401k Plan data: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN plan

CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan Name	CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN
Plan identification number	002

CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN Benefits

401k Plan Type

Defined 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

CLARK'S PRECISION MACHINE & TOOL has sponsored the creation of one or more 401k plans.

Company Name: CLARK'S PRECISION MACHINE & TOOL

Employer identification number (EIN): 751362872

NAIC Classification: 332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2022-01-01
002 2021-01-01
002 2020-01-01
002 2019-01-01
002 2018-01-01
002 2017-01-01
002 2016-01-01 CAROL ALDRICH 2017-07-12
002 2015-07-01 KATIE OBREMSKI 2016-07-25
002 2014-07-01 KATIE OBREMSKI 2015-09-29
002 2013-07-01 SHARON WAKE DIANE SPOONER 2015-01-28
002 2012-07-01 SHARON WAKE DIANE SPOONER 2014-03-25
002 2011-07-01 SHARON WAKE DIANE SPOONER 2013-01-31
002 2010-07-01 SHARON WAKE DIANE SPOONER 2012-01-05
002 2009-07-01 SHARON WAKE DIANE SPOONER 2010-12-13
002 2008-07-01 SHARON WAKE DIANE SPOONER 2010-12-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2022-01-01
002	2021-01-01
002	2020-01-01
002	2019-01-01
002	2018-01-01
002	2017-01-01
002	2016-01-01	CAROL ALDRICH	2017-07-12
002	2015-07-01	KATIE OBREMSKI	2016-07-25
002	2014-07-01	KATIE OBREMSKI	2015-09-29
002	2013-07-01	SHARON WAKE		DIANE SPOONER	2015-01-28
002	2012-07-01	SHARON WAKE		DIANE SPOONER	2014-03-25
002	2011-07-01	SHARON WAKE		DIANE SPOONER	2013-01-31
002	2010-07-01	SHARON WAKE		DIANE SPOONER	2012-01-05
002	2009-07-01	SHARON WAKE		DIANE SPOONER	2010-12-13
002	2008-07-01	SHARON WAKE		DIANE SPOONER	2010-12-13

Plan Statistics for CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN

Measure Date Value
2013: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year 2013-07-01 32
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 27
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 1
Total of all active and inactive participants 2013-07-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-07-01 0
Total participants 2013-07-01 28
Number of participants with account balances 2013-07-01 14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-07-01 0
2012: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year 2012-07-01 28
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 27
Number of retired or separated participants receiving benefits 2012-07-01 1
Number of other retired or separated participants entitled to future benefits 2012-07-01 1
Total of all active and inactive participants 2012-07-01 29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-07-01 0
Total participants 2012-07-01 29
Number of participants with account balances 2012-07-01 15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-07-01 0
2011: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year 2011-07-01 32
Total number of active participants reported on line 7a of the Form 5500 2011-07-01 26
Number of retired or separated participants receiving benefits 2011-07-01 0
Number of other retired or separated participants entitled to future benefits 2011-07-01 2
Total of all active and inactive participants 2011-07-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-07-01 0
Total participants 2011-07-01 28
Number of participants with account balances 2011-07-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-07-01 0
2010: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year 2010-07-01 29
Total number of active participants reported on line 7a of the Form 5500 2010-07-01 30
Number of retired or separated participants receiving benefits 2010-07-01 0
Number of other retired or separated participants entitled to future benefits 2010-07-01 1
Total of all active and inactive participants 2010-07-01 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2010-07-01 0
Total participants 2010-07-01 31
Number of participants with account balances 2010-07-01 16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-07-01 0
2009: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year 2009-07-01 29
Total number of active participants reported on line 7a of the Form 5500 2009-07-01 26
Number of retired or separated participants receiving benefits 2009-07-01 0
Number of other retired or separated participants entitled to future benefits 2009-07-01 2
Total of all active and inactive participants 2009-07-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-07-01 0
Total participants 2009-07-01 28
Number of participants with account balances 2009-07-01 18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-07-01 0
2008: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year 2008-07-01 29
Total number of active participants reported on line 7a of the Form 5500 2008-07-01 26
Number of retired or separated participants receiving benefits 2008-07-01 2
Number of other retired or separated participants entitled to future benefits 2008-07-01 0
Total of all active and inactive participants 2008-07-01 28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2008-07-01 19
Total participants 2008-07-01 47
Number of participants with account balances 2008-07-01 1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2008-07-01 0

