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

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

HEARTWARE, 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

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

Company Name:HEARTWARE, INC.
Employer identification number (EIN):550828419
NAIC Classification:339110

Additional information about HEARTWARE, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 2947827

More information about HEARTWARE, INC.

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-04-01DENISE KING
0012015-04-01ILEANA GARCIA
0012015-04-01
0012014-04-01ILEANA GARCIA
0012014-01-01BRENDA CASTRODAD2015-01-08
0012013-04-01ILEANA GARCIA
0012013-01-01BRENDA CASTRODAD2014-10-03
0012012-04-01ILEANA GARCIA
0012011-04-01ILIANA GARCIA
0012011-01-01ILIANA GARCIA
0012010-04-01ILIANA GARCIA

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

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

Measure Date Value
2016: HEARTWARE, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-01612
Total number of active participants reported on line 7a of the Form 55002016-04-010
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-010
Number of participants with account balances2016-04-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: HEARTWARE, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-01553
Total number of active participants reported on line 7a of the Form 55002015-04-01547
Number of retired or separated participants receiving benefits2015-04-012
Number of other retired or separated participants entitled to future benefits2015-04-0163
Total of all active and inactive participants2015-04-01612
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-01612
Number of participants with account balances2015-04-01497
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: HEARTWARE, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-01485
Total number of active participants reported on line 7a of the Form 55002014-04-01506
Number of retired or separated participants receiving benefits2014-04-011
Number of other retired or separated participants entitled to future benefits2014-04-0144
Total of all active and inactive participants2014-04-01551
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-01551
Number of participants with account balances2014-04-01403
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: HEARTWARE, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-01369
Total number of active participants reported on line 7a of the Form 55002013-04-01455
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-0124
Total of all active and inactive participants2013-04-01479
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-01479
Number of participants with account balances2013-04-01326
2012: HEARTWARE, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-01303
Total number of active participants reported on line 7a of the Form 55002012-04-01351
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-0111
Total of all active and inactive participants2012-04-01362
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-01362
Number of participants with account balances2012-04-01240
2011: HEARTWARE, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-01192
Total number of active participants reported on line 7a of the Form 55002011-04-01285
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-018
Total of all active and inactive participants2011-04-01293
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-01293
Number of participants with account balances2011-04-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
Total participants, beginning-of-year2011-01-01182
Total number of active participants reported on line 7a of the Form 55002011-01-01179
Number of other retired or separated participants entitled to future benefits2011-01-016
Total of all active and inactive participants2011-01-01185
Total participants2011-01-01185
Number of participants with account balances2011-01-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: HEARTWARE, INC. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-01137
Total number of active participants reported on line 7a of the Form 55002010-04-01176
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-016
Total of all active and inactive participants2010-04-01182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-04-010
Total participants2010-04-01182
Number of participants with account balances2010-04-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-04-012

