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LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameLEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST
Plan identification number 001

LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 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.
  • 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

LEVITT AND PRASATTHONG, D.D.S., P.A. has sponsored the creation of one or more 401k plans.

Company Name:LEVITT AND PRASATTHONG, D.D.S., P.A.
Employer identification number (EIN):592103229
NAIC Classification:621210
NAIC Description:Offices of Dentists

Additional information about LEVITT AND PRASATTHONG, D.D.S., P.A.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1981-07-01
Company Identification Number: 690067
Legal Registered Office Address: 7701 38TH AVENUE NORTH

ST PETERSBURG

33710

More information about LEVITT AND PRASATTHONG, D.D.S., P.A.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DAN PRASATTHONG2023-07-25
0012021-01-01DAN PRASATTHONG2022-09-07
0012020-01-01DAN PRASATTHONG2021-10-06
0012019-01-01DAN PRASATTHONG2020-10-15
0012018-07-01DAN PRASATTHONG2019-09-20
0012017-07-01DAN PRASATTHONG2019-09-20
0012016-07-01
0012015-07-01DAN PRASATTHONG
0012014-07-01DAN PRASATTHONG
0012013-07-01MYLES H. LEVITT
0012012-07-01MYLES H. LEVITT
0012011-07-01MYLES H. LEVITT
0012010-07-01MENDY MCKENDRY
0012009-07-01MENDY MCKENDRY

Plan Statistics for LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-0113
Total number of active participants reported on line 7a of the Form 55002022-01-019
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0112
Number of participants with account balances2022-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-0114
Total number of active participants reported on line 7a of the Form 55002021-01-0110
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-013
Total of all active and inactive participants2021-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0113
Number of participants with account balances2021-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-0114
Total number of active participants reported on line 7a of the Form 55002020-01-019
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 participants2020-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0112
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: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-0114
Total number of active participants reported on line 7a of the Form 55002019-01-0110
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-014
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 balances2019-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-07-0115
Total number of active participants reported on line 7a of the Form 55002018-07-0113
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-011
Total of all active and inactive participants2018-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-0114
Number of participants with account balances2018-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-0116
Total number of active participants reported on line 7a of the Form 55002017-07-0112
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-012
Total of all active and inactive participants2017-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0114
Number of participants with account balances2017-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-0114
Total number of active participants reported on line 7a of the Form 55002016-07-0113
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-012
Total of all active and inactive participants2016-07-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0115
Number of participants with account balances2016-07-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-0116
Total number of active participants reported on line 7a of the Form 55002015-07-0113
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-011
Total of all active and inactive participants2015-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0114
Number of participants with account balances2015-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-0115
Total number of active participants reported on line 7a of the Form 55002014-07-0114
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-012
Total of all active and inactive participants2014-07-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0116
Number of participants with account balances2014-07-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-0113
Total number of active participants reported on line 7a of the Form 55002013-07-0113
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-011
Total of all active and inactive participants2013-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0114
Number of participants with account balances2013-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-0114
Total number of active participants reported on line 7a of the Form 55002012-07-0112
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-011
Total of all active and inactive participants2012-07-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0113
Number of participants with account balances2012-07-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-0115
Total number of active participants reported on line 7a of the Form 55002011-07-0113
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-011
Total of all active and inactive participants2011-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0114
Number of participants with account balances2011-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-0114
2010: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-07-0114
Total number of active participants reported on line 7a of the Form 55002010-07-0113
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-011
Total of all active and inactive participants2010-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-0114
Number of participants with account balances2010-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-0114
Total number of active participants reported on line 7a of the Form 55002009-07-0114
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-0114
Number of participants with account balances2009-07-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-0114

