LEE BLACK & HOLLIS PC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN
401k plan membership statisitcs for LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN
| Measure | Date | Value |
|---|
| 2020: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-10-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 0 |
| Number of retired or separated participants receiving benefits | 2020-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
| Total of all active and inactive participants | 2020-10-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2020-10-01 | 0 |
| Total participants | 2020-10-01 | 0 |
| Number of participants with account balances | 2020-10-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-10-01 | 0 |
| 2019: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-10-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 11 |
| Number of retired or separated participants receiving benefits | 2019-10-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 3 |
| Total of all active and inactive participants | 2019-10-01 | 17 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-10-01 | 0 |
| Total participants | 2019-10-01 | 17 |
| Number of participants with account balances | 2019-10-01 | 17 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-10-01 | 0 |
| 2018: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-10-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 8 |
| Number of retired or separated participants receiving benefits | 2018-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 4 |
| Total of all active and inactive participants | 2018-10-01 | 12 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-10-01 | 0 |
| Total participants | 2018-10-01 | 12 |
| Number of participants with account balances | 2018-10-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-10-01 | 0 |
| 2017: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-10-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 6 |
| Number of retired or separated participants receiving benefits | 2017-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 7 |
| Total of all active and inactive participants | 2017-10-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-10-01 | 0 |
| Total participants | 2017-10-01 | 14 |
| Number of participants with account balances | 2017-10-01 | 14 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-10-01 | 0 |
| 2016: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-10-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2016-10-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 6 |
| Total of all active and inactive participants | 2016-10-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-10-01 | 1 |
| Total participants | 2016-10-01 | 14 |
| Number of participants with account balances | 2016-10-01 | 14 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-10-01 | 0 |
| 2015: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-10-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2015-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 6 |
| Total of all active and inactive participants | 2015-10-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-10-01 | 1 |
| Total participants | 2015-10-01 | 15 |
| Number of participants with account balances | 2015-10-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-10-01 | 0 |
| 2014: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-10-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 6 |
| Number of retired or separated participants receiving benefits | 2014-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 6 |
| Total of all active and inactive participants | 2014-10-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-10-01 | 1 |
| Total participants | 2014-10-01 | 14 |
| Number of participants with account balances | 2014-10-01 | 14 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-10-01 | 0 |
| 2013: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-10-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 6 |
| Number of retired or separated participants receiving benefits | 2013-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-10-01 | 7 |
| Total of all active and inactive participants | 2013-10-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-10-01 | 1 |
| Total participants | 2013-10-01 | 15 |
| Number of participants with account balances | 2013-10-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-10-01 | 0 |
| 2012: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-10-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 6 |
| Number of retired or separated participants receiving benefits | 2012-10-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2012-10-01 | 7 |
| Total of all active and inactive participants | 2012-10-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-10-01 | 1 |
| Total participants | 2012-10-01 | 16 |
| Number of participants with account balances | 2012-10-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-10-01 | 0 |
| 2011: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-10-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2011-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2011-10-01 | 6 |
| Total of all active and inactive participants | 2011-10-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-10-01 | 1 |
| Total participants | 2011-10-01 | 15 |
| Number of participants with account balances | 2011-10-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-10-01 | 0 |
| 2010: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-10-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2010-10-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2010-10-01 | 6 |
| Total of all active and inactive participants | 2010-10-01 | 15 |
