SAN JOSE POLICE OFFICERS' ASSOCIATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN
401k plan membership statisitcs for SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN
| Measure | Date | Value |
|---|
| 2021 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2021 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2021-12-31 | $195,911 |
| Total unrealized appreciation/depreciation of assets | 2021-12-31 | $195,911 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $77,892 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-12-31 | $34,752 |
| Total income from all sources (including contributions) | 2021-12-31 | $1,728,269 |
| Total of all expenses incurred | 2021-12-31 | $1,648,590 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $1,617,081 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $1,521,735 |
| Value of total assets at end of year | 2021-12-31 | $1,299,732 |
| Value of total assets at beginning of year | 2021-12-31 | $1,176,913 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $31,509 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $10,623 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Administrative expenses professional fees incurred | 2021-12-31 | $19,907 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Contributions received from participants | 2021-12-31 | $1,521,735 |
| Participant contributions at end of year | 2021-12-31 | $161,295 |
| Participant contributions at beginning of year | 2021-12-31 | $119,128 |
| Liabilities. Value of operating payables at end of year | 2021-12-31 | $41,860 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $79,679 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $1,221,840 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $1,142,161 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Investment advisory and management fees | 2021-12-31 | $11,602 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2021-12-31 | $30,976 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2021-12-31 | $72,966 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2021-12-31 | $72,966 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-12-31 | $1,617,081 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Income. Dividends from common stock | 2021-12-31 | $10,623 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2021-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2021-12-31 | $1,107,461 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2021-12-31 | $984,819 |
| Liabilities. Value of benefit claims payable at end of year | 2021-12-31 | $36,032 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $34,752 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Unqualified |
| Accountancy firm name | 2021-12-31 | FRANK, RIMERMAN + CO. LLP |
| Accountancy firm EIN | 2021-12-31 | 941341042 |
| 2020 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2020 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2020-12-31 | $159,255 |
| Total unrealized appreciation/depreciation of assets | 2020-12-31 | $159,255 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $34,752 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $40,410 |
| Total income from all sources (including contributions) | 2020-12-31 | $1,758,773 |
| Total of all expenses incurred | 2020-12-31 | $1,608,905 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $1,575,917 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $1,588,668 |
| Value of total assets at end of year | 2020-12-31 | $1,176,913 |
| Value of total assets at beginning of year | 2020-12-31 | $1,032,703 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $32,988 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $10,850 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Administrative expenses professional fees incurred | 2020-12-31 | $24,126 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Contributions received from participants | 2020-12-31 | $1,538,361 |
| Participant contributions at end of year | 2020-12-31 | $119,128 |
| Participant contributions at beginning of year | 2020-12-31 | $73,737 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $149,868 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $1,142,161 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $992,293 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Investment advisory and management fees | 2020-12-31 | $8,862 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2020-12-31 | $72,966 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2020-12-31 | $158,130 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2020-12-31 | $158,130 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-12-31 | $1,575,917 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Contributions received in cash from employer | 2020-12-31 | $50,307 |
| Income. Dividends from common stock | 2020-12-31 | $10,850 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2020-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2020-12-31 | $984,819 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2020-12-31 | $800,836 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $34,752 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $40,410 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Unqualified |
| Accountancy firm name | 2020-12-31 | FRANK, RIMERMAN + CO. LLP |
| Accountancy firm EIN | 2020-12-31 | 941341042 |
| 2019 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2019 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2019-12-31 | $192,638 |
| Total unrealized appreciation/depreciation of assets | 2019-12-31 | $192,638 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $40,410 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $40,785 |
| Total income from all sources (including contributions) | 2019-12-31 | $1,671,256 |
| Total of all expenses incurred | 2019-12-31 | $1,527,092 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $1,496,710 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $1,465,924 |
| Value of total assets at end of year | 2019-12-31 | $1,032,703 |
| Value of total assets at beginning of year | 2019-12-31 | $888,914 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $30,382 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $12,694 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Administrative expenses professional fees incurred | 2019-12-31 | $23,733 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Contributions received from participants | 2019-12-31 | $1,465,924 |
| Participant contributions at end of year | 2019-12-31 | $73,737 |
| Participant contributions at beginning of year | 2019-12-31 | $71,437 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $144,164 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $992,293 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $848,129 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Investment advisory and management fees | 2019-12-31 | $6,649 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2019-12-31 | $158,130 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2019-12-31 | $195,305 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2019-12-31 | $195,305 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-12-31 | $1,496,710 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Income. Dividends from common stock | 2019-12-31 | $12,694 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2019-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2019-12-31 | $800,836 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2019-12-31 | $622,172 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $40,410 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $40,785 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Unqualified |
