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PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NamePIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN
Plan identification number 001

PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING 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.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

PIEDMONT COLORECTAL ASSOCIATES, PC has sponsored the creation of one or more 401k plans.

Company Name:PIEDMONT COLORECTAL ASSOCIATES, PC
Employer identification number (EIN):582509722
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01ANJELICA ALSTON2022-07-12
0012020-01-01
0012019-01-01
0012018-01-01ANJELICA ALSTON
0012017-01-01ANJELICA ALSTON
0012016-01-01ANJELICA ALSTON
0012015-01-01ANJELICA ALSTON
0012014-01-01ANJELICA ALSTON
0012013-01-01ADEL BAGH2014-07-23
0012012-01-01ADEL BAGH2013-08-26
0012011-01-01ADEL BAGH2012-07-25
0012010-01-01ADEL BAGH
0012009-01-01ADEL BAGH
0012008-01-01

Plan Statistics for PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2020: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-0112
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0115
Number of participants with account balances2020-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0115
Total number of active participants reported on line 7a of the Form 55002019-01-0114
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0114
Number of participants with account balances2019-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0114
Total number of active participants reported on line 7a of the Form 55002018-01-0112
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0114
Number of participants with account balances2018-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0113
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0114
Number of participants with account balances2017-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0114
Total number of active participants reported on line 7a of the Form 55002016-01-0112
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0113
Number of participants with account balances2016-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0113
Total number of active participants reported on line 7a of the Form 55002015-01-0110
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0113
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-019
Total number of active participants reported on line 7a of the Form 55002014-01-019
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0112
Number of participants with account balances2014-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2010: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0113
Total number of active participants reported on line 7a of the Form 55002010-01-0110
Number of other retired or separated participants entitled to future benefits2010-01-014
Total of all active and inactive participants2010-01-0114
Total participants2010-01-0114
Number of participants with account balances2010-01-0114
2009: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0111
Total number of active participants reported on line 7a of the Form 55002009-01-019
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0113
Number of participants with account balances2009-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN

Measure Date Value
2020 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$409,338
Expenses. Total of all expenses incurred2020-12-31$191,794
Benefits paid (including direct rollovers)2020-12-31$182,365
Total plan assets at end of year2020-12-31$1,604,238
Total plan assets at beginning of year2020-12-31$1,386,694
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$95,754
Other income received2020-12-31$262,830
Net income (gross income less expenses)2020-12-31$217,544
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,604,238
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,386,694
Total contributions received or receivable from employer(s)2020-12-31$50,754
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$9,429
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$281,228
Expenses. Total of all expenses incurred2019-12-31$32,724
Benefits paid (including direct rollovers)2019-12-31$32,724
Total plan assets at end of year2019-12-31$1,386,694
Total plan assets at beginning of year2019-12-31$1,138,190
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$113,965
Other income received2019-12-31$121,115
Net income (gross income less expenses)2019-12-31$248,504
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,386,694
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,138,190
Total contributions received or receivable from employer(s)2019-12-31$46,148
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$104,941
Expenses. Total of all expenses incurred2018-12-31$0
Total plan assets at end of year2018-12-31$1,138,190
Total plan assets at beginning of year2018-12-31$1,033,249
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$56,690
Other income received2018-12-31$-56,071
Net income (gross income less expenses)2018-12-31$104,941
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,138,190
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,033,249
Total contributions received or receivable from employer(s)2018-12-31$104,322
2017 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$214,738
Expenses. Total of all expenses incurred2017-12-31$22,868
Benefits paid (including direct rollovers)2017-12-31$22,868
Total plan assets at end of year2017-12-31$1,033,249
Total plan assets at beginning of year2017-12-31$841,379
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$59,200
Other income received2017-12-31$113,299
Net income (gross income less expenses)2017-12-31$191,870
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,033,249
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$841,379
Total contributions received or receivable from employer(s)2017-12-31$42,239
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$53,439
Expenses. Total of all expenses incurred2016-12-31$12,906
Benefits paid (including direct rollovers)2016-12-31$12,906
Total plan assets at end of year2016-12-31$841,379
Total plan assets at beginning of year2016-12-31$800,846
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$12,470
Contributions received from other sources (not participants or employers)2016-12-31$2,780
Other income received2016-12-31$-1,847
Net income (gross income less expenses)2016-12-31$40,533
Net plan assets at end of year (total assets less liabilities)2016-12-31$841,379
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$800,846
Total contributions received or receivable from employer(s)2016-12-31$40,036
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$136,423
Expenses. Total of all expenses incurred2015-12-31$909
Benefits paid (including direct rollovers)2015-12-31$909
Total plan assets at end of year2015-12-31$800,846
Total plan assets at beginning of year2015-12-31$665,332
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$14,750
Contributions received from other sources (not participants or employers)2015-12-31$1,548
Other income received2015-12-31$-10,087
Net income (gross income less expenses)2015-12-31$135,514
Net plan assets at end of year (total assets less liabilities)2015-12-31$800,846
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$665,332
Total contributions received or receivable from employer(s)2015-12-31$130,212
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$50,123
Expenses. Total of all expenses incurred2014-12-31$364,178
Benefits paid (including direct rollovers)2014-12-31$363,883
Total plan assets at end of year2014-12-31$665,332
Total plan assets at beginning of year2014-12-31$979,387
Value of fidelity bond covering the plan2014-12-31$100,000
Total contributions received or receivable from participants2014-12-31$17,208
Other income received2014-12-31$-7,085
Net income (gross income less expenses)2014-12-31$-314,055
Net plan assets at end of year (total assets less liabilities)2014-12-31$665,332
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$979,387
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-12-31$16,567
Total contributions received or receivable from employer(s)2014-12-31$40,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$295
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2010 : PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$135,873
Expenses. Total of all expenses incurred2010-12-31$10,447
Total plan assets at end of year2010-12-31$759,313
Total plan assets at beginning of year2010-12-31$633,887
Other income received2010-12-31$51,308
Net income (gross income less expenses)2010-12-31$125,426
Net plan assets at end of year (total assets less liabilities)2010-12-31$759,313
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$633,887
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$9,414
Total contributions received or receivable from employer(s)2010-12-31$84,565
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$10,447

Form 5500 Responses for PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN

2020: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2010: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes
2008: PIEDMONT COLORECTAL ASSOCIATES, PC 401(K) PROFIT SHARING PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedYes
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-824608
Policy instance 1
Insurance contract or identification numberGA-824608
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $874
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 $739
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameRETIREMENT STRATEGIES, INC.
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-50-JY43
Policy instance 1
Insurance contract or identification numberGAP-50-JY43
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $208
Total amount of fees paid to insurance companyUSD $289
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 guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $208
Amount paid for insurance broker fees289
Insurance broker organization code?4
Insurance broker nameMAX ROSENBERG
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-54-JY42
Policy instance 2
Insurance contract or identification numberGAP-54-JY42
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,270
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,270
Insurance broker organization code?4
Insurance broker nameMAX ROSENBERG

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