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AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 401k Plan overview

Plan NameAMERICAN GAMES SAVINGS AND RETIREMENT PLAN
Plan identification number 001

AMERICAN GAMES SAVINGS AND RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.

401k Sponsoring company profile

POLLARD GAMES, INC. DBA AMERICAN GAMES AND INTERNATIONAL GAMCO has sponsored the creation of one or more 401k plans.

Company Name:POLLARD GAMES, INC. DBA AMERICAN GAMES AND INTERNATIONAL GAMCO
Employer identification number (EIN):980345041
NAIC Classification:713200
NAIC Description: Gambling Industries

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERICAN GAMES SAVINGS AND RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-06-01SCOTT REISS2021-09-12 SCOTT REISS2021-09-12
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DAN KRAFT
0012016-01-01DAN KRAFT
0012015-01-01DAN KRAFT
0012014-01-01DANIEL KRAFT DANIEL KRAFT2015-09-25
0012013-01-01DANIEL KRAFT DANIEL KRAFT2014-07-29
0012012-01-01DANIEL KRAFT DANIEL KRAFT2013-07-30
0012011-01-01DANIEL KRAFT DANIEL KRAFT2012-10-12
0012009-01-01DANIEL KRAFT

Plan Statistics for AMERICAN GAMES SAVINGS AND RETIREMENT PLAN

401k plan membership statisitcs for AMERICAN GAMES SAVINGS AND RETIREMENT PLAN

Measure Date Value
2020: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-06-01149
Total number of active participants reported on line 7a of the Form 55002020-06-010
Number of retired or separated participants receiving benefits2020-06-010
Number of other retired or separated participants entitled to future benefits2020-06-010
Total of all active and inactive participants2020-06-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-06-010
Total participants2020-06-010
Number of participants with account balances2020-06-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-06-010
Total participants, beginning-of-year2020-01-01251
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01235
Total number of active participants reported on line 7a of the Form 55002019-01-01239
Number of retired or separated participants receiving benefits2019-01-016
Number of other retired or separated participants entitled to future benefits2019-01-0117
Total of all active and inactive participants2019-01-01262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01262
Number of participants with account balances2019-01-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01230
Total number of active participants reported on line 7a of the Form 55002018-01-01196
Number of retired or separated participants receiving benefits2018-01-015
Number of other retired or separated participants entitled to future benefits2018-01-0120
Total of all active and inactive participants2018-01-01221
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01221
Number of participants with account balances2018-01-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
2017: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01212
Total number of active participants reported on line 7a of the Form 55002017-01-01217
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-0115
Total of all active and inactive participants2017-01-01235
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01235
Number of participants with account balances2017-01-01163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01205
Total number of active participants reported on line 7a of the Form 55002016-01-01195
Number of retired or separated participants receiving benefits2016-01-013
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-01210
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01210
Number of participants with account balances2016-01-01173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01194
Total number of active participants reported on line 7a of the Form 55002015-01-01174
Number of retired or separated participants receiving benefits2015-01-014
Number of other retired or separated participants entitled to future benefits2015-01-0119
Total of all active and inactive participants2015-01-01197
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01197
Number of participants with account balances2015-01-01168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01200
Total number of active participants reported on line 7a of the Form 55002014-01-01169
Number of retired or separated participants receiving benefits2014-01-012
Number of other retired or separated participants entitled to future benefits2014-01-0119
Total of all active and inactive participants2014-01-01190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01190
Number of participants with account balances2014-01-01162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-016
2013: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01211
Total number of active participants reported on line 7a of the Form 55002013-01-01193
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0115
Total of all active and inactive participants2013-01-01209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01209
Number of participants with account balances2013-01-01171
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01217
Total number of active participants reported on line 7a of the Form 55002012-01-01189
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-0119
Total of all active and inactive participants2012-01-01211
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-01212
Number of participants with account balances2012-01-01181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-014
2011: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01258
Total number of active participants reported on line 7a of the Form 55002011-01-01197
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-0118
Total of all active and inactive participants2011-01-01217
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01217
Number of participants with account balances2011-01-01178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2009: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01280
Total number of active participants reported on line 7a of the Form 55002009-01-01205
Number of retired or separated participants receiving benefits2009-01-014
Number of other retired or separated participants entitled to future benefits2009-01-0159
Total of all active and inactive participants2009-01-01268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01268
Number of participants with account balances2009-01-01235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-018

