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PINNACLE EYE CARE 401K SAVINGS PLAN 401k Plan overview

Plan NamePINNACLE EYE CARE 401K SAVINGS PLAN
Plan identification number 001

PINNACLE EYE CARE 401K SAVINGS 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

PINNACLE EYE CARE, INC. D/B/A VISION FIRST has sponsored the creation of one or more 401k plans.

Company Name:PINNACLE EYE CARE, INC. D/B/A VISION FIRST
Employer identification number (EIN):752993005
NAIC Classification:446130
NAIC Description:Optical Goods Stores

Additional information about PINNACLE EYE CARE, INC. D/B/A VISION FIRST

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 2000-05-26
Company Identification Number: 1158864
Legal Registered Office Address: 16695 LUCKY BELL LANE
-
AUBURN
United States of America (USA)
440230000

More information about PINNACLE EYE CARE, INC. D/B/A VISION FIRST

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PINNACLE EYE CARE 401K SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01JOHN SCMITT2021-10-11
0012019-01-01PAUL D WEDGE2020-10-12
0012018-01-01PAUL D WEDGE2019-10-14
0012018-01-01PAUL D WEDGE2019-10-14
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01PAUL D WEDGE2015-09-03
0012013-01-01PAUL D WEDGE2014-09-19
0012012-01-01PAUL D WEDGE2013-10-09
0012011-01-01PAUL D WEDGE2012-07-26
0012010-01-01PAUL D WEDGE
0012009-01-01PAUL D WEDGE PAUL D WEDGE2010-10-06

Plan Statistics for PINNACLE EYE CARE 401K SAVINGS PLAN

401k plan membership statisitcs for PINNACLE EYE CARE 401K SAVINGS PLAN

Measure Date Value
2022: PINNACLE EYE CARE 401K SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01210
Total number of active participants reported on line 7a of the Form 55002022-01-01183
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0125
Total of all active and inactive participants2022-01-01208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01208
Number of participants with account balances2022-01-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: PINNACLE EYE CARE 401K SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01152
Total number of active participants reported on line 7a of the Form 55002021-01-01141
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0119
Total of all active and inactive participants2021-01-01160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01160
Number of participants with account balances2021-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: PINNACLE EYE CARE 401K SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01137
Total number of active participants reported on line 7a of the Form 55002020-01-01119
Number of retired or separated participants receiving benefits2020-01-016
Number of other retired or separated participants entitled to future benefits2020-01-0120
Total of all active and inactive participants2020-01-01145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01146
Number of participants with account balances2020-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PINNACLE EYE CARE 401K SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01149
Total number of active participants reported on line 7a of the Form 55002019-01-01155
Number of retired or separated participants receiving benefits2019-01-014
Number of other retired or separated participants entitled to future benefits2019-01-0110
Total of all active and inactive participants2019-01-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-01170
Number of participants with account balances2019-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PINNACLE EYE CARE 401K SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01144
Total number of active participants reported on line 7a of the Form 55002018-01-01142
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-0110
Total of all active and inactive participants2018-01-01155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-011
Total participants2018-01-01156
Number of participants with account balances2018-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PINNACLE EYE CARE 401K SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01135
Total number of active participants reported on line 7a of the Form 55002017-01-01135
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-01147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01148
Number of participants with account balances2017-01-0178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PINNACLE EYE CARE 401K SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01125
Total number of active participants reported on line 7a of the Form 55002016-01-01115
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-019
Total of all active and inactive participants2016-01-01126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01127
Number of participants with account balances2016-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2010: PINNACLE EYE CARE 401K SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01103
Total number of active participants reported on line 7a of the Form 55002010-01-0189
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-015
Total of all active and inactive participants2010-01-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-011
Total participants2010-01-0195
Number of participants with account balances2010-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: PINNACLE EYE CARE 401K SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01105
Total number of active participants reported on line 7a of the Form 55002009-01-0198
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-015
Total of all active and inactive participants2009-01-01103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01103
Number of participants with account balances2009-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on PINNACLE EYE CARE 401K SAVINGS PLAN

