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PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NamePMSM ARCHITECTS 401(K) PROFIT SHARING PLAN
Plan identification number 001

PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PMSM ARCHITECTS has sponsored the creation of one or more 401k plans.

Company Name:PMSM ARCHITECTS
Employer identification number (EIN):952273845
NAIC Classification:541310
NAIC Description:Architectural Services

Additional information about PMSM ARCHITECTS

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 1963-09-26
Company Identification Number: C0458149
Legal Registered Office Address: 560 Higuera St, Suite C

San Luis Obispo
United States of America (USA)
93401

More information about PMSM ARCHITECTS

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ALAN KROEKER2023-09-05
0012021-01-01ALAN KROEKER2022-09-06
0012020-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01ALAN G. KROEKER
0012012-01-01ALAN G. KROEKER
0012011-01-01ALAN G. KROEKER
0012009-01-01DOUGLAS S. HENDRY

Plan Statistics for PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN

Measure Date Value
2017: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0138
Total number of active participants reported on line 7a of the Form 55002017-01-0133
Number of other retired or separated participants entitled to future benefits2017-01-017
Total of all active and inactive participants2017-01-0140
Total participants2017-01-0140
Number of participants with account balances2017-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0134
Total number of active participants reported on line 7a of the Form 55002016-01-0127
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0111
Total of all active and inactive participants2016-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0138
Number of participants with account balances2016-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0125
Total number of active participants reported on line 7a of the Form 55002015-01-0124
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0134
Number of participants with account balances2015-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0126
Total number of active participants reported on line 7a of the Form 55002014-01-0116
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0125
Number of participants with account balances2014-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0130
Total number of active participants reported on line 7a of the Form 55002013-01-0114
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0111
Total of all active and inactive participants2013-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0125
Number of participants with account balances2013-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0129
Total number of active participants reported on line 7a of the Form 55002012-01-0119
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0110
Total of all active and inactive participants2012-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0129
Number of participants with account balances2012-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0129
Total number of active participants reported on line 7a of the Form 55002011-01-0119
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0110
Total of all active and inactive participants2011-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0129
Number of participants with account balances2011-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0143
Total number of active participants reported on line 7a of the Form 55002009-01-0118
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0120
Total of all active and inactive participants2009-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0138
Number of participants with account balances2009-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN

