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EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC.
Plan identification number 002

EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

RIVER CITY PRODUCE COMPANY, INC. has sponsored the creation of one or more 401k plans.

Company Name:RIVER CITY PRODUCE COMPANY, INC.
Employer identification number (EIN):742234180
NAIC Classification:445110
NAIC Description:Supermarkets and Other Grocery (except Convenience) Stores

Additional information about RIVER CITY PRODUCE COMPANY, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1982-01-15
Company Identification Number: 0059275900
Legal Registered Office Address: 1616 S LAREDO ST

SAN ANTONIO
United States of America (USA)
78207

More information about RIVER CITY PRODUCE COMPANY, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01JOHN GONZALEZ2021-07-08
0022019-01-01JOHN GONZALEZ2020-07-28
0022018-01-01JOHN GONZALEZ2019-07-24
0022017-01-01JOHN E GONZALEZ2018-07-25 JOHN E GONZALEZ2018-07-25
0022016-01-01JOHN E GONZALEZ2017-07-25 JOHN E GONZALEZ2017-07-25
0022015-01-01JOHN E GONZALEZ JOHN E GONZALEZ2016-07-29
0022014-01-01JOHN E GONZALEZ JOHN E GONZALEZ2015-07-28
0022013-01-01JOHN E. GONZALEZ2014-07-25 JOHN E. GONZALEZ22014-07-25
0022012-01-01JOHN E. GONZALEZ JOHN E. GONZALEZ2013-06-26
0022011-01-01JOHN E. GONZALEZ JOHN E. GONZALEZ2012-07-27
0022010-01-01JOHN E. GONZALEZ2011-09-19 JOHN E. GONZALEZ2011-09-19
0022009-01-01JOHN GONZALEZ

Plan Statistics for EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC.

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC.

Measure Date Value
2022: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-0196
Total number of active participants reported on line 7a of the Form 55002022-01-0179
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0115
Total of all active and inactive participants2022-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-012
Total participants2022-01-0196
Number of participants with account balances2022-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-01105
Total number of active participants reported on line 7a of the Form 55002021-01-0179
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0115
Total of all active and inactive participants2021-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-012
Total participants2021-01-0196
Number of participants with account balances2021-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2015: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2015 401k membership
Total participants, beginning-of-year2015-01-01114
Total number of active participants reported on line 7a of the Form 55002015-01-0177
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0187
Number of participants with account balances2015-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0124
2014: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-01106
Total number of active participants reported on line 7a of the Form 55002014-01-0177
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0137
Total of all active and inactive participants2014-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01114
Number of participants with account balances2014-01-01113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-017
2012: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-01114
Total number of active participants reported on line 7a of the Form 55002012-01-0175
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0114
Total of all active and inactive participants2012-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0189
Number of participants with account balances2012-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-017
2011: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-01110
Total number of active participants reported on line 7a of the Form 55002011-01-0193
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0121
Total of all active and inactive participants2011-01-01114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01114
Number of participants with account balances2011-01-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-016
2009: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-01115
Total number of active participants reported on line 7a of the Form 55002009-01-0170
Number of retired or separated participants receiving benefits2009-01-012
Number of other retired or separated participants entitled to future benefits2009-01-0124
Total of all active and inactive participants2009-01-0196
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0196
Number of participants with account balances2009-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-014

Financial Data on EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC.

