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ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 401k Plan overview

Plan NameALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN
Plan identification number 001

ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Plan covering Self-Employed individuals.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

ALS GARDEN CENTERS & GREENHOUSE LLC has sponsored the creation of one or more 401k plans.

Company Name:ALS GARDEN CENTERS & GREENHOUSE LLC
Employer identification number (EIN):911767064
NAIC Classification:444200
NAIC Description: Lawn and Garden Equipment and Supplies Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01DARCY RUEF2022-10-07 DARCY RUEF2022-10-07
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DARCY RUEF
0012016-01-01DARCY RUEF
0012015-01-01JACK BIGEJ
0012014-01-01JACK BIGEJ
0012013-01-01JACK BIGEJ
0012012-01-01JACK BIGEJ
0012011-01-01JACK BIGEJ

Plan Statistics for ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN

401k plan membership statisitcs for ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN

Measure Date Value
2021: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0159
Total number of active participants reported on line 7a of the Form 55002021-01-01152
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0119
Total of all active and inactive participants2021-01-01173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01173
Number of participants with account balances2021-01-0196
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0181
Total number of active participants reported on line 7a of the Form 55002020-01-0157
Number of retired or separated participants receiving benefits2020-01-012
Total of all active and inactive participants2020-01-0159
Total participants2020-01-0159
Number of participants with account balances2020-01-010
2019: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0181
Total number of active participants reported on line 7a of the Form 55002019-01-0155
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-0124
Total of all active and inactive participants2019-01-0181
Total participants2019-01-0181
Number of participants with account balances2019-01-0181
2018: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0181
Total number of active participants reported on line 7a of the Form 55002018-01-0154
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0122
Total of all active and inactive participants2018-01-0178
Total participants2018-01-0178
Number of participants with account balances2018-01-0178
2017: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0174
Total number of active participants reported on line 7a of the Form 55002017-01-0151
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-0128
Total of all active and inactive participants2017-01-0181
Total participants2017-01-0181
Number of participants with account balances2017-01-0181
2016: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0148
Total number of active participants reported on line 7a of the Form 55002016-01-0174
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0177
Total participants2016-01-0177
Number of participants with account balances2016-01-0177
2015: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total number of active participants reported on line 7a of the Form 55002015-01-0148
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-0125
Total of all active and inactive participants2015-01-0174
Total participants2015-01-0174
Number of participants with account balances2015-01-0174
2014: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0178
Total number of active participants reported on line 7a of the Form 55002014-01-0149
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-0123
Total of all active and inactive participants2014-01-0173
Total participants2014-01-0173
Number of participants with account balances2014-01-0173
2013: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0184
Total number of active participants reported on line 7a of the Form 55002013-01-0152
Number of other retired or separated participants entitled to future benefits2013-01-0126
Total of all active and inactive participants2013-01-0178
Total participants2013-01-0178
Number of participants with account balances2013-01-0178
2012: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0190
Total number of active participants reported on line 7a of the Form 55002012-01-0158
Number of retired or separated participants receiving benefits2012-01-0126
Total of all active and inactive participants2012-01-0184
Total participants2012-01-0184
Number of participants with account balances2012-01-0184
2011: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0192
Total number of active participants reported on line 7a of the Form 55002011-01-0165
Number of retired or separated participants receiving benefits2011-01-0125
Total of all active and inactive participants2011-01-0190
Total participants2011-01-0190
Number of participants with account balances2011-01-0190