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

Measure Date Value
2017 : HEARTWARE, INC. 401(K) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-03-31$0
Total unrealized appreciation/depreciation of assets2017-03-31$0
Total transfer of assets from this plan2017-03-31$27,269,423
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-03-31$0
Expenses. Interest paid2017-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-03-31$0
Total income from all sources (including contributions)2017-03-31$7,708,048
Total loss/gain on sale of assets2017-03-31$0
Total of all expenses incurred2017-03-31$3,477,015
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-03-31$3,435,842
Expenses. Certain deemed distributions of participant loans2017-03-31$0
Value of total corrective distributions2017-03-31$8,075
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-03-31$4,910,798
Value of total assets at end of year2017-03-31$0
Value of total assets at beginning of year2017-03-31$23,038,390
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-03-31$33,098
Total income from rents2017-03-31$0
Total interest from all sources2017-03-31$25,618
Total dividends received (eg from common stock, registered investment company shares)2017-03-31$558,985
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-03-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2017-03-31$0
Total dividends received from registered investment company shares (eg mutual funds)2017-03-31$558,985
Assets. Real estate other than employer real property at end of year2017-03-31$0
Assets. Real estate other than employer real property at beginning of year2017-03-31$0
Administrative expenses professional fees incurred2017-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-03-31$0
Was this plan covered by a fidelity bond2017-03-31Yes
Value of fidelity bond cover2017-03-31$500,000
If this is an individual account plan, was there a blackout period2017-03-31No
Were there any nonexempt tranactions with any party-in-interest2017-03-31No
Contributions received from participants2017-03-31$3,067,695
Participant contributions at end of year2017-03-31$0
Participant contributions at beginning of year2017-03-31$0
Participant contributions at end of year2017-03-31$0
Participant contributions at beginning of year2017-03-31$0
Assets. Other investments not covered elsewhere at end of year2017-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2017-03-31$330,898
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-03-31$0
Assets. Loans (other than to participants) at end of year2017-03-31$0
Assets. Loans (other than to participants) at beginning of year2017-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-03-31$0
Other income not declared elsewhere2017-03-31$0
Administrative expenses (other) incurred2017-03-31$0
Total non interest bearing cash at end of year2017-03-31$0
Total non interest bearing cash at beginning of year2017-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Income. Non cash contributions2017-03-31$0
Value of net income/loss2017-03-31$4,231,033
Value of net assets at end of year (total assets less liabilities)2017-03-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-03-31$23,038,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-03-31No
Were any leases to which the plan was party in default or uncollectible2017-03-31No
Assets. partnership/joint venture interests at end of year2017-03-31$0
Assets. partnership/joint venture interests at beginning of year2017-03-31$0
Investment advisory and management fees2017-03-31$29,598
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-03-31$21,138,131
Value of interest in pooled separate accounts at end of year2017-03-31$0
Value of interest in pooled separate accounts at beginning of year2017-03-31$0
Interest on participant loans2017-03-31$0
Income. Interest from loans (other than to participants)2017-03-31$0
Interest earned on other investments2017-03-31$25,618
Income. Interest from US Government securities2017-03-31$0
Income. Interest from corporate debt instruments2017-03-31$0
Value of interest in master investment trust accounts at end of year2017-03-31$0
Value of interest in master investment trust accounts at beginning of year2017-03-31$0
Value of interest in common/collective trusts at end of year2017-03-31$0
Value of interest in common/collective trusts at beginning of year2017-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-03-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-03-31$0
Assets. Value of investments in 103.12 investment entities at end of year2017-03-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2017-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-03-31$1,900,259
Expenses. Payments to insurance carriers foe the provision of benefits2017-03-31$0
Asset value of US Government securities at end of year2017-03-31$0
Asset value of US Government securities at beginning of year2017-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-03-31$2,212,647
Net investment gain/loss from pooled separate accounts2017-03-31$0
Net investment gain or loss from common/collective trusts2017-03-31$0
Net gain/loss from 103.12 investment entities2017-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-03-31No
Was there a failure to transmit to the plan any participant contributions2017-03-31No
Has the plan failed to provide any benefit when due under the plan2017-03-31No
Assets. Invements in employer securities at end of year2017-03-31$0
Assets. Invements in employer securities at beginning of year2017-03-31$0
Assets. Value of employer real property at end of year2017-03-31$0
Assets. Value of employer real property at beginning of year2017-03-31$0
Contributions received in cash from employer2017-03-31$1,512,205
Employer contributions (assets) at end of year2017-03-31$0
Employer contributions (assets) at beginning of year2017-03-31$0
Income. Dividends from preferred stock2017-03-31$0
Income. Dividends from common stock2017-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-03-31$3,435,842
Asset. Corporate debt instrument preferred debt at end of year2017-03-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2017-03-31$0
Asset. Corporate debt instrument debt (other) at end of year2017-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-03-31$0
Contract administrator fees2017-03-31$3,500
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-03-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-03-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2017-03-31$0
Liabilities. Value of benefit claims payable at end of year2017-03-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-03-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2017-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-03-31$0
Did the plan have assets held for investment2017-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-03-31Yes
Aggregate proceeds on sale of assets2017-03-31$0
Aggregate carrying amount (costs) on sale of assets2017-03-31$0
Liabilities. Value of acquisition indebtedness at end of year2017-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-03-31Yes
Opinion of an independent qualified public accountant for this plan2017-03-31Disclaimer
Accountancy firm name2017-03-31GRANT THORNTON
Accountancy firm EIN2017-03-31366055558
2016 : HEARTWARE, INC. 401(K) PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets2016-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2016-03-31$0
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
Expenses. Interest paid2016-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-03-31$0
Total income from all sources (including contributions)2016-03-31$6,720,571
Total loss/gain on sale of assets2016-03-31$0
Total of all expenses incurred2016-03-31$1,576,941