Financial Data on AMERICAN GAMES SAVINGS AND RETIREMENT PLAN

Measure Date Value
2020 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-01$0
Total transfer of assets from this plan2020-12-01$9,249,421
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-01$0
Total income from all sources (including contributions)2020-12-01$1,441,729
Total loss/gain on sale of assets2020-12-01$0
Total of all expenses incurred2020-12-01$969,949
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-01$888,309
Expenses. Certain deemed distributions of participant loans2020-12-01$4,499
Value of total corrective distributions2020-12-01$24,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-01$451,793
Value of total assets at end of year2020-12-01$0
Value of total assets at beginning of year2020-12-01$8,777,641
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-01$53,030
Total interest from all sources2020-12-01$844,416
Total dividends received (eg from common stock, registered investment company shares)2020-12-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-01No
Was this plan covered by a fidelity bond2020-12-01Yes
Value of fidelity bond cover2020-12-01$500,000
If this is an individual account plan, was there a blackout period2020-12-01No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-01$0
Were there any nonexempt tranactions with any party-in-interest2020-12-01No
Contributions received from participants2020-12-01$293,906
Participant contributions at end of year2020-12-01$0
Participant contributions at beginning of year2020-12-01$525,174
Assets. Other investments not covered elsewhere at end of year2020-12-01$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-01$2,041
Income. Received or receivable in cash from other sources (including rollovers)2020-12-01$541
Other income not declared elsewhere2020-12-01$145,520
Administrative expenses (other) incurred2020-12-01$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-01No
Value of net income/loss2020-12-01$471,780
Value of net assets at end of year (total assets less liabilities)2020-12-01$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-01$8,777,641
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-01No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-01No
Were any leases to which the plan was party in default or uncollectible2020-12-01No
Investment advisory and management fees2020-12-01$48,157
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-01$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-01$5,212,361
Value of interest in pooled separate accounts at end of year2020-12-01$0
Value of interest in pooled separate accounts at beginning of year2020-12-01$1,538,225
Interest on participant loans2020-12-01$26,640
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-01$817,776
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-01$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-01$1,499,840
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-01$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-01No
Was there a failure to transmit to the plan any participant contributions2020-12-01No
Has the plan failed to provide any benefit when due under the plan2020-12-01No
Contributions received in cash from employer2020-12-01$157,346
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-01$888,199
Contract administrator fees2020-12-01$4,773
Did the plan have assets held for investment2020-12-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-01Yes
Opinion of an independent qualified public accountant for this plan2020-12-01Disclaimer
Accountancy firm name2020-12-01DUTTON & ASSOCIATES
Accountancy firm EIN2020-12-01470551418
Total unrealized appreciation/depreciation of assets2020-11-30$0
Total transfer of assets to this plan2020-11-30$0
Total transfer of assets from this plan2020-11-30$9,243,195
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-11-30$0
Total income from all sources (including contributions)2020-11-30$1,669,001
Total loss/gain on sale of assets2020-11-30$0
Total of all expenses incurred2020-11-30$1,562,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-11-30$1,544,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-11-30$176,817
Value of total assets at end of year2020-11-30$0
Value of total assets at beginning of year2020-11-30$9,136,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-11-30$18,007
Total interest from all sources2020-11-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-11-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-11-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-11-30$3,173
Was this plan covered by a fidelity bond2020-11-30Yes
Value of fidelity bond cover2020-11-30$1,000,000
If this is an individual account plan, was there a blackout period2020-11-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-11-30$0
Were there any nonexempt tranactions with any party-in-interest2020-11-30No
Contributions received from participants2020-11-30$121,823
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-11-30$147
Administrative expenses (other) incurred2020-11-30$18,007
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Value of net income/loss2020-11-30$106,906
Value of net assets at end of year (total assets less liabilities)2020-11-30$0
Value of net assets at beginning of year (total assets less liabilities)2020-11-30$9,136,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-11-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-11-30No
Were any leases to which the plan was party in default or uncollectible2020-11-30No
Value of interest in pooled separate accounts at end of year2020-11-30$0
Value of interest in pooled separate accounts at beginning of year2020-11-30$9,134,551
Value of interest in master investment trust accounts at end of year2020-11-30$0
Value of interest in master investment trust accounts at beginning of year2020-11-30$0
Value of interest in common/collective trusts at end of year2020-11-30$0
Value of interest in common/collective trusts at beginning of year2020-11-30$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-11-30$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-11-30$1,738
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-11-30$1,738
Net investment gain or loss from common/collective trusts2020-11-30$1,492,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-11-30No
Was there a failure to transmit to the plan any participant contributions2020-11-30No
Has the plan failed to provide any benefit when due under the plan2020-11-30No
Contributions received in cash from employer2020-11-30$54,994
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-11-30$1,543,941
Did the plan have assets held for investment2020-11-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-11-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-11-30Yes
Opinion of an independent qualified public accountant for this plan2020-11-30Disclaimer
Accountancy firm name2020-11-30BLAND & ASSOCIATES
Accountancy firm EIN2020-11-30470698853
2019 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$1,866,647
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$396,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$316,382
Expenses. Certain deemed distributions of participant loans2019-12-31$7,424
Value of total corrective distributions2019-12-31$10,982
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$485,425
Value of total assets at end of year2019-12-31$8,777,641
Value of total assets at beginning of year2019-12-31$7,307,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$61,507
Total interest from all sources2019-12-31$1,381,222
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$307,451
Participant contributions at end of year2019-12-31$525,174
Participant contributions at beginning of year2019-12-31$522,186
Assets. Other investments not covered elsewhere at end of year2019-12-31$2,041
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$1,901
Administrative expenses (other) incurred2019-12-31$100
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,470,352
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,777,641
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,307,289
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$54,862
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,212,361
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,931,821
Value of interest in pooled separate accounts at end of year2019-12-31$1,538,225
Value of interest in pooled separate accounts at beginning of year2019-12-31$1,175,735
Interest on participant loans2019-12-31$29,607
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$1,351,615
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,499,840
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,675,646
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$177,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$316,272