| Total participants | 2010-10-01 | 15 |
| Number of participants with account balances | 2010-10-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-10-01 | 0 |
| 2009: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-10-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 7 |
| Number of retired or separated participants receiving benefits | 2009-10-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 7 |
| Total of all active and inactive participants | 2009-10-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-10-01 | 1 |
| Total participants | 2009-10-01 | 16 |
| Number of participants with account balances | 2009-10-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-10-01 | 0 |
| Measure | Date | Value |
|---|
| 2021 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-06-30 | $457,299 |
| Expenses. Total of all expenses incurred | 2021-06-30 | $2,312,398 |
| Benefits paid (including direct rollovers) | 2021-06-30 | $2,309,983 |
| Total plan assets at end of year | 2021-06-30 | $0 |
| Total plan assets at beginning of year | 2021-06-30 | $1,855,099 |
| Value of fidelity bond covering the plan | 2021-06-30 | $500,000 |
| Total contributions received or receivable from participants | 2021-06-30 | $0 |
| Contributions received from other sources (not participants or employers) | 2021-06-30 | $374,559 |
| Other income received | 2021-06-30 | $82,740 |
| Noncash contributions received | 2021-06-30 | $0 |
| Net income (gross income less expenses) | 2021-06-30 | $-1,855,099 |
| Net plan assets at end of year (total assets less liabilities) | 2021-06-30 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-06-30 | $1,855,099 |
| Total contributions received or receivable from employer(s) | 2021-06-30 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-06-30 | $2,415 |
| 2020 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-09-30 | $187,035 |
| Expenses. Total of all expenses incurred | 2020-09-30 | $201,022 |
| Benefits paid (including direct rollovers) | 2020-09-30 | $180,430 |
| Total plan assets at end of year | 2020-09-30 | $1,855,099 |
| Total plan assets at beginning of year | 2020-09-30 | $1,869,086 |
| Value of fidelity bond covering the plan | 2020-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2020-09-30 | $48,550 |
| Expenses. Other expenses not covered elsewhere | 2020-09-30 | $10,326 |
| Contributions received from other sources (not participants or employers) | 2020-09-30 | $180,430 |
| Other income received | 2020-09-30 | $-83,648 |
| Net income (gross income less expenses) | 2020-09-30 | $-13,987 |
| Net plan assets at end of year (total assets less liabilities) | 2020-09-30 | $1,855,099 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-09-30 | $1,869,086 |
| Total contributions received or receivable from employer(s) | 2020-09-30 | $41,703 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-09-30 | $10,266 |
| 2019 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-09-30 | $170,344 |
| Expenses. Total of all expenses incurred | 2019-09-30 | $926,881 |
| Benefits paid (including direct rollovers) | 2019-09-30 | $888,684 |
| Total plan assets at end of year | 2019-09-30 | $1,869,086 |
| Total plan assets at beginning of year | 2019-09-30 | $2,625,623 |
| Value of fidelity bond covering the plan | 2019-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2019-09-30 | $45,300 |
| Other income received | 2019-09-30 | $98,328 |
| Net income (gross income less expenses) | 2019-09-30 | $-756,537 |
| Net plan assets at end of year (total assets less liabilities) | 2019-09-30 | $1,869,086 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-09-30 | $2,625,623 |
| Assets. Value of real-estate (other than employer real property) | 2019-09-30 | $0 |
| Total contributions received or receivable from employer(s) | 2019-09-30 | $26,716 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-09-30 | $38,197 |
| 2018 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2018 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-09-30 | $0 |
| 2017 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-09-30 | $298,408 |
| Expenses. Total of all expenses incurred | 2017-09-30 | $80,409 |
| Benefits paid (including direct rollovers) | 2017-09-30 | $50,589 |
| Total plan assets at end of year | 2017-09-30 | $2,506,566 |
| Total plan assets at beginning of year | 2017-09-30 | $2,288,567 |
| Value of fidelity bond covering the plan | 2017-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2017-09-30 | $43,300 |
| Other income received | 2017-09-30 | $230,368 |
| Net income (gross income less expenses) | 2017-09-30 | $217,999 |
| Net plan assets at end of year (total assets less liabilities) | 2017-09-30 | $2,506,566 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-09-30 | $2,288,567 |
| Assets. Value of real-estate (other than employer real property) | 2017-09-30 | $479,960 |
| Total contributions received or receivable from employer(s) | 2017-09-30 | $24,740 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-09-30 | $29,820 |
| 2016 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2016 401k financial data |
|---|
| Transfers to/from the plan | 2016-09-30 | $0 |
| Total plan liabilities at end of year | 2016-09-30 | $0 |
| Total income from all sources | 2016-09-30 | $410,644 |
| Expenses. Total of all expenses incurred | 2016-09-30 | $217,955 |
| Benefits paid (including direct rollovers) | 2016-09-30 | $178,053 |
| Total plan assets at end of year | 2016-09-30 | $2,288,567 |
| Total plan assets at beginning of year | 2016-09-30 | $2,095,878 |
| Value of fidelity bond covering the plan | 2016-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2016-09-30 | $43,300 |