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-03-31$1,553,395
Expenses. Certain deemed distributions of participant loans2016-03-31$0
Value of total corrective distributions2016-03-31$22
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-03-31$7,128,536
Value of total assets at end of year2016-03-31$23,038,390
Value of total assets at beginning of year2016-03-31$17,894,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-03-31$23,524
Total income from rents2016-03-31$0
Total interest from all sources2016-03-31$22,790
Total dividends received (eg from common stock, registered investment company shares)2016-03-31$875,424
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-03-31$875,424
Assets. Real estate other than employer real property at end of year2016-03-31$0
Assets. Real estate other than employer real property at beginning of year2016-03-31$0
Administrative expenses professional fees incurred2016-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-03-31$0
Was this plan covered by a fidelity bond2016-03-31Yes
Value of fidelity bond cover2016-03-31$500,000
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
Contributions received from participants2016-03-31$3,779,022
Participant contributions at end of year2016-03-31$0
Participant contributions at beginning of year2016-03-31$0
Participant contributions at end of year2016-03-31$0
Participant contributions at beginning of year2016-03-31$0
Assets. Other investments not covered elsewhere at end of year2016-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-03-31$1,563,879
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-03-31$0
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$0
Assets. Loans (other than to participants) at end of year2016-03-31$0
Assets. Loans (other than to participants) at beginning of year2016-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-03-31$0
Other income not declared elsewhere2016-03-31$0
Total non interest bearing cash at end of year2016-03-31$0
Total non interest bearing cash at beginning of year2016-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-03-31No
Income. Non cash contributions2016-03-31$0
Value of net income/loss2016-03-31$5,143,630
Value of net assets at end of year (total assets less liabilities)2016-03-31$23,038,390
Value of net assets at beginning of year (total assets less liabilities)2016-03-31$17,894,760
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
Assets. partnership/joint venture interests at end of year2016-03-31$0
Assets. partnership/joint venture interests at beginning of year2016-03-31$0
Investment advisory and management fees2016-03-31$21,812
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-03-31$21,138,131
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-03-31$16,236,645
Interest on participant loans2016-03-31$0
Income. Interest from loans (other than to participants)2016-03-31$0
Interest earned on other investments2016-03-31$22,790
Income. Interest from US Government securities2016-03-31$0
Income. Interest from corporate debt instruments2016-03-31$0
Value of interest in master investment trust accounts at end of year2016-03-31$0
Value of interest in master investment trust accounts at beginning of year2016-03-31$0
Value of interest in common/collective trusts at end of year2016-03-31$0
Value of interest in common/collective trusts at beginning of year2016-03-31$0
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$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-03-31$0
Assets. Value of investments in 103.12 investment entities at end of year2016-03-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2016-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-03-31$1,900,259
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-03-31$1,658,115
Expenses. Payments to insurance carriers foe the provision of benefits2016-03-31$0
Asset value of US Government securities at end of year2016-03-31$0
Asset value of US Government securities at beginning of year2016-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-03-31$-1,306,179
Net investment gain/loss from pooled separate accounts2016-03-31$0
Net investment gain or loss from common/collective trusts2016-03-31$0
Net gain/loss from 103.12 investment entities2016-03-31$0
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
Assets. Invements in employer securities at end of year2016-03-31$0
Assets. Invements in employer securities at beginning of year2016-03-31$0
Assets. Value of employer real property at end of year2016-03-31$0
Assets. Value of employer real property at beginning of year2016-03-31$0
Contributions received in cash from employer2016-03-31$1,785,635
Employer contributions (assets) at end of year2016-03-31$0
Employer contributions (assets) at beginning of year2016-03-31$0
Income. Dividends from preferred stock2016-03-31$0
Income. Dividends from common stock2016-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-03-31$1,553,395
Asset. Corporate debt instrument preferred debt at end of year2016-03-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2016-03-31$0
Asset. Corporate debt instrument debt (other) at end of year2016-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2016-03-31$0
Contract administrator fees2016-03-31$1,712
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
Assets. Corporate common stocks other than exployer securities at end of year2016-03-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2016-03-31$0
Liabilities. Value of benefit claims payable at end of year2016-03-31$0
Liabilities. Value of benefit claims payable at beginning of year2016-03-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2016-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2016-03-31$0
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 PBGC2016-03-31No
Aggregate proceeds on sale of assets2016-03-31$0
Aggregate carrying amount (costs) on sale of assets2016-03-31$0
Liabilities. Value of acquisition indebtedness at end of year2016-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2016-03-31$0
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 name2016-03-31GRANT THORNTON
Accountancy firm EIN2016-03-31366055558
2015 : HEARTWARE, INC. 401(K) PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets2015-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2015-03-31$0
Total unrealized appreciation/depreciation of assets2015-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-03-31$0
Expenses. Interest paid2015-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-03-31$0
Total income from all sources (including contributions)2015-03-31$5,792,815
Total loss/gain on sale of assets2015-03-31$0
Total of all expenses incurred2015-03-31$721,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-03-31$704,024
Expenses. Certain deemed distributions of participant loans2015-03-31$0
Value of total corrective distributions2015-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-03-31$4,735,570
Value of total assets at end of year2015-03-31$17,894,760
Value of total assets at beginning of year2015-03-31$12,823,237
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-03-31$17,268
Total income from rents2015-03-31$0
Total interest from all sources2015-03-31$15,493
Total dividends received (eg from common stock, registered investment company shares)2015-03-31$24,846
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-03-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-03-31$24,846
Assets. Real estate other than employer real property at end of year2015-03-31$0
Assets. Real estate other than employer real property at beginning of year2015-03-31$0
Administrative expenses professional fees incurred2015-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-03-31$0