Contract administrator fees2019-12-31$6,545
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2019-12-31470551418
2018 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$206,529
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$484,574
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$412,093
Expenses. Certain deemed distributions of participant loans2018-12-31$710
Value of total corrective distributions2018-12-31$10,860
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$505,708
Value of total assets at end of year2018-12-31$7,307,289
Value of total assets at beginning of year2018-12-31$7,585,334
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$60,911
Total interest from all sources2018-12-31$-299,179
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$290,880
Participant contributions at end of year2018-12-31$522,186
Participant contributions at beginning of year2018-12-31$392,153
Assets. Other investments not covered elsewhere at end of year2018-12-31$1,901
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$1,768
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$40,982
Administrative expenses (other) incurred2018-12-31$125
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-278,045
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,307,289
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,585,334
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$52,801
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,931,821
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,858,125
Value of interest in pooled separate accounts at end of year2018-12-31$1,175,735
Value of interest in pooled separate accounts at beginning of year2018-12-31$844,350
Interest on participant loans2018-12-31$22,643
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$-321,822
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,675,646
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,488,938
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$173,846
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$411,983
Contract administrator fees2018-12-31$7,985
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2018-12-31470551418
2017 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,485,748
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$230,062
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$197,493
Expenses. Certain deemed distributions of participant loans2017-12-31$-715
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$469,183
Value of total assets at end of year2017-12-31$7,585,334
Value of total assets at beginning of year2017-12-31$6,329,648
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$33,284
Total interest from all sources2017-12-31$1,016,565
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$292,710
Participant contributions at end of year2017-12-31$392,153
Participant contributions at beginning of year2017-12-31$434,860
Assets. Other investments not covered elsewhere at end of year2017-12-31$1,768
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$1,637
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,255,686
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,585,334
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,329,648
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$26,154
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,858,125
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Value of interest in pooled separate accounts at end of year2017-12-31$844,350
Value of interest in pooled separate accounts at beginning of year2017-12-31$4,465,772
Interest on participant loans2017-12-31$19,266
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$997,299
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,488,938
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,427,379
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$176,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$197,383
Contract administrator fees2017-12-31$7,130
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2017-12-31470551418
2016 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$794,604
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$486,096
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$463,695
Expenses. Certain deemed distributions of participant loans2016-12-31$2,758
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$470,939
Value of total assets at end of year2016-12-31$6,329,648
Value of total assets at beginning of year2016-12-31$6,021,140
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$19,643
Total interest from all sources2016-12-31$323,665
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$291,841
Participant contributions at end of year2016-12-31$434,860
Participant contributions at beginning of year2016-12-31$497,770
Assets. Other investments not covered elsewhere at end of year2016-12-31$1,637
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$1,505
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,998
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$308,508
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,329,648
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,021,140
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$11,207
Value of interest in pooled separate accounts at end of year2016-12-31$4,465,772
Value of interest in pooled separate accounts at beginning of year2016-12-31$4,237,743
Interest on participant loans2016-12-31$21,151
Interest earned on other investments2016-12-31$478
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$302,036
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,427,379
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,284,122
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$177,100
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$463,585
Contract administrator fees2016-12-31$8,436
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2016-12-31470551418
2015 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$498,715
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$208,854
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$186,399
Expenses. Certain deemed distributions of participant loans2015-12-31$2,109
Value of total corrective distributions2015-12-31$157
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$514,512
Value of total assets at end of year2015-12-31$6,021,140
Value of total assets at beginning of year2015-12-31$5,731,279
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$20,189
Total interest from all sources2015-12-31$-15,797
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$275,681
Participant contributions at end of year2015-12-31$497,770
Participant contributions at beginning of year2015-12-31$510,151
Assets. Other investments not covered elsewhere at end of year2015-12-31$1,505
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$12,758
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$69,382
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$289,861
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,021,140
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,731,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$10,714
Value of interest in pooled separate accounts at end of year2015-12-31$4,237,743
Value of interest in pooled separate accounts at beginning of year2015-12-31$4,137,786
Interest on participant loans2015-12-31$22,647
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$-38,444
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,284,122
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,070,584
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$169,449
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$186,289
Contract administrator fees2015-12-31$9,475
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2015-12-31470551418
2014 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$712,489
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$761,255
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$714,290
Value of total corrective distributions2014-12-31$17,102
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$438,392
Value of total assets at end of year2014-12-31$5,731,279
Value of total assets at beginning of year2014-12-31$5,780,045
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$29,863
Total interest from all sources2014-12-31$274,097
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$237,826
Participant contributions at end of year2014-12-31$510,151
Participant contributions at beginning of year2014-12-31$431,601
Assets. Other investments not covered elsewhere at end of year2014-12-31$12,758
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$12,410
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$51,224
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-48,766
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,731,279
