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CSB EMPLOYEES 401K PLAN 401k Plan overview

Plan NameCSB EMPLOYEES 401K PLAN
Plan identification number 001

CSB EMPLOYEES 401K 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.

401k Sponsoring company profile

COMMERCIAL STATE BANK has sponsored the creation of one or more 401k plans.

Company Name:COMMERCIAL STATE BANK
Employer identification number (EIN):750947297
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CSB EMPLOYEES 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01FRED PATAWARAN2020-02-13
0012018-01-01PAULA LARRSON2019-10-14
0012017-01-01
0012016-01-01
0012015-01-01D MARK TYLER
0012014-01-01D MARK TYLER
0012013-01-01
0012012-01-01D MARK TYLER
0012011-01-01ELIZABETH POWELL2012-10-13
0012010-01-01ALEX ARELLANO2011-10-12

Plan Statistics for CSB EMPLOYEES 401K PLAN

401k plan membership statisitcs for CSB EMPLOYEES 401K PLAN

Measure Date Value
2019: CSB EMPLOYEES 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01141
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CSB EMPLOYEES 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01147
Total number of active participants reported on line 7a of the Form 55002018-01-01118
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0125
Total of all active and inactive participants2018-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01145
Number of participants with account balances2018-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-018
2017: CSB EMPLOYEES 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01139
Total number of active participants reported on line 7a of the Form 55002017-01-01113
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0130
Total of all active and inactive participants2017-01-01144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01144
Number of participants with account balances2017-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-019
2016: CSB EMPLOYEES 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01135
Total number of active participants reported on line 7a of the Form 55002016-01-01111
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0126
Total of all active and inactive participants2016-01-01137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01137
Number of participants with account balances2016-01-01127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-017
2015: CSB EMPLOYEES 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01139
Total number of active participants reported on line 7a of the Form 55002015-01-01110
Number of other retired or separated participants entitled to future benefits2015-01-0125
Total of all active and inactive participants2015-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01135
Number of participants with account balances2015-01-01124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0113
2014: CSB EMPLOYEES 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01133
Total number of active participants reported on line 7a of the Form 55002014-01-01115
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0122
Total of all active and inactive participants2014-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01138
Number of participants with account balances2014-01-01115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0110
2013: CSB EMPLOYEES 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01130
Total number of active participants reported on line 7a of the Form 55002013-01-01110
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0122
Total of all active and inactive participants2013-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01132
Number of participants with account balances2013-01-01108
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0112
2012: CSB EMPLOYEES 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01126
Total number of active participants reported on line 7a of the Form 55002012-01-01110
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-0117
Total of all active and inactive participants2012-01-01128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01128
Number of participants with account balances2012-01-0194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0112