| Expenses. Other expenses not covered elsewhere | 2016-09-30 | $32,482 |
| Other income received | 2016-09-30 | $344,626 |
| Net income (gross income less expenses) | 2016-09-30 | $192,689 |
| Net plan assets at end of year (total assets less liabilities) | 2016-09-30 | $2,288,567 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-09-30 | $2,095,878 |
| Assets. Value of real-estate (other than employer real property) | 2016-09-30 | $474,287 |
| Total contributions received or receivable from employer(s) | 2016-09-30 | $22,718 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-09-30 | $7,420 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-09-30 | $0 |
| 2015 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2015 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2015-09-30 | $0 |
| Total income from all sources | 2015-09-30 | $-29,057 |
| Expenses. Total of all expenses incurred | 2015-09-30 | $360,868 |
| Benefits paid (including direct rollovers) | 2015-09-30 | $322,461 |
| Total plan assets at end of year | 2015-09-30 | $2,095,878 |
| Total plan assets at beginning of year | 2015-09-30 | $2,485,803 |
| Value of fidelity bond covering the plan | 2015-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2015-09-30 | $43,350 |
| Expenses. Other expenses not covered elsewhere | 2015-09-30 | $31,022 |
| Other income received | 2015-09-30 | $-92,296 |
| Net income (gross income less expenses) | 2015-09-30 | $-389,925 |
| Net plan assets at end of year (total assets less liabilities) | 2015-09-30 | $2,095,878 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-09-30 | $2,485,803 |
| Assets. Value of real-estate (other than employer real property) | 2015-09-30 | $474,138 |
| Total contributions received or receivable from employer(s) | 2015-09-30 | $19,889 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-09-30 | $7,385 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-09-30 | $0 |
| 2014 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2014 401k financial data |
|---|
| Total plan liabilities at end of year | 2014-09-30 | $0 |
| Total income from all sources | 2014-09-30 | $-481,403 |
| Expenses. Total of all expenses incurred | 2014-09-30 | $128,256 |
| Benefits paid (including direct rollovers) | 2014-09-30 | $70,459 |
| Total plan assets at end of year | 2014-09-30 | $2,485,803 |
| Total plan assets at beginning of year | 2014-09-30 | $3,095,462 |
| Value of fidelity bond covering the plan | 2014-09-30 | $500,000 |
| Total contributions received or receivable from participants | 2014-09-30 | $34,350 |
| Expenses. Other expenses not covered elsewhere | 2014-09-30 | $50,797 |
| Other income received | 2014-09-30 | $-530,425 |
| Net income (gross income less expenses) | 2014-09-30 | $-609,659 |
| Net plan assets at end of year (total assets less liabilities) | 2014-09-30 | $2,485,803 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-09-30 | $3,095,462 |
| Assets. Value of real-estate (other than employer real property) | 2014-09-30 | $472,098 |
| Total contributions received or receivable from employer(s) | 2014-09-30 | $14,672 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-09-30 | $7,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-09-30 | $0 |
| 2013 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2013 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2013-09-30 | $50 |
| Total income from all sources | 2013-09-30 | $173,817 |
| Expenses. Total of all expenses incurred | 2013-09-30 | $864,850 |
| Benefits paid (including direct rollovers) | 2013-09-30 | $819,958 |
| Total plan assets at end of year | 2013-09-30 | $3,095,462 |
| Total plan assets at beginning of year | 2013-09-30 | $3,786,545 |
| Value of fidelity bond covering the plan | 2013-09-30 | $2,200,000 |
| Total contributions received or receivable from participants | 2013-09-30 | $23,850 |
| Expenses. Other expenses not covered elsewhere | 2013-09-30 | $37,610 |
| Other income received | 2013-09-30 | $135,936 |
| Net income (gross income less expenses) | 2013-09-30 | $-691,033 |
| Net plan assets at end of year (total assets less liabilities) | 2013-09-30 | $3,095,462 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-09-30 | $3,786,495 |
| Assets. Value of real-estate (other than employer real property) | 2013-09-30 | $1,213,821 |
| Total contributions received or receivable from employer(s) | 2013-09-30 | $14,031 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-09-30 | $7,282 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-09-30 | $0 |
| 2012 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-09-30 | $50 |
| Total plan liabilities at beginning of year | 2012-09-30 | $0 |
| Total income from all sources | 2012-09-30 | $266,487 |
| Expenses. Total of all expenses incurred | 2012-09-30 | $123,982 |
| Benefits paid (including direct rollovers) | 2012-09-30 | $66,998 |
| Total plan assets at end of year | 2012-09-30 | $3,786,545 |
| Total plan assets at beginning of year | 2012-09-30 | $3,643,990 |
| Value of fidelity bond covering the plan | 2012-09-30 | $2,200,000 |
| Total contributions received or receivable from participants | 2012-09-30 | $10,330 |
| Expenses. Other expenses not covered elsewhere | 2012-09-30 | $53,654 |
| Other income received | 2012-09-30 | $243,154 |
| Net income (gross income less expenses) | 2012-09-30 | $142,505 |
| Net plan assets at end of year (total assets less liabilities) | 2012-09-30 | $3,786,495 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-09-30 | $3,643,990 |
| Assets. Value of real-estate (other than employer real property) | 2012-09-30 | $1,213,821 |
