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HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 401k Plan overview

Plan NameHRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT
Plan identification number 002

HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 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.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

THE HARRIS FARMS INC. EMPLOYEE BENEFIT PLAN has sponsored the creation of one or more 401k plans.

Company Name:THE HARRIS FARMS INC. EMPLOYEE BENEFIT PLAN
Employer identification number (EIN):941272509
NAIC Classification:112111
NAIC Description:Beef Cattle Ranching and Farming

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022017-07-01
0022016-07-01ROBERT M KETTLE
0022015-07-01ROBERT M KETTLE
0022014-07-01ROBERT M KETTLE
0022013-07-01ROBERT M KETTLE
0022012-07-01ROBERT M. KETTLE2014-02-28 ROBERT M. KETTLE2014-02-28
0022011-07-01ROBERT M KETTLE
0022009-07-01ROBERT M KETTLE
0022009-07-01ROBERT M KETTLE

Plan Statistics for HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT

401k plan membership statisitcs for HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT

Measure Date Value
2017: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2017 401k membership
Total participants, beginning-of-year2017-07-01822
Total number of active participants reported on line 7a of the Form 55002017-07-01581
Number of retired or separated participants receiving benefits2017-07-011
Number of other retired or separated participants entitled to future benefits2017-07-01143
Total of all active and inactive participants2017-07-01725
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01725
Number of participants with account balances2017-07-01725
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-011
2016: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2016 401k membership
Total participants, beginning-of-year2016-07-01740
Total number of active participants reported on line 7a of the Form 55002016-07-01723
Number of retired or separated participants receiving benefits2016-07-011
Number of other retired or separated participants entitled to future benefits2016-07-0198
Total of all active and inactive participants2016-07-01822
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01822
Number of participants with account balances2016-07-01822
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2015 401k membership
Total participants, beginning-of-year2015-07-01645
Total number of active participants reported on line 7a of the Form 55002015-07-01636
Number of retired or separated participants receiving benefits2015-07-011
Number of other retired or separated participants entitled to future benefits2015-07-01103
Total of all active and inactive participants2015-07-01740
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01740
Number of participants with account balances2015-07-01740
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2014 401k membership
Total participants, beginning-of-year2014-07-01597
Total number of active participants reported on line 7a of the Form 55002014-07-01537
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-01108
Total of all active and inactive participants2014-07-01645
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01645
Number of participants with account balances2014-07-01645
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-014
2013: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2013 401k membership
Total participants, beginning-of-year2013-07-01659
Total number of active participants reported on line 7a of the Form 55002013-07-01488
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-01109
Total of all active and inactive participants2013-07-01597
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01597
Number of participants with account balances2013-07-01597
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-0123
2012: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2012 401k membership
Total participants, beginning-of-year2012-07-01589
Total number of active participants reported on line 7a of the Form 55002012-07-01428
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-01171
Total of all active and inactive participants2012-07-01599
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01599
Number of participants with account balances2012-07-01599
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-0139
2011: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2011 401k membership
Total participants, beginning-of-year2011-07-01595
Total number of active participants reported on line 7a of the Form 55002011-07-01446
Number of other retired or separated participants entitled to future benefits2011-07-01143
Total of all active and inactive participants2011-07-01589
Total participants2011-07-01589
Number of participants with account balances2011-07-01589
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-0158
2009: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2009 401k membership
Total participants, beginning-of-year2009-07-01541
Total number of active participants reported on line 7a of the Form 55002009-07-01560
Number of other retired or separated participants entitled to future benefits2009-07-0172
Total of all active and inactive participants2009-07-01632
Total participants2009-07-01632
Number of participants with account balances2009-07-01632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-016

