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HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 401k Plan overview

Plan NameHOSPITALITY MINTS, LLC S.H. 401(K) PLAN
Plan identification number 001

HOSPITALITY MINTS, LLC S.H. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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

HOSPITALITY MINTS, LLC has sponsored the creation of one or more 401k plans.

Company Name:HOSPITALITY MINTS, LLC
Employer identification number (EIN):752884563
NAIC Classification:311300
NAIC Description: Sugar and Confectionery Product Manufacturing

Additional information about HOSPITALITY MINTS, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2002-08-12
Company Identification Number: 0800110851
Legal Registered Office Address: 1800 NORTHWESTERN DR

EL PASO
United States of America (USA)
79912

More information about HOSPITALITY MINTS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOSPITALITY MINTS, LLC S.H. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01WALTER KAUDELKA2021-10-14
0012019-01-01WALTER KAUDELKA2020-10-08
0012018-01-01WALTER KAUDELKA2019-10-11
0012017-01-01WALTER KAUDELKA
0012016-01-01WALTER KAUDELKA
0012015-01-01WALTER KAUDELKA
0012015-01-01
0012014-01-01WALTER KAUDELKA
0012013-01-01WALTER KAUDELKA
0012012-01-01WALTER KAUDELKA
0012011-01-01WALTER KAUDELKA
0012010-01-01WALTER KAUDELKA
0012009-01-01WALTER KAUDELKA

Plan Statistics for HOSPITALITY MINTS, LLC S.H. 401(K) PLAN

401k plan membership statisitcs for HOSPITALITY MINTS, LLC S.H. 401(K) PLAN

Measure Date Value
2017: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0164
Total number of active participants reported on line 7a of the Form 55002017-01-0167
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0167
Number of participants with account balances2017-01-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0169
Total number of active participants reported on line 7a of the Form 55002016-01-0164
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0164
Number of participants with account balances2016-01-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0170
Total number of active participants reported on line 7a of the Form 55002015-01-0169
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0169
Number of participants with account balances2015-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0179
Total number of active participants reported on line 7a of the Form 55002014-01-0170
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0170
Number of participants with account balances2014-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0161
Total number of active participants reported on line 7a of the Form 55002013-01-0179
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0179
Number of participants with account balances2013-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0170
Total number of active participants reported on line 7a of the Form 55002012-01-0161
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0161
Number of participants with account balances2012-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0174
Total number of active participants reported on line 7a of the Form 55002011-01-0170
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0170
Number of participants with account balances2011-01-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0189
Total number of active participants reported on line 7a of the Form 55002010-01-0174
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0174
Number of participants with account balances2010-01-0198
2009: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0187
Total number of active participants reported on line 7a of the Form 55002009-01-0189
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0189
Number of participants with account balances2009-01-01104