| Total contributions received or receivable from employer(s) | 2012-09-30 | $13,003 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-09-30 | $3,330 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-09-30 | $0 |
| 2011 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-09-30 | $0 |
| Total plan liabilities at beginning of year | 2011-09-30 | $0 |
| Total income from all sources | 2011-09-30 | $-668,507 |
| Expenses. Total of all expenses incurred | 2011-09-30 | $173,211 |
| Benefits paid (including direct rollovers) | 2011-09-30 | $93,764 |
| Total plan assets at end of year | 2011-09-30 | $3,643,990 |
| Total plan assets at beginning of year | 2011-09-30 | $4,485,708 |
| Value of fidelity bond covering the plan | 2011-09-30 | $2,200,000 |
| Total contributions received or receivable from participants | 2011-09-30 | $8,870 |
| Expenses. Other expenses not covered elsewhere | 2011-09-30 | $52,461 |
| Other income received | 2011-09-30 | $-689,450 |
| Net income (gross income less expenses) | 2011-09-30 | $-841,718 |
| Net plan assets at end of year (total assets less liabilities) | 2011-09-30 | $3,643,990 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-09-30 | $4,485,708 |
| Assets. Value of real-estate (other than employer real property) | 2011-09-30 | $1,392,957 |
| Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-102 | 2011-09-30 | $1,260 |
| Total contributions received or receivable from employer(s) | 2011-09-30 | $12,073 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-09-30 | $26,986 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-09-30 | $0 |
| 2010 : LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2010 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-09-30 | $0 |
| 2020: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2020 form 5500 responses |
|---|
| 2020-10-01 | Type of plan entity | Single employer plan |
| 2020-10-01 | Submission has been amended | No |
| 2020-10-01 | This submission is the final filing | Yes |
| 2020-10-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2020-10-01 | Plan is a collectively bargained plan | No |
| 2020-10-01 | Plan funding arrangement – Insurance | Yes |
| 2020-10-01 | Plan funding arrangement – Trust | Yes |
| 2020-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-10-01 | Plan benefit arrangement - Trust | Yes |
| 2019: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2019 form 5500 responses |
|---|
| 2019-10-01 | Type of plan entity | Single employer plan |
| 2019-10-01 | Submission has been amended | Yes |
| 2019-10-01 | This submission is the final filing | No |
| 2019-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-10-01 | Plan is a collectively bargained plan | No |
| 2019-10-01 | Plan funding arrangement – Insurance | Yes |
| 2019-10-01 | Plan funding arrangement – Trust | Yes |
| 2019-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-10-01 | Plan benefit arrangement - Trust | Yes |
| 2018: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2018 form 5500 responses |
|---|
| 2018-10-01 | Type of plan entity | Single employer plan |
| 2018-10-01 | Submission has been amended | No |
| 2018-10-01 | This submission is the final filing | No |
| 2018-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-10-01 | Plan is a collectively bargained plan | No |
| 2018-10-01 | Plan funding arrangement – Insurance | Yes |
| 2018-10-01 | Plan funding arrangement – Trust | Yes |
| 2018-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-10-01 | Plan benefit arrangement - Trust | Yes |
| 2017: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2017 form 5500 responses |
|---|
| 2017-10-01 | Type of plan entity | Single employer plan |
| 2017-10-01 | Submission has been amended | No |
| 2017-10-01 | This submission is the final filing | No |
| 2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-10-01 | Plan is a collectively bargained plan | No |
| 2017-10-01 | Plan funding arrangement – Insurance | Yes |
| 2017-10-01 | Plan funding arrangement – Trust | Yes |
| 2017-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-10-01 | Plan benefit arrangement - Trust | Yes |
| 2016: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2016 form 5500 responses |
|---|
| 2016-10-01 | Type of plan entity | Single employer plan |
| 2016-10-01 | Submission has been amended | No |
| 2016-10-01 | This submission is the final filing | No |
| 2016-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-10-01 | Plan is a collectively bargained plan | No |
| 2016-10-01 | Plan funding arrangement – Insurance | Yes |
| 2016-10-01 | Plan funding arrangement – Trust | Yes |
| 2016-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-10-01 | Plan benefit arrangement - Trust | Yes |
| 2015: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2015 form 5500 responses |
|---|
| 2015-10-01 | Type of plan entity | Single employer plan |
| 2015-10-01 | Submission has been amended | No |
| 2015-10-01 | This submission is the final filing | No |
| 2015-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-10-01 | Plan is a collectively bargained plan | No |
| 2015-10-01 | Plan funding arrangement – Insurance | Yes |
| 2015-10-01 | Plan funding arrangement – Trust | Yes |
| 2015-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-10-01 | Plan benefit arrangement - Trust | Yes |
| 2014: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2014 form 5500 responses |
|---|
| 2014-10-01 | Type of plan entity | Single employer plan |
| 2014-10-01 | Submission has been amended | No |
| 2014-10-01 | This submission is the final filing | No |
| 2014-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-10-01 | Plan is a collectively bargained plan | No |