Measure Date Value
2022 : PINNACLE EYE CARE 401K SAVINGS PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-555,883
Total of all expenses incurred2022-12-31$1,075,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$926,099
Expenses. Certain deemed distributions of participant loans2022-12-31$26,831
Value of total corrective distributions2022-12-31$108,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$533,567
Value of total assets at end of year2022-12-31$7,236,722
Value of total assets at beginning of year2022-12-31$8,868,065
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$14,498
Total interest from all sources2022-12-31$1,899
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$3,533
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$3,533
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$400,118
Participant contributions at end of year2022-12-31$34,329
Participant contributions at beginning of year2022-12-31$69,988
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$2,827
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$133,449
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$18,910
Administrative expenses (other) incurred2022-12-31$14,498
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,631,343
Value of net assets at end of year (total assets less liabilities)2022-12-31$7,236,722
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$8,868,065
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$333,279
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$8,776,340
Interest on participant loans2022-12-31$1,899
Value of interest in common/collective trusts at end of year2022-12-31$5,486,905
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,382,209
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,103,375
Net investment gain or loss from common/collective trusts2022-12-31$8,493
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$926,099
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MATHER & CO. CPAS, LLC
Accountancy firm EIN2022-12-31611210177
2021 : PINNACLE EYE CARE 401K SAVINGS PLAN 2021 401k financial data
Total transfer of assets to this plan2021-12-31$18,910
Total income from all sources (including contributions)2021-12-31$1,427,619
Total of all expenses incurred2021-12-31$215,942
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$128,682
Expenses. Certain deemed distributions of participant loans2021-12-31$5,463
Value of total corrective distributions2021-12-31$81,347
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$331,805
Value of total assets at end of year2021-12-31$8,868,065
Value of total assets at beginning of year2021-12-31$7,637,478
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$450
Total interest from all sources2021-12-31$3,929
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$502,312
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$450
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$323,140
Participant contributions at end of year2021-12-31$69,988
Participant contributions at beginning of year2021-12-31$96,412
Participant contributions at end of year2021-12-31$2,827
Participant contributions at beginning of year2021-12-31$2,749
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$8,665
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$4,383
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$18,910
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,211,677
Value of net assets at end of year (total assets less liabilities)2021-12-31$8,868,065
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$7,637,478
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$8,776,340
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$7,538,317
Interest on participant loans2021-12-31$3,929
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$589,573
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Income. Dividends from common stock2021-12-31$502,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$124,299
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MATHER & CO. CPAS,LLC
Accountancy firm EIN2021-12-31611210177
2020 : PINNACLE EYE CARE 401K SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,423,565
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$234,452
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$132,886
Expenses. Certain deemed distributions of participant loans2020-12-31$3,579
Value of total corrective distributions2020-12-31$97,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$277,811
Value of total assets at end of year2020-12-31$7,637,478
Value of total assets at beginning of year2020-12-31$6,448,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$525
Total interest from all sources2020-12-31$5,081
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$202,536
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$277,811
Participant contributions at end of year2020-12-31$96,412
Participant contributions at beginning of year2020-12-31$98,269
Participant contributions at end of year2020-12-31$2,749
Participant contributions at beginning of year2020-12-31$0
Total non interest bearing cash at end of year2020-12-31$0
Total non interest bearing cash at beginning of year2020-12-31$625
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,189,113
Value of net assets at end of year (total assets less liabilities)2020-12-31$7,637,478
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,448,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$525
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$7,538,317
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$6,349,471
Interest on participant loans2020-12-31$5,081
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$938,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Income. Dividends from common stock2020-12-31$202,536
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$132,886
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MATHER & CO. CPAS, LLC.
Accountancy firm EIN2020-12-31611210177
2019 : PINNACLE EYE CARE 401K SAVINGS PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,404,225
Total income from all sources (including contributions)2019-12-31$1,404,225
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$267,021
Total of all expenses incurred2019-12-31$267,021
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$265,416
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$265,416
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$282,266
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$282,266
Value of total assets at end of year2019-12-31$6,448,365
Value of total assets at end of year2019-12-31$6,448,365
Value of total assets at beginning of year2019-12-31$5,311,161
Value of total assets at beginning of year2019-12-31$5,311,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,605
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,605
Total interest from all sources2019-12-31$4,783
Total interest from all sources2019-12-31$4,783
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$276,864
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$276,864
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$276,864
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$276,864
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$282,266
Contributions received from participants2019-12-31$282,266
Participant contributions at end of year2019-12-31$98,269
Participant contributions at end of year2019-12-31$98,269
Participant contributions at beginning of year2019-12-31$98,136
Participant contributions at beginning of year2019-12-31$98,136
Participant contributions at end of year2019-12-31$0
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$0
Total non interest bearing cash at end of year2019-12-31$625
Total non interest bearing cash at end of year2019-12-31$625
Total non interest bearing cash at beginning of year2019-12-31$338
Total non interest bearing cash at beginning of year2019-12-31$338
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,137,204
Value of net income/loss2019-12-31$1,137,204
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,448,365
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,448,365
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,311,161
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,311,161
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,349,471
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,349,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,212,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,212,687
Interest on participant loans2019-12-31$4,783
Interest on participant loans2019-12-31$4,783
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$840,312
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$840,312
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$265,416