Financial Data on HOSPITALITY MINTS, LLC S.H. 401(K) PLAN

Measure Date Value
2017 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$694,423
Expenses. Total of all expenses incurred2017-12-31$404,075
Benefits paid (including direct rollovers)2017-12-31$345,853
Total plan assets at end of year2017-12-31$3,810,907
Total plan assets at beginning of year2017-12-31$3,520,559
Value of fidelity bond covering the plan2017-12-31$400,000
Total contributions received or receivable from participants2017-12-31$172,482
Expenses. Other expenses not covered elsewhere2017-12-31$7,007
Contributions received from other sources (not participants or employers)2017-12-31$89,383
Other income received2017-12-31$321,494
Net income (gross income less expenses)2017-12-31$290,348
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,810,907
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,520,559
Assets. Value of participant loans2017-12-31$94,879
Total contributions received or receivable from employer(s)2017-12-31$111,064
Value of certain deemed distributions of participant loans2017-12-31$51,215
2016 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$450,759
Expenses. Total of all expenses incurred2016-12-31$628,328
Benefits paid (including direct rollovers)2016-12-31$620,853
Total plan assets at end of year2016-12-31$3,520,559
Total plan assets at beginning of year2016-12-31$3,698,128
Value of fidelity bond covering the plan2016-12-31$400,000
Total contributions received or receivable from participants2016-12-31$149,119
Expenses. Other expenses not covered elsewhere2016-12-31$7,475
Other income received2016-12-31$208,723
Net income (gross income less expenses)2016-12-31$-177,569
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,520,559
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,698,128
Assets. Value of participant loans2016-12-31$199,633
Total contributions received or receivable from employer(s)2016-12-31$92,917
2015 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$228,383
Expenses. Total of all expenses incurred2015-12-31$478,014
Benefits paid (including direct rollovers)2015-12-31$469,189
Total plan assets at end of year2015-12-31$3,698,128
Total plan assets at beginning of year2015-12-31$3,947,759
Value of fidelity bond covering the plan2015-12-31$400,000
Total contributions received or receivable from participants2015-12-31$170,328
Expenses. Other expenses not covered elsewhere2015-12-31$8,825
Contributions received from other sources (not participants or employers)2015-12-31$2,550
Other income received2015-12-31$-41,597
Net income (gross income less expenses)2015-12-31$-249,631
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,698,128
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,947,759
Assets. Value of participant loans2015-12-31$149,051
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2015-12-31$16,753
Total contributions received or receivable from employer(s)2015-12-31$97,102
2014 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$491,198
Expenses. Total of all expenses incurred2014-12-31$376,317
Benefits paid (including direct rollovers)2014-12-31$369,692
Total plan assets at end of year2014-12-31$3,947,759
Total plan assets at beginning of year2014-12-31$3,832,878
Value of fidelity bond covering the plan2014-12-31$400,000
Total contributions received or receivable from participants2014-12-31$212,061
Expenses. Other expenses not covered elsewhere2014-12-31$6,625
Other income received2014-12-31$166,415
Net income (gross income less expenses)2014-12-31$114,881
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,947,759
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,832,878
Assets. Value of participant loans2014-12-31$81,445
Total contributions received or receivable from employer(s)2014-12-31$112,722
2013 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$747,501
Expenses. Total of all expenses incurred2013-12-31$95,120
Benefits paid (including direct rollovers)2013-12-31$88,545
Total plan assets at end of year2013-12-31$3,832,878
Total plan assets at beginning of year2013-12-31$3,180,497
Value of fidelity bond covering the plan2013-12-31$400,000
Total contributions received or receivable from participants2013-12-31$208,709
Expenses. Other expenses not covered elsewhere2013-12-31$6,575
Other income received2013-12-31$423,547
Net income (gross income less expenses)2013-12-31$652,381
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,832,878
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,180,497
Assets. Value of participant loans2013-12-31$135,415
Total contributions received or receivable from employer(s)2013-12-31$115,245
2012 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$338,479
Expenses. Total of all expenses incurred2012-12-31$281,003
Benefits paid (including direct rollovers)2012-12-31$276,303
Total plan assets at end of year2012-12-31$3,180,497
Total plan assets at beginning of year2012-12-31$3,123,021
Value of fidelity bond covering the plan2012-12-31$350,000
Total contributions received or receivable from participants2012-12-31$148,919
Expenses. Other expenses not covered elsewhere2012-12-31$4,700
Other income received2012-12-31$189,560
Net income (gross income less expenses)2012-12-31$57,476
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,180,497
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,123,021
Assets. Value of participant loans2012-12-31$140,609
2011 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$102,502
Expenses. Total of all expenses incurred2011-12-31$236,961
Benefits paid (including direct rollovers)2011-12-31$227,031
Total plan assets at end of year2011-12-31$3,123,021
Total plan assets at beginning of year2011-12-31$3,257,480
Value of fidelity bond covering the plan2011-12-31$350,000
Total contributions received or receivable from participants2011-12-31$141,243
Expenses. Other expenses not covered elsewhere2011-12-31$4,650
Other income received2011-12-31$-38,741
Net income (gross income less expenses)2011-12-31$-134,459
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,123,021
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,257,480
Assets. Value of participant loans2011-12-31$171,367
Value of certain deemed distributions of participant loans2011-12-31$5,280
2010 : HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$402,907
Expenses. Total of all expenses incurred2010-12-31$143,978
Benefits paid (including direct rollovers)2010-12-31$134,214
Total plan assets at end of year2010-12-31$3,257,480
Total plan assets at beginning of year2010-12-31$2,998,551
Value of fidelity bond covering the plan2010-12-31$350,000
Total contributions received or receivable from participants2010-12-31$138,690
Expenses. Other expenses not covered elsewhere2010-12-31$3,800
Contributions received from other sources (not participants or employers)2010-12-31$2,000
Other income received2010-12-31$262,217
Net income (gross income less expenses)2010-12-31$258,929
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,257,480
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,998,551
Assets. Value of participant loans2010-12-31$117,150
Value of certain deemed distributions of participant loans2010-12-31$5,964

Form 5500 Responses for HOSPITALITY MINTS, LLC S.H. 401(K) PLAN

2017: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
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: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: HOSPITALITY MINTS, LLC S.H. 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
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

THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP4504-RP010506
Policy instance 1
Insurance contract or identification numberGP4504-RP010506
Number of Individuals Covered80
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $19,645
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,018
Insurance broker organization code?3
Insurance broker nameGOLDEN MACK & ASSOCIATES, INC.
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP4504
Policy instance 1
Insurance contract or identification numberGP4504
Number of Individuals Covered75
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $22,987
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,299
Insurance broker organization code?3
Insurance broker nameSTEVEN F. GOLDEN
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP2768
Policy instance 1
Insurance contract or identification numberGP2768
Number of Individuals Covered85
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $7,870
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 BrokerUSD $3,710
Insurance broker organization code?3
Insurance broker nameGOLDEN MACK & ASSOCIATES
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP4504
Policy instance 2
Insurance contract or identification numberGP4504
Number of Individuals Covered82
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $11,309
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,131
Insurance broker organization code?3
Insurance broker nameSTEVEN F. GOLDEN
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP2768
Policy instance 1
Insurance contract or identification numberGP2768
Number of Individuals Covered85
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $28,226
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 BrokerUSD $13,277
Insurance broker organization code?3
Insurance broker nameGOLDEN MACK & ASSOCIATES
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP2768
Policy instance 1
Insurance contract or identification numberGP2768
Number of Individuals Covered85
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $23,124
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 BrokerUSD $11,562
Insurance broker organization code?3
Insurance broker nameROBERT MACK
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP2768
Policy instance 1
Insurance contract or identification numberGP2768
Number of Individuals Covered88
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $25,163
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
THE OHIO NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67172 )
Policy contract numberGP2768
Policy instance 1
Insurance contract or identification numberGP2768
Number of Individuals Covered98
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $24,741
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 BrokerUSD $12,020
Insurance broker organization code?3
Insurance broker nameGOLDEN MACK & ASSOCIATES, INC

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