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RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 401k Plan overview

Plan NameRANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN
Plan identification number 002

RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • 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

RANDOLPH COMMUNITY SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:RANDOLPH COMMUNITY SERVICES, INC.
Employer identification number (EIN):561244921
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-07-01KRYSTAL PARKS2023-01-11
0022020-07-01KRYSTAL PARKS2021-12-14
0022019-07-01KRYSTAL PARKS2021-01-06
0022018-07-01KRYSTAL PARKS2019-09-26
0022017-07-01KRYSTAL PARKS2019-03-04
0022016-07-01KRYSTAL PARKS2018-01-31
0022015-07-01KRYSTAL PARKS
0022014-07-01JANICE SCARBOROUGH JANICE SCARBOROUGH2016-04-15
0022013-07-01JANICE SCARBOROUGH
0022012-07-01JANICE SCARBOROUGH
0022011-07-01JANICE SCARBOROUGH
0022009-07-01JANICE SCARBOROUGH

Plan Statistics for RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN

401k plan membership statisitcs for RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN

Measure Date Value
2015: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01101
Total number of active participants reported on line 7a of the Form 55002015-07-0189
Number of retired or separated participants receiving benefits2015-07-011
Number of other retired or separated participants entitled to future benefits2015-07-013
Total of all active and inactive participants2015-07-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0193
Number of participants with account balances2015-07-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01126
Total number of active participants reported on line 7a of the Form 55002014-07-0185
Number of retired or separated participants receiving benefits2014-07-0123
Number of other retired or separated participants entitled to future benefits2014-07-013
Total of all active and inactive participants2014-07-01111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01111
Number of participants with account balances2014-07-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-011
2013: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01121
Total number of active participants reported on line 7a of the Form 55002013-07-01108
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-018
Total of all active and inactive participants2013-07-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01116
Number of participants with account balances2013-07-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-012
2012: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01143
Total number of active participants reported on line 7a of the Form 55002012-07-01109
Number of retired or separated participants receiving benefits2012-07-016
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01115
Number of participants with account balances2012-07-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01172
Total number of active participants reported on line 7a of the Form 55002011-07-01111
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0127
Total of all active and inactive participants2011-07-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01138
Number of participants with account balances2011-07-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-012
2009: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01139
Total number of active participants reported on line 7a of the Form 55002009-07-01125
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-016
Total of all active and inactive participants2009-07-01131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-011
Total participants2009-07-01132
Number of participants with account balances2009-07-01129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN

