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INTERSTATE BLOOD BANK, INC. 401(K) PLAN 401k Plan overview

Plan NameINTERSTATE BLOOD BANK, INC. 401(K) PLAN
Plan identification number 001

INTERSTATE BLOOD BANK, INC. 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.
  • 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

INTERSTATE BLOOD BANK, INC. has sponsored the creation of one or more 401k plans.

Company Name:INTERSTATE BLOOD BANK, INC.
Employer identification number (EIN):620470778
NAIC Classification:424990
NAIC Description:Other Miscellaneous Nondurable Goods Merchant Wholesalers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INTERSTATE BLOOD BANK, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01LARRY MOSS
0012017-01-01LARRY MOSS
0012016-01-01LARRY MOSS
0012015-01-01LARRY MOSS
0012014-01-01LARRY MOSS
0012013-01-01LARRY MOSS
0012012-01-01LARRY MOSS
0012011-01-01LARRY MOSS
0012009-01-01LARRY MOSS

Plan Statistics for INTERSTATE BLOOD BANK, INC. 401(K) PLAN

401k plan membership statisitcs for INTERSTATE BLOOD BANK, INC. 401(K) PLAN

Measure Date Value
2020: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,060
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-0128
Number of other retired or separated participants entitled to future benefits2020-01-0162
Total of all active and inactive participants2020-01-0190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0190
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0126
2019: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,020
Total number of active participants reported on line 7a of the Form 55002019-01-01944
Number of retired or separated participants receiving benefits2019-01-0121
Number of other retired or separated participants entitled to future benefits2019-01-0171
Total of all active and inactive participants2019-01-011,036
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,036
Number of participants with account balances2019-01-01485
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0128
2018: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01931
Total number of active participants reported on line 7a of the Form 55002018-01-01939
Number of retired or separated participants receiving benefits2018-01-0115
Number of other retired or separated participants entitled to future benefits2018-01-0149
Total of all active and inactive participants2018-01-011,003
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,003
Number of participants with account balances2018-01-01476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0117
2017: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01995
Total number of active participants reported on line 7a of the Form 55002017-01-01815
Number of retired or separated participants receiving benefits2017-01-0135
Number of other retired or separated participants entitled to future benefits2017-01-0156
Total of all active and inactive participants2017-01-01906
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01906
Number of participants with account balances2017-01-01438
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0128
2016: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01971
Total number of active participants reported on line 7a of the Form 55002016-01-01775
Number of retired or separated participants receiving benefits2016-01-0154
Number of other retired or separated participants entitled to future benefits2016-01-01146
Total of all active and inactive participants2016-01-01975
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01975
Number of participants with account balances2016-01-01559
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0150
2015: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01931
Total number of active participants reported on line 7a of the Form 55002015-01-01705
Number of retired or separated participants receiving benefits2015-01-0148
Number of other retired or separated participants entitled to future benefits2015-01-01121
Total of all active and inactive participants2015-01-01874
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01874
Number of participants with account balances2015-01-01600
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0167
2014: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01898
Total number of active participants reported on line 7a of the Form 55002014-01-01745
Number of retired or separated participants receiving benefits2014-01-0137
Number of other retired or separated participants entitled to future benefits2014-01-0182
Total of all active and inactive participants2014-01-01864
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01864
Number of participants with account balances2014-01-01544
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0159
2013: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01854
Total number of active participants reported on line 7a of the Form 55002013-01-01704
Number of retired or separated participants receiving benefits2013-01-0129
Number of other retired or separated participants entitled to future benefits2013-01-0144
Total of all active and inactive participants2013-01-01777
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01777
Number of participants with account balances2013-01-01485
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0153
2012: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01799
Total number of active participants reported on line 7a of the Form 55002012-01-01599
Number of retired or separated participants receiving benefits2012-01-0129
Number of other retired or separated participants entitled to future benefits2012-01-0139
Total of all active and inactive participants2012-01-01667
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01667
Number of participants with account balances2012-01-01452
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0153
2011: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01790
Total number of active participants reported on line 7a of the Form 55002011-01-01631
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0190
Total of all active and inactive participants2011-01-01721
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01721
Number of participants with account balances2011-01-01466
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0134
2009: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01571
Total number of active participants reported on line 7a of the Form 55002009-01-01532
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0165
Total of all active and inactive participants2009-01-01597
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01597
Number of participants with account balances2009-01-01344
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0120

