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IRG 401(K) PLAN 401k Plan overview

Plan NameIRG 401(K) PLAN
Plan identification number 001

IRG 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

INTEGRITY REHAB GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:INTEGRITY REHAB GROUP, INC.
Employer identification number (EIN):611393785
NAIC Classification:621340
NAIC Description:Offices of Physical, Occupational and Speech Therapists, and Audiologists

Additional information about INTEGRITY REHAB GROUP, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2006-12-20
Company Identification Number: 0800749075
Legal Registered Office Address: 1200 CORPORATE DR STE 400

HOOVER
United States of America (USA)
35242

More information about INTEGRITY REHAB GROUP, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan IRG 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01
0012017-01-01BRYAN BARGANIER
0012016-01-01BRYAN BARGANIER
0012015-01-01BRYAN BARGANIER
0012014-01-01BRYAN BARGANIER
0012013-01-01STEPHEN HAYDEN
0012012-01-01STEPHEN HAYDEN
0012011-01-01STEPHEN HAYDEN STEPHEN HAYDEN2012-10-10
0012009-01-01STEPHEN HAYDEN

Plan Statistics for IRG 401(K) PLAN

401k plan membership statisitcs for IRG 401(K) PLAN

Measure Date Value
2018: IRG 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01802
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0148
2017: IRG 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01829
Total number of active participants reported on line 7a of the Form 55002017-01-01666
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-0199
Total of all active and inactive participants2017-01-01768
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01768
Number of participants with account balances2017-01-01402
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0143
2016: IRG 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01809
Total number of active participants reported on line 7a of the Form 55002016-01-01599
Number of retired or separated participants receiving benefits2016-01-0112
Number of other retired or separated participants entitled to future benefits2016-01-01157
Total of all active and inactive participants2016-01-01768
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01768
Number of participants with account balances2016-01-01445
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0150
2015: IRG 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01692
Total number of active participants reported on line 7a of the Form 55002015-01-01502
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01146
Total of all active and inactive participants2015-01-01648
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01648
Number of participants with account balances2015-01-01414
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0134
2014: IRG 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01610
Total number of active participants reported on line 7a of the Form 55002014-01-01524
Number of retired or separated participants receiving benefits2014-01-0111
Number of other retired or separated participants entitled to future benefits2014-01-01113
Total of all active and inactive participants2014-01-01648
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01648
Number of participants with account balances2014-01-01386
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0126
2013: IRG 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01510
Total number of active participants reported on line 7a of the Form 55002013-01-01472
Number of retired or separated participants receiving benefits2013-01-0112
Number of other retired or separated participants entitled to future benefits2013-01-0197
Total of all active and inactive participants2013-01-01581
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01581
Number of participants with account balances2013-01-01337
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0127
2012: IRG 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01496
Total number of active participants reported on line 7a of the Form 55002012-01-01409
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0176
Total of all active and inactive participants2012-01-01486
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01486
Number of participants with account balances2012-01-01293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0135
2011: IRG 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01471
Total number of active participants reported on line 7a of the Form 55002011-01-01422
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0167
Total of all active and inactive participants2011-01-01489
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01489
Number of participants with account balances2011-01-01232
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0116
2009: IRG 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01377
Total number of active participants reported on line 7a of the Form 55002009-01-01452
Number of other retired or separated participants entitled to future benefits2009-01-0116
Total of all active and inactive participants2009-01-01468
Total participants2009-01-01468
Number of participants with account balances2009-01-01213
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on IRG 401(K) PLAN