| Accountancy firm name | 2019-12-31 | FRANK, RIMERMAN + CO. LLP |
| Accountancy firm EIN | 2019-12-31 | 941341042 |
| 2018 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2018 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2018-12-31 | $-54,001 |
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $-54,001 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $40,785 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $42,924 |
| Total income from all sources (including contributions) | 2018-12-31 | $1,402,009 |
| Total of all expenses incurred | 2018-12-31 | $1,594,836 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $1,542,096 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $1,439,792 |
| Value of total assets at end of year | 2018-12-31 | $888,914 |
| Value of total assets at beginning of year | 2018-12-31 | $1,083,880 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $52,740 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $16,218 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Administrative expenses professional fees incurred | 2018-12-31 | $43,936 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $1,439,792 |
| Participant contributions at end of year | 2018-12-31 | $71,437 |
| Participant contributions at beginning of year | 2018-12-31 | $66,310 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-192,827 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $848,129 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $1,040,956 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $8,804 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2018-12-31 | $195,305 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2018-12-31 | $137,714 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2018-12-31 | $137,714 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $1,542,096 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Income. Dividends from common stock | 2018-12-31 | $16,218 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2018-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2018-12-31 | $622,172 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2018-12-31 | $879,856 |
| Liabilities. Value of benefit claims payable at end of year | 2018-12-31 | $40,785 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-12-31 | $42,924 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Unqualified |
| Accountancy firm name | 2018-12-31 | FRANK, RIMERMAN + CO. LLP |
| Accountancy firm EIN | 2018-12-31 | 941341042 |
| 2017 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2017 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2017-12-31 | $45,864 |
| Total unrealized appreciation/depreciation of assets | 2017-12-31 | $45,864 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $42,924 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $41,144 |
| Total income from all sources (including contributions) | 2017-12-31 | $1,472,254 |
| Total of all expenses incurred | 2017-12-31 | $1,338,077 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $1,324,397 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $1,411,539 |
| Value of total assets at end of year | 2017-12-31 | $1,083,880 |
| Value of total assets at beginning of year | 2017-12-31 | $947,923 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $13,680 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $14,851 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Administrative expenses professional fees incurred | 2017-12-31 | $4,425 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Contributions received from participants | 2017-12-31 | $1,411,539 |
| Participant contributions at end of year | 2017-12-31 | $66,310 |
| Participant contributions at beginning of year | 2017-12-31 | $60,265 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $134,177 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $1,040,956 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $906,779 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Investment advisory and management fees | 2017-12-31 | $9,255 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2017-12-31 | $137,714 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2017-12-31 | $94,450 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2017-12-31 | $94,450 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-12-31 | $1,324,397 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Income. Dividends from common stock | 2017-12-31 | $14,851 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2017-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2017-12-31 | $879,856 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2017-12-31 | $793,208 |
| Liabilities. Value of benefit claims payable at end of year | 2017-12-31 | $42,924 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-12-31 | $41,144 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Unqualified |
| Accountancy firm name | 2017-12-31 | FRANK, RIMERMAN + CO. LLP |
| Accountancy firm EIN | 2017-12-31 | 941341042 |
| 2016 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2016 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2016-12-31 | $61,169 |
| Total unrealized appreciation/depreciation of assets | 2016-12-31 | $61,169 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $400,165 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $55,154 |
| Total income from all sources (including contributions) | 2016-12-31 | $1,190,904 |
| Total of all expenses incurred | 2016-12-31 | $1,645,200 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $1,627,507 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $1,113,380 |
| Value of total assets at end of year | 2016-12-31 | $888,335 |
| Value of total assets at beginning of year | 2016-12-31 | $997,620 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $17,693 |
| Total interest from all sources | 2016-12-31 | $55 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $16,300 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Administrative expenses professional fees incurred | 2016-12-31 | $3,470 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Contributions received from participants | 2016-12-31 | $1,113,380 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2016-12-31 | $250,000 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-12-31 | $76,808 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $112,836 |
| Administrative expenses (other) incurred | 2016-12-31 | $5,364 |
| Liabilities. Value of operating payables at end of year | 2016-12-31 | $287,329 |
| Liabilities. Value of operating payables at beginning of year | 2016-12-31 | $55,154 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-454,296 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $488,170 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $942,466 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Investment advisory and management fees | 2016-12-31 | $8,859 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-12-31 | $95,129 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-12-31 | $91,932 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-12-31 | $91,932 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2016-12-31 | $55 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-12-31 | $1,377,507 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Income. Dividends from common stock | 2016-12-31 | $16,300 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2016-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2016-12-31 | $793,206 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2016-12-31 | $828,880 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountancy firm name | 2016-12-31 | SEE ATTACHMENT |