Financial Data on INTERSTATE BLOOD BANK, INC. 401(K) PLAN

Measure Date Value
2020 : INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets from this plan2020-12-31$16,810,683
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$19,785
Total income from all sources (including contributions)2020-12-31$3,794,684
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$1,800,897
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,679,675
Value of total corrective distributions2020-12-31$73,787
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,383,419
Value of total assets at end of year2020-12-31$0
Value of total assets at beginning of year2020-12-31$14,836,681
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$47,435
Total interest from all sources2020-12-31$37,969
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$18,692
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$18,692
Administrative expenses professional fees incurred2020-12-31$47,435
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,104,166
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$451,380
Participant contributions at end of year2020-12-31$0
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$1,314
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$19,785
Other income not declared elsewhere2020-12-31$28,516
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,993,787
Value of net assets at end of year (total assets less liabilities)2020-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$14,816,896
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$0
Value of interest in pooled separate accounts at beginning of year2020-12-31$13,893,692
Interest on participant loans2020-12-31$22,371
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$15,598
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$491,609
Net investment gain/loss from pooled separate accounts2020-12-31$2,326,088
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$277,939
Employer contributions (assets) at end of year2020-12-31$0
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,679,675
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2020-12-31560747981
2019 : INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$19,785
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$11,676
Total income from all sources (including contributions)2019-12-31$3,921,513
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$846,764
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$782,892
Value of total corrective distributions2019-12-31$19,785
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,405,867
Value of total assets at end of year2019-12-31$14,836,681
Value of total assets at beginning of year2019-12-31$11,753,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$44,087
Total interest from all sources2019-12-31$56,174
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$44,087
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,067,882
Participant contributions at end of year2019-12-31$451,380
Participant contributions at beginning of year2019-12-31$465,290
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$48,081
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$19,785
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$11,676
Other income not declared elsewhere2019-12-31$22,752
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$3,074,749
Value of net assets at end of year (total assets less liabilities)2019-12-31$14,816,896
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$11,742,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$13,893,692
Value of interest in pooled separate accounts at beginning of year2019-12-31$10,670,811
Interest on participant loans2019-12-31$25,787
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$30,387
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$491,609
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$617,722
Net investment gain/loss from pooled separate accounts2019-12-31$2,436,720
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$289,904
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$782,892
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2019-12-31560747981
2018 : INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$11,676
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$15,780
Total income from all sources (including contributions)2018-12-31$486,674
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$639,881
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$594,272
Value of total corrective distributions2018-12-31$11,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,261,658
Value of total assets at end of year2018-12-31$11,753,823
Value of total assets at beginning of year2018-12-31$11,911,134
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$33,933
Total interest from all sources2018-12-31$29,390
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$33,933
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$985,541
Participant contributions at end of year2018-12-31$465,290
Participant contributions at beginning of year2018-12-31$422,441
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$16,050
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$51
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$11,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$15,780
Other income not declared elsewhere2018-12-31$-1,566
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$-153,207
Value of net assets at end of year (total assets less liabilities)2018-12-31$11,742,147
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$11,895,354
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 pooled separate accounts at end of year2018-12-31$10,670,811
Value of interest in pooled separate accounts at beginning of year2018-12-31$11,144,858
Interest on participant loans2018-12-31$23,741
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$5,649
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$617,722
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$343,784
Net investment gain/loss from pooled separate accounts2018-12-31$-802,808
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$260,067
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$594,272
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 PBGC2018-12-31No
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 name2018-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2018-12-31560747981
2017 : INTERSTATE BLOOD BANK, INC. 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$15,780
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,276
Total income from all sources (including contributions)2017-12-31$2,832,362
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$965,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$906,613
Value of total corrective distributions2017-12-31$15,780
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,128,656
Value of total assets at end of year2017-12-31$11,911,134
Value of total assets at beginning of year2017-12-31$10,029,495
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$42,834
Total interest from all sources2017-12-31$19,375
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$42,834
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$814,540
Participant contributions at end of year2017-12-31$422,441
Participant contributions at beginning of year2017-12-31$322,088
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$65
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$108,413
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$51
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$15,780
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$1,276
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$1,867,135
Value of net assets at end of year (total assets less liabilities)2017-12-31$11,895,354
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,028,219