Financial Data on ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN

Measure Date Value
2021 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$814,002
Expenses. Total of all expenses incurred2021-12-31$244,673
Benefits paid (including direct rollovers)2021-12-31$227,287
Total plan assets at end of year2021-12-31$4,434,484
Total plan assets at beginning of year2021-12-31$3,865,155
Total contributions received or receivable from participants2021-12-31$257,565
Other income received2021-12-31$444,153
Net income (gross income less expenses)2021-12-31$569,329
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,434,484
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$3,865,155
Total contributions received or receivable from employer(s)2021-12-31$112,284
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$17,386
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$734,556
Expenses. Total of all expenses incurred2020-12-31$405,615
Benefits paid (including direct rollovers)2020-12-31$388,795
Total plan assets at end of year2020-12-31$3,865,155
Total plan assets at beginning of year2020-12-31$3,536,214
Total contributions received or receivable from participants2020-12-31$208,228
Expenses. Other expenses not covered elsewhere2020-12-31$5,315
Other income received2020-12-31$459,900
Net income (gross income less expenses)2020-12-31$328,941
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,865,155
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,536,214
Total contributions received or receivable from employer(s)2020-12-31$66,428
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$11,505
2019 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$764,638
Expenses. Total of all expenses incurred2019-12-31$45,330
Benefits paid (including direct rollovers)2019-12-31$29,168
Total plan assets at end of year2019-12-31$3,536,214
Total plan assets at beginning of year2019-12-31$2,816,906
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$123,585
Expenses. Other expenses not covered elsewhere2019-12-31$5,220
Other income received2019-12-31$587,194
Net income (gross income less expenses)2019-12-31$719,308
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,536,214
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,816,906
Total contributions received or receivable from employer(s)2019-12-31$53,859
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$10,942
2018 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$34,818
Expenses. Total of all expenses incurred2018-12-31$244,946
Benefits paid (including direct rollovers)2018-12-31$229,657
Total plan assets at end of year2018-12-31$2,816,906
Total plan assets at beginning of year2018-12-31$3,027,034
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$131,879
Expenses. Other expenses not covered elsewhere2018-12-31$1,764
Other income received2018-12-31$-146,845
Net income (gross income less expenses)2018-12-31$-210,128
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,816,906
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,027,034
Total contributions received or receivable from employer(s)2018-12-31$49,784
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$13,525
2017 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$590,976
Expenses. Total of all expenses incurred2017-12-31$14,365
Benefits paid (including direct rollovers)2017-12-31$912
Total plan assets at end of year2017-12-31$3,027,034
Total plan assets at beginning of year2017-12-31$2,450,423
Value of fidelity bond covering the plan2017-12-31$250,000
Total contributions received or receivable from participants2017-12-31$132,641
Other income received2017-12-31$407,344
Net income (gross income less expenses)2017-12-31$576,611
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,027,034
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,450,423
Total contributions received or receivable from employer(s)2017-12-31$50,991
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$13,453
2016 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$308,803
Expenses. Total of all expenses incurred2016-12-31$91,118
Benefits paid (including direct rollovers)2016-12-31$78,951
Total plan assets at end of year2016-12-31$2,450,423
Total plan assets at beginning of year2016-12-31$2,232,738
Total contributions received or receivable from participants2016-12-31$113,886
Other income received2016-12-31$152,235
Net income (gross income less expenses)2016-12-31$217,685
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,450,423
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,232,738
Total contributions received or receivable from employer(s)2016-12-31$42,682
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$12,167
2015 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$116,347
Expenses. Total of all expenses incurred2015-12-31$316,736
Benefits paid (including direct rollovers)2015-12-31$304,793
Total plan assets at end of year2015-12-31$2,232,738
Total plan assets at beginning of year2015-12-31$2,433,127
Value of fidelity bond covering the plan2015-12-31$250,000
Total contributions received or receivable from participants2015-12-31$121,700
Other income received2015-12-31$-48,040
Net income (gross income less expenses)2015-12-31$-200,389
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,232,738
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,433,127
Total contributions received or receivable from employer(s)2015-12-31$42,687
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$11,943
2014 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$264,450
Expenses. Total of all expenses incurred2014-12-31$243,508
Benefits paid (including direct rollovers)2014-12-31$231,940
Total plan assets at end of year2014-12-31$2,433,127
Total plan assets at beginning of year2014-12-31$2,412,185
Value of fidelity bond covering the plan2014-12-31$250,000
Total contributions received or receivable from participants2014-12-31$110,056
Other income received2014-12-31$110,089
Net income (gross income less expenses)2014-12-31$20,942
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,433,127
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,412,185
Total contributions received or receivable from employer(s)2014-12-31$44,305
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$11,568
2013 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$544,149
Expenses. Total of all expenses incurred2013-12-31$306,779
Benefits paid (including direct rollovers)2013-12-31$295,130
Total plan assets at end of year2013-12-31$2,412,185
Total plan assets at beginning of year2013-12-31$2,174,815
Value of fidelity bond covering the plan2013-12-31$250,000
Total contributions received or receivable from participants2013-12-31$112,731
Other income received2013-12-31$385,429
Net income (gross income less expenses)2013-12-31$237,370
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,412,185
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,174,815
Total contributions received or receivable from employer(s)2013-12-31$45,989
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$11,649
2012 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$417,834
Expenses. Total of all expenses incurred2012-12-31$165,944
Benefits paid (including direct rollovers)2012-12-31$152,408
Total plan assets at end of year2012-12-31$2,174,815
Total plan assets at beginning of year2012-12-31$1,922,925
Value of fidelity bond covering the plan2012-12-31$250,000
Total contributions received or receivable from participants2012-12-31$118,511
Other income received2012-12-31$252,545
Net income (gross income less expenses)2012-12-31$251,890
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,174,815
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,922,925
Total contributions received or receivable from employer(s)2012-12-31$46,778
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$13,536
2011 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$109,942
Expenses. Total of all expenses incurred2011-12-31$94,497
Benefits paid (including direct rollovers)2011-12-31$81,440
Total plan assets at end of year2011-12-31$1,922,925
Total plan assets at beginning of year2011-12-31$1,907,480
Value of fidelity bond covering the plan2011-12-31$200,000
Total contributions received or receivable from participants2011-12-31$122,008
Other income received2011-12-31$-63,308
Net income (gross income less expenses)2011-12-31$15,445
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,922,925
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,907,480
Total contributions received or receivable from employer(s)2011-12-31$51,242
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$13,057
2010 : ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$388,911
Expenses. Total of all expenses incurred2010-12-31$49,842
Benefits paid (including direct rollovers)2010-12-31$37,985
Total plan assets at end of year2010-12-31$1,907,480
Total plan assets at beginning of year2010-12-31$1,568,411
Value of fidelity bond covering the plan2010-12-31$200,000
Total contributions received or receivable from participants2010-12-31$122,535
Other income received2010-12-31$212,325
Net income (gross income less expenses)2010-12-31$339,069
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,907,480
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,568,411
Total contributions received or receivable from employer(s)2010-12-31$54,051
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$11,857

Form 5500 Responses for ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN

2021: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ALS GARDEN CENTERS & GREENHOUSES LLC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number630952
Policy instance 1
Insurance contract or identification number630952
Number of Individuals Covered97
Insurance policy start date2021-02-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $9,049
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees9049
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number467968
Policy instance 2
Insurance contract or identification number467968
Number of Individuals Covered97
Insurance policy start date2021-02-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $9,049
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees9049
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56454
Policy instance 1
Insurance contract or identification number56454
Number of Individuals Covered81
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56454
Policy instance 1
Insurance contract or identification number56454
Number of Individuals Covered80
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number56454
Policy instance 1
Insurance contract or identification number56454
Number of Individuals Covered80
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameLPL FINANCIAL CORPORATION

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