Was this plan covered by a fidelity bond2015-03-31Yes
Value of fidelity bond cover2015-03-31$500,000
If this is an individual account plan, was there a blackout period2015-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
Were there any nonexempt tranactions with any party-in-interest2015-03-31No
Contributions received from participants2015-03-31$3,047,526
Participant contributions at end of year2015-03-31$0
Participant contributions at beginning of year2015-03-31$0
Participant contributions at end of year2015-03-31$0
Participant contributions at beginning of year2015-03-31$0
Assets. Other investments not covered elsewhere at end of year2015-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2015-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-03-31$218,416
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-03-31$0
Assets. Loans (other than to participants) at end of year2015-03-31$0
Assets. Loans (other than to participants) at beginning of year2015-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-03-31$0
Other income not declared elsewhere2015-03-31$0
Administrative expenses (other) incurred2015-03-31$0
Total non interest bearing cash at end of year2015-03-31$0
Total non interest bearing cash at beginning of year2015-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Income. Non cash contributions2015-03-31$0
Value of net income/loss2015-03-31$5,071,523
Value of net assets at end of year (total assets less liabilities)2015-03-31$17,894,760
Value of net assets at beginning of year (total assets less liabilities)2015-03-31$12,823,237
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-03-31No
Were any leases to which the plan was party in default or uncollectible2015-03-31No
Assets. partnership/joint venture interests at end of year2015-03-31$0
Assets. partnership/joint venture interests at beginning of year2015-03-31$0
Investment advisory and management fees2015-03-31$16,162
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-03-31$16,236,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-03-31$0
Value of interest in pooled separate accounts at end of year2015-03-31$0
Value of interest in pooled separate accounts at beginning of year2015-03-31$11,829,581
Interest on participant loans2015-03-31$0
Income. Interest from loans (other than to participants)2015-03-31$0
Interest earned on other investments2015-03-31$15,493
Income. Interest from US Government securities2015-03-31$0
Income. Interest from corporate debt instruments2015-03-31$0
Value of interest in master investment trust accounts at end of year2015-03-31$0
Value of interest in master investment trust accounts at beginning of year2015-03-31$0
Value of interest in common/collective trusts at end of year2015-03-31$0
Value of interest in common/collective trusts at beginning of year2015-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-03-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-03-31$0
Assets. Value of investments in 103.12 investment entities at end of year2015-03-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2015-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-03-31$1,658,115
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-03-31$993,656
Expenses. Payments to insurance carriers foe the provision of benefits2015-03-31$0
Asset value of US Government securities at end of year2015-03-31$0
Asset value of US Government securities at beginning of year2015-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-03-31$1,016,906
Net investment gain/loss from pooled separate accounts2015-03-31$0
Net investment gain or loss from common/collective trusts2015-03-31$0
Net gain/loss from 103.12 investment entities2015-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-03-31No
Was there a failure to transmit to the plan any participant contributions2015-03-31No
Has the plan failed to provide any benefit when due under the plan2015-03-31No
Assets. Invements in employer securities at end of year2015-03-31$0
Assets. Invements in employer securities at beginning of year2015-03-31$0
Assets. Value of employer real property at end of year2015-03-31$0
Assets. Value of employer real property at beginning of year2015-03-31$0
Contributions received in cash from employer2015-03-31$1,469,628
Employer contributions (assets) at end of year2015-03-31$0
Employer contributions (assets) at beginning of year2015-03-31$0
Income. Dividends from preferred stock2015-03-31$0
Income. Dividends from common stock2015-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-03-31$704,024
Asset. Corporate debt instrument preferred debt at end of year2015-03-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2015-03-31$0
Asset. Corporate debt instrument debt (other) at end of year2015-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2015-03-31$0
Contract administrator fees2015-03-31$1,106
Assets. Corporate common stocks other than exployer securities at end of year2015-03-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2015-03-31$0
Liabilities. Value of benefit claims payable at end of year2015-03-31$0
Liabilities. Value of benefit claims payable at beginning of year2015-03-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2015-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2015-03-31$0
Did the plan have assets held for investment2015-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-03-31No
Aggregate proceeds on sale of assets2015-03-31$0
Aggregate carrying amount (costs) on sale of assets2015-03-31$0
Liabilities. Value of acquisition indebtedness at end of year2015-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2015-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-03-31Yes
Opinion of an independent qualified public accountant for this plan2015-03-31Disclaimer
Accountancy firm name2015-03-31GRANT THORNTON
Accountancy firm EIN2015-03-31366055558
2014 : HEARTWARE, INC. 401(K) PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets2014-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2014-03-31$0
Total unrealized appreciation/depreciation of assets2014-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-03-31$0
Expenses. Interest paid2014-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-03-31$0
Total income from all sources (including contributions)2014-03-31$5,441,601
Total loss/gain on sale of assets2014-03-31$0
Total of all expenses incurred2014-03-31$399,296
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-03-31$387,822
Expenses. Certain deemed distributions of participant loans2014-03-31$0
Value of total corrective distributions2014-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-03-31$3,939,691
Value of total assets at end of year2014-03-31$12,823,237
Value of total assets at beginning of year2014-03-31$7,780,932
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-03-31$11,474
Total income from rents2014-03-31$0
Total interest from all sources2014-03-31$8,786
Total dividends received (eg from common stock, registered investment company shares)2014-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-03-31No
Assets. Real estate other than employer real property at end of year2014-03-31$0
Assets. Real estate other than employer real property at beginning of year2014-03-31$0
Administrative expenses professional fees incurred2014-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-03-31$0
Was this plan covered by a fidelity bond2014-03-31Yes
Value of fidelity bond cover2014-03-31$500,000
If this is an individual account plan, was there a blackout period2014-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
Were there any nonexempt tranactions with any party-in-interest2014-03-31No
Contributions received from participants2014-03-31$2,458,432
Participant contributions at end of year2014-03-31$0