Financial Data on LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

Measure Date Value
2022 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Total income from all sources2022-12-31$-127,829
Expenses. Total of all expenses incurred2022-12-31$15,104
Benefits paid (including direct rollovers)2022-12-31$387
Total plan assets at end of year2022-12-31$1,487,339
Total plan assets at beginning of year2022-12-31$1,630,272
Value of fidelity bond covering the plan2022-12-31$300,000
Assets. Value of tangible personal property2022-12-31$21,667
Total contributions received or receivable from participants2022-12-31$38,608
Other income received2022-12-31$-224,767
Net income (gross income less expenses)2022-12-31$-142,933
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,487,339
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,630,272
Assets. Value of participant loans2022-12-31$26,884
Total contributions received or receivable from employer(s)2022-12-31$58,330
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$14,717
2021 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Total income from all sources2021-12-31$208,934
Expenses. Total of all expenses incurred2021-12-31$54,291
Benefits paid (including direct rollovers)2021-12-31$38,655
Total plan assets at end of year2021-12-31$1,630,272
Total plan assets at beginning of year2021-12-31$1,475,629
Value of fidelity bond covering the plan2021-12-31$300,000
Assets. Value of tangible personal property2021-12-31$20,263
Total contributions received or receivable from participants2021-12-31$39,306
Other income received2021-12-31$112,285
Net income (gross income less expenses)2021-12-31$154,643
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,630,272
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,475,629
Assets. Value of participant loans2021-12-31$22,914
Total contributions received or receivable from employer(s)2021-12-31$57,343
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$15,636
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Total income from all sources2020-12-31$149,439
Expenses. Total of all expenses incurred2020-12-31$13,370
Benefits paid (including direct rollovers)2020-12-31$742
Total plan assets at end of year2020-12-31$1,475,629
Total plan assets at beginning of year2020-12-31$1,339,560
Value of fidelity bond covering the plan2020-12-31$300,000
Assets. Value of tangible personal property2020-12-31$20,830
Total contributions received or receivable from participants2020-12-31$36,127
Other income received2020-12-31$57,446
Net income (gross income less expenses)2020-12-31$136,069
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,475,629
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,339,560
Assets. Value of participant loans2020-12-31$22,184
Total contributions received or receivable from employer(s)2020-12-31$55,866
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$12,628
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Total income from all sources2019-12-31$316,209
Expenses. Total of all expenses incurred2019-12-31$61,111
Benefits paid (including direct rollovers)2019-12-31$48,499
Total plan assets at end of year2019-12-31$1,339,560
Total plan assets at beginning of year2019-12-31$1,084,462
Value of fidelity bond covering the plan2019-12-31$300,000
Total contributions received or receivable from participants2019-12-31$36,555
Other income received2019-12-31$222,527
Net income (gross income less expenses)2019-12-31$255,098
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,339,560
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,084,462
Assets. Value of participant loans2019-12-31$30,766
Total contributions received or receivable from employer(s)2019-12-31$57,127
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$12,612
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Total income from all sources2018-12-31$-37,980
Expenses. Total of all expenses incurred2018-12-31$37,064
Benefits paid (including direct rollovers)2018-12-31$37,064
Total plan assets at end of year2018-12-31$1,084,462
Total plan assets at beginning of year2018-12-31$1,159,506
Value of fidelity bond covering the plan2018-12-31$300,000
Total contributions received or receivable from participants2018-12-31$30,660
Other income received2018-12-31$-82,393
Net income (gross income less expenses)2018-12-31$-75,044
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,084,462
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,159,506
Assets. Value of participant loans2018-12-31$15,284
Total contributions received or receivable from employer(s)2018-12-31$13,753
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$37,064
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$934,645
2017 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total plan liabilities at end of year2017-06-30$0
Total plan liabilities at beginning of year2017-06-30$86,371
Total income from all sources2017-06-30$305,900
Expenses. Total of all expenses incurred2017-06-30$5,090
Total plan assets at end of year2017-06-30$1,946,630
Total plan assets at beginning of year2017-06-30$1,732,191
Value of fidelity bond covering the plan2017-06-30$300,000
Other income received2017-06-30$205,900
Net income (gross income less expenses)2017-06-30$300,810
Net plan assets at end of year (total assets less liabilities)2017-06-30$1,946,630
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$1,645,820
Assets. Value of participant loans2017-06-30$25,178
Total contributions received or receivable from employer(s)2017-06-30$100,000
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$5,090
2016 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Total plan liabilities at end of year2016-06-30$86,371
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$69,718
Expenses. Total of all expenses incurred2016-06-30$97,622
Benefits paid (including direct rollovers)2016-06-30$86,371
Total plan assets at end of year2016-06-30$1,732,191
Total plan assets at beginning of year2016-06-30$1,673,724
Value of fidelity bond covering the plan2016-06-30$300,000
Other income received2016-06-30$-83,421
Net income (gross income less expenses)2016-06-30$-27,904
Net plan assets at end of year (total assets less liabilities)2016-06-30$1,645,820