| 2014-10-01 | Plan funding arrangement – Insurance | Yes |
| 2014-10-01 | Plan funding arrangement – Trust | Yes |
| 2014-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-10-01 | Plan benefit arrangement - Trust | Yes |
| 2013: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2013 form 5500 responses |
|---|
| 2013-10-01 | Type of plan entity | Single employer plan |
| 2013-10-01 | Submission has been amended | No |
| 2013-10-01 | This submission is the final filing | No |
| 2013-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-10-01 | Plan is a collectively bargained plan | No |
| 2013-10-01 | Plan funding arrangement – Insurance | Yes |
| 2013-10-01 | Plan funding arrangement – Trust | Yes |
| 2013-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-10-01 | Plan benefit arrangement - Trust | Yes |
| 2012: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2012 form 5500 responses |
|---|
| 2012-10-01 | Type of plan entity | Single employer plan |
| 2012-10-01 | Submission has been amended | No |
| 2012-10-01 | This submission is the final filing | No |
| 2012-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-10-01 | Plan is a collectively bargained plan | No |
| 2012-10-01 | Plan funding arrangement – Insurance | Yes |
| 2012-10-01 | Plan funding arrangement – Trust | Yes |
| 2012-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-10-01 | Plan benefit arrangement - Trust | Yes |
| 2011: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2011 form 5500 responses |
|---|
| 2011-10-01 | Type of plan entity | Single employer plan |
| 2011-10-01 | Submission has been amended | No |
| 2011-10-01 | This submission is the final filing | No |
| 2011-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-10-01 | Plan is a collectively bargained plan | No |
| 2011-10-01 | Plan funding arrangement – Insurance | Yes |
| 2011-10-01 | Plan funding arrangement – Trust | Yes |
| 2011-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-10-01 | Plan benefit arrangement - Trust | Yes |
| 2010: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2010 form 5500 responses |
|---|
| 2010-10-01 | Type of plan entity | Single employer plan |
| 2010-10-01 | Submission has been amended | No |
| 2010-10-01 | This submission is the final filing | No |
| 2010-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-10-01 | Plan is a collectively bargained plan | No |
| 2010-10-01 | Plan funding arrangement – Insurance | Yes |
| 2010-10-01 | Plan funding arrangement – Trust | Yes |
| 2010-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2010-10-01 | Plan benefit arrangement - Trust | Yes |
| 2009: LEE BLACK & HOLLIS PC SALARY SAVINGS AND PROFIT SHARING PLAN 2009 form 5500 responses |
|---|
| 2009-10-01 | Type of plan entity | Single employer plan |
| 2009-10-01 | Submission has been amended | No |
| 2009-10-01 | This submission is the final filing | No |
| 2009-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-10-01 | Plan is a collectively bargained plan | No |
| 2009-10-01 | Plan funding arrangement – Insurance | Yes |
| 2009-10-01 | Plan funding arrangement – Trust | Yes |
| 2009-10-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-10-01 | Plan benefit arrangement - Trust | Yes |
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 2 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | P65600 |
| Policy instance | 1 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2020-10-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | P65600 |
| Policy instance | 1 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 2 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2019-10-01 | | Insurance policy end date | 2020-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 4 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 ) |
| Policy contract number | C7004562 |
| Policy instance | 5 |
| Insurance contract or identification number | C7004562 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 9576463 |
| Policy instance | 2 |
| Insurance contract or identification number | 9576463 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | P65600 |
| Policy instance | 1 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 3 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-10-01 | | Insurance policy end date | 2019-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 1 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 3 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 9576463 |
| Policy instance | 4 |
| Insurance contract or identification number | 9576463 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | P65600 |
| Policy instance | 5 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 ) |
| Policy contract number | C7004562 |
| Policy instance | 2 |
| Insurance contract or identification number | C7004562 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-10-01 | | Insurance policy end date | 2018-09-30 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| JACKSON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65056 ) |
| Policy contract number | P65600 |
| Policy instance | 5 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | CARL F. LETTOW, JR |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 1 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | R. M. GERINER, SR |
|
| OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 ) |
| Policy contract number | C7004562 |
| Policy instance | 2 |
| Insurance contract or identification number | C7004562 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-12-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | HERMAN COOLIDGE |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 9576463 |
| Policy instance | 3 |