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 pooled separate accounts at end of year2017-12-31$11,144,858
Value of interest in pooled separate accounts at beginning of year2017-12-31$9,318,957
Income. Interest from loans (other than to participants)2017-12-31$15,943
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,432
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$343,784
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$385,093
Net investment gain/loss from pooled separate accounts2017-12-31$1,684,331
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$205,703
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$3,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$906,613
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 name2017-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2017-12-31560747981
2016 : INTERSTATE BLOOD BANK, INC. 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$1,276
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$6,875
Total income from all sources (including contributions)2016-12-31$1,678,733
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$517,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$482,161
Value of total corrective distributions2016-12-31$1,276
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,001,187
Value of total assets at end of year2016-12-31$10,029,495
Value of total assets at beginning of year2016-12-31$8,874,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$34,215
Total interest from all sources2016-12-31$18,729
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
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$784,199
Participant contributions at end of year2016-12-31$322,088
Participant contributions at beginning of year2016-12-31$322,464
Participant contributions at end of year2016-12-31$65
Participant contributions at beginning of year2016-12-31$65
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$28,804
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,276
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$6,875
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$1,161,081
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,028,219
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$8,867,138
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 pooled separate accounts at end of year2016-12-31$9,318,957
Value of interest in pooled separate accounts at beginning of year2016-12-31$8,238,325
Interest on participant loans2016-12-31$14,275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$4,454
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$385,093
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$309,867
Net investment gain/loss from pooled separate accounts2016-12-31$658,817
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$188,184
Employer contributions (assets) at end of year2016-12-31$3,292
Employer contributions (assets) at beginning of year2016-12-31$3,292
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$482,161
Contract administrator fees2016-12-31$34,215
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 name2016-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2016-12-31560747981
2015 : INTERSTATE BLOOD BANK, INC. 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$6,875
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$1,042,792
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$583,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$547,602
Value of total corrective distributions2015-12-31$6,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,164,833
Value of total assets at end of year2015-12-31$8,874,013
Value of total assets at beginning of year2015-12-31$8,407,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$29,000
Total interest from all sources2015-12-31$17,090
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
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$801,554
Participant contributions at end of year2015-12-31$322,464
Participant contributions at beginning of year2015-12-31$342,706
Participant contributions at end of year2015-12-31$65
Participant contributions at beginning of year2015-12-31$2,029
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$144,188
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$6,875
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$0
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$459,315
Value of net assets at end of year (total assets less liabilities)2015-12-31$8,867,138
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$8,407,823
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 pooled separate accounts at end of year2015-12-31$8,238,325
Value of interest in pooled separate accounts at beginning of year2015-12-31$7,731,588
Income. Interest from loans (other than to participants)2015-12-31$14,052
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$3,038
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$309,867
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$318,104
Net investment gain/loss from pooled separate accounts2015-12-31$-139,131
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 contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$219,091
Employer contributions (assets) at end of year2015-12-31$3,292
Employer contributions (assets) at beginning of year2015-12-31$13,396
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$547,602
Contract administrator fees2015-12-31$29,000
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 name2015-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2015-12-31560747981
2014 : INTERSTATE BLOOD BANK, INC. 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$1,330,333
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$546,834
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$519,480
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$924,655
Value of total assets at end of year2014-12-31$8,407,823
Value of total assets at beginning of year2014-12-31$7,624,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$27,354
Total interest from all sources2014-12-31$16,956
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
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$872,720
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$704,228
Participant contributions at end of year2014-12-31$342,706
Participant contributions at beginning of year2014-12-31$304,491
Participant contributions at end of year2014-12-31$2,029
Participant contributions at beginning of year2014-12-31$29
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$4,485
Administrative expenses (other) incurred2014-12-31$27,354
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$783,499
Value of net assets at end of year (total assets less liabilities)2014-12-31$8,407,823
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$7,624,324
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 pooled separate accounts at end of year2014-12-31$7,731,588
Value of interest in pooled separate accounts at beginning of year2014-12-31$7,048,971
Interest on participant loans2014-12-31$14,085
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$2,871
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$318,104
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$267,552
Net investment gain/loss from pooled separate accounts2014-12-31$388,722
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 contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$215,942
Employer contributions (assets) at end of year2014-12-31$13,396
Employer contributions (assets) at beginning of year2014-12-31$3,281
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$519,480
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 name2014-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2014-12-31560747981
2013 : INTERSTATE BLOOD BANK, INC. 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$2,089,063
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$894,238
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$872,720