Financial Data on CSB EMPLOYEES 401K PLAN

Measure Date Value
2019 : CSB EMPLOYEES 401K PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-04-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-04-30$0
Total income from all sources (including contributions)2019-04-30$426,009
Total loss/gain on sale of assets2019-04-30$0
Total of all expenses incurred2019-04-30$7,410,072
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-04-30$7,403,484
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-04-30$46,985
Value of total assets at end of year2019-04-30$0
Value of total assets at beginning of year2019-04-30$6,984,063
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-04-30$6,588
Total interest from all sources2019-04-30$9,174
Total dividends received (eg from common stock, registered investment company shares)2019-04-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-04-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-04-30$0
Was this plan covered by a fidelity bond2019-04-30Yes
Value of fidelity bond cover2019-04-30$5,000,000
If this is an individual account plan, was there a blackout period2019-04-30Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-04-30$0
Were there any nonexempt tranactions with any party-in-interest2019-04-30No
Contributions received from participants2019-04-30$27,288
Participant contributions at end of year2019-04-30$0
Participant contributions at beginning of year2019-04-30$344,026
Participant contributions at end of year2019-04-30$0
Participant contributions at beginning of year2019-04-30$18,163
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Value of net income/loss2019-04-30$-6,984,063
Value of net assets at end of year (total assets less liabilities)2019-04-30$0
Value of net assets at beginning of year (total assets less liabilities)2019-04-30$6,984,063
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-04-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-04-30No
Were any leases to which the plan was party in default or uncollectible2019-04-30No
Value of interest in pooled separate accounts at end of year2019-04-30$0
Value of interest in pooled separate accounts at beginning of year2019-04-30$5,492,083
Interest on participant loans2019-04-30$744
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-04-30$8,430
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-04-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-04-30$1,117,660
Net investment gain/loss from pooled separate accounts2019-04-30$369,850
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-04-30Yes
Was there a failure to transmit to the plan any participant contributions2019-04-30No
Has the plan failed to provide any benefit when due under the plan2019-04-30No
Contributions received in cash from employer2019-04-30$19,697
Employer contributions (assets) at end of year2019-04-30$0
Employer contributions (assets) at beginning of year2019-04-30$12,131
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-04-30$7,403,484
Contract administrator fees2019-04-30$6,588
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-04-30Yes
Did the plan have assets held for investment2019-04-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-04-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-04-30Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-04-30Yes
Opinion of an independent qualified public accountant for this plan2019-04-30Disclaimer
Accountancy firm name2019-04-30RANDY SILHAN, CPA, CFE
Accountancy firm EIN2019-04-30262515308
2018 : CSB EMPLOYEES 401K 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$435,792
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$542,238
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$538,875
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$811,808
Value of total assets at end of year2018-12-31$6,984,063
Value of total assets at beginning of year2018-12-31$7,090,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,363
Total interest from all sources2018-12-31$50,878
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
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$5,000,000
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$470,392
Participant contributions at end of year2018-12-31$344,026
Participant contributions at beginning of year2018-12-31$361,661
Participant contributions at end of year2018-12-31$18,163
Participant contributions at beginning of year2018-12-31$16,347
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$39,987
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-106,446
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,984,063
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,090,509
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$5,492,083
Value of interest in pooled separate accounts at beginning of year2018-12-31$5,549,013
Interest on participant loans2018-12-31$17,708
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$33,170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,117,660
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,152,306
Net investment gain/loss from pooled separate accounts2018-12-31$-426,894
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$301,429
Employer contributions (assets) at end of year2018-12-31$12,131
Employer contributions (assets) at beginning of year2018-12-31$11,182
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$538,875
Contract administrator fees2018-12-31$3,363
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 name2018-12-31SILHAN CPA CFE
Accountancy firm EIN2018-12-31262515308
2017 : CSB EMPLOYEES 401K PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,521,676
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$49,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$42,528
Expenses. Certain deemed distributions of participant loans2017-12-31$3,214
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$724,231
Value of total assets at end of year2017-12-31$7,090,509
Value of total assets at beginning of year2017-12-31$5,618,560
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,985
Total interest from all sources2017-12-31$44,828
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
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$3,000,000
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$420,512
Participant contributions at end of year2017-12-31$361,661
Participant contributions at beginning of year2017-12-31$219,909
Participant contributions at end of year2017-12-31$16,347
Participant contributions at beginning of year2017-12-31$15,771
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$28,596
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$1,471,949
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,090,509
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,618,560
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$5,549,013
Value of interest in pooled separate accounts at beginning of year2017-12-31$4,264,196
Interest on participant loans2017-12-31$12,286
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$32,542
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,152,306
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,108,240
Net investment gain/loss from pooled separate accounts2017-12-31$752,617