| 2015 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2015 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2015-12-31 | $-61,283 |
| Total unrealized appreciation/depreciation of assets | 2015-12-31 | $-61,283 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $55,154 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-12-31 | $29,360 |
| Total income from all sources (including contributions) | 2015-12-31 | $1,292,568 |
| Total of all expenses incurred | 2015-12-31 | $1,519,489 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-12-31 | $1,475,467 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-12-31 | $1,331,420 |
| Value of total assets at end of year | 2015-12-31 | $997,620 |
| Value of total assets at beginning of year | 2015-12-31 | $1,198,747 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-12-31 | $44,022 |
| Total interest from all sources | 2015-12-31 | $8 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-12-31 | $22,423 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-12-31 | No |
| Administrative expenses professional fees incurred | 2015-12-31 | $24,300 |
| Was this plan covered by a fidelity bond | 2015-12-31 | Yes |
| Value of fidelity bond cover | 2015-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2015-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-12-31 | No |
| Contributions received from participants | 2015-12-31 | $1,331,420 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2015-12-31 | $76,312 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-12-31 | $76,808 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-12-31 | $118,970 |
| Administrative expenses (other) incurred | 2015-12-31 | $9,469 |
| Liabilities. Value of operating payables at end of year | 2015-12-31 | $55,154 |
| Liabilities. Value of operating payables at beginning of year | 2015-12-31 | $29,360 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Value of net income/loss | 2015-12-31 | $-226,921 |
| Value of net assets at end of year (total assets less liabilities) | 2015-12-31 | $942,466 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,169,387 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-12-31 | No |
| Investment advisory and management fees | 2015-12-31 | $10,253 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-12-31 | $91,932 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-12-31 | $64,980 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-12-31 | $64,980 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2015-12-31 | $8 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-12-31 | $1,399,155 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-12-31 | No |
| Income. Dividends from common stock | 2015-12-31 | $22,423 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2015-12-31 | $828,880 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2015-12-31 | $1,014,797 |
| Did the plan have assets held for investment | 2015-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-12-31 | Unqualified |
| Accountancy firm name | 2015-12-31 | ZAJAC GROUP |
| Accountancy firm EIN | 2015-12-31 | 770354155 |
| 2014 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2014 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2014-12-31 | $56,471 |
| Total unrealized appreciation/depreciation of assets | 2014-12-31 | $56,471 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $29,360 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-12-31 | $25,540 |
| Total income from all sources (including contributions) | 2014-12-31 | $1,314,450 |
| Total of all expenses incurred | 2014-12-31 | $1,475,582 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-12-31 | $1,444,697 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-12-31 | $1,234,689 |
| Value of total assets at end of year | 2014-12-31 | $1,198,747 |
| Value of total assets at beginning of year | 2014-12-31 | $1,356,059 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-12-31 | $30,885 |
| Total interest from all sources | 2014-12-31 | $234 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-12-31 | $23,056 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-12-31 | No |
| Administrative expenses professional fees incurred | 2014-12-31 | $14,595 |
| Was this plan covered by a fidelity bond | 2014-12-31 | Yes |
| Value of fidelity bond cover | 2014-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2014-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-12-31 | No |
| Contributions received from participants | 2014-12-31 | $1,234,689 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-12-31 | $104,693 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-12-31 | $118,970 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-12-31 | $61,878 |
| Administrative expenses (other) incurred | 2014-12-31 | $5,183 |
| Liabilities. Value of operating payables at end of year | 2014-12-31 | $29,360 |
| Liabilities. Value of operating payables at beginning of year | 2014-12-31 | $25,540 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Value of net income/loss | 2014-12-31 | $-161,132 |
| Value of net assets at end of year (total assets less liabilities) | 2014-12-31 | $1,169,387 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,330,519 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-12-31 | No |
| Investment advisory and management fees | 2014-12-31 | $11,107 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-12-31 | $64,980 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-12-31 | $338,890 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-12-31 | $338,890 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-12-31 | $234 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-12-31 | $1,340,004 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-12-31 | No |
| Income. Dividends from common stock | 2014-12-31 | $23,056 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2014-12-31 | $1,014,797 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2014-12-31 | $955,291 |
| Did the plan have assets held for investment | 2014-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-12-31 | Unqualified |
| Accountancy firm name | 2014-12-31 | ZAJAC GROUP |
| Accountancy firm EIN | 2014-12-31 | 770354155 |
| 2013 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2013 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2013-12-31 | $188,365 |
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $188,365 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $25,540 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $19,557 |
| Total income from all sources (including contributions) | 2013-12-31 | $1,396,452 |
| Total of all expenses incurred | 2013-12-31 | $1,603,387 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $1,552,648 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $1,183,462 |
| Value of total assets at end of year | 2013-12-31 | $1,356,059 |
| Value of total assets at beginning of year | 2013-12-31 | $1,557,011 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $50,739 |
| Total interest from all sources | 2013-12-31 | $10,050 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $14,575 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | No |
| Administrative expenses professional fees incurred | 2013-12-31 | $30,924 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2013-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Contributions received from participants | 2013-12-31 | $1,183,462 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2013-12-31 | $305,837 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $61,878 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $67,821 |