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$970,056
Value of total assets at end of year2013-12-31$7,624,324
Value of total assets at beginning of year2013-12-31$6,429,499
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$21,518
Total interest from all sources2013-12-31$12,576
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
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$736,974
Participant contributions at end of year2013-12-31$304,491
Participant contributions at beginning of year2013-12-31$288,195
Participant contributions at end of year2013-12-31$29
Participant contributions at beginning of year2013-12-31$0
Administrative expenses (other) incurred2013-12-31$21,518
Total non interest bearing cash at end of year2013-12-31$0
Total non interest bearing cash at beginning of year2013-12-31$0
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$1,194,825
Value of net assets at end of year (total assets less liabilities)2013-12-31$7,624,324
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$6,429,499
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 pooled separate accounts at end of year2013-12-31$7,048,971
Value of interest in pooled separate accounts at beginning of year2013-12-31$5,914,209
Interest on participant loans2013-12-31$12,576
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$267,552
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$227,095
Net investment gain/loss from pooled separate accounts2013-12-31$1,106,431
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$233,082
Employer contributions (assets) at end of year2013-12-31$3,281
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$872,720
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 name2013-12-31DIXON HUGHES GOODMAN LLP
Accountancy firm EIN2013-12-31560747981
2012 : INTERSTATE BLOOD BANK, INC. 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$1,475,593
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$386,206
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$367,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$875,665
Value of total assets at end of year2012-12-31$6,429,499
Value of total assets at beginning of year2012-12-31$5,340,112
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$18,313
Total interest from all sources2012-12-31$10,774
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$400,000
If this is an individual account plan, was there a blackout period2012-12-31No
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$681,084
Participant contributions at end of year2012-12-31$288,195
Participant contributions at beginning of year2012-12-31$236,914
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Administrative expenses (other) incurred2012-12-31$18,313
Total non interest bearing cash at end of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$5,103,198
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$1,089,387
Value of net assets at end of year (total assets less liabilities)2012-12-31$6,429,499
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$5,340,112
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 pooled separate accounts at end of year2012-12-31$5,914,209
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Income. Interest from loans (other than to participants)2012-12-31$10,774
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$227,095
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,900
Net investment gain/loss from pooled separate accounts2012-12-31$586,254
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$194,581
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$367,893
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 name2012-12-31DIXON HUGHES PLLC
Accountancy firm EIN2012-12-31560747981
2011 : INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2011 401k financial data
Total income from all sources (including contributions)2011-12-31$728,938
Total of all expenses incurred2011-12-31$378,392
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$326,350
Expenses. Certain deemed distributions of participant loans2011-12-31$11,858
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$871,465
Value of total assets at end of year2011-12-31$5,340,112
Value of total assets at beginning of year2011-12-31$4,989,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$40,184
Total interest from all sources2011-12-31$10,908
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$400,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$657,036
Participant contributions at end of year2011-12-31$236,914
Participant contributions at beginning of year2011-12-31$242,364
Participant contributions at beginning of year2011-12-31$1,458
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$25,011
Administrative expenses (other) incurred2011-12-31$61
Total non interest bearing cash at end of year2011-12-31$5,103,198
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$350,546
Value of net assets at end of year (total assets less liabilities)2011-12-31$5,340,112
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,989,566
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
Investment advisory and management fees2011-12-31$24,697
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$4,689,606
Interest on participant loans2011-12-31$10,908
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$55,628
Net investment gain/loss from pooled separate accounts2011-12-31$-153,435
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$189,418
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$510
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$326,350
Contract administrator fees2011-12-31$15,426
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 name2011-12-31DIXON HUGHES PLLC
Accountancy firm EIN2011-12-31560747981
2010 : INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$1,488,990
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$277,943
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$242,364
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$906,729
Value of total assets at end of year2010-12-31$4,989,566
Value of total assets at beginning of year2010-12-31$3,778,519
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$35,579
Total interest from all sources2010-12-31$11,762
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$0
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$400,000
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$574,725
Participant contributions at end of year2010-12-31$242,364
Participant contributions at beginning of year2010-12-31$173,987
Participant contributions at end of year2010-12-31$1,458
Participant contributions at beginning of year2010-12-31$1,247
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$162,218
Administrative expenses (other) incurred2010-12-31$38
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$1,211,047
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,989,566
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,778,519
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
Investment advisory and management fees2010-12-31$21,942
Value of interest in pooled separate accounts at end of year2010-12-31$4,689,606
Value of interest in pooled separate accounts at beginning of year2010-12-31$3,559,404
Interest on participant loans2010-12-31$11,762
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$55,628
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$42,905
Net investment gain/loss from pooled separate accounts2010-12-31$570,499
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$169,786
Employer contributions (assets) at end of year2010-12-31$510
Employer contributions (assets) at beginning of year2010-12-31$976
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$242,364
Contract administrator fees2010-12-31$13,599
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 name2010-12-31DIXON HUGHES PLLC
Accountancy firm EIN2010-12-31560747981