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$1,673,724
Assets. Value of participant loans2016-06-30$32,938
Total contributions received or receivable from employer(s)2016-06-30$153,139
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$11,251
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total plan liabilities at end of year2015-06-30$0
Total plan liabilities at beginning of year2015-06-30$0
Total income from all sources2015-06-30$103,119
Expenses. Total of all expenses incurred2015-06-30$2,006,960
Benefits paid (including direct rollovers)2015-06-30$1,990,536
Total plan assets at end of year2015-06-30$1,673,724
Total plan assets at beginning of year2015-06-30$3,577,565
Value of fidelity bond covering the plan2015-06-30$300,000
Other income received2015-06-30$-46,361
Net income (gross income less expenses)2015-06-30$-1,903,841
Net plan assets at end of year (total assets less liabilities)2015-06-30$1,673,724
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$3,577,565
Assets. Value of participant loans2015-06-30$28,335
Total contributions received or receivable from employer(s)2015-06-30$149,480
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$16,424
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total plan liabilities at beginning of year2014-06-30$0
Total income from all sources2014-06-30$563,782
Expenses. Total of all expenses incurred2014-06-30$24,509
Benefits paid (including direct rollovers)2014-06-30$0
Total plan assets at end of year2014-06-30$3,577,565
Total plan assets at beginning of year2014-06-30$3,038,292
Value of fidelity bond covering the plan2014-06-30$300,000
Total contributions received or receivable from participants2014-06-30$0
Expenses. Other expenses not covered elsewhere2014-06-30$24,509
Contributions received from other sources (not participants or employers)2014-06-30$0
Other income received2014-06-30$453,936
Noncash contributions received2014-06-30$0
Net income (gross income less expenses)2014-06-30$539,273
Net plan assets at end of year (total assets less liabilities)2014-06-30$3,577,565
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$3,038,292
Assets. Value of participant loans2014-06-30$22,310
Total contributions received or receivable from employer(s)2014-06-30$109,846
Value of certain deemed distributions of participant loans2014-06-30$0
Value of corrective distributions2014-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan2013-06-30$0
Total plan liabilities at end of year2013-06-30$0
Total plan liabilities at beginning of year2013-06-30$0
Total income from all sources2013-06-30$293,653
Expenses. Total of all expenses incurred2013-06-30$30,308
Benefits paid (including direct rollovers)2013-06-30$10,315
Total plan assets at end of year2013-06-30$3,038,292
Total plan assets at beginning of year2013-06-30$2,774,947
Value of fidelity bond covering the plan2013-06-30$300,000
Total contributions received or receivable from participants2013-06-30$0
Expenses. Other expenses not covered elsewhere2013-06-30$19,993
Contributions received from other sources (not participants or employers)2013-06-30$0
Other income received2013-06-30$183,659
Noncash contributions received2013-06-30$0
Net income (gross income less expenses)2013-06-30$263,345
Net plan assets at end of year (total assets less liabilities)2013-06-30$3,038,292
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$2,774,947
Assets. Value of participant loans2013-06-30$35,580
Total contributions received or receivable from employer(s)2013-06-30$109,994
Value of certain deemed distributions of participant loans2013-06-30$0
Value of corrective distributions2013-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan2012-06-30$0
Total plan liabilities at end of year2012-06-30$0
Total plan liabilities at beginning of year2012-06-30$0
Total income from all sources2012-06-30$102,401
Expenses. Total of all expenses incurred2012-06-30$25,402
Benefits paid (including direct rollovers)2012-06-30$3,780
Total plan assets at end of year2012-06-30$2,774,947
Total plan assets at beginning of year2012-06-30$2,697,948
Value of fidelity bond covering the plan2012-06-30$300,000
Total contributions received or receivable from participants2012-06-30$0
Expenses. Other expenses not covered elsewhere2012-06-30$21,622
Contributions received from other sources (not participants or employers)2012-06-30$0
Other income received2012-06-30$-12,220
Noncash contributions received2012-06-30$0
Net income (gross income less expenses)2012-06-30$76,999
Net plan assets at end of year (total assets less liabilities)2012-06-30$2,774,947
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$2,697,948
Assets. Value of participant loans2012-06-30$65,206
Total contributions received or receivable from employer(s)2012-06-30$114,621
Value of certain deemed distributions of participant loans2012-06-30$0
Value of corrective distributions2012-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total plan liabilities at end of year2011-06-30$0
Total plan liabilities at beginning of year2011-06-30$31
Total income from all sources2011-06-30$253,131
Expenses. Total of all expenses incurred2011-06-30$18,893
Benefits paid (including direct rollovers)2011-06-30$0
Total plan assets at end of year2011-06-30$2,697,948
Total plan assets at beginning of year2011-06-30$2,463,741
Value of fidelity bond covering the plan2011-06-30$250,000
Total contributions received or receivable from participants2011-06-30$0
Expenses. Other expenses not covered elsewhere2011-06-30$0
Contributions received from other sources (not participants or employers)2011-06-30$0
Other income received2011-06-30$139,966
Noncash contributions received2011-06-30$0
Net income (gross income less expenses)2011-06-30$234,238
Net plan assets at end of year (total assets less liabilities)2011-06-30$2,697,948
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$2,463,710
Assets. Value of participant loans2011-06-30$88,196
Total contributions received or receivable from employer(s)2011-06-30$113,165
Value of certain deemed distributions of participant loans2011-06-30$0
Value of corrective distributions2011-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$18,893