| Administrative expenses (other) incurred | 2013-12-31 | $10,441 |
| Liabilities. Value of operating payables at end of year | 2013-12-31 | $25,540 |
| Liabilities. Value of operating payables at beginning of year | 2013-12-31 | $19,557 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-206,935 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $1,330,519 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $1,537,454 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Investment advisory and management fees | 2013-12-31 | $9,374 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $338,890 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $745,040 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $745,040 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $10,050 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-12-31 | $1,246,811 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Income. Dividends from common stock | 2013-12-31 | $14,575 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2013-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2013-12-31 | $955,291 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2013-12-31 | $744,150 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Unqualified |
| Accountancy firm name | 2013-12-31 | ZAJAC GROUP |
| Accountancy firm EIN | 2013-12-31 | 770354155 |
| 2012 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2012 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $71,089 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $71,089 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $19,557 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $16,000 |
| Total income from all sources (including contributions) | 2012-12-31 | $1,314,618 |
| Total of all expenses incurred | 2012-12-31 | $1,308,670 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $1,274,958 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $1,212,312 |
| Value of total assets at end of year | 2012-12-31 | $1,557,011 |
| Value of total assets at beginning of year | 2012-12-31 | $1,547,506 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $33,712 |
| Total interest from all sources | 2012-12-31 | $17,237 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $13,980 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | No |
| Administrative expenses professional fees incurred | 2012-12-31 | $19,647 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2012-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Contributions received from participants | 2012-12-31 | $1,212,312 |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2012-12-31 | $3,000 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $67,821 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $67,851 |
| Administrative expenses (other) incurred | 2012-12-31 | $5,532 |
| Liabilities. Value of operating payables at end of year | 2012-12-31 | $19,557 |
| Liabilities. Value of operating payables at beginning of year | 2012-12-31 | $16,000 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $5,948 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $1,537,454 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,531,506 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Investment advisory and management fees | 2012-12-31 | $8,533 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $13,530 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $745,040 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $814,443 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $814,443 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $17,237 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-12-31 | $1,271,958 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Income. Dividends from common stock | 2012-12-31 | $13,980 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2012-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2012-12-31 | $744,150 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2012-12-31 | $651,682 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Unqualified |
| Accountancy firm name | 2012-12-31 | ZAJAC & PERRONE LLP |
| Accountancy firm EIN | 2012-12-31 | 770423480 |
| 2011 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2011 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2011-12-31 | $-86,750 |
| Total unrealized appreciation/depreciation of assets | 2011-12-31 | $-86,750 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $16,000 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-12-31 | $2,950 |
| Total income from all sources (including contributions) | 2011-12-31 | $1,239,444 |
| Total of all expenses incurred | 2011-12-31 | $1,329,069 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-12-31 | $1,297,616 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-12-31 | $1,285,798 |
| Value of total assets at end of year | 2011-12-31 | $1,547,506 |
| Value of total assets at beginning of year | 2011-12-31 | $1,624,081 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-12-31 | $31,453 |
| Total interest from all sources | 2011-12-31 | $25,603 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-12-31 | $14,793 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2011-12-31 | No |
| Administrative expenses professional fees incurred | 2011-12-31 | $16,798 |
| Was this plan covered by a fidelity bond | 2011-12-31 | Yes |
| Value of fidelity bond cover | 2011-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2011-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2011-12-31 | No |
| Contributions received from participants | 2011-12-31 | $1,285,798 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-12-31 | $67,851 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2011-12-31 | $20,091 |
| Administrative expenses (other) incurred | 2011-12-31 | $7,820 |
| Liabilities. Value of operating payables at end of year | 2011-12-31 | $16,000 |
| Liabilities. Value of operating payables at beginning of year | 2011-12-31 | $2,950 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Value of net income/loss | 2011-12-31 | $-89,625 |
| Value of net assets at end of year (total assets less liabilities) | 2011-12-31 | $1,531,506 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,621,131 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-12-31 | No |
| Investment advisory and management fees | 2011-12-31 | $6,835 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2011-12-31 | $13,530 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2011-12-31 | $5,826 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-12-31 | $814,443 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-12-31 | $878,931 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-12-31 | $878,931 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-12-31 | $25,603 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-12-31 | $1,297,616 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-12-31 | No |
| Income. Dividends from common stock | 2011-12-31 | $14,793 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2011-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2011-12-31 | $651,682 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2011-12-31 | $719,233 |
| Did the plan have assets held for investment | 2011-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-12-31 | Unqualified |
| Accountancy firm name | 2011-12-31 | ZAJAC & PERRONE LLP |
| Accountancy firm EIN | 2011-12-31 | 770423480 |
| 2010 : SAN JOSE POLICE OFFICERS' ASSOC. INSURANCE & BENEFITS PLAN 2010 401k financial data |
|---|
| Unrealized appreciation/depreciation of other (non real estate) assets | 2010-12-31 | $80,065 |