Measure Date Value
2018 : IRG 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total transfer of assets from this plan2018-12-31$11,139,088
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,012,792
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,536,128
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,442,383
Value of total corrective distributions2018-12-31$21,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,944,452
Value of total assets at end of year2018-12-31$0
Value of total assets at beginning of year2018-12-31$11,662,424
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$72,584
Total interest from all sources2018-12-31$7,515
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$537,197
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$537,197
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,478,539
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$122,187
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$269,996
Other income not declared elsewhere2018-12-31$2
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-523,336
Value of net assets at end of year (total assets less liabilities)2018-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$11,662,424
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$10,962,795
Interest on participant loans2018-12-31$7,515
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$577,442
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$577,442
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,476,374
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$195,917
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,442,383
Contract administrator fees2018-12-31$72,584
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2018-12-31260079381
2017 : IRG 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$3,979,714
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,304,153
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,231,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,196,171
Value of total assets at end of year2017-12-31$11,662,424
Value of total assets at beginning of year2017-12-31$8,986,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$72,308
Total interest from all sources2017-12-31$8,023
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$451,303
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$451,303
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,379,150
Participant contributions at end of year2017-12-31$122,187
Participant contributions at beginning of year2017-12-31$143,648
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$650,375
Administrative expenses (other) incurred2017-12-31$72,308
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$2,675,561
Value of net assets at end of year (total assets less liabilities)2017-12-31$11,662,424
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$8,986,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$10,962,795
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$8,199,338
Interest on participant loans2017-12-31$8,023
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$577,442
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$643,877
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$643,877
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,324,217
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$166,646
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,231,845
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2017-12-31260079381
2016 : IRG 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,402,913
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$736,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$677,798
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,831,615
Value of total assets at end of year2016-12-31$8,986,863
Value of total assets at beginning of year2016-12-31$7,320,537
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$58,789
Total interest from all sources2016-12-31$5,328
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$248,333
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$248,333
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,208,840
Participant contributions at end of year2016-12-31$143,648
Participant contributions at beginning of year2016-12-31$80,252
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$463,154
Administrative expenses (other) incurred2016-12-31$58,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,666,326
Value of net assets at end of year (total assets less liabilities)2016-12-31$8,986,863
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,320,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$8,199,338
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$6,514,342
Interest on participant loans2016-12-31$5,328
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$643,877
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$725,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$725,943
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$317,637
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$159,621
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$677,798
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2016-12-31260079381
2015 : IRG 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,194,787
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$692,110
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$636,852
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,269,118
Value of total assets at end of year2015-12-31$7,320,537
Value of total assets at beginning of year2015-12-31$6,817,860
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$55,258
Total interest from all sources2015-12-31$5,232
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$307,972
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$307,972
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$429,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,102,851
Participant contributions at end of year2015-12-31$80,252
Participant contributions at beginning of year2015-12-31$105,343
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$14,738
Administrative expenses (other) incurred2015-12-31$55,258
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$502,677
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,320,537
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$6,817,860
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$6,514,342
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$5,988,152
Interest on participant loans2015-12-31$5,232
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$725,943
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$724,365
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$724,365
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-387,535
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$151,529
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$636,852
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2015-12-31260079381
2014 : IRG 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,508,114
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$321,142
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$267,161
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,212,774
Value of total assets at end of year2014-12-31$6,817,860
Value of total assets at beginning of year2014-12-31$5,630,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$53,981
Total interest from all sources2014-12-31$4,878
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$365,587
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$365,587
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$429,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,009,771
Participant contributions at end of year2014-12-31$105,343
Participant contributions at beginning of year2014-12-31$57,275
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$61,656
Administrative expenses (other) incurred2014-12-31$53,981
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,186,972
Value of net assets at end of year (total assets less liabilities)2014-12-31$6,817,860
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,630,888
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$5,988,152
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,751,475
Income. Interest from loans (other than to participants)2014-12-31$4,878
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$724,365
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$822,138
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$822,138
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-75,125
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$141,347
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$267,161
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2014-12-31260079381
2013 : IRG 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$2,114,760
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$771,399
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$736,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,291,206
Value of total assets at end of year2013-12-31$5,630,888
Value of total assets at beginning of year2013-12-31$4,287,527
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$35,154
Total interest from all sources2013-12-31$2,827
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$221,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$221,007
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$429,000
If this is an individual account plan, was there a blackout period2013-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$851,316
Participant contributions at end of year2013-12-31$57,275
Participant contributions at beginning of year2013-12-31$74,427
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$319,721
Administrative expenses (other) incurred2013-12-31$35,154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,343,361
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,630,888
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,287,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$4,751,475
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$3,380,008
Interest on participant loans2013-12-31$2,827
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$822,138
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$833,092
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$833,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$599,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$120,169
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$736,245
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2013-12-31260079381
2012 : IRG 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$1,435,431
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$590,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$584,604
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,007,839
Value of total assets at end of year2012-12-31$4,287,527
Value of total assets at beginning of year2012-12-31$3,442,477
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$5,777
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$350,000
If this is an individual account plan, was there a blackout period2012-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$898,385
Participant contributions at end of year2012-12-31$74,427
Participant contributions at beginning of year2012-12-31$59,609
Other income not declared elsewhere2012-12-31$67,277
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$845,050
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,287,527
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,442,477
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$3,380,008
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$2,521,208
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$833,092
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$861,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$861,660
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$360,315
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$109,454
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$584,604
Contract administrator fees2012-12-31$5,777
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2012-12-31260079381
2011 : IRG 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$879,292
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$246,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$246,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$995,397
Value of total assets at end of year2011-12-31$3,442,477
Value of total assets at beginning of year2011-12-31$2,810,078
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$340
Total interest from all sources2011-12-31$2,100
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$33,441
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$33,441
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$300,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$692,498
Participant contributions at end of year2011-12-31$59,609
Participant contributions at beginning of year2011-12-31$36,923
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$233,544
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$632,399
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,442,477
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,810,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$2,521,208
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$2,074,802
Interest on participant loans2011-12-31$2,100
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$861,660
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$698,353
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$698,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-151,646
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$69,355
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$246,553
Contract administrator fees2011-12-31$340
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BLACK & PINCKARD LLC
Accountancy firm EIN2011-12-31260079381
2010 : IRG 401(K) PLAN 2010 401k financial data
Total income from all sources (including contributions)2010-12-31$1,017,804
Total of all expenses incurred2010-12-31$171,590
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$170,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$814,226
Value of total assets at end of year2010-12-31$2,810,078
Value of total assets at beginning of year2010-12-31$1,963,864
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,210
Total interest from all sources2010-12-31$1,528
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$300,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$618,909
Participant contributions at end of year2010-12-31$36,923
Participant contributions at beginning of year2010-12-31$26,166
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$7,033
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$180,929
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$846,214
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,810,078
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,963,864
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$2,074,802
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,926,670
Interest on participant loans2010-12-31$1,528
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$698,353
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$202,050
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$14,388
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$3,995
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$170,380
Contract administrator fees2010-12-31$1,210
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BLACK & PINCKARD, LLC
Accountancy firm EIN2010-12-31260079381