Measure	Date	Value
2013: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year	2013-07-01	32
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	27
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	1
Total of all active and inactive participants	2013-07-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-07-01	0
Total participants	2013-07-01	28
Number of participants with account balances	2013-07-01	14
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-07-01	0
2012: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year	2012-07-01	28
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	27
Number of retired or separated participants receiving benefits	2012-07-01	1
Number of other retired or separated participants entitled to future benefits	2012-07-01	1
Total of all active and inactive participants	2012-07-01	29
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-07-01	0
Total participants	2012-07-01	29
Number of participants with account balances	2012-07-01	15
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-07-01	0
2011: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year	2011-07-01	32
Total number of active participants reported on line 7a of the Form 5500	2011-07-01	26
Number of retired or separated participants receiving benefits	2011-07-01	0
Number of other retired or separated participants entitled to future benefits	2011-07-01	2
Total of all active and inactive participants	2011-07-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-07-01	0
Total participants	2011-07-01	28
Number of participants with account balances	2011-07-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-07-01	0
2010: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year	2010-07-01	29
Total number of active participants reported on line 7a of the Form 5500	2010-07-01	30
Number of retired or separated participants receiving benefits	2010-07-01	0
Number of other retired or separated participants entitled to future benefits	2010-07-01	1
Total of all active and inactive participants	2010-07-01	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2010-07-01	0
Total participants	2010-07-01	31
Number of participants with account balances	2010-07-01	16
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-07-01	0
2009: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year	2009-07-01	29
Total number of active participants reported on line 7a of the Form 5500	2009-07-01	26
Number of retired or separated participants receiving benefits	2009-07-01	0
Number of other retired or separated participants entitled to future benefits	2009-07-01	2
Total of all active and inactive participants	2009-07-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-07-01	0
Total participants	2009-07-01	28
Number of participants with account balances	2009-07-01	18
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-07-01	0
2008: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2008 401k membership
Total participants, beginning-of-year	2008-07-01	29
Total number of active participants reported on line 7a of the Form 5500	2008-07-01	26
Number of retired or separated participants receiving benefits	2008-07-01	2
Number of other retired or separated participants entitled to future benefits	2008-07-01	0
Total of all active and inactive participants	2008-07-01	28
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2008-07-01	19
Total participants	2008-07-01	47
Number of participants with account balances	2008-07-01	1
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2008-07-01	0

Financial Data on CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN

Measure	Date	Value
2014 : CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2014 401k financial data
Transfers to/from the plan	2014-06-30	$0
Total income from all sources	2014-06-30	$50,271
Expenses. Total of all expenses incurred	2014-06-30	$5,589
Benefits paid (including direct rollovers)	2014-06-30	$2,548
Total plan assets at end of year	2014-06-30	$250,649
Total plan assets at beginning of year	2014-06-30	$205,967
Value of fidelity bond covering the plan	2014-06-30	$50,000
Total contributions received or receivable from participants	2014-06-30	$17,030
Expenses. Other expenses not covered elsewhere	2014-06-30	$0
Contributions received from other sources (not participants or employers)	2014-06-30	$115
Other income received	2014-06-30	$31,423
Noncash contributions received	2014-06-30	$0
Net income (gross income less expenses)	2014-06-30	$44,682
Net plan assets at end of year (total assets less liabilities)	2014-06-30	$250,649
Net plan assets at beginning of year (total assets less liabilities)	2014-06-30	$205,967
Assets. Value of participant loans	2014-06-30	$12,785
Total contributions received or receivable from employer(s)	2014-06-30	$1,703
Value of certain deemed distributions of participant loans	2014-06-30	$0
Value of corrective distributions	2014-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-06-30	$3,041
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-06-30	$0
2013 : CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan	2013-06-30	$0
Total income from all sources	2013-06-30	$42,166
Expenses. Total of all expenses incurred	2013-06-30	$98,151
Benefits paid (including direct rollovers)	2013-06-30	$94,937
Total plan assets at end of year	2013-06-30	$205,967
Total plan assets at beginning of year	2013-06-30	$261,952
Value of fidelity bond covering the plan	2013-06-30	$50,000
Total contributions received or receivable from participants	2013-06-30	$15,529
Expenses. Other expenses not covered elsewhere	2013-06-30	$0
Contributions received from other sources (not participants or employers)	2013-06-30	$0
Other income received	2013-06-30	$25,085
Noncash contributions received	2013-06-30	$0
Net income (gross income less expenses)	2013-06-30	$-55,985
Net plan assets at end of year (total assets less liabilities)	2013-06-30	$205,967
Net plan assets at beginning of year (total assets less liabilities)	2013-06-30	$261,952
Assets. Value of participant loans	2013-06-30	$5,564
Total contributions received or receivable from employer(s)	2013-06-30	$1,552
Value of certain deemed distributions of participant loans	2013-06-30	$0
Value of corrective distributions	2013-06-30	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2013-06-30	$3,214
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-06-30	$0
2012 : CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan	2012-06-30	$0
Total income from all sources	2012-06-30	$19,776
Expenses. Total of all expenses incurred	2012-06-30	$27,805
Benefits paid (including direct rollovers)	2012-06-30	$19,458
Total plan assets at end of year	2012-06-30	$261,952
Total plan assets at beginning of year	2012-06-30	$269,981
Value of fidelity bond covering the plan	2012-06-30	$50,000
Total contributions received or receivable from participants	2012-06-30	$16,328
Contributions received from other sources (not participants or employers)	2012-06-30	$0
Other income received	2012-06-30	$1,816
Noncash contributions received	2012-06-30	$0
Net income (gross income less expenses)	2012-06-30	$-8,029
Net plan assets at end of year (total assets less liabilities)	2012-06-30	$261,952
Net plan assets at beginning of year (total assets less liabilities)	2012-06-30	$269,981
Assets. Value of participant loans	2012-06-30	$11,127
Total contributions received or receivable from employer(s)	2012-06-30	$1,632
Value of certain deemed distributions of participant loans	2012-06-30	$2,946
Value of corrective distributions	2012-06-30	$539
Expenses. Administrative service providers (salaries,fees and commissions)	2012-06-30	$4,862
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-06-30	$0
2011 : CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at beginning of year	2011-06-30	$0
Total income from all sources	2011-06-30	$57,636
Expenses. Total of all expenses incurred	2011-06-30	$11,003
Benefits paid (including direct rollovers)	2011-06-30	$5,813
Total plan assets at end of year	2011-06-30	$269,981
Total plan assets at beginning of year	2011-06-30	$223,348
Value of fidelity bond covering the plan	2011-06-30	$50,000
Total contributions received or receivable from participants	2011-06-30	$15,962
Other income received	2011-06-30	$40,079
Net income (gross income less expenses)	2011-06-30	$46,633
Net plan assets at end of year (total assets less liabilities)	2011-06-30	$269,981
Net plan assets at beginning of year (total assets less liabilities)	2011-06-30	$223,348
Assets. Value of participant loans	2011-06-30	$15,744
Total contributions received or receivable from employer(s)	2011-06-30	$1,595
Expenses. Administrative service providers (salaries,fees and commissions)	2011-06-30	$5,190
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-06-30	$0