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$265,416
Contract administrator fees2019-12-31$1,605
Contract administrator fees2019-12-31$1,605
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MCM CPAS & ADVISORS LLP
Accountancy firm name2019-12-31MCM CPAS & ADVISORS LLP
Accountancy firm EIN2019-12-31271235638
Accountancy firm EIN2019-12-31271235638
2018 : PINNACLE EYE CARE 401K SAVINGS 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$42,525
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$309,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$304,041
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$308,658
Value of total assets at end of year2018-12-31$5,311,161
Value of total assets at beginning of year2018-12-31$5,577,892
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$5,215
Total interest from all sources2018-12-31$4,400
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$368,841
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$368,841
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$308,658
Participant contributions at end of year2018-12-31$98,136
Participant contributions at beginning of year2018-12-31$82,144
Participant contributions at end of year2018-12-31$0
Participant contributions at beginning of year2018-12-31$6,157
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Total non interest bearing cash at end of year2018-12-31$338
Total non interest bearing cash at beginning of year2018-12-31$334
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-266,731
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,311,161
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$5,577,892
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 registered invesment companies (eg mutual funds) at end of year2018-12-31$5,212,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$5,489,257
Interest on participant loans2018-12-31$4,400
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-639,374
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$304,041
Contract administrator fees2018-12-31$5,215
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 name2018-12-31MCM CPAS & ADVISORS LLP
Accountancy firm EIN2018-12-31271235638
2017 : PINNACLE EYE CARE 401K SAVINGS 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$1,213,398
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$113,336
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$111,094
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$347,703
Value of total assets at end of year2017-12-31$5,577,892
Value of total assets at beginning of year2017-12-31$4,477,830
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,242
Total interest from all sources2017-12-31$3,510
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$267,640
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$267,640
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$347,703
Participant contributions at end of year2017-12-31$82,144
Participant contributions at beginning of year2017-12-31$83,212
Participant contributions at end of year2017-12-31$6,157
Participant contributions at beginning of year2017-12-31$5,638
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$334
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,100,062
Value of net assets at end of year (total assets less liabilities)2017-12-31$5,577,892
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$4,477,830
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 registered invesment companies (eg mutual funds) at end of year2017-12-31$5,489,257
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,388,980
Interest on participant loans2017-12-31$3,510
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$594,545
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$111,094
Contract administrator fees2017-12-31$2,242
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 name2017-12-31MCM CPAS & ADVISORS LLP
Accountancy firm EIN2017-12-31271235638
2016 : PINNACLE EYE CARE 401K SAVINGS 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$2,834
Total income from all sources (including contributions)2016-12-31$640,149
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$265,876
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$202,217
Value of total corrective distributions2016-12-31$60,797
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$346,161
Value of total assets at end of year2016-12-31$4,477,830
Value of total assets at beginning of year2016-12-31$4,106,391
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,862
Total interest from all sources2016-12-31$3,563
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$164,152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$164,152
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$400,000
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$346,161
Participant contributions at end of year2016-12-31$83,212
Participant contributions at beginning of year2016-12-31$100,598
Participant contributions at end of year2016-12-31$5,638
Participant contributions at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$2,834
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$374,273
Value of net assets at end of year (total assets less liabilities)2016-12-31$4,477,830
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,103,557
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 registered invesment companies (eg mutual funds) at end of year2016-12-31$4,388,980
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$4,005,793
Interest on participant loans2016-12-31$3,563
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$126,273
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Employer contributions (assets) at end of year2016-12-31$0
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$202,217
Contract administrator fees2016-12-31$2,862
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 name2016-12-31MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN2016-12-31271235638
2010 : PINNACLE EYE CARE 401K SAVINGS PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$430,255
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$77,892
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$77,757
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$274,013
Value of total assets at end of year2010-12-31$1,930,888
Value of total assets at beginning of year2010-12-31$1,578,525
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$135
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$21,887
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$21,887
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$200,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$220,862
Participant contributions at end of year2010-12-31$9,661
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$352,363
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,930,888
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,578,525
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$135
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$1,918,633
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$1,249,766
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$328,759
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$328,759
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$134,355
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$53,151
Employer contributions (assets) at end of year2010-12-31$2,594
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$77,757
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MOUNTJOY CHILTON MEDLEY LLP
Accountancy firm EIN2010-12-31271235638
2009 : PINNACLE EYE CARE 401K SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for PINNACLE EYE CARE 401K SAVINGS PLAN

2022: PINNACLE EYE CARE 401K SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PINNACLE EYE CARE 401K SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PINNACLE EYE CARE 401K SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PINNACLE EYE CARE 401K SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PINNACLE EYE CARE 401K SAVINGS 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PINNACLE EYE CARE 401K SAVINGS 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PINNACLE EYE CARE 401K SAVINGS 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2010: PINNACLE EYE CARE 401K SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PINNACLE EYE CARE 401K SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number516140-01
Policy instance 1
Insurance contract or identification number516140-01
Number of Individuals Covered62
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,126
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,563
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerINVESTMENT ADVISING
Insurance broker organization code?3

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