Form 5500 Responses for IRG 401(K) PLAN

2018: IRG 401(K) 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 filingYes
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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: IRG 401(K) 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: IRG 401(K) 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: IRG 401(K) 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: IRG 401(K) 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: IRG 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: IRG 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: IRG 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: IRG 401(K) 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

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333931-01
Policy instance 1
Insurance contract or identification number333931-01
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333931-01
Policy instance 1
Insurance contract or identification number333931-01
Number of Individuals Covered402
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,285
Total amount of fees paid to insurance companyUSD $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 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 $1,221
Insurance broker organization code?3
Insurance broker nameRYAN MONTGOMERY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333931-01
Policy instance 1
Insurance contract or identification number333931-01
Number of Individuals Covered648
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,990
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,841
Insurance broker organization code?3
Insurance broker nameRYAN MONTGOMERY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333931-01
Policy instance 1
Insurance contract or identification number333931-01
Number of Individuals Covered386
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $2,755
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,617
Insurance broker organization code?3
Insurance broker nameRYAN MONTGOMERY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333931-01
Policy instance 1
Insurance contract or identification number333931-01
Number of Individuals Covered337
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,956
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,808
Insurance broker organization code?3
Insurance broker nameRYAN MONTGOMERY
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number333931-01
Policy instance 1
Insurance contract or identification number333931-01
Number of Individuals Covered293
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,082
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,517
Insurance broker organization code?3
Insurance broker nameRYAN MONTGOMERY

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