Financial Data on HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT

Measure Date Value
2018 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$1,939,663
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$973,005
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$919,335
Expenses. Certain deemed distributions of participant loans2018-06-30$14,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$905,681
Value of total assets at end of year2018-06-30$11,981,869
Value of total assets at beginning of year2018-06-30$11,015,211
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$39,196
Total interest from all sources2018-06-30$43,417
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$78,629
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$78,629
Was this plan covered by a fidelity bond2018-06-30No
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$236,797
Participant contributions at end of year2018-06-30$748,695
Participant contributions at beginning of year2018-06-30$630,628
Administrative expenses (other) incurred2018-06-30$39,196
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$966,658
Value of net assets at end of year (total assets less liabilities)2018-06-30$11,981,869
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$11,015,211
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$9,719,198
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$8,976,645
Interest on participant loans2018-06-30$28,294
Interest earned on other investments2018-06-30$15,123
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$1,513,976
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$1,407,938
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$911,936
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$668,884
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$919,335
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30K-COE ISOM
Accountancy firm EIN2018-06-30480567703
2017 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$2,255,004
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$367,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$315,633
Expenses. Certain deemed distributions of participant loans2017-06-30$17,867
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$921,848
Value of total assets at end of year2017-06-30$11,015,211
Value of total assets at beginning of year2017-06-30$9,128,197
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$34,490
Total interest from all sources2017-06-30$38,251
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$107,821
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$107,821
Was this plan covered by a fidelity bond2017-06-30No
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$245,486
Participant contributions at end of year2017-06-30$630,628
Participant contributions at beginning of year2017-06-30$625,209
Administrative expenses (other) incurred2017-06-30$34,490
Total non interest bearing cash at beginning of year2017-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$1,887,014
Value of net assets at end of year (total assets less liabilities)2017-06-30$11,015,211
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$9,128,197
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$8,976,645
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$7,324,693
Interest on participant loans2017-06-30$24,792
Interest earned on other investments2017-06-30$13,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$1,407,938
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$1,178,295
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$1,187,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$676,362
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$315,633
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30K-COE ISOM
Accountancy firm EIN2017-06-30480567703
2016 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total income from all sources (including contributions)2016-06-30$442,804
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$548,217
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$481,988
Expenses. Certain deemed distributions of participant loans2016-06-30$36,638
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$873,578
Value of total assets at end of year2016-06-30$9,128,197
Value of total assets at beginning of year2016-06-30$9,233,610
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$29,591
Total interest from all sources2016-06-30$36,617
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$85,126
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$85,126
Was this plan covered by a fidelity bond2016-06-30No
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$238,546
Participant contributions at end of year2016-06-30$625,209
Participant contributions at beginning of year2016-06-30$580,315
Other income not declared elsewhere2016-06-30$-10
Administrative expenses (other) incurred2016-06-30$29,591
Total non interest bearing cash at end of year2016-06-30$0
Total non interest bearing cash at beginning of year2016-06-30$10
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-105,413
Value of net assets at end of year (total assets less liabilities)2016-06-30$9,128,197
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$9,233,610
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$7,324,693
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$7,544,919
Interest on participant loans2016-06-30$23,346
Interest earned on other investments2016-06-30$13,271
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$1,178,295
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$1,108,366
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-552,507
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$635,032
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$481,988
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30K-COE ISOM
Accountancy firm EIN2016-06-30480567703
2015 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$939,219
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$570,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$537,025
Expenses. Certain deemed distributions of participant loans2015-06-30$5,730
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$743,777
Value of total assets at end of year2015-06-30$9,233,610
Value of total assets at beginning of year2015-06-30$8,865,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$28,010
Total interest from all sources2015-06-30$33,588
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$77,466
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$77,466
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$1,000,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$213,859
Participant contributions at end of year2015-06-30$580,315
Participant contributions at beginning of year2015-06-30$497,367
Participant contributions at end of year2015-06-30$0
Participant contributions at beginning of year2015-06-30$7,049
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$21,915
Other income not declared elsewhere2015-06-30$-55,866
Administrative expenses (other) incurred2015-06-30$28,010
Total non interest bearing cash at end of year2015-06-30$10
Total non interest bearing cash at beginning of year2015-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$368,454
Value of net assets at end of year (total assets less liabilities)2015-06-30$9,233,610
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$8,865,156
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$7,544,919
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$7,258,688
Interest on participant loans2015-06-30$19,714
Interest earned on other investments2015-06-30$13,874
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$1,108,366
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$1,082,610
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$140,254
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$508,003
Employer contributions (assets) at end of year2015-06-30$0
Employer contributions (assets) at beginning of year2015-06-30$19,442
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$537,025
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30STOUGHTON DAVIDSON ACCOUNTANCY CORP
Accountancy firm EIN2015-06-30942248751
2014 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$1,665,609
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$558,796
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$516,125
Expenses. Certain deemed distributions of participant loans2014-06-30$15,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$480,418
Value of total assets at end of year2014-06-30$8,865,156
Value of total assets at beginning of year2014-06-30$7,758,343
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$27,088
Total interest from all sources2014-06-30$33,555
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$71,852
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$71,852
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$1,000,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$189,230
Participant contributions at end of year2014-06-30$497,367
Participant contributions at beginning of year2014-06-30$410,477
Participant contributions at end of year2014-06-30$7,049
Participant contributions at beginning of year2014-06-30$8,104
Other income not declared elsewhere2014-06-30$3,273
Administrative expenses (other) incurred2014-06-30$27,088
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$1,106,813
Value of net assets at end of year (total assets less liabilities)2014-06-30$8,865,156
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$7,758,343
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$7,258,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$6,257,984
Interest on participant loans2014-06-30$17,692
Interest earned on other investments2014-06-30$15,863
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$1,082,610
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$1,059,753
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$1,076,511
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$291,188
Employer contributions (assets) at end of year2014-06-30$19,442
Employer contributions (assets) at beginning of year2014-06-30$22,025
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$516,125
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30STOUGHTON DAVIDSON ACCOUNTANCY CORP
Accountancy firm EIN2014-06-30942248751
2013 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$1,552,579
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$790,745
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$758,424
Expenses. Certain deemed distributions of participant loans2013-06-30$5,175
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$713,282
Value of total assets at end of year2013-06-30$7,758,343
Value of total assets at beginning of year2013-06-30$6,996,509
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$27,146
Total interest from all sources2013-06-30$33,506
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$73,958
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$73,958
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$1,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$190,871
Participant contributions at end of year2013-06-30$410,477
Participant contributions at beginning of year2013-06-30$428,536
Participant contributions at end of year2013-06-30$8,104
Participant contributions at beginning of year2013-06-30$11,459
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$2,522
Administrative expenses (other) incurred2013-06-30$27,146
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$761,834
Value of net assets at end of year (total assets less liabilities)2013-06-30$7,758,343
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$6,996,509
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$6,257,984
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$5,553,145
Interest on participant loans2013-06-30$16,824
Interest earned on other investments2013-06-30$16,682
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-06-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$974,243
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$974,243
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$1,059,753
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$731,833
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Contributions received in cash from employer2013-06-30$519,889
Employer contributions (assets) at end of year2013-06-30$22,025
Employer contributions (assets) at beginning of year2013-06-30$29,126
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$758,424
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30STOUGHTON DAVIDSON
Accountancy firm EIN2013-06-30942248751
2012 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2012 401k financial data
Expenses. Interest paid2012-06-30$11,425
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022012-06-30$11,425
Total income from all sources (including contributions)2012-06-30$699,375
Total of all expenses incurred2012-06-30$772,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$628,860
Expenses. Certain deemed distributions of participant loans2012-06-30$131,998
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$750,570
Value of total assets at end of year2012-06-30$6,996,509
Value of total assets at beginning of year2012-06-30$7,069,417
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$11,425
Total interest from all sources2012-06-30$38,572
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$149,411
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$149,411
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$1,000,000
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$211,939
Participant contributions at end of year2012-06-30$428,536
Participant contributions at beginning of year2012-06-30$495,273
Participant contributions at end of year2012-06-30$11,459
Participant contributions at beginning of year2012-06-30$9,758
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-72,908
Value of net assets at end of year (total assets less liabilities)2012-06-30$6,996,509
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$7,069,417
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$5,553,145
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$5,644,054
Interest on participant loans2012-06-30$19,312
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$974,243
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$897,551
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$897,551
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$19,260
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-239,178
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$538,631
Employer contributions (assets) at end of year2012-06-30$29,126
Employer contributions (assets) at beginning of year2012-06-30$22,781
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$628,860
Contract administrator fees2012-06-30$11,425
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30STOUGHTON DAVIDSON
Accountancy firm EIN2012-06-30942248751
2011 : HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2011 401k financial data
Total income from all sources (including contributions)2011-06-30$1,852,623
Total of all expenses incurred2011-06-30$346,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$282,000
Expenses. Certain deemed distributions of participant loans2011-06-30$53,738
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$752,786
Value of total assets at end of year2011-06-30$7,069,417
Value of total assets at beginning of year2011-06-30$5,563,693
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$11,161
Total interest from all sources2011-06-30$42,493
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$80,985
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$80,985
Administrative expenses professional fees incurred2011-06-30$11,161
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$2,000,000
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$243,228
Participant contributions at end of year2011-06-30$495,273
Participant contributions at beginning of year2011-06-30$511,476
Participant contributions at end of year2011-06-30$9,758
Participant contributions at beginning of year2011-06-30$9,660
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$1,505,724
Value of net assets at end of year (total assets less liabilities)2011-06-30$7,069,417
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$5,563,693
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$5,644,054
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$3,895,139
Interest on participant loans2011-06-30$23,171
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$897,551
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,121,886
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,121,886
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$19,322
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$976,359
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$509,558
Employer contributions (assets) at end of year2011-06-30$22,781
Employer contributions (assets) at beginning of year2011-06-30$25,532
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$282,000
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30STOUGHTON DAVIDSON
Accountancy firm EIN2011-06-30942248751