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$275,123
Employer contributions (assets) at end of year2017-12-31$11,182
Employer contributions (assets) at beginning of year2017-12-31$10,444
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$42,528
Contract administrator fees2017-12-31$3,985
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 name2017-12-31RANDY SILHAN CPA CFE
Accountancy firm EIN2017-12-31262515308
2016 : CSB EMPLOYEES 401K PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$79
Total income from all sources (including contributions)2016-12-31$974,497
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$394,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$388,941
Value of total corrective distributions2016-12-31$1,745
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$665,588
Value of total assets at end of year2016-12-31$5,618,560
Value of total assets at beginning of year2016-12-31$5,038,648
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,820
Total interest from all sources2016-12-31$40,411
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$3,000,000
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$386,566
Participant contributions at end of year2016-12-31$219,909
Participant contributions at beginning of year2016-12-31$238,222
Participant contributions at end of year2016-12-31$15,771
Participant contributions at beginning of year2016-12-31$15,974
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$22,366
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$79
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$579,991
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,618,560
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$5,038,569
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$4,264,196
Value of interest in pooled separate accounts at beginning of year2016-12-31$3,985,022
Interest on participant loans2016-12-31$10,499
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$29,912
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,108,240
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$788,474
Net investment gain/loss from pooled separate accounts2016-12-31$268,498
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$256,656
Employer contributions (assets) at end of year2016-12-31$10,444
Employer contributions (assets) at beginning of year2016-12-31$10,956
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$388,941
Contract administrator fees2016-12-31$3,820
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 name2016-12-31RANDY SILHAN CPA CFE
Accountancy firm EIN2016-12-31262515308
2015 : CSB EMPLOYEES 401K 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$79
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$9,715
Total income from all sources (including contributions)2015-12-31$557,152
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$394,786
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$390,273
Value of total corrective distributions2015-12-31$139
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$656,805
Value of total assets at end of year2015-12-31$5,038,648
Value of total assets at beginning of year2015-12-31$4,885,918
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$4,374
Total interest from all sources2015-12-31$25,000
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$3,000,000
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$399,008
Participant contributions at end of year2015-12-31$238,222
Participant contributions at beginning of year2015-12-31$159,573
Participant contributions at end of year2015-12-31$15,974
Participant contributions at beginning of year2015-12-31$12,913
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$2,430
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$79
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$9,715
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$162,366
Value of net assets at end of year (total assets less liabilities)2015-12-31$5,038,569
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,876,203
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$3,985,022
Value of interest in pooled separate accounts at beginning of year2015-12-31$4,273,115
Interest on participant loans2015-12-31$9,126
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$15,874
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$788,474
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$430,680
Net investment gain/loss from pooled separate accounts2015-12-31$-124,653
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$255,367
Employer contributions (assets) at end of year2015-12-31$10,956
Employer contributions (assets) at beginning of year2015-12-31$9,637
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$390,273
Contract administrator fees2015-12-31$4,374
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 name2015-12-31RANDY SILHAN, CPA, CFE
Accountancy firm EIN2015-12-31262515308
2014 : CSB EMPLOYEES 401K 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$9,715
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$70
Total income from all sources (including contributions)2014-12-31$769,753
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$208,197
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$203,359
Value of total corrective distributions2014-12-31$115
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$645,673
Value of total assets at end of year2014-12-31$4,885,918
Value of total assets at beginning of year2014-12-31$4,314,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$4,723
Total interest from all sources2014-12-31$18,626
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$3,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$340,930
Participant contributions at end of year2014-12-31$159,573
Participant contributions at beginning of year2014-12-31$106,215
Participant contributions at end of year2014-12-31$12,913
Participant contributions at beginning of year2014-12-31$12,921
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$80,037
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$9,715
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$70
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$561,556
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,876,203
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,314,647
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$4,273,115
Value of interest in pooled separate accounts at beginning of year2014-12-31$3,892,989
Interest on participant loans2014-12-31$5,785
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$430,680
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$293,149
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$293,149
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$12,841
Net investment gain/loss from pooled separate accounts2014-12-31$105,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$224,706
Employer contributions (assets) at end of year2014-12-31$9,637
Employer contributions (assets) at beginning of year2014-12-31$9,443
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$203,359
Contract administrator fees2014-12-31$4,723
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 name2014-12-31RANDY SILHAN, CPA, CFE
Accountancy firm EIN2014-12-31262515308