| Insurance contract or identification number | 9576463 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | CM INSURANCE & INVESTMENT GROUP INC |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 4 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-10-01 | | Insurance policy end date | 2016-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Insurance broker organization code? | 3 | | Insurance broker name | CPS INTEGRATED MKTG INS SVCS |
|
| REASSURE AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91391 ) |
| Policy contract number | P65600 |
| Policy instance | 5 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CARL F. LETTOW, JR |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 4 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CPS INTEGRATED MKTG INS SVCS |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 9576463 |
| Policy instance | 3 |
| Insurance contract or identification number | 9576463 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CM INSURANCE & INVESTMENT GROUP INC |
|
| OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 ) |
| Policy contract number | C7004562 |
| Policy instance | 2 |
| Insurance contract or identification number | C7004562 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-12-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | HERMAN COOLIDGE |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 1 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | R. M. GERINER, SR |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 9576463 |
| Policy instance | 3 |
| Insurance contract or identification number | 9576463 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CM INSURANCE & INVESTMENT GROUP INC |
|
| REASSURE AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91391 ) |
| Policy contract number | P65600 |
| Policy instance | 5 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CARL F. LETTOW, JR |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 1 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | R. M. GERINER, SR |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 4 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CPS INTEGRATED MKTG INS SVCS |
|
| OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 ) |
| Policy contract number | C7004562 |
| Policy instance | 2 |
| Insurance contract or identification number | C7004562 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-12-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | HERMAN COOLIDGE |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 1 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | R. M. GERINER, SR |
|
| REASSURE AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91391 ) |
| Policy contract number | P65600 |
| Policy instance | 5 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CARL F. LETTOW, JR |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 4 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CPS INTEGRATED MKTG INS SVCS |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 9576463 |
| Policy instance | 3 |
| Insurance contract or identification number | 9576463 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | CM INSURANCE & INVESTMENT GROUP INC |
|
| OHIO NATIONAL LIFE ASSURANCE CORPORATION (National Association of Insurance Commissioners NAIC id number: 89206 ) |
| Policy contract number | C7004562 |
| Policy instance | 2 |
| Insurance contract or identification number | C7004562 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-12-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $10,890 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Commission paid to Insurance Broker | USD $5,970 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Insurance broker name | HERMAN COOLIDGE |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 5 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VALLEY FORGE LIFE INSURANCE CO./REASSURE AMERICA LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70211 ) |
| Policy contract number | P65600 |
| Policy instance | 1 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 2 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| REASSURE AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91391 ) |
| Policy contract number | P65600 |
| Policy instance | 6 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 ) |
| Policy contract number | 13688209 |
| Policy instance | 3 |
| Insurance contract or identification number | 13688209 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 ) |
| Policy contract number | 13688209 |
| Policy instance | 3 |
| Insurance contract or identification number | 13688209 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes |
|
| VALLEY FORGE LIFE INSURANCE CO./REASSURE AMERICA LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 70211 ) |
| Policy contract number | P65600 |
| Policy instance | 1 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes |
|
| THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 ) |
| Policy contract number | P03552 |
| Policy instance | 4 |
| Insurance contract or identification number | P03552 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $24,395 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes |
|
| NORTHWESTERN MUTUAL LIFE INS. (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 15462 |
| Policy instance | 2 |
| Insurance contract or identification number | 15462 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes |
|
| REASSURE AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91391 ) |
| Policy contract number | P65600 |
| Policy instance | 5 |
| Insurance contract or identification number | P65600 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes |
|