| Total unrealized appreciation/depreciation of assets | 2010-12-31 | $80,065 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,950 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2010-12-31 | $2,600 |
| Total income from all sources (including contributions) | 2010-12-31 | $824,233 |
| Total loss/gain on sale of assets | 2010-12-31 | $860 |
| Total of all expenses incurred | 2010-12-31 | $786,985 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $754,296 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $696,996 |
| Value of total assets at end of year | 2010-12-31 | $1,624,081 |
| Value of total assets at beginning of year | 2010-12-31 | $1,586,483 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2010-12-31 | $32,689 |
| Total interest from all sources | 2010-12-31 | $28,818 |
| Total dividends received (eg from common stock, registered investment company shares) | 2010-12-31 | $17,494 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Administrative expenses professional fees incurred | 2010-12-31 | $16,640 |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $250,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $696,996 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2010-12-31 | $20,091 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2010-12-31 | $38,307 |
| Administrative expenses (other) incurred | 2010-12-31 | $8,992 |
| Liabilities. Value of operating payables at end of year | 2010-12-31 | $2,950 |
| Liabilities. Value of operating payables at beginning of year | 2010-12-31 | $2,600 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $37,248 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $1,621,131 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $1,583,883 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Investment advisory and management fees | 2010-12-31 | $7,057 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2010-12-31 | $5,826 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2010-12-31 | $4,507 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2010-12-31 | $878,931 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2010-12-31 | $914,134 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2010-12-31 | $914,134 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2010-12-31 | $28,818 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-12-31 | $754,296 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Income. Dividends from common stock | 2010-12-31 | $17,494 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
| Assets. Corporate common stocks other than exployer securities at end of year | 2010-12-31 | $719,233 |
| Assets. Corporate common stocks other than exployer securities at beginning of year | 2010-12-31 | $629,535 |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Aggregate proceeds on sale of assets | 2010-12-31 | $860 |
| Aggregate carrying amount (costs) on sale of assets | 2010-12-31 | $0 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Unqualified |
| Accountancy firm name | 2010-12-31 | ZAJAC & PERRONE LLP |
| Accountancy firm EIN | 2010-12-31 | 770423480 |
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $3,862 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $15,446 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,854 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 367 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $18,148 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $405,546 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14,911 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3590 | | Insurance policy start date | 2021-07-01 | | Insurance policy end date | 2022-06-30 | | Total amount of commissions paid to insurance broker | USD $72,256 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $719,656 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $72,256 | | Insurance broker organization code? | 3 |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 188 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $6,719 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $30,002 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,719 | | Insurance broker organization code? | 3 |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 196 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $7,091 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $35,247 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,091 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3425 | | Insurance policy start date | 2020-07-01 | | Insurance policy end date | 2021-06-30 | | Total amount of commissions paid to insurance broker | USD $70,229 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | 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 $70,229 | | Insurance broker organization code? | 3 |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,862 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $15,446 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,854 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 937 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $21,086 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $422,695 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $16,989 | | Insurance broker organization code? | 3 |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 351 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $7,513 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $36,028 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,513 | | Insurance broker organization code? | 3 |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 24 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $2,685 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $15,784 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,895 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3322 | | Insurance policy start date | 2018-07-01 | | Insurance policy end date | 2019-06-30 | | Total amount of commissions paid to insurance broker | USD $67,311 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | 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 $67,311 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 173 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $28,124 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $434,376 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,074 | | Insurance broker organization code? | 3 |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3223 | | Insurance policy start date | 2017-07-01 | | Insurance policy end date | 2018-06-30 | | Total amount of commissions paid to insurance broker | USD $73,630 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | 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 $73,630 | | Insurance broker organization code? | 3 |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 376 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $8,084 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $38,619 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,084 | | Insurance broker organization code? | 3 |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $3,964 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $15,852 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,903 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 195 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $37,062 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $378,870 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $33,211 | | Insurance broker organization code? | 3 |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 169 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $18,365 