Measure Date Value
2016 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$29,145
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$30,554
Total income from all sources (including contributions)2016-06-30$218,113
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$241,601
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$220,936
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$166,249
Value of total assets at end of year2016-06-30$1,452,484
Value of total assets at beginning of year2016-06-30$1,477,381
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$20,665
Total interest from all sources2016-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$550,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$46,480
Participant contributions at end of year2016-06-30$0
Participant contributions at beginning of year2016-06-30$0
Assets. Other investments not covered elsewhere at end of year2016-06-30$178,922
Assets. Other investments not covered elsewhere at beginning of year2016-06-30$163,569
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Income. Non cash contributions2016-06-30$0
Value of net income/loss2016-06-30$-23,488
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,423,339
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$1,446,827
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$20,665
Value of interest in pooled separate accounts at end of year2016-06-30$1,265,228
Value of interest in pooled separate accounts at beginning of year2016-06-30$1,300,177
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-06-30$2,059
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-06-30$4,507
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-06-30$4,507
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$56,837
Net investment gain/loss from pooled separate accounts2016-06-30$51,864
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$119,769
Employer contributions (assets) at end of year2016-06-30$6,275
Employer contributions (assets) at beginning of year2016-06-30$9,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$164,099
Liabilities. Value of benefit claims payable at end of year2016-06-30$29,145
Liabilities. Value of benefit claims payable at beginning of year2016-06-30$30,554
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30RIVES & ASSOCIATES, LLP
Accountancy firm EIN2016-06-30200427530
2015 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$30,554
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$34,541
Total income from all sources (including contributions)2015-06-30$123,448
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$510,015
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$481,978
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$154,332
Value of total assets at end of year2015-06-30$1,477,381
Value of total assets at beginning of year2015-06-30$1,867,935
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$28,037
Total interest from all sources2015-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$550,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$39,977
Participant contributions at end of year2015-06-30$0
Participant contributions at beginning of year2015-06-30$0
Assets. Other investments not covered elsewhere at end of year2015-06-30$163,569
Assets. Other investments not covered elsewhere at beginning of year2015-06-30$181,049
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$0
Other income not declared elsewhere2015-06-30$-2,861
Administrative expenses (other) incurred2015-06-30$27,066
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Income. Non cash contributions2015-06-30$0
Value of net income/loss2015-06-30$-386,567
Value of net assets at end of year (total assets less liabilities)2015-06-30$1,446,827
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$1,833,394
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$971
Value of interest in pooled separate accounts at end of year2015-06-30$0
Value of interest in pooled separate accounts at beginning of year2015-06-30$39,443
Value of interest in common/collective trusts at end of year2015-06-30$1,300,177
Value of interest in common/collective trusts at beginning of year2015-06-30$1,646,438
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-06-30$4,507
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-06-30$1,005
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-06-30$1,005
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$27,693
Net investment gain/loss from pooled separate accounts2015-06-30$-28,023
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$114,355
Employer contributions (assets) at end of year2015-06-30$9,128
Employer contributions (assets) at beginning of year2015-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$454,285
Liabilities. Value of benefit claims payable at end of year2015-06-30$30,554
Liabilities. Value of benefit claims payable at beginning of year2015-06-30$34,541
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30RIVES & ASSOCIATES, LLP
Accountancy firm EIN2015-06-30200427530
2014 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-06-30$27,508
Total unrealized appreciation/depreciation of assets2014-06-30$27,508
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$34,541
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$37,059
Total income from all sources (including contributions)2014-06-30$336,793
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$264,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$235,170
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$195,027
Value of total assets at end of year2014-06-30$1,867,935
Value of total assets at beginning of year2014-06-30$1,798,449
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$29,619
Total interest from all sources2014-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$550,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$49,304
Participant contributions at end of year2014-06-30$0
Participant contributions at beginning of year2014-06-30$1,381
Assets. Other investments not covered elsewhere at end of year2014-06-30$181,049
Assets. Other investments not covered elsewhere at beginning of year2014-06-30$168,695
Administrative expenses (other) incurred2014-06-30$20,936
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$72,004
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,833,394
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,761,390
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$8,683
Value of interest in pooled separate accounts at end of year2014-06-30$39,443
Value of interest in pooled separate accounts at beginning of year2014-06-30$32,939
Value of interest in common/collective trusts at end of year2014-06-30$1,646,438
Value of interest in common/collective trusts at beginning of year2014-06-30$1,583,861
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$1,005
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$1,123
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$1,123
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$34,541
Net investment gain/loss from pooled separate accounts2014-06-30$5,698
Net investment gain or loss from common/collective trusts2014-06-30$108,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$145,723
Employer contributions (assets) at end of year2014-06-30$0
Employer contributions (assets) at beginning of year2014-06-30$10,450
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$200,629
Liabilities. Value of benefit claims payable at end of year2014-06-30$34,541
Liabilities. Value of benefit claims payable at beginning of year2014-06-30$37,059
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30BLACKMAN & SLOOP
Accountancy firm EIN2014-06-30561304727
2013 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-06-30$36,104
Total unrealized appreciation/depreciation of assets2013-06-30$36,104
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$37,059
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$38,179
Total income from all sources (including contributions)2013-06-30$348,117
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$252,008
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$227,966
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$193,758
Value of total assets at end of year2013-06-30$1,798,449
Value of total assets at beginning of year2013-06-30$1,703,460
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$24,042
Total interest from all sources2013-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$21,220
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$21,220
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$48,432
Participant contributions at end of year2013-06-30$1,381
Participant contributions at beginning of year2013-06-30$0
Assets. Other investments not covered elsewhere at end of year2013-06-30$168,695
Assets. Other investments not covered elsewhere at beginning of year2013-06-30$0
Administrative expenses (other) incurred2013-06-30$24,042
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$96,109
Value of net assets at end of year (total assets less liabilities)2013-06-30$1,761,390
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$1,665,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in pooled separate accounts at end of year2013-06-30$32,939
Value of interest in pooled separate accounts at beginning of year2013-06-30$1,654,301
Value of interest in common/collective trusts at end of year2013-06-30$1,583,861
Value of interest in common/collective trusts at beginning of year2013-06-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$1,123
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$47,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$47,557
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$1,602
Expenses. Payments to insurance carriers foe the provision of benefits2013-06-30$37,059
Net investment gain/loss from pooled separate accounts2013-06-30$43,831
Net investment gain or loss from common/collective trusts2013-06-30$53,204
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30Yes
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$145,326
Employer contributions (assets) at end of year2013-06-30$10,450
Employer contributions (assets) at beginning of year2013-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$190,907
Liabilities. Value of benefit claims payable at end of year2013-06-30$37,059
Liabilities. Value of benefit claims payable at beginning of year2013-06-30$38,179
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30BLACKMAN & SLOOP
Accountancy firm EIN2013-06-30561304727
2012 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$38,179
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$43,689
Total income from all sources (including contributions)2012-06-30$254,318
Total loss/gain on sale of assets2012-06-30$18,588
Total of all expenses incurred2012-06-30$173,681
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$147,887
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$215,888
Value of total assets at end of year2012-06-30$1,703,460
Value of total assets at beginning of year2012-06-30$1,628,333
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$25,794
Total interest from all sources2012-06-30$75
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$19,767
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$19,767
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$550,000
If this is an individual account plan, was there a blackout period2012-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$49,560
Income. Received or receivable in cash from other sources (including rollovers)2012-06-30$5,056
Administrative expenses (other) incurred2012-06-30$1,541
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$80,637
Value of net assets at end of year (total assets less liabilities)2012-06-30$1,665,281
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$1,584,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$15,199
Value of interest in pooled separate accounts at end of year2012-06-30$1,654,301
Value of interest in pooled separate accounts at beginning of year2012-06-30$1,557,342
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$47,557
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$67,604
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$67,604
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$75
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$1,602
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$2,712
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$38,179
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30Yes
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$161,272
Employer contributions (assets) at end of year2012-06-30$0
Employer contributions (assets) at beginning of year2012-06-30$675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$109,708
Contract administrator fees2012-06-30$9,054
Liabilities. Value of benefit claims payable at end of year2012-06-30$38,179
Liabilities. Value of benefit claims payable at beginning of year2012-06-30$43,689
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Aggregate proceeds on sale of assets2012-06-30$18,588
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30BLACKMAN & SLOOP
Accountancy firm EIN2012-06-30561304727
2011 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$43,689
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$29,136
Total income from all sources (including contributions)2011-06-30$434,491
Total loss/gain on sale of assets2011-06-30$187,912
Total of all expenses incurred2011-06-30$109,111
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$87,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$233,158
Value of total assets at end of year2011-06-30$1,628,333
Value of total assets at beginning of year2011-06-30$1,288,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$21,785
Total interest from all sources2011-06-30$568
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$12,853
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$12,853
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$550,000
If this is an individual account plan, was there a blackout period2011-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$45,594
Income. Received or receivable in cash from other sources (including rollovers)2011-06-30$38
Administrative expenses (other) incurred2011-06-30$1,453
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$325,380
Value of net assets at end of year (total assets less liabilities)2011-06-30$1,584,644
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$1,259,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$12,198
Value of interest in pooled separate accounts at end of year2011-06-30$1,557,342
Value of interest in pooled separate accounts at beginning of year2011-06-30$1,236,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$67,604
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$50,428
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$50,428
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$568
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$2,712
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$1,562
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$43,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$187,526
Employer contributions (assets) at end of year2011-06-30$675
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$43,637
Contract administrator fees2011-06-30$8,134
Liabilities. Value of benefit claims payable at end of year2011-06-30$43,689
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$29,136
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Aggregate proceeds on sale of assets2011-06-30$187,912
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30RIVES & ASSOCIATES, LLP
Accountancy firm EIN2011-06-30200427530
2010 : RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-06-30$0