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,780,045
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$17,318
Value of interest in pooled separate accounts at end of year2014-12-31$4,137,786
Value of interest in pooled separate accounts at beginning of year2014-12-31$4,306,314
Interest on participant loans2014-12-31$19,673
Interest earned on other investments2014-12-31$348
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$254,076
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,070,584
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,029,720
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$149,342
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$714,180
Contract administrator fees2014-12-31$12,545
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2014-12-31470551418
2013 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,305,900
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$167,020
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$135,178
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$409,725
Value of total assets at end of year2013-12-31$5,780,045
Value of total assets at beginning of year2013-12-31$4,641,165
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$31,842
Total interest from all sources2013-12-31$896,175
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$2,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$256,610
Participant contributions at end of year2013-12-31$431,601
Participant contributions at beginning of year2013-12-31$437,232
Assets. Other investments not covered elsewhere at end of year2013-12-31$12,410
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$11,346
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$-565
Administrative expenses (other) incurred2013-12-31$250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,138,880
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,780,045
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,641,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$20,812
Value of interest in pooled separate accounts at end of year2013-12-31$4,306,314
Value of interest in pooled separate accounts at beginning of year2013-12-31$3,237,397
Interest on participant loans2013-12-31$17,447
Interest earned on other investments2013-12-31$1,064
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$877,664
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,029,720
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$955,190
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$6
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$153,115
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$135,737
Contract administrator fees2013-12-31$10,780
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2013-12-31470551418
2012 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$887,929
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$142,304
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$108,696
Expenses. Certain deemed distributions of participant loans2012-12-31$4,424
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$410,759
Value of total assets at end of year2012-12-31$4,641,165
Value of total assets at beginning of year2012-12-31$3,895,540
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$29,184
Total interest from all sources2012-12-31$477,170
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$2,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$257,708
Participant contributions at end of year2012-12-31$437,232
Participant contributions at beginning of year2012-12-31$423,120
Assets. Other investments not covered elsewhere at end of year2012-12-31$11,346
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$10,706
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$4,197
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$745,625
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,641,165
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,895,540
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$17,379
Value of interest in pooled separate accounts at end of year2012-12-31$3,237,397
Value of interest in pooled separate accounts at beginning of year2012-12-31$2,725,095
Interest on participant loans2012-12-31$17,448
Interest earned on other investments2012-12-31$640
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$459,082
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$955,190
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$736,619
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$148,854
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$108,586
Contract administrator fees2012-12-31$11,805
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2012-12-31470551418
2011 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$319,237
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$161,887
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$132,213
Expenses. Certain deemed distributions of participant loans2011-12-31$-500
Value of total corrective distributions2011-12-31$365
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$390,808
Value of total assets at end of year2011-12-31$3,895,540
Value of total assets at beginning of year2011-12-31$3,738,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$29,809
Total interest from all sources2011-12-31$-71,571
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$2,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$242,088
Participant contributions at end of year2011-12-31$423,120
Participant contributions at beginning of year2011-12-31$284,385
Assets. Other investments not covered elsewhere at end of year2011-12-31$10,706
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$10,370
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$18,904
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$157,350
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,895,540
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,738,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$15,960
Value of interest in pooled separate accounts at end of year2011-12-31$2,725,095
Value of interest in pooled separate accounts at beginning of year2011-12-31$2,834,790
Interest on participant loans2011-12-31$15,810
Interest earned on other investments2011-12-31$336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$-87,717
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$736,619
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$608,645
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$129,816
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$132,025
Contract administrator fees2011-12-31$13,849
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31DUTTON & ASSOCIATES
Accountancy firm EIN2011-12-31470551418
2010 : AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$744,566
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$223,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$191,422
Expenses. Certain deemed distributions of participant loans2010-12-31$4,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$363,307
Value of total assets at end of year2010-12-31$3,738,190
Value of total assets at beginning of year2010-12-31$3,217,282
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$28,067
Total interest from all sources2010-12-31$381,259
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$2,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$224,686
Participant contributions at end of year2010-12-31$284,385
Participant contributions at beginning of year2010-12-31$242,165
Assets. Other investments not covered elsewhere at end of year2010-12-31$10,370
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$11,162
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$2,246
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$2,081
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$520,908
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,738,190
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,217,282
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$15,421
Value of interest in pooled separate accounts at end of year2010-12-31$2,834,790
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,452,674
Interest on participant loans2010-12-31$0
Income. Interest from loans (other than to participants)2010-12-31$12,782
Interest earned on other investments2010-12-31$1,336
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$367,141
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$608,645
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$511,281
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$789
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$136,375
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$188,552
Contract administrator fees2010-12-31$12,646
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DUTTON & ASSOCIATES, P.C.
Accountancy firm EIN2010-12-31470551418