Form 5500 Responses for CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN

2013: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan funding arrangement – Trust	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement - Trust	Yes
2012: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan funding arrangement – Trust	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement - Trust	Yes
2011: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01	Type of plan entity	Single employer plan
2011-07-01	Submission has been amended	No
2011-07-01	This submission is the final filing	No
2011-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-07-01	Plan is a collectively bargained plan	No
2011-07-01	Plan funding arrangement – Insurance	Yes
2011-07-01	Plan funding arrangement – Trust	Yes
2011-07-01	Plan benefit arrangement – Insurance	Yes
2011-07-01	Plan benefit arrangement - Trust	Yes
2010: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01	Type of plan entity	Single employer plan
2010-07-01	Submission has been amended	No
2010-07-01	This submission is the final filing	No
2010-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-07-01	Plan is a collectively bargained plan	No
2010-07-01	Plan funding arrangement – Insurance	Yes
2010-07-01	Plan funding arrangement – Trust	Yes
2010-07-01	Plan benefit arrangement – Insurance	Yes
2010-07-01	Plan benefit arrangement - Trust	Yes
2009: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01	Type of plan entity	Single employer plan
2009-07-01	Submission has been amended	No
2009-07-01	This submission is the final filing	No
2009-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-07-01	Plan is a collectively bargained plan	No
2009-07-01	Plan funding arrangement – Insurance	Yes
2009-07-01	Plan funding arrangement – Trust	Yes
2009-07-01	Plan benefit arrangement – Insurance	Yes
2009-07-01	Plan benefit arrangement - Trust	Yes
2008: CLARK'S PRECISION MACHINE & TOOL 401(K) PROFIT SHARING PLAN 2008 form 5500 responses
2008-07-01	Type of plan entity	Single employer plan
2008-07-01	Submission has been amended	Yes
2008-07-01	This submission is the final filing	No
2008-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2008-07-01	Plan is a collectively bargained plan	No
2008-07-01	Plan funding arrangement – Insurance	Yes
2008-07-01	Plan funding arrangement – Trust	Yes
2008-07-01	Plan benefit arrangement – Insurance	Yes
2008-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

27171

Policy instance

Insurance contract or identification number	27171
Number of Individuals Covered	14
Insurance policy start date	2013-07-01
Insurance policy end date	2014-06-30
Total amount of commissions paid to insurance broker	USD $783
Total amount of fees paid to insurance company	USD $356
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $783
Insurance broker organization code?	3
Amount paid for insurance broker fees	356
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker name	WAKE FINANCIAL GROUP INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

27171

Policy instance

Insurance contract or identification number	27171
Number of Individuals Covered	17
Insurance policy start date	2012-07-01
Insurance policy end date	2013-06-30
Total amount of commissions paid to insurance broker	USD $881
Total amount of fees paid to insurance company	USD $406
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $881
Insurance broker organization code?	3
Amount paid for insurance broker fees	406
Additional information about fees paid to insurance broker	TPA FEES AND COMPENSATION
Insurance broker name	WAKE FINANCIAL GROUP INC

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

27171

Policy instance

Insurance contract or identification number	27171
Number of Individuals Covered	18
Insurance policy start date	2011-07-01
Insurance policy end date	2012-06-30
Total amount of commissions paid to insurance broker	USD $1,281
Total amount of fees paid to insurance company	USD $680
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

27171

Policy instance

Insurance contract or identification number	27171
Insurance policy start date	2010-07-01
Insurance policy end date	2011-06-30
Total amount of commissions paid to insurance broker	USD $1,251
Total amount of fees paid to insurance company	USD $643
Are there contracts with allocated funds for group deferred annuity?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	CLARK'S PRECISION MACHINE & TOOL
Employer identification number (EIN):	751362872
NAIC Classification:	332900