Form 5500 Responses for INTERSTATE BLOOD BANK, INC. 401(K) PLAN

2020: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: INTERSTATE BLOOD BANK, INC. 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 filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: INTERSTATE BLOOD BANK, INC. 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: INTERSTATE BLOOD BANK, INC. 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: INTERSTATE BLOOD BANK, INC. 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: INTERSTATE BLOOD BANK, INC. 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: INTERSTATE BLOOD BANK, INC. 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: INTERSTATE BLOOD BANK, INC. 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 – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: INTERSTATE BLOOD BANK, INC. 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: INTERSTATE BLOOD BANK, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered1006
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $6,955
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 $6,955
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $3,349
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered485
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,968
Total amount of fees paid to insurance companyUSD $6,258
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 fees6258
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered476
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $23,678
Total amount of fees paid to insurance companyUSD $5,889
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 $23,678
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered438
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $21,301
Total amount of fees paid to insurance companyUSD $5,148
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 $19,684
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameJAS D COLLIER & COMPANY
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered600
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $20,757
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
Amount paid for insurance broker fees16640
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameACUFF & ASSOCIATES, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered544
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $19,101
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
Amount paid for insurance broker fees15348
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameACUFF & ASSOCIATES, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered485
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,944
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
Amount paid for insurance broker fees12199
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameACUFF & ASSOCIATES, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875948
Policy instance 1
Insurance contract or identification number875948
Number of Individuals Covered452
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $44,863
Total amount of fees paid to insurance companyUSD $17,645
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 $44,863
Insurance broker organization code?3
Amount paid for insurance broker fees17645
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameACUFF & ASSOCIATES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22468
Policy instance 1
Insurance contract or identification number22468
Number of Individuals Covered0
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15,820
Total amount of fees paid to insurance companyUSD $18,546
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22468
Policy instance 1
Insurance contract or identification number22468
Number of Individuals Covered496
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,211
Total amount of fees paid to insurance companyUSD $15,305
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $12,211
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3
Amount paid for insurance broker fees15229
Insurance broker nameVANGUARD GROUP, INC.

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