Form 5500 Responses for RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN

2015: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: RANDOLPH COMMUNITY SERVICES, INC. RETIREMENT PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number300229
Policy instance 1
Insurance contract or identification number300229
Number of Individuals Covered84
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $13,413
Total amount of fees paid to insurance companyUSD $1,024
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,413
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?4
Insurance broker nameSWBC INVESTMENT ADVISORY SVC, LLC
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number30029
Policy instance 1
Insurance contract or identification number30029
Number of Individuals Covered105
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $16,802
Total amount of fees paid to insurance companyUSD $16,802
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,802
Amount paid for insurance broker fees16802
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker namePARK AVE SECURITIES FBO EDWIN HILL
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number30029
Policy instance 1
Insurance contract or identification number30029
Number of Individuals Covered105
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $16,802
Total amount of fees paid to insurance companyUSD $16,802
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,802
Amount paid for insurance broker fees16802
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker namePARK AVE SECURITIES FBO EDWIN HILL
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74041
Policy instance 1
Insurance contract or identification number74041
Number of Individuals Covered0
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $133
Total amount of fees paid to insurance companyUSD $140
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees140
Additional information about fees paid to insurance brokerTPA FEES AND COMPENSATION
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $133
Insurance broker namePARK AVENUE SECURITIES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberPJ475 A6
Policy instance 2
Insurance contract or identification numberPJ475 A6
Number of Individuals Covered114
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameGUARDIAN LIFE INSURANCE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74041
Policy instance 1
Insurance contract or identification number74041
Number of Individuals Covered40
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $1,886
Total amount of fees paid to insurance companyUSD $1,705
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberPJ475 A6
Policy instance 2
Insurance contract or identification number12294354
Number of Individuals Covered1335
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Total amount of commissions paid to insurance brokerUSD $5,023
Total amount of fees paid to insurance companyUSD $0
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract numberPJ475 A6
Policy instance 1
Insurance contract or identification numberPJ475 A6
Number of Individuals Covered125
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $3,154
Total amount of fees paid to insurance companyUSD $0
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number74041
Policy instance 2
Insurance contract or identification number74041
Number of Individuals Covered40
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $1,635
Total amount of fees paid to insurance companyUSD $1,598
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes

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