2013 : CSB EMPLOYEES 401K 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$70
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$56
Total income from all sources (including contributions)2013-12-31$1,213,118
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$421,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$417,857
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$622,842
Value of total assets at end of year2013-12-31$4,314,717
Value of total assets at beginning of year2013-12-31$3,522,680
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,238
Total interest from all sources2013-12-31$14,316
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
Administrative expenses professional fees incurred2013-12-31$3,238
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$3,000,000
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$347,804
Participant contributions at end of year2013-12-31$103,182
Participant contributions at beginning of year2013-12-31$134,408
Participant contributions at end of year2013-12-31$12,921
Participant contributions at beginning of year2013-12-31$12,491
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$35,312
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$3,033
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$3,555
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$70
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$56
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$792,023
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,314,647
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,522,624
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$3,892,989
Value of interest in pooled separate accounts at beginning of year2013-12-31$2,989,752
Interest on participant loans2013-12-31$4,952
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$293,149
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$373,765
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$373,765
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$9,364
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from pooled separate accounts2013-12-31$575,960
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$239,726
Employer contributions (assets) at end of year2013-12-31$9,443
Employer contributions (assets) at beginning of year2013-12-31$8,709
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$417,857
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 name2013-12-31RANDY SILHAN, CPA, CFE
Accountancy firm EIN2013-12-31262515308
2012 : CSB EMPLOYEES 401K 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$56
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$921,821
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$373,995
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$366,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$597,056
Value of total assets at end of year2012-12-31$3,522,680
Value of total assets at beginning of year2012-12-31$2,974,798
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$7,933
Total interest from all sources2012-12-31$16,802
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
Administrative expenses professional fees incurred2012-12-31$7,933
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$3,000,000
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$329,627
Participant contributions at end of year2012-12-31$134,408
Participant contributions at beginning of year2012-12-31$141,780
Participant contributions at end of year2012-12-31$12,491
Participant contributions at beginning of year2012-12-31$11,406
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$36,160
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$3,555
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$2,573
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$56
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$547,826
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,522,624
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,974,798
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$2,989,752
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,470,828
Interest on participant loans2012-12-31$6,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$373,765
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$339,883
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$339,883
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$10,392
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$307,963
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$231,269
Employer contributions (assets) at end of year2012-12-31$8,709
Employer contributions (assets) at beginning of year2012-12-31$8,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$366,062
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 name2012-12-31RANDY SILHAN, CPA, CFE
Accountancy firm EIN2012-12-31262515308

Form 5500 Responses for CSB EMPLOYEES 401K PLAN

2019: CSB EMPLOYEES 401K 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 filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: CSB EMPLOYEES 401K 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: CSB EMPLOYEES 401K 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: CSB EMPLOYEES 401K 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: CSB EMPLOYEES 401K 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: CSB EMPLOYEES 401K 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: CSB EMPLOYEES 401K 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: CSB EMPLOYEES 401K 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-04-18
Total amount of commissions paid to insurance brokerUSD $4,170
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 $2,527
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered127
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $32,499
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 $17,873
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered133
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $31,275
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 $20,997
Insurance broker organization code?3
Insurance broker nameTODD EUGENE HOLT
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered124
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $24,263
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,177
Insurance broker organization code?3
Insurance broker nameTODD EUGENE HOLT
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered111
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $22,948
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,405
Insurance broker organization code?3
Insurance broker nameTODD EUGENE HOLT
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered108
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $19,152
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,929
Insurance broker organization code?3
Insurance broker nameTODD EUGENE HOLT
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 85023-1
Policy instance 1
Insurance contract or identification numberRM 85023-1
Number of Individuals Covered94
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $17,571
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,965
Insurance broker organization code?3
Insurance broker nameTODD EUGENE HOLT

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