Form 5500 Responses for AMERICAN GAMES SAVINGS AND RETIREMENT PLAN

2020: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2020 form 5500 responses
2020-06-01Type of plan entitySingle employer plan
2020-06-01Submission has been amendedNo
2020-06-01This submission is the final filingYes
2020-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-06-01Plan is a collectively bargained planNo
2020-06-01Plan funding arrangement – InsuranceYes
2020-06-01Plan funding arrangement – TrustYes
2020-06-01Plan benefit arrangement - TrustYes
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
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: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
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: AMERICAN GAMES SAVINGS AND RETIREMENT 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: AMERICAN GAMES SAVINGS AND RETIREMENT 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: AMERICAN GAMES SAVINGS AND RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
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: AMERICAN GAMES SAVINGS AND RETIREMENT 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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number106075
Policy instance 1
Insurance contract or identification number106075
Number of Individuals Covered0
Insurance policy start date2020-06-01
Insurance policy end date2020-11-30
Total amount of commissions paid to insurance brokerUSD $4,803
Total amount of fees paid to insurance companyUSD $704
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $4,803
Insurance broker organization code?4
Amount paid for insurance broker fees704
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number81769
Policy instance 1
Insurance contract or identification number81769
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-01
Total amount of commissions paid to insurance brokerUSD $4,062
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,062
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered161
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,985
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,375
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered161
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered161
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,101
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,101
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered163
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $9,277
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,150
Insurance broker organization code?3
Insurance broker nameF.N. KELLEY
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered168
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $17,390
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,290
Insurance broker organization code?3
Insurance broker nameF.N. KELLEY
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered162
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $19,928
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,647
Insurance broker organization code?3
Insurance broker nameF.N. KELLEY
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered171
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $20,709
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,074
Insurance broker organization code?3
Insurance broker nameF.N. KELLEY
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered1
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 $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameJOHN EISENHART
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Insurance broker organization code?3
Insurance broker nameJOHN EISENHART
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered181
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $18,308
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,873
Insurance broker organization code?3
Insurance broker nameF.N. KELLEY
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered178
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15,155
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number50581
Policy instance 1
Insurance contract or identification number50581
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $8
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4
Insurance broker organization code?3
Insurance broker nameJOHN EISENHART
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM81769-1
Policy instance 2
Insurance contract or identification numberRM81769-1
Number of Individuals Covered218
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $13,063
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,022
Insurance broker organization code?3
Insurance broker nameF.N. KELLEY

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