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PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan NamePACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN
Plan identification number 006

PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PACIFIC RETIREMENT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:PACIFIC RETIREMENT SERVICES, INC.
Employer identification number (EIN):931067253
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about PACIFIC RETIREMENT SERVICES, INC.

Jurisdiction of Incorporation: Oregon Secretary of State Corporations Division
Incorporation Date: 1990-11-20
Company Identification Number: 22564181
Legal Registered Office Address: 1 WEST MAIN ST STE 303

MEDFORD
United States of America (USA)
97501

More information about PACIFIC RETIREMENT SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0062022-01-01
0062021-01-01
0062020-01-01
0062019-01-01
0062018-01-01
0062017-01-01JOSH BLACKSON
0062016-01-01SHERI LOYA
0062015-10-01SHERI LOYA
0062014-10-01SHERI LOYA

Plan Statistics for PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN

Measure Date Value
2022: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-013,090
Total number of active participants reported on line 7a of the Form 55002022-01-012,491
Number of retired or separated participants receiving benefits2022-01-0141
Number of other retired or separated participants entitled to future benefits2022-01-01792
Total of all active and inactive participants2022-01-013,324
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-013,324
Number of participants with account balances2022-01-012,150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0142
2021: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-012,977
Total number of active participants reported on line 7a of the Form 55002021-01-012,354
Number of retired or separated participants receiving benefits2021-01-0152
Number of other retired or separated participants entitled to future benefits2021-01-01684
Total of all active and inactive participants2021-01-013,090
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-013,090
Number of participants with account balances2021-01-012,007
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0144
2020: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-012,752
Total number of active participants reported on line 7a of the Form 55002020-01-012,370
Number of retired or separated participants receiving benefits2020-01-01606
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-012,976
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-012,977
Number of participants with account balances2020-01-011,949
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0157
2019: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,284
Total number of active participants reported on line 7a of the Form 55002019-01-012,466
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01991
Total of all active and inactive participants2019-01-013,457
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-013,457
Number of participants with account balances2019-01-012,302
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0140
2018: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,095
Total number of active participants reported on line 7a of the Form 55002018-01-012,427
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01840
Total of all active and inactive participants2018-01-013,267
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-013,267
Number of participants with account balances2018-01-012,073
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0149
2017: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,771
Total number of active participants reported on line 7a of the Form 55002017-01-012,333
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01747
Total of all active and inactive participants2017-01-013,080
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-013,080
Number of participants with account balances2017-01-011,903
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0145
2016: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,607
Total number of active participants reported on line 7a of the Form 55002016-01-012,213
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01577
Total of all active and inactive participants2016-01-012,790
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-012,790
Number of participants with account balances2016-01-011,744
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0168
2015: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-012,544
Total number of active participants reported on line 7a of the Form 55002015-10-012,168
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-01388
Total of all active and inactive participants2015-10-012,556
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-012,556
Number of participants with account balances2015-10-011,630
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-0116
2014: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-01123
Total number of active participants reported on line 7a of the Form 55002014-10-012,400
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-01352
Total of all active and inactive participants2014-10-012,752
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-012,752
Number of participants with account balances2014-10-011,652
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010