Form 5500 Responses for HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT

2017: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planYes
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planYes
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedYes
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement - TrustYes
2009: HRBC 401(K) PLAN FOR UFCW COLLECTIVE BARGAINING UNIT 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Plan is a collectively bargained planYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number106510
Policy instance 1
Insurance contract or identification number106510
Number of Individuals Covered725
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,703
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
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number40068
Policy instance 1
Insurance contract or identification number40068
Number of Individuals Covered740
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,708
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?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
Amount paid for insurance broker fees3708
Additional information about fees paid to insurance brokerSERVICES TO INSURER
Insurance broker organization code?4
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number40068
Policy instance 1
Insurance contract or identification number40068
Number of Individuals Covered645
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,685
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?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
Amount paid for insurance broker fees3685
Additional information about fees paid to insurance brokerSERVICES TO INSURER
Insurance broker organization code?4
Insurance broker nameWELLS FARGO INS AGENCY
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number40068
Policy instance 1
Insurance contract or identification number40068
Number of Individuals Covered597
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,658
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?Yes
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
Amount paid for insurance broker fees3658
Additional information about fees paid to insurance brokerSERVICES TO INSURER
Insurance broker organization code?4
Insurance broker nameWELLS FARGO INS AGENCY
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number40068
Policy instance 1
Insurance contract or identification number40068
Number of Individuals Covered599
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,313
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?Yes
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3313
Additional information about fees paid to insurance brokerSERVICES TO INSURER
Insurance broker organization code?4
Insurance broker nameWELLS FARGO INS AGENCY

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