Participant contributions at beginning of year2014-03-31$0
Participant contributions at end of year2014-03-31$0
Participant contributions at beginning of year2014-03-31$0
Assets. Other investments not covered elsewhere at end of year2014-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-03-31$297,233
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-03-31$0
Assets. Loans (other than to participants) at end of year2014-03-31$0
Assets. Loans (other than to participants) at beginning of year2014-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-03-31$0
Other income not declared elsewhere2014-03-31$0
Administrative expenses (other) incurred2014-03-31$0
Total non interest bearing cash at end of year2014-03-31$0
Total non interest bearing cash at beginning of year2014-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Income. Non cash contributions2014-03-31$0
Value of net income/loss2014-03-31$5,042,305
Value of net assets at end of year (total assets less liabilities)2014-03-31$12,823,237
Value of net assets at beginning of year (total assets less liabilities)2014-03-31$7,780,932
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-03-31No
Were any leases to which the plan was party in default or uncollectible2014-03-31No
Assets. partnership/joint venture interests at end of year2014-03-31$0
Assets. partnership/joint venture interests at beginning of year2014-03-31$0
Investment advisory and management fees2014-03-31$10,774
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-03-31$0
Value of interest in pooled separate accounts at end of year2014-03-31$11,829,581
Value of interest in pooled separate accounts at beginning of year2014-03-31$7,175,205
Interest on participant loans2014-03-31$0
Income. Interest from loans (other than to participants)2014-03-31$0
Interest earned on other investments2014-03-31$8,786
Income. Interest from US Government securities2014-03-31$0
Income. Interest from corporate debt instruments2014-03-31$0
Value of interest in master investment trust accounts at end of year2014-03-31$0
Value of interest in master investment trust accounts at beginning of year2014-03-31$0
Value of interest in common/collective trusts at end of year2014-03-31$0
Value of interest in common/collective trusts at beginning of year2014-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-03-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-03-31$0
Assets. Value of investments in 103.12 investment entities at end of year2014-03-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2014-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-03-31$993,656
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-03-31$605,727
Expenses. Payments to insurance carriers foe the provision of benefits2014-03-31$0
Asset value of US Government securities at end of year2014-03-31$0
Asset value of US Government securities at beginning of year2014-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-03-31$0
Net investment gain/loss from pooled separate accounts2014-03-31$1,493,124
Net investment gain or loss from common/collective trusts2014-03-31$0
Net gain/loss from 103.12 investment entities2014-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-03-31No
Was there a failure to transmit to the plan any participant contributions2014-03-31No
Has the plan failed to provide any benefit when due under the plan2014-03-31No
Assets. Invements in employer securities at end of year2014-03-31$0
Assets. Invements in employer securities at beginning of year2014-03-31$0
Assets. Value of employer real property at end of year2014-03-31$0
Assets. Value of employer real property at beginning of year2014-03-31$0
Contributions received in cash from employer2014-03-31$1,184,026
Employer contributions (assets) at end of year2014-03-31$0
Employer contributions (assets) at beginning of year2014-03-31$0
Income. Dividends from preferred stock2014-03-31$0
Income. Dividends from common stock2014-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-03-31$387,822
Asset. Corporate debt instrument preferred debt at end of year2014-03-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2014-03-31$0
Asset. Corporate debt instrument debt (other) at end of year2014-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2014-03-31$0
Contract administrator fees2014-03-31$700
Assets. Corporate common stocks other than exployer securities at end of year2014-03-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2014-03-31$0
Liabilities. Value of benefit claims payable at end of year2014-03-31$0
Liabilities. Value of benefit claims payable at beginning of year2014-03-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2014-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2014-03-31$0
Did the plan have assets held for investment2014-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-03-31No
Aggregate proceeds on sale of assets2014-03-31$0
Aggregate carrying amount (costs) on sale of assets2014-03-31$0
Liabilities. Value of acquisition indebtedness at end of year2014-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2014-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-03-31Yes
Opinion of an independent qualified public accountant for this plan2014-03-31Disclaimer
Accountancy firm name2014-03-31GRANT THORNTON
Accountancy firm EIN2014-03-31366055558
2013 : HEARTWARE, INC. 401(K) PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets2013-03-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2013-03-31$0
Total unrealized appreciation/depreciation of assets2013-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-03-31$0
Expenses. Interest paid2013-03-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022013-03-31$0
Total income from all sources (including contributions)2013-03-31$3,791,091
Total loss/gain on sale of assets2013-03-31$0
Total of all expenses incurred2013-03-31$78,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-03-31$72,237
Expenses. Certain deemed distributions of participant loans2013-03-31$0
Value of total corrective distributions2013-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-03-31$3,112,637
Value of total assets at end of year2013-03-31$7,780,932
Value of total assets at beginning of year2013-03-31$4,068,044
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-03-31$5,966
Total income from rents2013-03-31$0
Total interest from all sources2013-03-31$5,714
Total dividends received (eg from common stock, registered investment company shares)2013-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-03-31No
Assets. Real estate other than employer real property at end of year2013-03-31$0
Assets. Real estate other than employer real property at beginning of year2013-03-31$0
Administrative expenses professional fees incurred2013-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2013-03-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2013-03-31$0
Was this plan covered by a fidelity bond2013-03-31Yes
Value of fidelity bond cover2013-03-31$500,000
If this is an individual account plan, was there a blackout period2013-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
Were there any nonexempt tranactions with any party-in-interest2013-03-31No
Contributions received from participants2013-03-31$1,791,491
Participant contributions at end of year2013-03-31$0
Participant contributions at beginning of year2013-03-31$0
Participant contributions at end of year2013-03-31$0
Participant contributions at beginning of year2013-03-31$0
Assets. Other investments not covered elsewhere at end of year2013-03-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-03-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-03-31$445,760
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-03-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-03-31$0