Financial Data on PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN

Measure Date Value
2022 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-2,173,837
Total of all expenses incurred2022-12-31$7,382,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$7,088,140
Expenses. Certain deemed distributions of participant loans2022-12-31$45,033
Value of total corrective distributions2022-12-31$7,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$11,176,684
Value of total assets at end of year2022-12-31$79,156,088
Value of total assets at beginning of year2022-12-31$88,712,888
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$242,713
Total interest from all sources2022-12-31$192,836
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$3,158,839
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$3,158,839
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$4,752,558
Participant contributions at end of year2022-12-31$851,391
Participant contributions at beginning of year2022-12-31$1,010,820
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$228,559
Other income not declared elsewhere2022-12-31$-16,702,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-9,556,800
Value of net assets at end of year (total assets less liabilities)2022-12-31$79,156,088
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$88,712,888
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$69,826,027
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$79,608,188
Interest on participant loans2022-12-31$45,533
Interest earned on other investments2022-12-31$147,303
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$8,478,670
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$8,093,880
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,106,612
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$6,195,567
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$5,981,528
Contract administrator fees2022-12-31$242,713
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MOSS ADAMS
Accountancy firm EIN2022-12-31910189318
2021 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$23,253,350
Total of all expenses incurred2021-12-31$11,403,058
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$11,047,770
Expenses. Certain deemed distributions of participant loans2021-12-31$23,383
Value of total corrective distributions2021-12-31$74
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$12,785,864
Value of total assets at end of year2021-12-31$88,712,888
Value of total assets at beginning of year2021-12-31$76,862,596
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$331,831
Total interest from all sources2021-12-31$204,336
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$3,937,916
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$3,937,916
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,433,447
Participant contributions at end of year2021-12-31$1,010,820
Participant contributions at beginning of year2021-12-31$1,068,445
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$2,694,751
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$11,850,292
Value of net assets at end of year (total assets less liabilities)2021-12-31$88,712,888
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$76,862,596
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$79,608,188
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$67,973,272
Interest on participant loans2021-12-31$58,266
Interest earned on other investments2021-12-31$146,070
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$8,093,880
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$7,820,879
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,461,713
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$6,325,234
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$5,657,666
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$9,586,057
Contract administrator fees2021-12-31$331,831
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MOSS ADAMS
Accountancy firm EIN2021-12-31910189318
2020 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$19,870,118
Total of all expenses incurred2020-12-31$10,284,607
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$10,012,240
Expenses. Certain deemed distributions of participant loans2020-12-31$6,949
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$9,937,184
Value of total assets at end of year2020-12-31$76,862,596
Value of total assets at beginning of year2020-12-31$67,277,085
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$265,418
Total interest from all sources2020-12-31$185,800
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$2,221,351
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$2,221,351
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$4,006,140
Participant contributions at end of year2020-12-31$1,068,445
Participant contributions at beginning of year2020-12-31$806,067
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$514,483
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$9,585,511
Value of net assets at end of year (total assets less liabilities)2020-12-31$76,862,596
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$67,277,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$67,973,272
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$59,789,435
Interest on participant loans2020-12-31$48,148
Interest earned on other investments2020-12-31$137,652
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$7,820,879
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$6,681,583
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,385,713
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$7,525,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$5,416,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$8,626,527
Contract administrator fees2020-12-31$265,418
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31No
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MOSS ADAMS
Accountancy firm EIN2020-12-31910189318
2019 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$20,738,107
Total of all expenses incurred2019-12-31$5,792,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$5,425,617
Expenses. Certain deemed distributions of participant loans2019-12-31$9,039
Value of total corrective distributions2019-12-31$122,781
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$9,675,567
Value of total assets at end of year2019-12-31$67,277,085
Value of total assets at beginning of year2019-12-31$52,331,745
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$235,330
Total interest from all sources2019-12-31$179,724
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$2,929,256
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$2,929,256
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$3,669,790
Participant contributions at end of year2019-12-31$806,067
Participant contributions at beginning of year2019-12-31$661,166
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$642,924
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$14,945,340
Value of net assets at end of year (total assets less liabilities)2019-12-31$67,277,085
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$52,331,745
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$59,789,435
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$46,135,438
Interest on participant loans2019-12-31$42,383
Interest earned on other investments2019-12-31$137,341
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$6,681,583
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$5,535,141
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$7,953,560
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$5,362,853
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$5,425,617
Contract administrator fees2019-12-31$235,330
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MOSS ADAMS
Accountancy firm EIN2019-12-31910189318
2018 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$5,376,371
Total of all expenses incurred2018-12-31$3,824,638
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$3,606,385
Expenses. Certain deemed distributions of participant loans2018-12-31$10,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$8,805,612
Value of total assets at end of year2018-12-31$52,331,745
Value of total assets at beginning of year2018-12-31$50,780,012
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$207,972
Total interest from all sources2018-12-31$138,301
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$2,889,376
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$2,889,376
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$3,287,877
Participant contributions at end of year2018-12-31$661,166
Participant contributions at beginning of year2018-12-31$775,624
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$735,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,551,733
Value of net assets at end of year (total assets less liabilities)2018-12-31$52,331,745
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$50,780,012
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$46,135,438
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$45,775,741
Interest on participant loans2018-12-31$35,876
Interest earned on other investments2018-12-31$102,425
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$5,535,141
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$4,228,647
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-6,456,918
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$4,782,587
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$3,606,385
Contract administrator fees2018-12-31$207,972
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MOSS ADAMS
Accountancy firm EIN2018-12-31910189318
2017 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$13,966,214
Total of all expenses incurred2017-12-31$3,120,006
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,921,904
Expenses. Certain deemed distributions of participant loans2017-12-31$27,854
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,194,719
Value of total assets at end of year2017-12-31$50,780,012
Value of total assets at beginning of year2017-12-31$39,933,804
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$170,248
Total interest from all sources2017-12-31$120,812
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,278,656
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$2,278,656
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,993,858
