at end of year2011-12-31$1,645,274
Value of total assets at beginning of year2011-12-31$1,691,868
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$23,077
Total interest from all sources2011-12-31$38
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$27,413
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$100,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$1,336
Administrative expenses (other) incurred2011-12-31$8,592
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$4,242
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-46,594
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,645,274
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,691,868
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$14,485
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$95,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$801,891
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$79,163
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$79,163
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$38
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$842,047
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$937,929
Net investment gain/loss from pooled separate accounts2011-12-31$-32,022
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$59,514
Income. Dividends from common stock2011-12-31$27,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$60,967
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2011-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2011-12-31$575,384
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$1,036,288
Aggregate carrying amount (costs) on sale of assets2011-12-31$1,053,781
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31SANTORA CPA GROUP
Accountancy firm EIN2011-12-31510284658
2010 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$37,669
Total unrealized appreciation/depreciation of assets2010-12-31$37,669
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$279,027
Total loss/gain on sale of assets2010-12-31$-9,807
Total of all expenses incurred2010-12-31$31,130
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$6,987
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$127,643
Value of total assets at end of year2010-12-31$1,691,868
Value of total assets at beginning of year2010-12-31$1,443,971
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$24,143
Total interest from all sources2010-12-31$10
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$24,552
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$5,022
Administrative expenses professional fees incurred2010-12-31$8,200
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$100,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Total non interest bearing cash at end of year2010-12-31$4,242
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$247,897
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,691,868
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,443,971
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$9,543
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$95,150
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$597,915
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$79,163
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$10
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$937,929
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$846,056
Net investment gain/loss from pooled separate accounts2010-12-31$98,960
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$127,643
Income. Dividends from common stock2010-12-31$19,530
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$6,987
Contract administrator fees2010-12-31$6,400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2010-12-31$575,384
Assets. Corporate common stocks other than exployer securities at beginning of year2010-12-31$0
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$196,289
Aggregate carrying amount (costs) on sale of assets2010-12-31$206,096
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31SANTORA CPA GROUP
Accountancy firm EIN2010-12-31510284658
2009 : DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES

2016: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 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 filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 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
2014: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
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: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: DTHA DEFINED CONTRIBUTION PLAN FOR BACKSTRETCH EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerASSET MGMT
Insurance broker organization code?3
Insurance broker nameCHAPIN DAVIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered110
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,602
Total amount of fees paid to insurance companyUSD $400
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $1,602
Amount paid for insurance broker fees400
Additional information about fees paid to insurance brokerASSET MGMT
Insurance broker organization code?3
Insurance broker nameCHAPIN DAVIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered123
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,900
Total amount of fees paid to insurance companyUSD $725
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $2,900
Amount paid for insurance broker fees725
Additional information about fees paid to insurance brokerASSET MGMT FEES
Insurance broker organization code?3
Insurance broker nameCHAPIN DAVIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered134
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,779
Total amount of fees paid to insurance companyUSD $945
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $3,779
Amount paid for insurance broker fees945
Additional information about fees paid to insurance brokerASSET MGMT FEES
Insurance broker organization code?3
Insurance broker nameCHAPIN DAVIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered145
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,215
Total amount of fees paid to insurance companyUSD $1,054
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $4,215
Amount paid for insurance broker fees1054
Additional information about fees paid to insurance brokerASSET MGMT FEES
Insurance broker organization code?3
Insurance broker nameCHAPIN DAVIS
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered147
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,123
Total amount of fees paid to insurance companyUSD $280
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number167-00163
Policy instance 1
Insurance contract or identification number167-00163
Number of Individuals Covered223
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $705
Total amount of fees paid to insurance companyUSD $176
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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

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