Assets. Loans (other than to participants) at end of year2013-03-31$0
Assets. Loans (other than to participants) at beginning of year2013-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-03-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-03-31$0
Other income not declared elsewhere2013-03-31$0
Administrative expenses (other) incurred2013-03-31$0
Total non interest bearing cash at end of year2013-03-31$0
Total non interest bearing cash at beginning of year2013-03-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Income. Non cash contributions2013-03-31$0
Value of net income/loss2013-03-31$3,712,888
Value of net assets at end of year (total assets less liabilities)2013-03-31$7,780,932
Value of net assets at beginning of year (total assets less liabilities)2013-03-31$4,068,044
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-03-31No
Were any leases to which the plan was party in default or uncollectible2013-03-31No
Assets. partnership/joint venture interests at end of year2013-03-31$0
Assets. partnership/joint venture interests at beginning of year2013-03-31$0
Investment advisory and management fees2013-03-31$5,566
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-03-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-03-31$0
Value of interest in pooled separate accounts at end of year2013-03-31$7,175,205
Value of interest in pooled separate accounts at beginning of year2013-03-31$3,803,278
Interest on participant loans2013-03-31$0
Income. Interest from loans (other than to participants)2013-03-31$0
Interest earned on other investments2013-03-31$5,714
Income. Interest from US Government securities2013-03-31$0
Income. Interest from corporate debt instruments2013-03-31$0
Value of interest in master investment trust accounts at end of year2013-03-31$0
Value of interest in master investment trust accounts at beginning of year2013-03-31$0
Value of interest in common/collective trusts at end of year2013-03-31$0
Value of interest in common/collective trusts at beginning of year2013-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-03-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-03-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-03-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-03-31$0
Assets. Value of investments in 103.12 investment entities at end of year2013-03-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2013-03-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-03-31$605,727
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-03-31$264,766
Expenses. Payments to insurance carriers foe the provision of benefits2013-03-31$0
Asset value of US Government securities at end of year2013-03-31$0
Asset value of US Government securities at beginning of year2013-03-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-03-31$0
Net investment gain/loss from pooled separate accounts2013-03-31$672,740
Net investment gain or loss from common/collective trusts2013-03-31$0
Net gain/loss from 103.12 investment entities2013-03-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-03-31No
Was there a failure to transmit to the plan any participant contributions2013-03-31No
Has the plan failed to provide any benefit when due under the plan2013-03-31No
Assets. Invements in employer securities at end of year2013-03-31$0
Assets. Invements in employer securities at beginning of year2013-03-31$0
Assets. Value of employer real property at end of year2013-03-31$0
Assets. Value of employer real property at beginning of year2013-03-31$0
Contributions received in cash from employer2013-03-31$875,386
Employer contributions (assets) at end of year2013-03-31$0
Employer contributions (assets) at beginning of year2013-03-31$0
Income. Dividends from preferred stock2013-03-31$0
Income. Dividends from common stock2013-03-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-03-31$72,237
Asset. Corporate debt instrument preferred debt at end of year2013-03-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2013-03-31$0
Asset. Corporate debt instrument debt (other) at end of year2013-03-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2013-03-31$0
Contract administrator fees2013-03-31$400
Assets. Corporate common stocks other than exployer securities at end of year2013-03-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2013-03-31$0
Liabilities. Value of benefit claims payable at end of year2013-03-31$0
Liabilities. Value of benefit claims payable at beginning of year2013-03-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2013-03-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2013-03-31$0
Did the plan have assets held for investment2013-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-03-31No
Aggregate proceeds on sale of assets2013-03-31$0
Aggregate carrying amount (costs) on sale of assets2013-03-31$0
Liabilities. Value of acquisition indebtedness at end of year2013-03-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2013-03-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-03-31Yes
Opinion of an independent qualified public accountant for this plan2013-03-31Disclaimer
Accountancy firm name2013-03-31GRANT THORNTON
Accountancy firm EIN2013-03-31366055558
2012 : HEARTWARE, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-03-31$0
Total income from all sources (including contributions)2012-03-31$2,054,953
Total loss/gain on sale of assets2012-03-31$0
Total of all expenses incurred2012-03-31$85,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-03-31$82,372
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-03-31$1,910,545
Value of total assets at end of year2012-03-31$4,068,044
Value of total assets at beginning of year2012-03-31$2,098,361
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-03-31$2,898
Total interest from all sources2012-03-31$3,501
Total dividends received (eg from common stock, registered investment company shares)2012-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-03-31No
Was this plan covered by a fidelity bond2012-03-31Yes
Value of fidelity bond cover2012-03-31$500,000
If this is an individual account plan, was there a blackout period2012-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
Were there any nonexempt tranactions with any party-in-interest2012-03-31No
Contributions received from participants2012-03-31$1,166,566
Income. Received or receivable in cash from other sources (including rollovers)2012-03-31$125,924
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Value of net income/loss2012-03-31$1,969,683
Value of net assets at end of year (total assets less liabilities)2012-03-31$4,068,044
Value of net assets at beginning of year (total assets less liabilities)2012-03-31$2,098,361
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-03-31No
Were any leases to which the plan was party in default or uncollectible2012-03-31No
Investment advisory and management fees2012-03-31$2,498
Value of interest in pooled separate accounts at end of year2012-03-31$3,803,278
Value of interest in pooled separate accounts at beginning of year2012-03-31$1,992,789
Interest earned on other investments2012-03-31$3,501
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-03-31$264,766
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-03-31$105,572
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-03-31$140,907
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-03-31No
Was there a failure to transmit to the plan any participant contributions2012-03-31No
Has the plan failed to provide any benefit when due under the plan2012-03-31No
Contributions received in cash from employer2012-03-31$618,055
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-03-31$82,372