Form 5500 Responses for LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST

2022: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 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: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 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: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement - TrustYes
2017: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement - TrustYes
2016: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement - TrustYes
2015: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement - TrustYes
2014: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement - TrustYes
2013: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement - TrustYes
2011: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement - TrustYes
2010: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement - TrustYes
2009: LEVITT AND PRASATTHONG, D.D.S., P.A. PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number133947
Policy instance 1
Insurance contract or identification number133947
Number of Individuals Covered12
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $725
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees725
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number133947
Policy instance 1
Insurance contract or identification number133947
Number of Individuals Covered12
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $796
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees796
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number133947
Policy instance 1
Insurance contract or identification number133947
Number of Individuals Covered12
Insurance policy start date2020-07-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $620
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees620
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number133947
Policy instance 1
Insurance contract or identification number133947
Number of Individuals Covered12
Insurance policy start date2019-07-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,335
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1335
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number133947
Policy instance 1
Insurance contract or identification number133947
Number of Individuals Covered14
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $976
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees976
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number133947
Policy instance 1
Insurance contract or identification number133947
Number of Individuals Covered15
Insurance policy start date2018-05-22
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,143
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 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR08063697
Policy instance 1
Insurance contract or identification numberVR08063697
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,723
Total amount of fees paid to insurance companyUSD $556
Are there contracts with allocated funds for individual policies?Yes
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
Commission paid to Insurance BrokerUSD $3,723
Amount paid for insurance broker fees556
Additional information about fees paid to insurance brokerTRANSACTION FEE
Insurance broker organization code?6
Insurance broker nameLPL FINANCIAL LLC
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR08063697
Policy instance 1
Insurance contract or identification numberVR08063697
Number of Individuals Covered13
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,455
Total amount of fees paid to insurance companyUSD $520
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
Commission paid to Insurance BrokerUSD $3,455
Amount paid for insurance broker fees520
Additional information about fees paid to insurance brokerESTIMATED OVERRIDE COMMISSIONS PAID
Insurance broker organization code?6
Insurance broker name
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR08063697
Policy instance 1
Insurance contract or identification numberVR08063697
Number of Individuals Covered14
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,359
Total amount of fees paid to insurance companyUSD $508
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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR08063697
Policy instance 1
Insurance contract or identification numberVR08063697
Number of Individuals Covered14
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,237
Total amount of fees paid to insurance companyUSD $487
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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