Measure Date Value
2022 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2022 401k financial data
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$3,049,197
Expenses. Total of all expenses incurred2022-12-31$95,071
Benefits paid (including direct rollovers)2022-12-31$94,311
Total plan assets at end of year2022-12-31$3,948,615
Total plan assets at beginning of year2022-12-31$994,489
Value of fidelity bond covering the plan2022-12-31$265,000
Total contributions received or receivable from participants2022-12-31$72,924
Contributions received from other sources (not participants or employers)2022-12-31$3,666,042
Other income received2022-12-31$-732,492
Net income (gross income less expenses)2022-12-31$2,954,126
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,948,615
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$994,489
Assets. Value of participant loans2022-12-31$66,770
Total contributions received or receivable from employer(s)2022-12-31$42,723
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$760
2021 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$217,691
Expenses. Total of all expenses incurred2021-12-31$21,672
Benefits paid (including direct rollovers)2021-12-31$21,223
Total plan assets at end of year2021-12-31$994,489
Total plan assets at beginning of year2021-12-31$798,470
Value of fidelity bond covering the plan2021-12-31$265,000
Total contributions received or receivable from participants2021-12-31$60,514
Expenses. Other expenses not covered elsewhere2021-12-31$449
Contributions received from other sources (not participants or employers)2021-12-31$335
Other income received2021-12-31$111,813
Net income (gross income less expenses)2021-12-31$196,019
Net plan assets at end of year (total assets less liabilities)2021-12-31$994,489
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$798,470
Assets. Value of participant loans2021-12-31$4,412
Total contributions received or receivable from employer(s)2021-12-31$45,029
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2015 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$285,998
Expenses. Total of all expenses incurred2015-12-31$160,808
Benefits paid (including direct rollovers)2015-12-31$159,644
Total plan assets at end of year2015-12-31$3,510,499
Total plan assets at beginning of year2015-12-31$3,385,309
Value of fidelity bond covering the plan2015-12-31$265,000
Total contributions received or receivable from participants2015-12-31$70,488
Expenses. Other expenses not covered elsewhere2015-12-31$1,164
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-2,532
Net income (gross income less expenses)2015-12-31$125,190
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,510,499
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,385,309
Total contributions received or receivable from employer(s)2015-12-31$218,042
Value of certain deemed distributions of participant loans2015-12-31$0
2014 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$262,258
Expenses. Total of all expenses incurred2014-12-31$41,268
Benefits paid (including direct rollovers)2014-12-31$39,347
Total plan assets at end of year2014-12-31$3,385,309
Total plan assets at beginning of year2014-12-31$3,164,319
Value of fidelity bond covering the plan2014-12-31$265,000
Total contributions received or receivable from participants2014-12-31$54,375
Expenses. Other expenses not covered elsewhere2014-12-31$1,921
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$155,325
Net income (gross income less expenses)2014-12-31$220,990
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,385,309
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,164,319
Total contributions received or receivable from employer(s)2014-12-31$52,558
Value of certain deemed distributions of participant loans2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2012 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2012 401k financial data
Total income from all sources2012-12-31$333,943
Expenses. Total of all expenses incurred2012-12-31$142,925
Benefits paid (including direct rollovers)2012-12-31$131,272
Total plan assets at end of year2012-12-31$2,772,286
Total plan assets at beginning of year2012-12-31$2,581,268
Value of fidelity bond covering the plan2012-12-31$265,000
Total contributions received or receivable from participants2012-12-31$58,592
Expenses. Other expenses not covered elsewhere2012-12-31$11,653
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$275,351
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$191,018
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,772,286
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,581,268
Total contributions received or receivable from employer(s)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$90,365
Expenses. Total of all expenses incurred2011-12-31$179,316
Benefits paid (including direct rollovers)2011-12-31$122,923
Total plan assets at end of year2011-12-31$2,581,268
Total plan assets at beginning of year2011-12-31$2,670,219
Value of fidelity bond covering the plan2011-12-31$265,000
Total contributions received or receivable from participants2011-12-31$66,120
Expenses. Other expenses not covered elsewhere2011-12-31$56,393
Contributions received from other sources (not participants or employers)2011-12-31$22,382
Other income received2011-12-31$-38,235
Net income (gross income less expenses)2011-12-31$-88,951
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,581,268
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,670,219
Total contributions received or receivable from employer(s)2011-12-31$40,098
Value of certain deemed distributions of participant loans2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2009 : EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC.

2022: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2015: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 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 benefit arrangement – InsuranceYes
2014: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 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 benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 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
2011: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 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
2009: EMPLOYEE BENEFIT PLAN OF RIVER CITY PRODUCE COMPANY, INC. 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

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059441F
Policy instance 1
Insurance contract or identification number059441F
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059441F
Policy instance 1
Insurance contract or identification number059441F
Number of Individuals Covered96
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees148
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089030C
Policy instance 1
Insurance contract or identification number089030C
Number of Individuals Covered93
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089030C
Policy instance 1
Insurance contract or identification number089030C
Number of Individuals Covered113
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 $194
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees194
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089030C
Policy instance 1
Insurance contract or identification number089030C
Number of Individuals Covered92
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $135
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees56
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameTRACEY SMITH
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number089030C
Policy instance 1
Insurance contract or identification number089030C
Number of Individuals Covered104
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,937
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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