Contract administrator fees2012-03-31$400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-03-31No
Did the plan have assets held for investment2012-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-03-31Yes
Opinion of an independent qualified public accountant for this plan2012-03-31Disclaimer
Accountancy firm name2012-03-31GRANT THORNTON
Accountancy firm EIN2012-03-31366055558
2011 : HEARTWARE, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-03-31$0
Total income from all sources (including contributions)2011-03-31$396,763
Total loss/gain on sale of assets2011-03-31$0
Total of all expenses incurred2011-03-31$35,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-03-31$34,906
Value of total corrective distributions2011-03-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-03-31$310,024
Value of total assets at end of year2011-03-31$2,098,361
Value of total assets at beginning of year2011-03-31$1,736,979
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-03-31$475
Total interest from all sources2011-03-31$632
Total dividends received (eg from common stock, registered investment company shares)2011-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-03-31No
Was this plan covered by a fidelity bond2011-03-31Yes
Value of fidelity bond cover2011-03-31$500,000
If this is an individual account plan, was there a blackout period2011-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-03-31$0
Were there any nonexempt tranactions with any party-in-interest2011-03-31No
Contributions received from participants2011-03-31$188,652
Income. Received or receivable in cash from other sources (including rollovers)2011-03-31$17,511
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Value of net income/loss2011-03-31$361,382
Value of net assets at end of year (total assets less liabilities)2011-03-31$2,098,361
Value of net assets at beginning of year (total assets less liabilities)2011-03-31$1,736,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-03-31No
Were any leases to which the plan was party in default or uncollectible2011-03-31No
Value of interest in pooled separate accounts at end of year2011-03-31$1,992,789
Value of interest in pooled separate accounts at beginning of year2011-03-31$1,623,360
Interest earned on other investments2011-03-31$632
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-03-31$105,572
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-03-31$113,619
Net investment gain/loss from pooled separate accounts2011-03-31$86,107
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-03-31No
Was there a failure to transmit to the plan any participant contributions2011-03-31No
Has the plan failed to provide any benefit when due under the plan2011-03-31No
Contributions received in cash from employer2011-03-31$103,861
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-03-31$34,906
Contract administrator fees2011-03-31$475
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-03-31No
Did the plan have assets held for investment2011-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-03-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-03-31Yes
Opinion of an independent qualified public accountant for this plan2011-03-31Disclaimer
2010 : HEARTWARE, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
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$879,406
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$60,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$18,753
Value of total corrective distributions2010-12-31$40,590
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$736,823
Value of total assets at end of year2010-12-31$1,736,979
Value of total assets at beginning of year2010-12-31$917,826
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$910
Total interest from all sources2010-12-31$1,496
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
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
Contributions received from participants2010-12-31$470,685
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$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$819,153
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,736,979
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$917,826
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
Value of interest in pooled separate accounts at end of year2010-12-31$1,623,360
Value of interest in pooled separate accounts at beginning of year2010-12-31$869,872
Interest earned on other investments2010-12-31$1,496
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$113,619
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$47,954
Net investment gain/loss from pooled separate accounts2010-12-31$141,087
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$266,138
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$18,753
Contract administrator fees2010-12-31$910
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
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
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 name2010-12-31GRANT THORNTON LLP
Accountancy firm EIN2010-12-31366055558
Total unrealized appreciation/depreciation of assets2010-03-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-03-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-03-31$0
Total income from all sources (including contributions)2010-03-31$143,108
Total loss/gain on sale of assets2010-03-31$0
Total of all expenses incurred2010-03-31$28,359
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-03-31$28,080
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-03-31$103,556
Value of total assets at end of year2010-03-31$917,826
Value of total assets at beginning of year2010-03-31$803,077
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-03-31$279
Total interest from all sources2010-03-31$276
Total dividends received (eg from common stock, registered investment company shares)2010-03-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-03-31No
Was this plan covered by a fidelity bond2010-03-31Yes
Value of fidelity bond cover2010-03-31$500,000
If this is an individual account plan, was there a blackout period2010-03-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0
Were there any nonexempt tranactions with any party-in-interest2010-03-31No
Contributions received from participants2010-03-31$97,112
Income. Received or receivable in cash from other sources (including rollovers)2010-03-31$6,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-03-31No
Value of net income/loss2010-03-31$114,749
Value of net assets at end of year (total assets less liabilities)2010-03-31$917,826
Value of net assets at beginning of year (total assets less liabilities)2010-03-31$803,077
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-03-31No
Were any leases to which the plan was party in default or uncollectible2010-03-31No
Value of interest in pooled separate accounts at end of year2010-03-31$869,872
Value of interest in pooled separate accounts at beginning of year2010-03-31$759,885
Interest earned on other investments2010-03-31$276
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-03-31$47,954
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-03-31$43,192
Net investment gain/loss from pooled separate accounts2010-03-31$39,276
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-03-31No
Was there a failure to transmit to the plan any participant contributions2010-03-31No
Has the plan failed to provide any benefit when due under the plan2010-03-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-03-31$28,080
Contract administrator fees2010-03-31$279
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-03-31No
Did the plan have assets held for investment2010-03-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-03-31No