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $427,557 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $13,008 | | Insurance broker organization code? | 3 | | Insurance broker name | DUANE M. BAUTISTA |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3038 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $61,614 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | 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 $61,614 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,754 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $16,190 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,944 | | Insurance broker organization code? | 3 | | Insurance broker name | BAFFIN BAY MARKETING GROUP, LLC |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 404 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $8,613 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $41,389 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $8,613 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 25 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,000 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $17,500 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,000 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 400 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $42,500 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $540,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $20,000 | | Insurance broker organization code? | 3 | | Insurance broker name | MARK MASAO ENDO |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3000 | | Insurance policy start date | 2015-07-01 | | Insurance policy end date | 2016-06-30 | | Total amount of commissions paid to insurance broker | USD $55,000 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | 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 $55,000 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 500 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $10,000 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $50,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,000 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 31 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,325 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $19,371 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,325 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3136 | | Insurance policy start date | 2014-07-01 | | Insurance policy end date | 2015-06-30 | | Total amount of commissions paid to insurance broker | USD $56,946 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | 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 $56,946 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 518 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $12,813 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $53,273 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,813 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 426 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $46,510 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $543,007 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,553 | | Insurance broker organization code? | 3 | | Insurance broker name | MARK MASAO ENDO |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $2,251 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $18,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,325 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
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| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3085 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $56,353 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | 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 $56,946 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 518 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $12,813 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $53,273 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,813 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
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| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 450 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $42,702 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $492,943 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $21,336 | | Insurance broker organization code? | 3 | | Insurance broker name | MARK MASAO ENDO |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 486 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $68,515 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $629,488 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $27,100 | | Insurance broker organization code? | 3 | | Insurance broker name | MARK MASAO ENDO |
|
| NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 ) |
| Policy contract number | 2222 |
| Policy instance | 4 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 71 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $2,251 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER & SPECIFIED DISEASE | | Welfare Benefit Premiums Paid to Carrier | USD $18,761 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,251 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3085 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $56,353 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | 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 $56,353 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 535 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $11,101 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $53,413 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $11,101 | | Insurance broker organization code? | 3 | | Insurance broker name | DERENDINGER INSURANCE AGENCY, INC. |
|
| AMERICAN HERITAGE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60534 ) |
| Policy contract number | 97972 |
| Policy instance | 3 |
| Insurance contract or identification number | 97972 | | Number of Individuals Covered | 699 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $76,313 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Health Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $509,621 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 554 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $11,434 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $55,118 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3162 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $54,139 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 147863 |
| Policy instance | 2 |
| Insurance contract or identification number | 147863 | | Number of Individuals Covered | 3371 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $94,408 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
| Policy contract number | 2222 |
| Policy instance | 3 |
| Insurance contract or identification number | 2222 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $2,154 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | INDIVIDUAL CANCER COVERAGE | | Welfare Benefit Premiums Paid to Carrier | USD $17,953 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNITED INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 65765 ) |
| Policy contract number | 00000S6652 |
| Policy instance | 1 |
| Insurance contract or identification number | 00000S6652 | | Number of Individuals Covered | 580 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $16,004 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Other welfare benefits provided | CANCER ICU | | Welfare Benefit Premiums Paid to Carrier | USD $57,743 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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