Participant contributions at end of year2017-12-31$775,624
Participant contributions at beginning of year2017-12-31$674,877
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$512,401
Administrative expenses (other) incurred2017-12-31$361
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$10,846,208
Value of net assets at end of year (total assets less liabilities)2017-12-31$50,780,012
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$39,933,804
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$45,775,741
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$35,370,975
Interest on participant loans2017-12-31$35,551
Interest earned on other investments2017-12-31$85,261
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$4,228,647
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$3,887,952
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$3,372,027
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$4,688,460
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,921,904
Contract administrator fees2017-12-31$169,887
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MOSS ADAMS
Accountancy firm EIN2017-12-31910189318
2016 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$8,855,718
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,833,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,646,197
Expenses. Certain deemed distributions of participant loans2016-12-31$11,348
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$5,443,810
Value of total assets at end of year2016-12-31$39,933,804
Value of total assets at beginning of year2016-12-31$33,912,000
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$176,369
Total interest from all sources2016-12-31$103,252
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$798,937
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$798,937
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,689,018
Participant contributions at end of year2016-12-31$674,877
Participant contributions at beginning of year2016-12-31$615,913
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$524,335
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Administrative expenses (other) incurred2016-12-31$166
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$6,021,804
Value of net assets at end of year (total assets less liabilities)2016-12-31$39,933,804
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$33,912,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$35,370,975
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$30,293,468
Interest on participant loans2016-12-31$29,599
Interest earned on other investments2016-12-31$73,653
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$3,887,952
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$2,171,147
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$2,509,719
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,230,457
Employer contributions (assets) at beginning of year2016-12-31$831,472
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,646,197
Contract administrator fees2016-12-31$176,203
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MOSS ADAMS
Accountancy firm EIN2016-12-31910189318
2015 : PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,390,474
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$457,312
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$427,429
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$704,615
Value of total assets at end of year2015-12-31$33,577,448
Value of total assets at beginning of year2015-12-31$32,644,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$29,883
Total interest from all sources2015-12-31$19,069
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,348,556
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,348,556
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$572,834
Participant contributions at end of year2015-12-31$615,913
Participant contributions at beginning of year2015-12-31$670,703
Participant contributions at beginning of year2015-12-31$102,080
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$131,781
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$20
Administrative expenses (other) incurred2015-12-31$97
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$933,162
Value of net assets at end of year (total assets less liabilities)2015-12-31$33,577,448
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$32,644,286
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$30,293,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$29,222,508
Interest on participant loans2015-12-31$7,252
Interest earned on other investments2015-12-31$11,817
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$2,171,147
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,787,773
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-681,766
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$0
Employer contributions (assets) at end of year2015-12-31$496,920
Employer contributions (assets) at beginning of year2015-12-31$861,202
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$427,429
Contract administrator fees2015-12-31$29,786
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total transfer of assets to this plan2015-09-30$26,408,099
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$0
Total income from all sources (including contributions)2015-09-30$1,544,340
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$329,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$308,757
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$3,274,184
Value of total assets at end of year2015-09-30$32,644,286
Value of total assets at beginning of year2015-09-30$5,020,912
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$20,308
Total interest from all sources2015-09-30$22,356
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$308,269
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-09-30$308,269
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$1,166,249
Participant contributions at end of year2015-09-30$670,703
Participant contributions at beginning of year2015-09-30$24,069
Participant contributions at end of year2015-09-30$102,080
Participant contributions at beginning of year2015-09-30$56,104
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$685,936
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-09-30$20
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-09-30$20
Administrative expenses (other) incurred2015-09-30$676
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$1,215,275
Value of net assets at end of year (total assets less liabilities)2015-09-30$32,644,286
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$5,020,912
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-09-30$29,222,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-09-30$4,546,678
Interest on participant loans2015-09-30$9,243
Interest earned on other investments2015-09-30$13,113
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-09-30$1,787,773
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-09-30$361,210
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-09-30$-2,060,469
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$1,421,999
Employer contributions (assets) at end of year2015-09-30$861,202
Employer contributions (assets) at beginning of year2015-09-30$32,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$308,757
Contract administrator fees2015-09-30$19,632
Did the plan have assets held for investment2015-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30Yes
Opinion of an independent qualified public accountant for this plan2015-09-30Disclaimer
Accountancy firm name2015-09-30MOSS ADAMS
Accountancy firm EIN2015-09-30910189318

Form 5500 Responses for PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN

2022: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PACIFIC RETIREMENT SERVICES, INC. 401(K) 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 – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PACIFIC RETIREMENT SERVICES, INC. 401(K) 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 – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PACIFIC RETIREMENT SERVICES, INC. 401(K) 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 – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: PACIFIC RETIREMENT SERVICES, INC. 401(K) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedYes
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered2261
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered57
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $110
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $70
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered2057
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered66
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $143
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $131
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered1878
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered71
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $94
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $94
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered138
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $64
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $43
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered2224
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered1995
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered148
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $42
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42
Insurance broker organization code?3
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered1823
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $28
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $28
Insurance broker organization code?3
Insurance broker nameDE LA CRUZ, ELKE
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered1537
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered171
Insurance policy start date2015-10-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 2
Insurance contract or identification number70857
Number of Individuals Covered1525
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70857
Policy instance 1
Insurance contract or identification number70857
Number of Individuals Covered174
Insurance policy start date2015-08-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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

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