Measure Date Value
2017 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$19,022
Total income from all sources2017-12-31$826,461
Expenses. Total of all expenses incurred2017-12-31$81,657
Benefits paid (including direct rollovers)2017-12-31$67,063
Total plan assets at end of year2017-12-31$3,947,976
Total plan assets at beginning of year2017-12-31$3,222,194
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$178,675
Expenses. Other expenses not covered elsewhere2017-12-31$650
Contributions received from other sources (not participants or employers)2017-12-31$1,197
Other income received2017-12-31$435,293
Net income (gross income less expenses)2017-12-31$744,804
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,947,976
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,203,172
Assets. Value of participant loans2017-12-31$38,927
Total contributions received or receivable from employer(s)2017-12-31$211,296
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$13,944
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$19,022
Total plan liabilities at beginning of year2016-12-31$7,769
Total income from all sources2016-12-31$526,630
Expenses. Total of all expenses incurred2016-12-31$177,293
Benefits paid (including direct rollovers)2016-12-31$167,562
Total plan assets at end of year2016-12-31$3,222,194
Total plan assets at beginning of year2016-12-31$2,861,604
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$142,997
Expenses. Other expenses not covered elsewhere2016-12-31$1,937
Other income received2016-12-31$210,769
Net income (gross income less expenses)2016-12-31$349,337
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,203,172
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,853,835
Assets. Value of participant loans2016-12-31$14,927
Total contributions received or receivable from employer(s)2016-12-31$172,864
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$7,794
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$275,210
Expenses. Total of all expenses incurred2015-12-31$11,720
Benefits paid (including direct rollovers)2015-12-31$665
Total plan assets at end of year2015-12-31$2,861,604
Total plan assets at beginning of year2015-12-31$2,598,114
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$139,585
Expenses. Other expenses not covered elsewhere2015-12-31$1,754
Contributions received from other sources (not participants or employers)2015-12-31$36,552
Other income received2015-12-31$-35,276
Net income (gross income less expenses)2015-12-31$263,490
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,861,604
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,598,114
Assets. Value of participant loans2015-12-31$19,095
Total contributions received or receivable from employer(s)2015-12-31$134,349
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$9,301
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$366,357
Expenses. Total of all expenses incurred2014-12-31$226,472
Benefits paid (including direct rollovers)2014-12-31$220,440
Total plan assets at end of year2014-12-31$2,598,114
Total plan assets at beginning of year2014-12-31$2,458,229
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$92,042
Expenses. Other expenses not covered elsewhere2014-12-31$6,032
Contributions received from other sources (not participants or employers)2014-12-31$3,830
Other income received2014-12-31$104,113
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$139,885
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,598,114
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,458,229
Assets. Value of participant loans2014-12-31$20,565
Total contributions received or receivable from employer(s)2014-12-31$166,372
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$3,000
Total income from all sources2013-12-31$530,630
Expenses. Total of all expenses incurred2013-12-31$1,490,398
Benefits paid (including direct rollovers)2013-12-31$1,479,885
Total plan assets at end of year2013-12-31$2,458,229
Total plan assets at beginning of year2013-12-31$3,420,997
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$71,990
Expenses. Other expenses not covered elsewhere2013-12-31$10,513
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$417,768
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$-959,768
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,458,229
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,417,997
Assets. Value of participant loans2013-12-31$29,382
Total contributions received or receivable from employer(s)2013-12-31$40,872
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$3,000
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$452,155
Expenses. Total of all expenses incurred2012-12-31$30,413
Benefits paid (including direct rollovers)2012-12-31$15,861
Total plan assets at end of year2012-12-31$3,420,997
Total plan assets at beginning of year2012-12-31$2,996,255
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$73,405
Expenses. Other expenses not covered elsewhere2012-12-31$14,552
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$354,035
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$421,742
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,417,997
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,996,255
Assets. Value of participant loans2012-12-31$46,456
Total contributions received or receivable from employer(s)2012-12-31$24,715
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$50,697
Expenses. Total of all expenses incurred2011-12-31$883,670
Benefits paid (including direct rollovers)2011-12-31$869,228
Total plan assets at end of year2011-12-31$2,992,467
Total plan assets at beginning of year2011-12-31$3,825,440
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$57,573
Expenses. Other expenses not covered elsewhere2011-12-31$14,442
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-34,948
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-832,973
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,992,467
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,825,440
Assets. Value of participant loans2011-12-31$60,746
Total contributions received or receivable from employer(s)2011-12-31$28,072
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$469,923
Expenses. Total of all expenses incurred2010-12-31$260,480
Benefits paid (including direct rollovers)2010-12-31$249,492
Total plan assets at end of year2010-12-31$3,825,440
Total plan assets at beginning of year2010-12-31$3,615,997
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$56,625
Expenses. Other expenses not covered elsewhere2010-12-31$10,988
Contributions received from other sources (not participants or employers)2010-12-31$37,281
Other income received2010-12-31$322,017
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$209,443
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,825,440
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,615,997
Assets. Value of participant loans2010-12-31$66,825
Total contributions received or receivable from employer(s)2010-12-31$54,000
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for PMSM ARCHITECTS 401(K) PROFIT SHARING PLAN

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

Insurance Providers Used on plan

GREAT WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered37
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered32
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered23
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of fees paid to insurance companyUSD $3,125
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Amount paid for insurance broker fees3125
Insurance broker organization code?5
Insurance broker namePENSYS, INC.
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered23
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,325
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 fees3325
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameSAN LUIS PENSION CONSULTANTS, INC.
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered28
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,048
Total amount of fees paid to insurance companyUSD $4,759
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 fees4759
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $1,524
Insurance broker nameCHRISTOPHER DUMFORD
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered27
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,345
Total amount of fees paid to insurance companyUSD $7,218
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number940768-01
Policy instance 1
Insurance contract or identification number940768-01
Number of Individuals Covered29
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10,615
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
Amount paid for insurance broker fees10615
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameSAN LUIS PENSION CONSULTANTS, INC.

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