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

2016: HEARTWARE, INC. 401(K) PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingYes
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: HEARTWARE, INC. 401(K) PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedYes
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: HEARTWARE, INC. 401(K) PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: HEARTWARE, INC. 401(K) PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan benefit arrangement – InsuranceYes
2012: HEARTWARE, INC. 401(K) PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan benefit arrangement – InsuranceYes
2011: HEARTWARE, INC. 401(K) PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan benefit arrangement – InsuranceYes
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)Yes
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HEARTWARE, INC. 401(K) PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered236
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $5,809
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?Yes
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 $5,809
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SVCS
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered202
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $4,766
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?Yes
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 $4,766
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SVCS
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered326
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $34,116
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?Yes
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 $34,116
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SVCS
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered240
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $21,432
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?Yes
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 $12,400
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SVCS
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered163
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $14,090
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?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered126
Insurance policy start date2011-01-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $2,340
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered116
Insurance policy start date2010-04-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,494
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?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number937703-01
Policy instance 1
Insurance contract or identification number937703-01
Number of Individuals Covered44
Insurance policy start date2010-01-01
Insurance policy end date2010-03-31
Total amount of commissions paid to insurance brokerUSD $1,020
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?Yes
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
Commission paid to Insurance BrokerUSD $510
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN MUTUAL INVESTMENT

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